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Infect Immun, April 1998, p. 1803-1805, Vol. 66, No. 4
0019-9567/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Granulocytic Ehrlichiosis in Tick-Immune
Guinea Pigs
Subrata
Das,1
Kathleen
Deponte,1
Nancy L.
Marcantonio,1
Jacob W.
Ijdo,1
Emir
Hodzic,2
Paula
Katavolos,3
Stephen W.
Barthold,2
Sam R.
Telford III,3
Fred S.
Kantor,1 and
Erol
Fikrig1,*
Department of Internal Medicine, Yale
University, New Haven, Connecticut1;
The
Center for Comparative Medicine, Schools of Medicine and Veterinary
Medicine, University of California, Davis, Davis,
California2; and
Department of
Tropical Public Health, Harvard University School of Public Health,
Boston, Massachusetts3
Received 18 September 1997/Returned for modification 10 November
1997/Accepted 12 January 1998
 |
ABSTRACT |
We investigated whether Ixodes scapularis-mediated host
immunity interrupts transmission of the agent of human granulocytic ehrlichiosis (aoHGE) to guinea pigs. Ticks infected with aoHGE readily
transmitted aoHGE to tick-immune guinea pigs, despite incomplete tick
engorgement and host attachment. Although tick immunity can prevent
Lyme borreliosis, protection is not afforded against granulocytic
ehrlichiosis.
 |
TEXT |
Ticks transmit the agents of
important human diseases, such as Lyme disease, babesiosis, Rocky
Mountain spotted fever, ehrlichiosis, and tick-borne encephalitis,
among others (4, 5, 16). Therefore, the study of the host
immunity to ticks and host immunity's possible role in disease
prevention has been a focus of extensive investigation. Trager
demonstrated host immunity to ticks in 1939 (20), and
several authors subsequently reproduced and extended these findings
(21). Tick immunity, induced by repeated tick exposures, has
been shown to interfere with tick feeding and molting in rabbits,
cattle, dogs, and guinea pigs (1, 3, 10, 12, 13). Even a
natural host like Clethrionomys glareolus, the bank vole,
develops resistance to Ixodes ricinus with repeated
infestations (6).
Tick immunity can interfere with pathogen transmission. Rabbits
preexposed to uninfected Dermacentor andersoni were shown to
be partially protected when exposed to Francisella
tularensis-infected nymphs (2). Transmission of
tick-borne Babesia argentina was shown to be impaired in
tick-immune cattle (11). Moreover, recent reports indicate
that tick immunity prevents transmission of the Lyme disease
spirochete, Borrelia burgdorferi. Immunity to I. ricinus in C. glareolus reduced the efficiency of
I. ricinus-mediated B. burgdorferi transmission
(7). Although laboratory mice, compared to larger animals,
do not readily develop immunity to ticks after repeated exposures, a
tick infestation-induced partial host resistance to tick-borne B. burgdorferi transmission has been reported in BALB/c mice
(22).
Recently, we showed that transmission of B. burgdorferi was
prevented in tick-immune guinea pigs (17). To
determine whether tick immunity interrupts the transmission
of other vector-borne pathogens, we now examine the effect of tick
immunity on the transmission of the agent of human granulocytic
ehrlichiosis (aoHGE). aoHGE, like B. burgdorferi, is
present in Ixodes scapularis: the reported vector
coinfection rate may be as high as 26% at a focus of Lyme disease
hyperendemicity (18). We chose aoHGE because this organism resides in the salivary glands of ticks (19), whereas
B. burgdorferi is present in the guts of unfed ticks and
only migrates to the salivary glands following prolonged feeding.
Ticks and guinea pigs.
C3H/HeN (C3H) female mice (3 to 4 weeks
old) were infected by intraperitoneal inoculation of 50 µl of
aoHGE (NCH-1 strain)-infected SCID mouse blood (15). Mated
adult female Ixodes scapularis ticks were collected from the
field. The egg masses were laid in the laboratory. Hatched larvae were
fed on either uninfected or aoHGE-infected C3H mice to produce
pathogen-free or aoHGE-infected nymphs. The molted nymphs were
checked for the presence of aoHGE by Fuelgen staining (19).
Batches of exposed ticks with infection rates of >50% were used in
these experiments. Female Hartley guinea pigs weighing 300 to 500 g were housed in individual stainless steel wire cages fitted in a rack
with bottoms hanging on water pans. Guinea pigs were sensitized to
ticks by repeated infestation (three times) with at least 10 nymphs,
with a resting period of about 21 days before rechallenge with a
similar number of ticks (17).
Infection and disease.
Two sets of guinea pigs (three tick
sensitized and three naive in each set) were used in the tick challenge
studies. We also included in each set one control guinea pig, which was
housed in the same facility but not infested with ticks. The control guinea pig was used to determine the normal neutrophil counts and
splenic weights in uninfected animals. In addition, blood and sera from
uninfected guinea pigs served as internal negative controls for our PCR
and immunoblot studies. The day of challenge with the
aoHGE-infected ticks was designated day 0, and after challenge, the guinea pigs were coded in a double-blind manner for the
remainder of the study. About 2 days after infestation, ticks started
to detach from sensitized animals. Three hundred microliters of blood
was collected from each guinea pig by retro-orbital puncture on days 4, 7, 12, 17, and 23. The guinea pigs were sacrificed on day 23. Splenic
weights were recorded, bone marrow and spleen impression smears and
blood smears were made, sera were collected, and 200 µl of blood from
each guinea pig was sent to Antech Diagnostics (Farmingdale, N.Y.) for
the quantification of leukocytes. The smears were stained with
Diff-Quick (Baxter Healthcare Corp., Miami, Fla.) and checked for
morulae within the neutrophils.
To determine the infectivity and viability of aoHGE derived from the
guinea pigs, we used a recently developed mouse model of granulocytic
ehrlichiosis (14, 19). Blood from sensitized and naive
guinea pigs that were challenged with infected ticks was injected
intraperitoneally (50 µl) into C3H mice. At 12 days, blood samples
were examined for aoHGE by PCR. A blood smear from each mouse was also
prepared.
PCR.
Total DNA from 50 µl of guinea pig or mouse blood or
from 20 pairs of salivary glands or 20 guts of unfed nymphs was
extracted (8) and dissolved in 50 µl of distilled water.
Aliquots (5 µl) of each blood DNA sample or aliquots containing DNA
from 10 salivary glands (1.2 µg of DNA) or one gut (3.1 µg of DNA)
were added to 50-µl PCR mixtures containing Ehrlichia sp.
16S rRNA gene (rDNA)-specific primers Ehr 521 (5'-TGTAGGCGGTTCGGTAAGTTAAAG-3') and Ehr 747 (5'-GCACTCATCGTTTACAGCGTG-3') (4, 19).
Denaturing, annealing, and extension temperatures and intervals used
for the PCR were 94°C for 1 min, 55°C for 1 min, and 72°C for 2 min, respectively, for 40 cycles.
Immunoblotting.
The antigen used for immunoblots was from
aoHGE-infected promyelocytic cell line HL-60 (15). Sodium
dodecyl sulfate-polyacrylamide gel electrophoresis-separated
aoHGE-infected HL-60 cell lysates were transferred to nitrocellulose
strips, blocked with 2% bovine serum albumin in Tris-buffered saline,
and then incubated for 1 h with guinea pig serum (1:100 dilution).
Alkaline phosphatase-conjugated goat anti-guinea pig secondary antibody
(1:2,000 dilution) was used to visualize the aoHGE-specific 44-kDa
antigen, which has been shown to be a specific indicator of exposure
(15).
As expected, aoHGE-infected ticks fed to repletion on naive guinea pigs
(Fig.
1). In contrast, tick engorgement
on sensitized
animals was impaired. The average time the ticks fed on
naive
guinea pigs was 4 to 5 days, whereas ticks started to detach
from
the sensitized animals on day 2 and most of the ticks had fallen
off the sensitized animals by 3 days after infestation (a statistically
significant difference by Kaplan-Meier analysis [
P < 0.05]). The
average weight of ticks that fed on naive guinea pigs was
3.24
± 0.24 mg (average ± standard deviation
[
n = 60]) compared to
0.86 ± 0.69 mg for ticks
that detached from sensitized guinea
pigs (
P < 0.01 [Student's
t test]). Most of the nymphs (85%) that
fed
on naive animals molted and became adults, but all of the
ticks that
fed on sensitized guinea pigs died before molting.

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FIG. 1.
Effect of host tick immunity on duration of tick
attachment. Ten aoHGE-infected nymphs were placed on the neck of each
of the six tick-immune or six naive guinea pigs (from two sets of
experiments), and tick attachment was monitored. Each point represents
the average ± and standard deviation (error bars) of six
observations.
|
|
Several criteria were used to document ehrlichiosis in guinea pigs: PCR
amplification of an aoHGE 16S rDNA target from blood,
seroconversion to
the aoHGE-specific 44-kDa antigen, and infectivity
of the guinea pig
blood in mice. Both naive and tick-immune guinea
pigs became infected
with the aoHGE, as determined by PCR and
seroconversion (Fig.
2). All six naive and five of six
tick-immune
guinea pigs remained infected for at least 23 days (the
final
time point examined), based on PCR. Immunoglobulin G directed
towards the 44-kDa aoHGE antigen was detectable in five of six
naive
and four of six immune guinea pigs from day 12 and beyond.
Leukocyte
counts and splenic weights of all experimental and control
animals were
similar. Cytoplasmic aoHGE clusters (morulae) were
not identified in
the neutrophils of any of the guinea pigs, but
five of six mice
inoculated with blood from individual naive animals
and five of six
mice with blood from tick-immune guinea pigs developed
morulae in
peripheral blood neutrophils and were PCR positive.
Using all these
criteria to determine infection, we found that
all six of the
sensitized and six of the naive guinea pigs became
infected with aoHGE.

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FIG. 2.
aoHGE infection in naive and tick-immune guinea pigs.
(A) PCR amplification of 16S aoHGE rDNA fragment from blood from one
experiment (comprising three naive and three tick-immune guinea pigs).
Lane 1, blood from an aoHGE-infected mouse (positive control); lanes 2 to 4, blood from tick-immune guinea pigs; lanes 5 to 7, blood from
naive guinea pigs; lane 8, blood from an uninfected guinea pig
(negative control). (B) Sera from the animals described above were used
to probe aoHGE lysates in the immunoblot. Lane 1, serum from an
aoHGE-infected mouse (positive control); lanes 2 to 4, sera from
tick-immune guinea pigs; lanes 5 to 7, sera from naive guinea pigs;
lane 8, serum from an uninfected guinea pig (negative control).
|
|
To determine whether aoHGE was specifically present in the salivary
glands and/or in the gut of unfed nymphs, total DNA from
these organs
was used to identify aoHGE by PCR. Salivary glands,
but not guts,
of unfed nymphs harbored aoHGE, as evidenced by
the
amplification of the aoHGE-specific 16S rDNA band only from
salivary
gland DNA (Fig.
3).

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FIG. 3.
aoHGE is present in the salivary glands of unfed
Ixodes nymphs. PCR amplification of aoHGE-specific 16S rDNA
from gut and salivary gland total DNA was performed. Lane 1, molecular
weight markers; lane 2, DNA (1.2 µg) from uninfected salivary glands;
lane 3, DNA (1.2 µg) from aoHGE-infected salivary glands; lane 4, DNA
(3.1 µg) from uninfected tick guts; lane 5, DNA (3.1 µg) from
aoHGE-infected tick guts; lane 6, aoHGE DNA (positive control).
|
|
Encouraged by our and other researchers' demonstration of the
interruption of
B. burgdorferi transmission in
tick-sensitized
animals (
17,
22), we explored the efficacy
of tick immunity
in preventing transmission of other
I. scapularis-borne pathogens.
We focused on aoHGE because it resides
in tick salivary glands,
whereas
B. burgdorferi is present
within the gut of unfed ticks,
and because pathogen location is
likely to influence transmission
(
5,
17). We
established a guinea pig model of aoHGE infection
in which HGE
infection in animals can be confirmed by several
parameters, including
PCR, immunoblot, and transfer of ehrlichiae
to mice. In contrast to our
observations with mice and humans,
we did not observe aoHGE morulae in
peripheral neutrophils of
infected guinea pigs. Nevertheless, we used
guinea pigs because
tick immunity develops more readily in these
animals than in mice
(
17,
20,
22).
As we have shown with the aoHGE, tick immunity does not always prevent
pathogen transmission to the host. For example, transmission
of
Theileria parva bovis, which is also localized in the
salivary
glands, was not blocked in cattle resistant to the tick
Rhipicephalus appendiculatus (
9). The reasons why
tick immunity may protect
against transmission of some pathogens but
not others, particularly
those carried by the same vector, are likely
to be multifactorial.
The proximity of the pathogens to the host
tissues, the time required
for transmission, and the duration of tick
attachment may influence
blockage of transmission. A pathogen residing
in the salivary
gland may be readily transmitted to the host even if
the vector
detaches quickly from the host without complete feeding.
The aoHGE has previously been detected by Feulgen-staining in the
salivary glands of unfed infected
Ixodes nymphs
(
19).
We have now shown by PCR that aoHGE is present in
the salivary
glands but not in the gut, suggesting that the
salivary glands
are the major, if not the only, location of residence.
In contrast,
B. burgdorferi resides in the guts
of unfed ticks, and migrates
to the salivary glands during tick
engorgement (
5). While
B. burgdorferi usually
requires 48 to 72 h for transmission to the
host (
5),
the duration of tick attachment needed for aoHGE
transmission is
approximately 30 h (unpublished observation).
Organisms that reside in salivary glands may move quickly to the host.
Thus, it is possible that infected nymphs transmit
the aoHGE within 2 days of initial host attachment before they
reject the tick-sensitized
host. In contrast, a pathogen such
as
B. burgdorferi
(
5), which resides in the gut and requires
activation by a
blood meal to multiply and migrate to the tick
salivary glands, may not
get either enough stimulation or time
to migrate for transmission to
tick-immune animals. Alternatively,
contact of host blood from
sensitized animals may lead to immune
reactions between tick gut
antigens and host serum, which could
interfere with the dynamics
of
B. burgdorferi growth and retard
its transport to
salivary glands. Overall, these experiments demonstrate
that
guinea pigs can be experimentally infected with aoHGE and
that
I. scapularis-mediated host immunity is not sufficient to
prevent
aoHGE transmission.
 |
ACKNOWLEDGMENTS |
This work was supported by grants from the National Institute of
Health (AI30548, AI37993, AI41440, and AI39002).
S. Das is an Arthritis Foundation Postdoctoral Fellow. J. IJdo is a
Daland Fellow of the American Philosophical Society and a Postdoctoral
Fellow of the Markey Foundation.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: Section of
Rheumatology, Department of Internal Medicine, Yale University School
of Medicine, New Haven, CT 06520-8031. Phone: (203) 785-2454. Fax: (203) 785-7053. E-mail: erol.fikrig{at}yale.edu.
Editor: R. N. Moore
 |
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Infect Immun, April 1998, p. 1803-1805, Vol. 66, No. 4
0019-9567/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
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