Neoehrlichia mikurensis

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Neoehrlichia mikurensis
Scientific classification OOjs UI icon edit-ltr.svg
Domain: Bacteria
Phylum: Pseudomonadota
Class: Alphaproteobacteria
Order: Rickettsiales
Family: Anaplasmataceae
Genus: Neoehrlichia
Species:
N. mikurensis
Binomial name
Neoehrlichia mikurensis

Neoehrlichia mikurensis (NM), previously known as Candidatus Neoehrlichia mikurensis, [1] is an intracellular, gram-negative bacteria belonging to the family Anaplasmataceae. [2] Using ticks as vectors, it spreads between animals - mainly rodents, but other mammals as well as humans can get infected. [3] After Borrelia and Rickettsia, it is believed to be the third most common tick-borne pathogen able to infect humans. [4] Between 2009 and 2019, 45 human cases of NM-infections were found in Sweden. [5]

Contents

Disease and diagnostics

The disease caused by NM is called neoehrlichiosis . It usually presents with symptoms such as fever and vascular complications of unclear origin, e.g., thromboembolisms. [4] [5] Today, the disease is diagnosed using NM-specific PCR. [6] To determine that NM is present in an animal, samples must be taken and analysed using PCR and sequencing . [7] [8] The primer used is specific for organisms of the Anaplasmataceae and Rickettiaceae families. [9] Once the material has been amplified, phylogenetic studies of the 16S rRNA-sequence are performed, along with sequencing of fragments of the 16s rRNA-gene and the groEL-gene. [6]

Routine microbiological methods can not be employed to find NM as intracellular bacteria cannot be cultivated on cell-free media. [1]

History

During the last 20 years several bacteria within the family Anaplasmataceae have been discovered. Among others, one was found in the Netherlands in 1999, [9] and another – nearly identical – was found in rats in Japan. The latter was given the name Candidatus Neoehrlichia mikurensis after the island Mikura-jima where the rats were collected. [2] The bacteria kept the name Candidatus until 2019 when it was first cultivated. [6] It has been isolated from rodents, which are believed to act as reservoirs for the pathogen, as well as from the ticks which act as vectors. The ticks have been found to mainly belong to the genus Ixodes. [4] [9] [10] [11]

In September 2009 the first human case of an NM-infection was found. The patient was a Swedish, 77-year-old man with chronic B-cell lymphoma with symptoms of sepsis. Several blood cultures were taken, and though they all came back negative, sepsis was still suspected. A panbacterial 16s rRNA gene PCR was performed, and sequencing the amplified material resulted in a 100% match for NM. [12] Cultivation of the pathogen was not successful until 2019, when a research group at the University of Gothenburg infected both tick-cell lines and human endothelial cells using blood from immunocompromised neoehrlichiosis patients. [1]

Systematics

NM belongs to the family Anaplasmataceae together with Ehrlichia, Anaplasma, Neorickettsia, Aegyptianella and Wolbachia. [2] [4] Several similar species have also been discovered, among them Candidatus Neoehrlichia lotoris , which has been isolated from racoons and is thought to be the closest relative to NM. [3] [4] [1] [13]

Morphology and cell tropism

Because of the difficulty in cultivating NM, not much is known about its morphology, life cycle and cellular tropism, but it is believed to have similar characteristics of the other bacteria belonging to the Anaplasmataceae. All other bacteria in the family are obligate intracellular bacteria that reproduce within membrane-bound vacuoles inside the cytoplasm of eukaryotic blood cell, which indicates that NM, too, should display similar characteristics. [2] [3] Furthermore, the Anaplasmataceae are pleiomorphic cocci which range in size between 0.5 and 1.2 μm. [12]

The precise cellular tropism for NM has not yet been determined, but a study from 2019 showed that human endothelial cells are certainly one of the targets. [1] Electron micrographs of rat spleens have showed rounded, pleiomorphic structures with the correct size for NM, [2] but seeing as no labelling was done using DNA-probes or specific antibodies, these have not been formally proven to be NM. [4]

Reservoirs and vectors

Rodents act as reservoirs for several zoonotic pathogens, [7] which can be transferred between different hosts, both animal and human, through various means. The main reservoirs for NM are voles and mice. In one study done in southern Sweden, it was found that 8.8% of the rodents were carriers of NM. [9] The pathogen has also been found in deer, wild boars and sheep, including mouflons. [11] It can also infect humans, and between 2009 and 2019, 45 cases were found. [5]

NM is spread between the different reservoirs using ticks, mainly of the genus Ixodes. The pathogen enters the ticks when it bites a mammal carrying the disease, and once inside the tick the bacteria replicates and collects in the salivary glands, ready to be introduced to the next host. In Sweden, the most common vector for transferring NM is Ixodes ricinus . [11]

Related Research Articles

<span class="mw-page-title-main">Tick</span> Order of arachnids in the arthropod phylum

Ticks are parasitic arachnids that are part of the mite superorder Parasitiformes. Adult ticks are approximately 3 to 5 mm in length depending on age, sex, species, and "fullness". Ticks are external parasites, living by feeding on the blood of mammals, birds, and sometimes reptiles and amphibians. The timing of the origin of ticks is uncertain, though the oldest known tick fossils are from the Cretaceous period, around 100 million years old. Ticks are widely distributed around the world, especially in warm, humid climates.

<i>Rickettsia rickettsii</i> Species of bacterium

Rickettsia rickettsii is a Gram-negative, intracellular, coccobacillus bacterium that was first discovered in 1902. R. rickettsii is the causative agent of Rocky Mountain Spotted Fever and is transferred to its host via a tick bite. It is one of the most pathogenic Rickettsia species and affects a large majority of the Western Hemisphere, most commonly the Americas.

Tick-borne diseases, which afflict humans and other animals, are caused by infectious agents transmitted by tick bites. They are caused by infection with a variety of pathogens, including rickettsia and other types of bacteria, viruses, and protozoa. The economic impact of tick-borne diseases is considered to be substantial in humans, and tick-borne diseases are estimated to affect ~80 % of cattle worldwide. Most of these pathogens require passage through vertebrate hosts as part of their life cycle. Tick-borne infections in humans, farm animals, and companion animals are primarily associated with wildlife animal reservoirs. many tick-borne infections in humans involve a complex cycle between wildlife animal reservoirs and tick vectors. The survival and transmission of these tick-borne viruses are closely linked to their interactions with tick vectors and host cells. These viruses are classified into different families, including Asfarviridae, Reoviridae, Rhabdoviridae, Orthomyxoviridae, Bunyaviridae, and Flaviviridae.

<span class="mw-page-title-main">Tick-borne encephalitis</span> Medical condition

Tick-borne encephalitis (TBE) is a viral infectious disease involving the central nervous system. The disease most often manifests as meningitis, encephalitis or meningoencephalitis. Myelitis and spinal paralysis also occurs. In about one third of cases sequelae, predominantly cognitive dysfunction, persist for a year or more.

<i>Borrelia burgdorferi</i> Species of bacteria

Borrelia burgdorferi is a bacterial species of the spirochete class in the genus Borrelia, and is one of the causative agents of Lyme disease in humans. Along with a few similar genospecies, some of which also cause Lyme disease, it makes up the species complex of Borrelia burgdorferi sensu lato. The complex currently comprises 20 accepted and 3 proposed genospecies. B. burgdorferi sensu stricto exists in North America and Eurasia and until 2016 was the only known cause of Lyme disease in North America. Borrelia species are Gram-negative.

"Candidatus Midichloria" is a candidatus genus of Gram-negative, non-endospore-forming bacteria, with a bacillus shape around 0.45 µm in diameter and 1.2 µm in length. First described in 2004 with the temporary name IricES1, "Candidatus Midichloria" species are symbionts of several species of hard ticks. They live in the cells of the ovary of the females of this tick species. These bacteria have been observed in the mitochondria of the host cells, a trait that has never been described in any other symbiont of animals.

<span class="mw-page-title-main">Anaplasmosis</span> Medical condition

Anaplasmosis is a tick-borne disease affecting ruminants, dogs, and horses, and is caused by Anaplasma bacteria. Anaplasmosis is an infectious but not contagious disease. Anaplasmosis can be transmitted through mechanical and biological vector processes. Anaplasmosis can also be referred to as "yellow bag" or "yellow fever" because the infected animal can develop a jaundiced look. Other signs of infection include weight loss, diarrhea, paleness of the skin, aggressive behavior, and high fever.

<span class="mw-page-title-main">Lyme disease microbiology</span>

Lyme disease, or borreliosis, is caused by spirochetal bacteria from the genus Borrelia, which has 52 known species. Three main species are the main causative agents of the disease in humans, while a number of others have been implicated as possibly pathogenic. Borrelia species in the species complex known to cause Lyme disease are collectively called Borrelia burgdorferisensu lato (s.l.) not to be confused with the single species in that complex Borrelia burgdorferi sensu stricto which is responsible for nearly all cases of Lyme disease in North America.

<i>Babesia divergens</i> Species of single-celled organism

Babesia divergens is an intraerythrocytic parasite, transmitted by the tick Ixodes ricinus. It is the most common cause of human babesiosis. It is the main agent of bovine babesiosis, or "redwater fever", in Europe. Young cattle are less susceptible. The current emphasis in Europe on sustainable agriculture and extensification is likely to lead to an increase in vector tick populations with increased risk of infection. B. divergens is also prevalent in cottontail rabbits on Nantucket Island, MA, USA.

<i>Ehrlichia</i> Genus of bacteria

Ehrlichia is a genus of Rickettsiales bacteria that are transmitted to vertebrates by ticks. These bacteria cause the disease ehrlichiosis, which is considered zoonotic, because the main reservoirs for the disease are animals.

<i>Ixodes scapularis</i> Species of tick

Ixodes scapularis is commonly known as the deer tick or black-legged tick, and in some parts of the US as the bear tick. It was also named Ixodes dammini until it was shown to be the same species in 1993. It is a hard-bodied tick found in the eastern and northern Midwest of the United States as well as in southeastern Canada. It is a vector for several diseases of animals, including humans and is known as the deer tick owing to its habit of parasitizing the white-tailed deer. It is also known to parasitize mice, lizards, migratory birds, etc. especially while the tick is in the larval or nymphal stage.

<span class="mw-page-title-main">Human granulocytic anaplasmosis</span> Medical condition

Human granulocytic anaplasmosis (HGA) is a tick-borne, infectious disease caused by Anaplasma phagocytophilum, an obligate intracellular bacterium that is typically transmitted to humans by ticks of the Ixodes ricinus species complex, including Ixodes scapularis and Ixodes pacificus in North America. These ticks also transmit Lyme disease and other tick-borne diseases.

Ticks are insects known for attaching to and sucking blood from land-dwelling animals. Ticks fall under the category of 'arthropod', and while they are often thought of in the context of disease transmission, they are also known to cause direct harm to hosts through bites, toxin release, and infestation. Infestation can cause symptoms ranging from mild to severe and may even cause death. Hosts can include any number of vertebrates, though humans and livestock are more likely to be the interest of researchers.

Rickettsia australis is a bacterium that causes a medical condition called Queensland tick typhus. The probable vectors are the tick species, Ixodes holocyclus and Ixodes tasmani. Small marsupials are suspected reservoirs of this bacterium.

Borrelia afzelii is a species of Borrelia endemic to parts of Eurasia where it is one of the causative agents of Lyme disease. It is transmitted by hard-bodied ticks of the Ixodes genus, infecting various wild mammals in nature.

Borrelia miyamotoi is a bacterium of the spirochete phylum in the genus Borrelia. A zoonotic organism, B. miyamotoi can infect humans through the bite of several species of hard-shell Ixodes ticks, the same kind of ticks that spread B. burgdorferi, the causative bacterium of Lyme disease. Ixodes ticks are also the primary vector in the spread of babesiosis and anaplasmosis.

Anaplasma bovis is gram negative, obligate intracellular organism, which can be found in wild and domestic ruminants, and potentially a wide variety of other species. It is one of the last species of the Family Anaplasmaceae to be formally described. It preferentially infects host monocytes, and is often diagnosed via blood smears, PCR, and ELISA. A. bovis is not currently considered zoonotic, and does not frequently cause serious clinical disease in its host. This organism is transmitted by tick vectors, so tick bite prevention is the mainstay of A. bovis control, although clinical infections can be treated with tetracyclines. This organism has a global distribution, with infections noted in many areas, including Korea, Japan, Europe, Brazil, Africa, and North America.

Rickettsia monacensis is a tick-borne spotted fever group Rickettsia species.

<span class="mw-page-title-main">Cardinium</span> Genus of bacteria

"Candidatus Cardinium" is a genus of Gram-negative parasitic bacteria that reside within cells of some arthropods and nematodes. Although they have not yet been isolated in pure culture, they are known to negatively influence reproduction in their hosts in order to further their own proliferation. This leads to their classification as a reproductive parasite. One of the only other examples of this type of parasitism is the genus Wolbachia, which also infects arthropods. These two genera can also co-infect the same animal, as in some nematodes. "Candidatus Cardinium" bacteria use many of the same methods to interfere with host reproduction as Wolbachia, including inducing cytoplasmic incompatibility and distorting the sex ratio in the host population to favor females. The mechanisms by which "Candidatus Cardinium" induces these conditions in hosts are thought to be different from the mechanisms used by Wolbachia. "Candidatus Cardinium" bacteria are maternally inherited; infections are maintained through generations through the egg cells. It is estimated that 6–10% of all arthropods are infected with "Candidatus Cardinium" bacteria.

Neoehrlichiosis is a disease caused by the intracellular pathogen Neoehrlichia mikurensis. It usually presents with symptoms such as fever and vascular complications of unclear origin, e.g., thromboembolisms.

References

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