Algimantas Paulauskas

Prevalence of Borrelia burgdorferi sensu lato and Anaplasma phagocytophilum in questing Ixodes ricinus ticks in relation to the density of wild cervids

BackgroundBorrelia burgdorferi sensu lato and Anaplasma phagocytophilum have been considered as pathogens in animals and humans. The role of wild cervids in the epidemiology is not clear. We analyzed questing Ixodes ricinus ticks collected in spring for these pathogens from sites with high (Fjelløyvær and Strøm) and low density (Tjore, Hinnebu and Jomfruland) of wild cervids to study the spread of the pathogens in questing ticks.MethodsFor detection of Anaplasma phagocytophilum a 77-bp fragment in the msp 2 gene was used. Detection of Borrelia burgdorferi sensu lato was performed using the FL6 and FL7 primers according to sequences of conserved regions of the fla gene. The Osp A gene located on the linear 49-kb plasmid was used as target in multiplex PCR for genotyping. Genospecies-specific primers were used in the PCR for Borrelia burgdorferi sensu stricto, B. afzelii and B. garinii.ResultsInfection rates with Borrelia spp. were significantly lower at Fjelløyvær and Strøm compared to Tjore and Hinnebu; Fjelløyvær vs. Tjore (χ2 = 20.27, p < 0.0001); Fjelløyvær vs. Hinnebu (χ2 = 24.04, p < 0.0001); Strøm vs. Tjore (χ2 = 11.47, p = 0.0007) and Strøm vs. Hinnebu (χ2 = 16.63, p < 0.0001). The Borrelia genospecies were dominated by. B. afzelii (82%) followed by B. garinii (9.7%) and B. burgdorferi sensu stricto (6.9%). B. burgdorferi s.s. was only found on the island of Jomfruland. The infection rate of Anaplasma phagocytophilum showed the following figures; Fjelløyvær vs Hinnebu (χ2 = 16.27, p = 0.0001); Strøm vs. Tjore (χ2 = 13.16, p = 0.0003); Strøm vs. Hinnebu (χ2 = 34.71, p < 0.0001); Fjelløyvær vs. Tjore (χ2 = 3.19, p = 0.0742) and Fjelløyvær vs. Støm (χ2 = 5.06, p = 0.0245). Wild cervids may serve as a reservoir for A. phagocytophilum. Jomfruland, with no wild cervids but high levels of migrating birds and rodents, harboured both B. burgdorferi s.l. and A. phagocytophilum in questing I. ricinus ticks. Birds and rodents may play an important role in maintaining the pathogens on Jomfruland.ConclusionThe high abundance of roe deer and red deer on the Norwegian islands of Fjelløyvær and Strøm may reduce the infection rate of Borrelia burgdorferi sensu lato in host seeking Ixodes ricinus, in contrast to mainland sites at Hinnebu and Tjore with moderate abundance of wild cervids. The infection rate of Anaplasma phagocytophilum showed the opposite result with a high prevalence in questing ticks in localities with a high density of wild cervids compared to localities with lower density.

Prevalence and diversity of Babesia spp. in questing Ixodes ricinus ticks from Norway

BackgroundIxodes ricinus ticks transmit Babesia species to vertebrate hosts. Using molecular tools we were able to detect the presence of this piroplasmid in its vector. The aims of this study were to investigate the prevalence and identity of Babesia species in questing ticks collected in various areas of Norway.MethodsDNA from questing l. ricinus ticks were examined with a realtime PCR for the presence of Babesia. Positive samples of tick DNA were identified to species using PCR, and sequence analysis.ResultsFrom a total of 1908 questing l. ricinus ticks, 17 (0.9%) indicated the presence of Babesia spp. after realtime-PCR screening. Ixodes ricinus harbouring Babesia spp. was detected in 9 out of 22 localities. Further molecular analyses of DNA from these positive ticks indicate the presence of Babesia venatorum, B. divergens, B. capreoli and a currently undescribed Babesia in Norwegian ticks. The most prevalent was B. venatorum found in 71% of the positive ticks.ConclusionsA total of 17 out of 1908 (0.9%) ticks were positive for Babesia. Our data confirm that there are several Babesia species in ticks in Norway. Babesia venatorum was the most prevalent. This species has a zoonotic potential and may cause human babesiosis following a tick bite.

Diversity in prevalence and genospecies of Borrelia burgdorferi sensu lato in Ixodes ricinus ticks and rodents in Lithuania and Norway

A total of 1679 questing Ixodes ricinus ticks collected in Lithuania and 535 I. ricinus ticks collected in Norway from locations with different habitats were investigated for the presence of Borrelia burgdorferi sensu lato. In Lithuania, 223 ticks (13.3%) were infected with B. burgdorferi s.l., and in Norway, 28 ticks (5.2%). The highest prevalence of B. burgdorferi s.l was found in deciduous and mixed forests (19.4% in Lithuania, 8.6% in Norway). A lower prevalence was determined in pine forests (8.6% in Lithuania) and costal zones (4.3% in Norway), and the least prevalence was found in grasslands (2.5% in Lithuania, 1% in Norway). A total of 398 rodents belonging to 9 species were live-captured in Lithuania and Norway. Prevalence of B. burgdorferi s.l. in rodents varied between species and sampling sites in both countries. In Lithuania, the prevalence of infection was higher in Microtus arvalis (range 25–57% in different sampling sites) and in Myodes glareolus (range 14–71%) than in Apodemus flavicollis (range 0–37%) and in A. agrarius (range 11–33%). In Norway, the prevalence of B. burgdorferi s.l. in rodents was lower (range from 5% in A. sylvaticus to 6% in A. flavicollis). B. afzelii was the predominant genospecies in ticks and rodents in Lithuania and Norway. In Lithuania, B. afzelii was found in 76%, B. garinii in 10%, B. burgdorferi sensu stricto in 7%, and Borrelia spp. in 6% of infected ticks. Double infections were observed in 1% of the infected ticks. In Norway, B. afzelii was found in 68%, B. garinii in 21%, and B. burgdorferi s.s. in 11% of infected ticks. All infected rodents from both countries hosted B. afzelii genospecies. Only the red squirrel (Sciurus vulgaris) harbored both B. afzelii and B. burgdorferi s.s.

Molecular detection and characterization of Anaplasma phagocytophilum strains

The zoonotic rickettsial pathogen Anaplasma phagocytophilum has a broad geographic distribution and a high degree of biological and clinical diversity. To investigate the genetic diversity of A. phagocytophilum strains in the Baltic region and Norway, three species of Ixodidae ticks were examined for A. phagocytophilum infection, and two genes of the pathogen genome were analyzed. Analysis of partial 16S rRNA and partial major surface protein (msp4) gene sequences was accomplished through nested PCR and sequence analysis. Strains identified in this study were compared with those originating from other European countries and the United States. Seven 16S rRNA gene variants and fifteen msp4 gene variants of A. phagocytophilum were detected. Nine sequences had unique nucleotide polymorphisms and therefore differed from other A. phagocytophilum sequences previously submitted to GenBank. The present study represents the first molecular characterization of A. phagocytophum strains circulating in Lithuania and describes the strains detected in Ixodes persulcatus ticks in Latvia and Estonia. This is also the first report describing A. phagocytophilum strains isolated from Dermacentor reticulatus ticks.

Exposure to Drinking Water Trihalomethanes and Their Association with Low Birth Weight and Small for Gestational Age in Genetically Susceptible Women

Little is known about genetic susceptibility to individual trihalomethanes (THM) in relation to adverse pregnancy outcomes. We conducted a nested case-control study of 682 pregnant women in Kaunas (Lithuania) and, using individual information on drinking water, ingestion, showering and bathing, and uptake factors of THMs in blood, estimated an internal THM dose. We used logistic regression to evaluate the relationship between internal THM dose, birth outcomes and individual and joint (modifying) effects of metabolic gene polymorphisms. THM exposure during entire pregnancy and specific trimesters slightly increased low birth weight (LBW) risk. When considering both THM exposure and maternal genotypes, the largest associations were found for third trimester among total THM (TTHM) and chloroform-exposed women with the GSTM1–0 genotype (OR: 4.37; 95% CI: 1.36–14.08 and OR: 5.06; 95% CI: 1.50–17.05, respectively). A test of interaction between internal THM dose and GSTM1–0 genotype suggested a modifying effect of exposure to chloroform and bromodichloromethane on LBW risk. However, the effect on small for gestational age (SGA) was not statistically significant. These data suggest that THM internal dose may affect foetal growth and that maternal GSTM1 genotype modifies the THM exposure effects on LBW.

Genetic variation of ticks (Ixodes ricinus L.) in the Lithuanian and Norwegian populations

RAPD markers were used to measure the genetic diversity of 119 individuals of Ixodes ricinus collected from Lithuania and Norway. The samples were analysed within and also between the populations. We analysed 74 loci in each of 6 populations. Our results show high levels of diversity within the populations. The percentage of polymorphic loci of the six analysed populations: Birzai, Vilnius, Kretinga, Tjore, Kjosvik and Odderoya were 68.9%, 58.1%, 78.38%, 62.2%, 44.6% and 68.9%, respectively. The percentage of polymorphic loci in the Lithuanian populations was 93.2%, and in the Norwegian populations 81.08%. The genetic distance ranged from 0.019 to 0.079 within Norwegian populations and from 0.005 to 0.0967 within Lithuanian populations and between the countries from 0.022 to 0.146. The genetic variation of I. ricinus among Norwegian populations was lower than among Lithuanian populations. The highest part of genetic variation in I. ricinus ticks depends on variation within Kretinga (Lithuania) and Odderoya (Norway) populations situated in coastal areas where many migratory and sea birds are aggregated.

New localities of Dermacentor reticulatus ticks in the Baltic countries

According to previous observations in three Baltic States, Dermacentor reticulatus was found only in Lithuania where it occurred mainly in the central and western parts of the country. During the past decade, evidence about a changing distribution of D. reticulatus in the Baltic countries was provided by the occurrence of canine babesiosis in the new locations in Lithuania and Latvia. In the present study the current distribution of D. reticulatus in Lithuania and Latvia was investigated. Ticks were collected in different habitats in 2013-2014. A total of 3693 questing ticks belonging to D. reticulatus (n = 2789), Ixodes ricinus (n = 896) and I. persulcatus (n=8) were collected in Lithuania and Latvia. Questing D. reticulatus ticks were found in 73.4% (58/79) and in 44.4% (12/28) of the sampling localities in Lithuania and Latvia, respectively. Relative abundances of the ticks in different habitats were compared. All sites with high abundance of D. reticulatus ticks were localized in open areas close to a water basin and mixed forest. The present study demonstrates that during the past two decades D. reticulatus has expanded its range in the Baltic countries. D. reticulatus has been detected in 38 new localities in which this species had not been previously reported. The northern border of D. reticulatus in central Europe moved further to the north. New localities (n = 12) with D. reticulatus occurrence have been found in southern Latvia.

Anaplasma in ticks feeding on migrating birds and questing ticks in Lithuania and Norway

Human granulocytic anaplasmosis due to Anaplasma phagocytophilum has been reported in Europe, including in Norway. Ixodes ricinus has been identified as a ⁄ the vector of this rickettsial agent in Europe [1]. In Europe, in addition to ruminants, small rodents have been shown to harbor A. phagocytophilum and were suggested as potential reservoirs. Migrating birds have also been considered to be important in the dispersal of A. phagocytophilum infected I. ricinus in Europe and in the distribution of granulocytic anaplasmosis [2,3]. Our previous studies conducted in Norway and Lithuania did not show any presence of A. phagocytophilum in small rodents. The involvement of birds in the ecology and in the epidemiology of tick-borne diseases in Lithuania and Norway has not yet been studied. To define the role of migrating birds as reservoirs and disseminators of Anaplasma we analysed the immature stage of ticks feeding on different passerine bird species, and questing ticks in some areas of Lithuania and Norway.

The propensity of voles and mice to transmit Borrelia burgdorferi sensu lato infection to feeding ticks

Lyme borreliosis (LB) caused by the spirochete Borrelia burgdorferi sensu lato is the most common tick-borne zoonosis in the Northern Hemisphere. B. burgdorferi s.l. can infect humans and wild and domestic animals. Ixodes ricinus is the main vector, and small rodents are the most important mammalian reservoirs hosts of B. burgdorferi s.l. in Europe. The prevalence of B. burgdorferi s.l. in I. ricinus ticks from captured rodents, calculated specific infectivities, and transmission coefficients were estimated in order to investigate the role of voles and mice in transmission of the LB causative agent. A total of 12.3% (53 out of 431) of immature I. ricinus ticks from rodents in Lithuania and 3.25% (21 out of 646) in Norway were infected with B. burgdorferi s.l. In Lithuania a total of 40% infested Microtus arvalis, 29% of Myodes glareolus and 4.8% of Apodemus flavicollis carried infected larvae and 67% of M. glareolus, 36% of M. arvalis but none of A. flavicollis carried infected nymphs. In Norway, 2.4% of larvae and 12.1% of nymphs feeding on A. flavicollis were infected. A total of 9% of infested A. flavicollis carried infected larvae and 13% - infected nymphs. Borrelia afzelii was the single genospecies identified in ticks feeding on rodents in Lithuania, and was predominant in ticks collected from rodents in Norway. According to calculated indices of specific infectivity and tick-to host transmission coefficient, M. arvalis and M. glareolus voles were found to be more efficient in transmitting B. burgdorferi s.l. to ticks than A. flavicollis mice. GLMM analysis showed that rodent species significantly influenced the probability of a larva being infected with B. burgdorferi s.l. The larvae feeding on M. arvalis and M. glareolus were more likely to be infected with B. burgdorferi s.l. than those feeding on A. flavicollis. This is the first study to report the quantitative roles of voles and mice in the transmission of B. burgdorferi s.l. to larval ticks in Lithuania and Norway.

Low level maternal smoking and infant birthweight reduction: genetic contributions of GSTT1 and GSTM1 polymorphisms

BackgroundGenetic susceptibility to tobacco smoke might modify the effect of smoking on pregnancy outcomes.MethodsWe conducted a case–control study of 543 women who delivered singleton live births in Kaunas (Lithuania), examining the association between low-level tobacco smoke exposure (mean: 4.8 cigarettes/day) during pregnancy, GSTT1 and GSTM1 polymorphisms and birthweight of the infant. Multiple linear-regression analysis was performed adjusting for gestational age, maternal education, family status, body mass index, blood pressure, and parity. Subsequently, we tested for the interaction effect of maternal smoking, GSTT1 and GSTM1 genes polymorphisms with birthweight by adding all the product terms in the regression models.ResultsThe findings suggested a birthweight reduction among light-smoking with the GSTT1–null genotype (−162.9 g, P = 0.041) and those with the GSTM1–null genotype (−118.7 g, P = 0.069). When a combination of these genotypes was considered, birthweight was significantly lower for infants of smoking women the carriers of the double-null genotypes (−311.2 g, P = 0.008). The interaction effect of maternal smoking, GSTM1 and GSTT1 genotypes was marginally significant on birthweight (−234.5 g, P = 0.078). Among non-smokers, genotype did not independently confer an adverse effect on infant birthweight.ConclusionsThe study shows the GSTT1–null genotype, either presents only one or both with GSTM1–null genotype in a single subject, have a modifying effect on birthweight among smoking women even though their smoking is low level. Our data also indicate that identification of the group of susceptible subjects should be based on both environmental exposure and gene polymorphism. Findings of this study add additional evidence on the interplay among two key GST genes and maternal smoking on birth weight of newborns.