Medical Express – Researchers mirror human response to bacterial infection and resolution in mice

December 14, 2011
Imitating human diseases using an animal model is a difficult task, but Thomas Jefferson University researchers have managed to come very close.

Reporting in the Proceedings of the National Academy of Sciences, a team of Jefferson immunologists found that a specialized “human immune system” mouse model closely mimics a person’s specific response and resolution of a tick-borne infection known as relapsing fever, caused by the bacteria Borrelia hermsii.

 To read full article, click here.

Ixodes scapularis salivary gland protein P11 facilitates migration of Anaplasma phagocytophilum from the tick gut to salivary glands

EMBO reports , (16 September 2011) | doi:10.1038/embor.2011.177

Lei Liu, Sukanya Narasimhan, Jianfeng Dai, Lili Zhang, Gong Cheng & Erol Fikrig

Abstract
Ixodes ticks harbour several human pathogens belonging to the order Rickettsiales, including Anaplasma phagocytophilum, the agent of human anaplasmosis. When ticks feed on A. phagocytophilum-infected mice, the pathogen enters the ticks’ gut. The bacteria then migrate from the gut to infect the salivary glands of the ticks and are transmitted to the next host via the saliva. The molecular mechanisms that enable the migration of A. phagocytophilum from the gut to the salivary glands are poorly understood. Here we show that a secreted tick protein, P11, is important in this process. We show that P11 enables A. phagocytophilum to infect tick haemocytes, which are required for the migration of A. phagocytophilum from the gut to the salivary glands. Silencing of p11 impaired the A. phagocytophilum infection of tick haemocytes in vivo and consequently decreased pathogen infection of the salivary glands. In vitro experiments showed that P11 could bind to A. phagocytophilum and thus facilitate its infection of tick cells. This report provides new insights into A. phagocytophilum infection of ticks and reveals new avenues to interrupt the life cycle of Anaplasma and related Rickettsial pathogens.

http://www.nature.com/embor/journal/vaop/ncurrent/full/embor2011177a.html

Reservoir Targeted Vaccine for Lyme Borreliosis Induces a Year Long, Neutralizing Antibody Response to OspA in White-footed Mice

Meirelles Richer L, Aroso M, Contente-Cuomo T, Ivanova L, Gomes-Solecki M.
SourceDepartment of Microbiology, Immunology and Biochemistry, University of Tennessee Health Science Center, Memphis, Tennessee, USA.

Abstract
Lyme disease is caused by the spirochete Borrelia burgdorferi. The enzootic cycle of this pathogen requires that Ixodes spp. acquire B. burgdorferi from infected wildlife reservoirs and transmit it to other uninfected wildlife. At present, there are no effective measures to control B. burgdorferi; there is no human vaccine available, and existing vector control measures are generally not acceptable to the public. However, if B. burgdorferi could be eliminated from its reservoir hosts or from the ticks that feed on them, the enzootic cycle would be broken, and the incidence of Lyme disease would decrease. We developed a reservoir targeted bait vaccine (RTV) based on the immunogenic outer surface protein A (OspA) of B. burgdorferi aimed at breaking the natural cycle of this spirochete. White-footed mice, the major reservoir species for this spirochete in nature developed a systemic OspA-specific IgG response as a result of ingestion of the bait formulation. This immune response protected white-footed mice against B. burgdorferi infection upon tick challenge and cleared B. burgdorferi from the tick vector. In performing extensive studies to optimize the OspA-RTV for field deployment we determined that mice that consumed the vaccine over periods of one or four months developed a year long, neutralizing anti-OspA systemic IgG response. Furthermore, we defined the minimum number of OspA-RTV units needed to induce a protective immune response.

PMID:21918116[PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/21918116

Researchers Say Local Antibiotic Therapy Stops Lyme Disease

Lyme disease is a dangerous disease which is transmitted by ticks. Blood-sucking ticks ingest the agents that cause the disease – bacteria of the species Borrelia burgdorferi and its relatives – during a blood meal, and subsequently transmit them to the next victim they feast on, often a person. It is estimated that, in Western Europe, up to half of all ticks carry the bacteria. Although the early symptoms of the illness are quite mild, if left untreated, it can result in serious damage to the skin, the joints, the heart and the nervous system, and effective therapy becomes very difficult.

A team of researchers led by the veterinary bacteriologist professor Reinhard Straubinger at Ludwig-Maximilians Universität (LMU) München has now shown, in an animal model, that application of a gel containing the antibiotic azithromycin to the site of the bite rapidly terminates the infection. The efficacy of this local antibiotic therapy for the treatment of borreliosis in humans is now being tested in a Phase III clinical trial. In the meantime, though, patients must still undergo antibiotic treatment for several weeks and, in many cases, the drug must be administered intravenously – which is distressing not only for children. Furthermore, treatment measures are often initiated on suspicion, because the bacteria are not detectable in the blood soon after one has been bitten by an infected tick.

“Our approach simply involves applying a transparent, self-adhesive plaster to the site of the wound,” says Straubinger. “Because the plaster contains very little antibiotic, the effects are localized and side-effects are negligible.”

Reference: Knauer J, et al. Evaluation of the preventive capacities of a topically applied azithromycin formulation against Lyme borreliosis in a murine model. Journal of Antimicrobial Chemotherapy online, Sept. 15, 2011.

http://www.infectioncontroltoday.com/news/2011/09/reseasrchers-say-local-antibiotic-therapy-stops-lyme-disease.aspx

HSLDA Doc’s Digest – Eating Crow with Lyme

Never has the crow been more difficult to swallow nor had more profound implications for my patients than on the topic of Lyme disease. I used to believe (and most of my fellow family physicians continue to believe) that Lyme disease is hard to get and easy to treat….

http://www.hslda.org/courtreport/V27N4/V27N408.asp

PubMed: Alzheimer’s disease – a neurospirochetosis. Analysis of the evidence following Koch’s and Hill’s criteria

J Neuroinflammation. 2011 Aug 4;8(1):90. [Epub ahead of print]
Miklossy J.

ABSTRACT: It is established that chronic spirochetal infection can cause slowly progressive dementia, brain atrophy and amyloid deposition in late neurosyphilis. Recently it has been suggested that various types of spirochetes, in an analogous way to Treponema pallidum, could cause dementia and may be involved in the pathogenesis of Alzheimer’s disease (AD). Here, we review all data available in the literature on the detection of spirochetes in AD and critically analyze the association and causal relationship between spirochetes and AD following established criteria of Koch and Hill. The results show a statistically significant association between spirochetes and AD (P = 1.5 x 10-17, OR = 20, 95% CI = 8-60, N = 247). When neutral techniques recognizing all types of spirochetes were used, or the highly prevalent periodontal pathogen Treponemas were analyzed, spirochetes were observed in the brain in more than 90% of AD cases. Borrelia burgdorferi was detected in the brain in 25.3% of AD cases analyzed and was 13 times more frequent in AD compared to controls. Periodontal pathogen Treponemas (T. pectinovorum, T. amylovorum, T. lecithinolyticum, T. maltophilum, T. medium, T. socranskii) and Borrelia burgdorferi were detected using species specific PCR and antibodies. Importantly, co-infection with several spirochetes occurs in AD. The pathological and biological hallmarks of AD were reproduced in vitro. The analysis of reviewed data following Koch’s and Hill’s postulates shows a probable causal relationship between neurospirochetosis and AD. Persisting inflammation and amyloid deposition initiated and sustained by chronic spirochetal infection form together with the various hypotheses suggested to play a role in the pathogenesis of AD a comprehensive entity. As suggested by Hill, once the probability of a causal relationship is established prompt action is needed. Support and attention should be given to this field of AD research. Spirochetal infection occurs years or decades before the manifestation of dementia. As adequate antibiotic and anti-inflammatory therapies are available, as in syphilis, one might prevent and eradicate dementia.

PMID: 21816039

http://www.ncbi.nlm.nih.gov/pubmed?term=21816039

University of California – Entomologist to study diseases transmitted by ticks

Contact: Iqbal Pittalwala
Phone: (951) 827-6050
Email: iqbal@ucr.edu

RIVERSIDE — Summer for most people means time spent outdoors, which could also mean increased exposure to bugs and, possibly, arthropod-borne diseases, such as “rickettsial diseases” — infectious diseases spread by bacteria, which generally are transmitted by lice, fleas, ticks and mites.

Now a $1.6 million grant from the National Institutes of Health (NIH) will enable an entomologist at the University of California, Riverside to study how our immune system responds to rickettsial infection.

The immune system is composed of innate and adaptive immunity. The first line of war against infectious agents is innate immunity, while adaptive immunity acts as a second line of defense and protects us against re-exposure to the same pathogen.

“If we understand how our innate immune system works during rickettsial infection, we can use this knowledge to devise novel therapeutics that delay or prevent the onset of rickettsial diseases,” said Joao Pedra, the principal investigator of the five-year grant and an assistant professor of entomology.

The main types of rickettsial diseases include devastating typhus, spotted fever and tsutsugamushi disease. Fever, chills, aches and pain are some common clinical symptoms.

Rickettsial diseases tend to be endemic in areas where public health infrastructure is poor or in tropical regions — typically, the developing world. But because of climate change, arthropod vectors that transmit rickettsial agents have re-emerged in developed countries such as the United States.

In the past few decades, research has shown that blood-sucking arthropods such as ticks, mosquitoes and lice use their saliva during feeding to dampen inflammation and coagulation, and decrease the pain associated with the bite. Consequently, when a person gets bitten by a tick, he or she does not feel pain and blood does not coagulate. The result is that the immune system, caught unawares, is unable to get rid of the tick.

“Pathogens take advantage of these salivary properties to colonize the mammalian host,” Pedra said. “Essentially, they have a ‘free-pass’ for infection. Our project will study how one tick salivary protein affects the immune system and facilitates pathogen colonization to the mammalian host.”

Past research in Pedra’s lab has shown that the Lyme disease tick uses the anti-inflammatory properties of saliva to dampen the immune response during feeding. The rickettsial agent Anaplasma phagocytophilum — a human pathogen — uses one protein present in the tick saliva to colonize the mammalian host. This protein knocks down the immune system during tick feeding. A. phagocytophilum takes advantage of this development and colonizes the host, causing disease.

“One mystery we would like to solve is why rickettsial agents are so successful in colonizing mammals,” Pedra said. “Uncovering the mechanistics of tick salivary immune evasion will help us pinpoint which pathways are important for therapeutic development against rickettsial diseases.”

An expert on rickettsial diseases, Pedra first became interested in the interaction between bacterial pathogens and the immune system when he was a postdoctoral scholar in microbiology and immunology at the Yale University School of Medicine.

“In this research project, we will investigate how the rickettsial pathogen ‘cheats’ the immune system at the tick-host interface,” he said. “To understand this, we first will investigate the biology of the tick, the pathogen, and the mammalian host. And we will explain how the immune system responds to the pathogen.”

Pedra will be joined in the research by two UC Riverside graduate students, some undergraduates and one technician. This is a collaborative effort with Michail Kotsyfakis at the Institute of Parasitology in the Czech Republic. Kotsyfakis, a biochemist who has worked extensively on tick-borne diseases, was the first to characterize the role of the tick salivary protein involved in this study, and will receive approximately $125,000 of the NIH grant to produce the molecule.

Originally from Brazil, Pedra received his doctoral degree in entomology from Purdue University, Ind. He was an associate research scientist at the Yale University School of Medicine before he joined UC Riverside in 2009. He is a recipient of a career award in public health from the Centers for Disease Control and Prevention.

The University of California, Riverside is a doctoral research university, a living laboratory for groundbreaking exploration of issues critical to Inland Southern California, the state and communities around the world. Reflecting California’s diverse culture, UC Riverside’s enrollment has exceeded 20,500 students. The campus will open a medical school in 2013 and has reached the heart of the Coachella Valley by way of the UCR Palm Desert Graduate Center. The campus has an annual statewide economic impact of more than $1 billion.
http://www.universityofcalifornia.edu/news/article/26060

Vector-Borne and Zoonotic Diseases – Prevalence of Five Pathogenic Agents in Questing Ixodes ricinus Ticks from Western France

To cite this article:
Violaine Cotté, Sarah Bonnet, Martine Cote, Muriel Vayssier-Taussat. Vector-Borne and Zoonotic Diseases. -Not available-, ahead of print. doi:10.1089/vbz.2009.0066.

Online Ahead of Print: December 18, 2009 

Abstract

In Europe, Ixodes ricinus ticks are vectors of many emerging pathogens, including Borrelia burgdorferi sensu lato (sl), Anaplasma phagocytophilum, spotted fever group Rickettsia sp., Babesia sp., and very likely Bartonella sp. In this study, we looked for the presence of DNA of these microorganisms in 572 ticks from two forests in the west of France. DNA extraction and polymerase chain reaction (PCR) amplification were performed on individual nymphal, male, and female I. ricinus ticks. Amplification from 1 tick among the 572 samples (0.2%) resulted in PCR products with Bartonella-specific primers. Sequence analysis of the amplified fragment did not lead to species identification. Two ticks (0.3%) carried A. phagocytophilum–specific DNA. Eight ticks (1.4%) were positive with spotted fever group Rickettsia–specific primers, and all PCR fragments were related to Rickettsia helvetica. Thirty-five ticks (6.1%) were positive with B. burgdorferi sl–specific primers; the sequences were all related to Borrelia garinii or Borrelia afzelii, except one that was related to Borrelia carolinensis, a newly described species never reported in Europe so far. Thirty-five ticks (6.1%) carried Babesia sp. DNA. Female adults were more infected by B. burgdorferi sl than male adults. The prevalence of B. burgdorferi sl and Babesia sp. was significantly different between the two forests, with a higher prevalence of B. burgdorferi sl in ticks from the forest of Princé and a higher prevalence of Babesia sp. in ticks from the forest of Gâvre. To our knowledge, this is the first study that has detected all five pathogens in questing I. ricinus in the west of France and the first report of B. carolinensis DNA in ticks in Europe.

http://www.liebertonline.com/doi/abs/10.1089/vbz.2009.0066

Acta Veterinaria Scandinavica – Anaplasma phagocytophilum in Danish sheep: confirmation by DNA sequencing

Anne M. Kiilerich , Henrik Christensen  and Stig M. Thamsborg

Acta Veterinaria Scandinavica 2009, 51:55doi:10.1186/1751-0147-51-55
Published: 21 December 2009

Abstract (provisional)

Background
The presence of Anaplasma phagocytophilum, an Ixodes ricinus transmitted bacterium, was investigated in two flocks of Danish grazing lambs. Direct PCR detection was performed on DNA extracted from blood and serum with subsequent confirmation by DNA sequencing.

Methods
31 samples obtained from clinically normal lambs in 2000 from Fussingo, Jutland and 12 samples from ten lambs and two ewes from a clinical outbreak at Feddet, Zealand in 2006 were included in the study. Some of the animals from Feddet had shown clinical signs of polyarthritis and general unthriftiness prior to sampling. DNA extraction was optimized from blood and serum and detection achieved by a 16S rRNA targeted PCR with verification of the product by DNA sequencing.

Results
Five DNA extracts were found positive by PCR, including two samples from 2000 and three from 2006. For both series of samples the product was verified as A. phagocytophilum by DNA sequencing.

Conclusions
A. phagocytophilum was detected by molecular methods for the first time in Danish grazing lambs during the two seasons investigated (2000 and 2006).

http://www.actavetscand.com/content/51/1/55