Genospecies Diversity of Lyme Disease Spirochetes in Rodent Reservoirs.

To determine whether particular Borrelia burgdofferi s.l, genospecies associate solely with rodent reservoir hosts, we compared the genospecies prevalence in questing nymphal lxodes ticks with that in xenodiagnostic ticks that had fed as larvae on rodents captured in the same site. No genospecies was more prevalent in rodent-fed ticks than in questing ticks. The three main spirochete genospecies, therefore, share common rodent hosts.

The several genospecies of the Lyme disease spirochete, Borrelia burgdorferi sensu lato, that infect people in Eurasia produce a broad spectrum of human disease. Particular genospecies have been associated with characteristic symptoms; chronic skin disease, for example, results from infection by Borrelia afzelii (1). Rodents (e.g., various Apodemus mice [2], Norway rats, Rattus norvegicus [3.4], edible dormice, Glis glis [5]) serve unambiguously as reservoir hosts for Lyme disease spirochetes. Although each major European genospecies has been associated with birds (6), B. afzelii is thought to perpetuate in rodents and B. garinii is thought to perpetuate in avian reservoir hosts (7,8). The European vector of Lyme disease, Ixodes ricinus, maintains an unusual diversity of pathogens in an extraordinarily broad array of hosts.

The vertebrates that are infested most frequently by arthropods generally also serve as reservoir hosts for any pathogens transmitted by these vectors. The transmission cycle would likely be broken if some vector acquired a pathogen from one host but injected it into an ill-adapted host. If B. afzelii thrived mainly in rodents (7), transmission might not be sustained if a larval tick acquired these spirochetes from a mouse and attached subsequently as a nymph to a bird. If B. garinii, on the other hand, thrived mainly in birds, a corresponding diversion of its vector to a rodent would similarly result in transmission failure. Efficient perpetuation of rodent-borne B. aJ2elii as well as bird-borne B. garinii by the same subadult I. ricinus vector ticks, therefore, would seem paradoxical.

Because rodents may serve as reservoir hosts for both B. afzelii and B. garinii, we determined whether the genospecies distribution of spirochetes naturally infecting rodents corresponds to that in questing vector ticks. We compared the genospecies diversity of spirochetes infecting questing nymphal I. ricinus ticks with that of spirochetes infecting nymphs that had fed as larvae on Norway rats or on yellow-necked mice, Apodemus flavicollis, captured in the same site.

The Study

Norway rats and yellow-necked mice were captured in an urban park in Magdeburg, Germany, from June through September 1994, by using apple- and bread-baited Tomahawk traps (Tomahawk Live Trap Company, Tomahawk, WI) and apple- and rodent chowbaited Longworth traps (Longworth Scientific Instruments, Abingdon, UK) (4). Each captured rodent was caged over water for 1 week to permit detachment of all ticks that had attached to these rodents in the field. Subsequently, rodents were infested with noninfected laboratory-bred I. ricinus larvae for xenodiagnosis. To confirm that larvae used for xenodiagnosis were free of spirochetes, a sample of each batch was routinely fed on a laboratory-bred mouse; no spirochetes were found when midguts of 20 of the resulting nymphs were examined by dark-field microscopy, and subsequent xenodiagnosis of the mouse showed no evidence of spirochetes. The water was changed and inspected at least twice a day and detached larvae were removed promptly. Engorged larvae were enclosed in screened vials and kept at 20 [+ or -] 2 [degrees] C in sealed desiccator jars over supersaturated Mg[SO.sub.4] under a light-dark regimen (16:8) until they molted.

Questing I. ricinus ticks were collected from the vegetation in the study site by using flannel flags. Collected ticks were confined in screened vials and stored at 15 [+ or -] 1 [degrees] C in sealed desiccator jars containing supersaturated Mg[SO.sub.4] until they were examined microscopically, identified to stage, and prepared for polymerase chain reaction (PCR) analysis.

DNA Extraction, Amplification, and Sequencing

Total DNA from the ear pinnae of field-caught rodents was prepared with a QiAamp Tissue kit (Qiagen GmbH, Hilden, Germany). Engorged I. ricinus larvae that served for xenodiagnosis were permitted to molt to nymphs. The opisthosoma was then opened, andTthe contained mass of soft tissue was dissected out into 400 [micro]l ice-cold Tris-EDTA buffer (pH 7.4, 10mM Tris, lmm EDTA). Suspensions of tick tissue were adjusted to 0.5% sodium dodecyl sulfate, 0.2M NaCl, 10mM Tris, and 5mM EDTA at pH 8.0; proteinase K (Boehringer Mannheim, Mannheim, Germany) was added (0.2mg/ml) and incubated at 56 [degrees] C for 3 hours. DNA was extracted with phenol-chloroform. Ethanol-precipitated DNA was resuspended in 50 [micro]l distilled water.

Borrelia genospecies were characterized by amplifying and sequencing a 400-nucleotide segment of the gene encoding the outer surface protein A (OspA) (9-11). To increase the sensitivity for detection of spirochetal DNA in ticks, we used nested PCR (10). Aliquots of DNA suspensions (20 [micro]l) were diluted to 50 [micro]l by using 200 [micro]M each of deoxynucleoside triphosphate, 4mM Mg[Cl.sub.2], 10mM Tris at pH 8.3, 50mM KC1, 0.01% Tween-20, 0.01% gelatin, and 0.8 units Taq polymerase (Amersham, Braunschweig, Germany), as well as 10pmol of the outer primer pair or 20pmol of the inner primer pair. We used the following primer sequences (5'-3') of the ospA gene (9): outer primers GGTCTAATATTAGCCTT AATAGGCATG (positions 169-194) and TCAG CAGCTAGAGTTCCTTCAAG (positions 665-643); inner primers CATGTAAGCAAAATGTTAG CAGCC (positions 191-214) and CTGTGTATTCA AGTCTGGTTCC (positions 589-568). The mixture was overlaid with mineral oil (Sigma, Deisenhofen, Germany), placed in a thermocycler (Omnitech, Heidelberg, Germany), heated for 2 min at 95 [degrees] C, and subjected to 40 cycles of 20 sec denaturation at 95 [degrees] C, 20 sec each for the first annealing reaction at 59 [degrees] C, for the second at 61 [degrees] C and with a 20-sec extension at 72 [degrees] C. After the first amplification with the outer set of primers, 5 [micro]l of product was transferred to a fresh tube containing 45 [micro]l of reaction mixture as described for the inner set of primers. PCR products were detected by electrophoresis in a 1.5% agarose gel stained with ethidium bromide. DNA was extracted, reaction vials were prepared for amplification, and products were electrophoresed in separate rooms. For comparison, each series of PCR amplification included two laboratory-reared nymphs that had fed as larvae on B. afzelii-infected jirds (Meriones unguiculatus) and two that had fed on noninfected jirds.

Each PCR amplification product was purified by using a QIAquick-Spin PCR column (Qiagen). Amplified DNA fragments were directly sequenced in both directions using the inner primers by the dideoxynucleotide chain-termination method on an ABI 373 DNA-sequencer according to the manufacturer's instructions (Applied Biosystems, Foster City, CA). Each resulting sequence was compared with sequences of the same fragment representing B. burgdorferi sensu stricto, B. afzelii, and five serotypes of B. garinii (9-11); an exact fit was required. With this technique, each of these genospecies can be detected with equal sensitivity; the technique detects and identifies two different coinfecting spirochete genospecies, even when one is five times as numerous as the other (10).

The Findings

We first described the frequency of spirochetal infection and the distribution of spirochete genospecies infecting questing I. ricinus ticks collected from vegetation. Although all three spirochete genospecies were present in these ticks, B. garinii was somewhat more prevalent than B. afzelii; B. burgdorferi s.s. was infrequent (Table 1). A similar distribution of genospecies was found in questing adult ticks (data not shown). Spirochetes of each of the major pathogenic European genospecies infect questing vector ticks at our study site.

Table 1. Borrelia genospecies diversity in questing nymphal Ixodes ricinus ticks and in nymphal ticks that had fed as larvae on Norway rats, Rattus norvegicus, or yellow-necked mice, Apodemus flavicollis

                       Borrelia        Distribution of genospecies
                      prevalence

                    No.        %      No. ticks    % with Borrelia
Tick source       tested   infected    tested     afz(a)   gar   bur
Questing           112        9          10         40     50    10
Fed on rat(b)       50        86         25         28     52    20
Fed on mouse(c)     36        42         15         40     47    13

(a) afz, afzelii; gar, garinii; bur, burgdorferi sensu stricto.

(b) Ticks fed on five infected rats.

(c) Ticks fed on four infected mice.

We then identified the spirochete genospecies that naturally infected rodents transmitted to xenodiagnostic larvae. Spirochetes were present in virtually all nymphal ticks that had fed as larvae on rats captured at the study site and in approximately half of those that had fed on mice (Table 1). Each of the three main genospecies was present. The 1:2:1 ratio of B. afzelii to B. garinii to B. burgdorferi s.s. in ticks that fed on rats did not differ from the 3:3:1 ratio in nymphal ticks that fed on mice (Chi-square, p=0.7). The 2:3:1 overall ratio of genospecies in xenodiagnostic ticks did not differ from the 4:5:1 ratio in questing ticks (Chi-square, p=0.9). In contrast, only B. afzelii DNA was amplified from the ear pinnae of these hosts (data not shown). The array of spirochete genospecies acquired by ticks feeding on field-derived rodents is similar to that in questing ticks but differs sharply from that present in skin samples of these rodents.

To examine the transmissibility of the three genospecies of Lyme disease spirochetes, we compared genospecies diversity in I. ricinus ticks that had fed on individual rodents. At least two such infected ticks were available for each of these rats and for all but one mouse; that mouse was excluded from this analysis (Table 2). Although more than one spirochete genospecies infected the cohort of ticks that fed on each rodent, no individual tick was infected with more than one genospecies. The B. garinii genospecies infected somewhat more ticks than did B. afzelii, and B. afzelii infected somewhat more than did B. burgdorferi s.s. We found that no particular spirochete genospecies is transmitted more frequently than any other.

Table 2. Natural infectivity for xenodiagnostic Ixodes ricinus ticks of various genospecies of Lyme disease spirochetes

                           No. ticks infected by Borrelia

Infected         Rodent                        burgdorferi
rodent             no.    afzelii   garinii   sensu stricto

Rattus             1         2         2            1
 norvegicus        2         0         3            2
 (Norway rats)     3         1         4            0
                   4         3         2            0
                   5         1         2            2
                 Total       7        13            5
Apodemus           1         3         3            1
 flavicollis       2         3         2            0
 (Yellow-          3         0         1            1
 necked mice)
                 Total       6         6            2

Conclusions

Although B. garinii spirochetes most frequently infect questing ticks in our frequently infect questing ticks in our German study site, the other two major genospecies predominate elsewhere in Europe. B. afzelii predominates in questing ticks in four European sites (12-14) and B. burgdorferi s.s. in four others (Table 3) (7,15-1 7). In three sites, different combinations of two genospecies predominate (7,15,18). No regional pattern of genospecies diversity in questing ticks seems evident, nor does the sampling method influence the genospecies ratio. If B. garinii were to perpetuate in an avian reservoir (g,19) and B. afzelii in rodents (7), the relative availability of these hosts to vector ticks would determine genospecies distribution in a site. Alternatively, the founder's principle (i.e., in the absence of some selective force, the present ratio randomly reflects that of the past) may influence genospecies distribution. No available longitudinal study, however, permits such a temporal interpretation. The distribution of European B. burgdorferi s.l. genospecies appears to be site-specific and may be random. For this reason, genospecies comparisons designed to differentiate reservoirs of these spirochetes should be based on diversity within a single site.

Table 3. Borrelia genospecies diversity in questing Ixodes ricinus ticks from various European sites

                     Borrelia genospecies

            No.        Relative ratio
          infected                          %     Sampling
Site(a)    ticks     afz(b)   gar   bur   mixed    method    Ref.
CH 1          7         1      2     2      8     Culture      7
   2          6         0      1     5      0     Culture      7
   v         50         1      6     9      0     Culture     17
CR v         56        19      3     1     20      Direct     13
D  1         52         5     11     1      2      Direct      1
   2         10         4      5     1      0      Direct    TA(c)
F  1         25        10      5     1     24      Direct     12
GB 1         16         0     10     1      0      Direct      8
IR 1         11         1      4     5      9      Direct     15
   2         10         0      2     1      0      Direct     15
   3         20         4      1     4     15      Direct     15
NL 1         15         1      1     0     14      Direct     18
   v         63         1      9    14      0     Culture     16
SL 1         47         3      2     1      5     Culture     14
   v         13        12      1     0      0     Culture     14

(a) CH, Switzerland; CR, Croatia; D, Germany; F, France; GB, Great Britain; IR, Ireland; NL, Netherlands; SL, Slovenia; v, sum of various sites in a country.

(b) afz, Borrelia afzelii; gar, Borrelia garinii; bur, Borrelia burgdorferi sensu stricto.

(c) This article.

The method used to sample spirochetes from a mammal host may bias the results in favor of one or another genospecies. When spirochetes are isolated from European mice by culturing segments of their ear pinnae, the B. afzelii genospecies seems to predominate (7). In direct identification by PCR and sequence analysis, we confirmed the sole presence of this genospecies in ear pinnae from Norway rats and yellow-necked mice captured at our study site. A more diverse array of genospecies, however, infects ticks questing at this site. Although this finding would suggest that B. afzelii is the sole spirochete genospecies infecting these rodents, xenodiagnostic observations indicate that samples based on ear biopsies do not reflect the total diversity of spirochetes infecting such a rodent. Interestingly, B. burgdorferi s.s. is readily detected in earpunch samples taken from American mice (20). The apparent association of B. afzelii with European rodent hosts may derive from a sampling artifact.

[ILLEGIBLE TEXT isolated island site where numerous seabirds nested and where no other spirochetes were detected (19). DNA characteristic of B. garinii was detected in questing and seabird-feeding I. uriae ticks and in the footweb of a razorbill. This genospecies also predominates in pheasants in a British site in which no B. afzelii spirochetes are evident (8). Although B. garinii infects bird-feeding I. persulcatus ticks in a Japanese site and B. afzelii infects those feeding on rodents (21), another Japanese study detected both genospecies in voles (22). Experimental studies, however, suggest that birds are relatively incompetent as hosts of Lyme disease spirochetes. Domestic chickens, for example, become only transiently competent (23), and European blackbirds, Turdus merula, and Canary finches, Serinus canarius, appear not to become infected (3,24). Spirochetes (probably B. burgdorferi s.s.), however, have been detected in larval I. dammini taken from particular North American birds (25). Evidence of nonspecificity in avian hosts is provided by observations in Scandinavia, where spirochetes of the three major genospecies infect larval ticks that had fed on various passerine birds (6). Indeed, our finding that vector ticks ingest B. garinii spirochetes from rodents at least as frequently as B. afzelii argues against the concept of genospecies-reservoir specificity.

Surprisingly, few ticks questing in Europe appear to contain more than one spirochete genospecies (Table 3). No more than one in four ticks is multiply infected (12) (generally far fewer). None of the questing ticks collected in our European study site appear to contain more than one kind of spirochete, nor did any laboratory-reared ticks permitted to feed on rodents captured in this site. These rodents, however, were multiply infected: each rodent infected some of the ticks that fed on them with two or more kinds of spirochetes. Although our diagnostic procedure may more reliably detect DNA of the more abundant of two genospecies coinfecting a tick, our findings may have a biologic basis. We suggest that a single genospecies becomes established in a tick far more frequently than do multiple genospecies.

Host specificity of a vector contributes powerfully to the intensity of transmission of a tick-borne pathogen. Such a pathogen would fail to perpetuate unless the host-range of its vector corresponds closely to that of its reservoir. It would seem paradoxical if the same I. ricinus population maintained spirochetes of one genospecies in birds, while maintaining another in rodents. This "one-vector-one-reservoir" principle is consistent with our discovery of a similar genospecies distribution in rodents and in ticks questing at our study site. If the B. garinii genospecies were to predominate there in birds (7), such spirochetes would have been more prevalent in questing ticks than in ticks that had engorged on sympatric rodents; however, this is not the case. Our site-specific observation that the genospecies distribution in rodent-fed ticks reflects that in questing ticks argues that all three pathogenic spirochete genospecies share common reservoir hosts.

Acknowledgments

This study was supported by grants Ma 942/7-1 and Ma 942/10-1 from the Deutsche Forschungsgemeinschaft. Dr. Richter was supported by a stipend "Infektionsforschung" from the Bundesministerium fur Forschung und Technik.

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Dr. Richter is a postdoctoral fellow conducting joint research in the laboratories of Dr. Matuschka, Charit6 Medical School, Humboldt Universitat zu Berlin, and Dr. Spielman at the Harvard School of Public Health. Her research interests focus on the immunologic and molecular interface of the host-vector-pathogen relationship in the epizootiology of Lyme disease.

Address for correspondence: Dania Richter, Institut fur Pathologie, Charite, Medizinische Fakultat der Humboldt- Universitat zu Berlin, Malteserstra[Beta]e 74-100, 12249 Berlin, Germany; fax: [phone]; e-mail: [e-mail].

Dr. Richter is a postdoctoral fellow conducting joint research in the laboratories of Dr. Matuschka, Charit6 Medical School, Humboldt Universitat zu Berlin, and Dr. Spielman at the Harvard School of Public Health. Her research interests focus on the immunologic and molecular interface of the host-vector-pathogen relationship in the epizootiology of Lyme disease.

Address for correspondence: Dania Richter, Institut fur Pathologie, Charite, Medizinische Fakultat der Humboldt- Universitat zu Berlin, Malteserstra[Beta]e 74-100, 12249 Berlin, Germany; fax: [phone]; e-mail: [e-mail].

Dania Richter,(*)([sections]) Stefan Endepols,([dagger]) Andreas Ohlenbusch,([double dagger]) Helmut Eiffert,([double dagger]) Andrew Spielman,([sections]) and Franz-Rainer Matuschka(*)([sections])

(*)Medizinische Fakultat der Humboldt-Universitat zu Berlin, Berlin, Germany; ([dagger])Geschaftsbereich Tiergesundheit, Bayer AG, Leverkusen, Germany; ([double dagger])Universitatskliniken der Georg-August-Universitat Gottingen, Gottingen, Germany; and ([sections])Harvard School of Public Health, Boston, Massachusetts, USA