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Rickettsia parkeri and Candidatus Rickettsia andeanae in Amblyomma maculatum Group Ticks - Volume 26, Number 2—February 2020 - Emerging Infectious Diseases journal - CDC

Rickettsia parkeri and Candidatus Rickettsia andeanae in Amblyomma maculatum Group Ticks - Volume 26, Number 2—February 2020 - Emerging Infectious Diseases journal - CDC

Issue Cover for Volume 26, Number 2—February 2020



Volume 26, Number 2—February 2020
Research Letter

Rickettsia parkeri and Candidatus Rickettsia andeanae in Amblyomma maculatum Group Ticks

Bruce H. NodenComments to Author , Megan A. Roselli, and Scott R. Loss
Author affiliations: Oklahoma State University, Stillwater, Oklahoma, USA

Abstract

We determined prevalence of Rickettsia spp. in 172 ticks of the Amblyomma maculatum group collected from 16 urban sites in Oklahoma City, Oklahoma, USA, during 2017 and 2018. Most ticks (59.3%) were collected from 1 site; 4 (2.3%) were infected with Rickettsia parkeri and 118 (68.6%) with Candidatus Rickettsia andeanae.
Rickettsia parkeri, part of the spotted fever group Rickettsia (SFGR), affects humans throughout much of the southern United States (1). Although R. parkeri in an engorged nymph was reported once in Oklahoma, R. parkeri has not been reported in adult A. maculatum ticks in Oklahoma or Kansas. To date, all test-positive adult ticks in Kansas and Oklahoma have been infected with Candidatus Rickettsia andeanae (2). The absence of R. parkeri in Oklahoma is surprising because it was detected in A. maculatum group ticks recovered from dogs in Arkansas counties bordering eastern Oklahoma (3) and in adult A. maculatum ticks in Texas (4), and A. maculatum ticks have been present in Oklahoma since the 1940s (4). We collected A. maculatum ticks in the Oklahoma City metropolitan area during May–August 2017 and 2018 and tested them for Rickettsia spp.
Thumbnail of Locations where ticks of the Amblyomma maculatum group were collected (dots) in Oklahoma City, Oklahoma, USA. Numbers of A. maculatum ticks collected and percentage infected with Candidatus R. andeanae are indicated. Star indicates location where Rickettsia parkeri–infected ticks were collected. Figure constructed with ArcMap from highway data from the Environmental Systems Research Institute (Redlands, CA) and the US Geological Survey National Land Cover Database.
Figure. Locations where ticks of the Amblyomma maculatum group were collected (dots) in Oklahoma City, Oklahoma, USA. Numbers of A. maculatum ticks collected and percentage infected with Candidatus R. andeanae are indicated. Star...
We selected 16 sites as part of a larger study of tickborne disease epidemiology (Figure). We performed collections during May–August by flagging vegetation or using CO2 traps (5). We completed identification by using established keys (6).
We tested field-collected ticks for rickettsial DNA by using established PCR protocols (7,8). To limit DNA contamination, we conducted DNA extractions by using site-specific reagents in a separate laboratory. After soaking adult ticks in deionized water for 30 minutes and surface-sterilizing with 70% ethanol, we longitudinally bisected ticks; we used one half for DNA extraction and stored the other half at −80°C. DNA extraction followed established protocols (5). In 2017, we screened all ticks by using assays targeting the gltA and ompA (8) genes and retested positive samples by using an assay targeting the ompB gene (primer pair 120–2788/120–3599) (7). In 2018, we initially screened ticks by using the gltA assay and confirmed the results with an ompB assay.
We sequenced positive ompB amplicons bidirectionally by using an Applied Biosystems 3730 DNA Analyzer (https://www.thermofisher.comExternal Link) at the Oklahoma State University Core Facility to identify bacterial species. We verified each resulting sequence by using BioEdit 7.2 (https://bioedit.software.informer.comExternal Link) and aligned bidirectional sequences to create consensus sequences by using Clustal Omega (https://www.ebi.ac.uk/Tools/msa/clustaloExternal Link). We compared resulting consensus sequences with GenBank submissions by using default conditions on BLAST (http://blast.ncbi.nlm.nih.gov/Blast.cgiExternal Link), using the highest percentage sequence identity to determine species similarity.
We collected 172 adult ticks in the A. maculatum group (112 in 2017, 60 in 2018; 81 male [50 in 2017, 31 in 2018] and 91 female [62 in 2017, 29 in 2018]) from 15/16 sites across Oklahoma City (Figure). Most (59.3%) A. maculatum ticks were collected at 1 site in the southwestern metropolitan area consisting of grassland and deciduous shrubland and woodland surrounded by rapidly growing suburban developments (Figure). Most A. maculatum tick collections occurred in areas dominated by grassland with few woody plants and trees.
Initial screening of the 172 ticks detected 122 positive results, indicating a Rickettsia spp. prevalence of 70.9% (76.8% in 2017, 60.0% in 2018). Consensus sequences demonstrating 100% identity with the 850-bp portion of the ompB gene of R. parkeri Portsmouth (GenBank accession no. CP003341.1) and the 590-bp portion of the ompA gene of R. parkeri La Paloma (GenBank accession no. MG574938.1) were amplified from 4 (3.3%) positive A. maculatum ticks (3 males in 2017, 1 female in 2018). All 4 R. parkeri–infected ticks were from 1 site (Figure). The remaining 118 (96.7%) sequences from 122 amplicon-positive A. maculatum ticks demonstrated complete identity to homologous 850 bp portions of the ompB gene of Candidatus R. andeanae (GenBank accession no. GU395297.1). The overall Candidatus R. andeanae prevalence by sex was 72.8% for males (74% in 2017, 71% in 2018) and 64.8% for females (74.2% in 2017, 44.8% in 2018). Most Candidatus R. andeanae–infected ticks (74/118) were from the park with R. parkeri–positive ticks; however, Candidatus R. andeanae–positive ticks also were collected in 12 other sites (Figure). No dually infected ticks were identified.
We identified A. maculatum group ticks infected with R. parkeri and Candidatus R. andeanae in the Oklahoma City metropolitan area. Oklahoma lies at the western edge of 1 of the highest-incidence areas of SFGR in the United States (1). To date, no human rickettsiosis cases caused by R. parkeri have been reported in Oklahoma, possibly because of treatment based on nonspecific symptoms and the lifting of mandatory reporting to the Centers for Disease Control and Prevention (9). The low prevalence of R. parkeri in Oklahoma ticks differs from other areas of the United States, such as Virginia, where prevalence of R. parkeri is higher in A. maculatum ticks (10). Candidatus R. andeanae prevalence in A. maculatum ticks varies inversely with R. parkeri prevalence in some regions (4). Although Candidatus R. andeanae is not known to cause human illness (4), the high prevalence of Candidatus R. andeanae in Oklahoma ticks might interfere with R. parkeri development, limiting its distribution (2). The potential presence of this human pathogen in the largest metropolitan area in the state, and 1 of the largest in the central United States, necessitates thorough case evaluation of future SFGR cases in this region.
Dr. Noden is an associate professor of medical and veterinary entomology in the Department of Entomology and Plant Pathology at Oklahoma State University. His research interests include vectorborne diseases involving ticks, mosquitoes, and fleas.

Acknowledgments

We would like to thank Dawn Brown, Caitlin Laughlin, Caleb McKinney, and Liam Whiteman for invaluable help with tick collections. We also thank William Nicholson for providing the positive control R. rickettsii DNA.
This work was supported through the Oklahoma Center for the Advancement of Science and Technology (grant no. HR16-038) and US Department of Agriculture National Institute of Food and Agriculture Hatch funds through the Oklahoma Agricultural Experiment Station (grant nos. OKL-03085 and OKL-02915).

References

  1. Drexler  NADahlgren  FSHeitman  KNMassung  RFPaddock  CDBehravesh  CBNational surveillance of spotted fever group rickettsioses in the United States, 2008–2012. Am J Trop Med Hyg2016;94:2634DOIExternal LinkPubMedExternal Link
  2. Paddock  CDDenison  AMDryden  MWNoden  BHLash  RRAbdelghani  SSet al. High prevalence of “Candidatus Rickettsia andeanae” and apparent exclusion of Rickettsia parkeri in adult Amblyomma maculatum (Acari: Ixodidae) from Kansas and Oklahoma. Ticks Tick Borne Dis2015;6:297302DOIExternal LinkPubMedExternal Link
  3. Trout  RSteelman  CDSzalanski  ALWilliamson  PCRickettsiae in Gulf Coast ticks, Arkansas, USA. Emerg Infect Dis2010;16:8302DOIExternal LinkPubMedExternal Link
  4. Paddock  CDGoddard  JThe evolving medical and veterinary importance of the Gulf Coast tick (Acari: Ixodidae). J Med Entomol2015;52:23052DOIExternal LinkPubMedExternal Link
  5. Noden  BHLoss  SRMaichak  CWilliams  FRisk of encountering ticks and tick-borne pathogens in a rapidly growing metropolitan area in the U.S. Great Plains. Ticks Tick Borne Dis2017;8:11924DOIExternal LinkPubMedExternal Link
  6. Keirans  JELitwak  TRPictorial key to the adults of hard ticks, family Ixodidae (Ixodida: Ixodoidea), east of the Mississippi River. J Med Entomol1989;26:43548DOIExternal LinkPubMedExternal Link
  7. Roux  VRaoult  DPhylogenetic analysis of members of the genus Rickettsia using the gene encoding the outer-membrane protein rOmpB (ompB). Int J Syst Evol Microbiol2000;50:144955DOIExternal LinkPubMedExternal Link
  8. Labruna  MBMcBride  JWBouyer  DHCamargo  LMACamargo  EPWalker  DHMolecular evidence for a spotted fever group Rickettsia species in the tick Amblyomma longirostre in Brazil. J Med Entomol2004;41:5337DOIExternal LinkPubMedExternal Link
  9. Biggs  HMBehravesh  CBBradley  KKDahlgren  FSDrexler  NADumler  JSet al. Diagnosis and management of tickborne rickettsial diseases: Rocky Mountain Spotted Fever and other spotted fever group rickettsioses, ehrlichioses, and anaplasmosis—United States. MMWR Recomm Rep2016;65:144DOIExternal LinkPubMedExternal Link
  10. Nadolny  RMWright  CLSonenshine  DEHynes  WLGaff  HDTicks and spotted fever group rickettsiae of southeastern Virginia. Ticks Tick Borne Dis2014;5:537DOIExternal LinkPubMedExternal Link
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Cite This Article

DOI: 10.3201/eid2602.190664
Original Publication Date: 1/15/2020

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