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Clinical and diagnostic laboratory immunology2000; 7(1); 68-71; doi: 10.1128/CDLI.7.1.68-71.2000

Human granulocytic ehrlichiosis agent infection in a pony vaccinated with a Borrelia burgdorferi recombinant OspA vaccine and challenged by exposure to naturally infected ticks.

Abstract: A pony was vaccinated with recombinant OspA vaccine (rOspA) and then exposed 3 months later to Borrelia burgdorferi-infected ticks (Ixodes scapularis) collected in Westchester County, N.Y. At 2 weeks after tick exposure, the pony developed a high fever (105 degrees F). Buffy coat smears showed that 20% of neutrophils contained ehrlichial inclusion bodies (morulae). Flunixin Meglumine (1 g daily) was given for 2 days, and the body temperature returned to normal. PCR for ehrlichial DNA was performed on blood samples for 10 consecutive days beginning when the pony was first febrile. This pony was monitored for another 3.5 months but developed no further clinical signs. The 44-kDa immunodominant human granulocytic ehrlichiosis antigen gene was amplified by PCR and cloned into a pCR2.1 vector. DNA sequence analysis of this gene showed it was only 8 bp different (99% identity) from the results reported by others (J. W. Ijdo et al., Infect. Immun. 66:3264-3269, 1998). Western blot analysis, growth inhibition assays, and repeated attempts to isolate B. burgdorferi all demonstrated the pony was protected against B. burgdorferi infection. These results highlight the potential for ticks to harbor and transmit several pathogens simultaneously, which further complicates the diagnosis and vaccination of these emerging tick-borne diseases.
Publication Date: 2000-01-05 PubMed ID: 10618280PubMed Central: PMC95825DOI: 10.1128/CDLI.7.1.68-71.2000Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research discusses a case where a pony, despite being vaccinated with an OspA vaccine against Lyme disease, got infected with another tick-borne disease – Human Granulocytic Ehrlichiosis, when exposed to Lyme-infected ticks.

Background

  • In this study, researchers tried to understand the efficacy of a Lyme disease vaccine (recombinant OspA vaccine) in a pony.
  • Lyme disease, caused by the bacterium Borrelia burgdorferi, is a tick-borne illness.
  • For this, they exposed the vaccinated pony to ticks infected with Borrelia burgdorferi.

Observations

  • Two weeks after exposing the pony to ticks, it developed a high fever.
  • Microscopic examination of the pony’s blood samples indicated ehrlichial inclusion bodies (morulae), indicating an infection with Human Granulocytic Ehrlichiosis – another tick-borne disease.
  • Despite the infection, the pony’s body temperature returned to normal within two days of treatment with Flunixin Meglumine.

Analysis

  • Following PCR analysis, researchers were able to detect ehrlichial DNA in the pony’s blood samples for consecutive 10 days from the onset of fever.
  • The researchers cloned the ehrlichiosis agent’s gene into a vector and found it to be highly similar (99% identity) to the genetic sequences of the same pathogen reported in previous studies.

Conclusion

  • The pony showed no subsequent signs of Lyme disease, indicating that the recombinant OspA vaccine protected it against Borrelia burgdorferi infection.
  • The results of this study underline the issue of ticks harboring and transmitting multiple pathogens simultaneously, complicating the diagnosis and vaccination against these emerging tick-borne diseases.

Cite This Article

APA
Chang YF, McDonough SP, Chang CF, Shin KS, Yen W, Divers T. (2000). Human granulocytic ehrlichiosis agent infection in a pony vaccinated with a Borrelia burgdorferi recombinant OspA vaccine and challenged by exposure to naturally infected ticks. Clin Diagn Lab Immunol, 7(1), 68-71. https://doi.org/10.1128/CDLI.7.1.68-71.2000

Publication

ISSN: 1071-412X
NlmUniqueID: 9421292
Country: United States
Language: English
Volume: 7
Issue: 1
Pages: 68-71

Researcher Affiliations

Chang, Y F
  • Department of Population Medicine and Diagnostic Science, College of Veterinary Medicine, Cornell University, Ithaca, New York 14853, USA. yc42@cornell.edu
McDonough, S P
    Chang, C F
      Shin, K S
        Yen, W
          Divers, T

            MeSH Terms

            • Animals
            • Antigens, Bacterial / genetics
            • Antigens, Surface / immunology
            • Bacterial Outer Membrane Proteins / immunology
            • Bacterial Vaccines / immunology
            • Borrelia burgdorferi Group / immunology
            • Borrelia burgdorferi Group / isolation & purification
            • Clonixin / analogs & derivatives
            • Clonixin / therapeutic use
            • DNA, Bacterial / blood
            • Ehrlichia chaffeensis / immunology
            • Ehrlichiosis / immunology
            • Ehrlichiosis / microbiology
            • Ehrlichiosis / prevention & control
            • Granulocytes / microbiology
            • Horses
            • Humans
            • Immunodominant Epitopes / genetics
            • Inclusion Bodies, Viral
            • Lipoproteins
            • Polymerase Chain Reaction
            • Ticks / microbiology
            • Vaccines, Synthetic / immunology

            References

            This article includes 39 references
            1. Asanovich KM, Bakken JS, Madigan JE, Aguero-Rosenfeld M, Wormser GP, Dumler JS. Antigenic diversity of granulocytic Ehrlichia isolates from humans in Wisconsin and New York and a horse in California.. J Infect Dis 1997;176:1029–1034.
              pubmed: 9333162
            2. Barlough JE, Madigan JE, Derock E, Dumber JS, Bakken JS. Protection against Ehrlichia equi is conferred by prior infection with the human granulocytic ehrlichia (HGE agent). J Clin Microbiol 1995;33:3333–3334.
              pmc: PMC228702pubmed: 8586731
            3. Barthold SW, Persing DH, Armstrong AL, Peeples RA. Kinetics of Borrelia burgdorferi dissemination and evolution of disease after intradermal inoculation of mice.. Am J Pathol 1991;139:263–273.
              pmc: PMC1886084pubmed: 1867318
            4. Chang YF, Appel MJ, Jacobson RH, Shin SJ, Harpending P, Straubinger R, Patrican LA, Mohammed H, Summers BA. Recombinant OspA protects dogs against infection and disease caused by Borrelia burgdorferi.. Infect Immun 1995;63:3543–3549.
              pmc: PMC173491pubmed: 7642289
            5. Chang YF, Novosol V, McDonough SP, Jacobson RH, Chang C-F, Divers T, Quimby FW, Shin S, Lein DH. Vaccination against Lyme disease with recombinant Borrelia burgdorferi outer surface protein A (OspA) in horses.. Vaccine 1999;18:540–548.
              pubmed: 10519945
            6. Chang YF, Novosol V, Chang C-F, Kim JB, Shin SJ, Lein DH. Detection of human granulocytic ehrlichiosis agent and Borrelia burgdorferi in ticks by polymerase chain reaction.. J Vet Diagn Investig 1998;10:56–59.
              pubmed: 9526861
            7. Chang YF, Novosel V, Dubovi E, Wong SJ, Chu FK, Chang C-F, Del Piero F, Shin S, Lein DH. Experimental infection of the human granulocytic ehrlichiosis agent in horses.. Vet Parasitol 1998;78:137–145.
              pubmed: 9735918
            8. Chang Y-F, Novosol V, McDonough SP, Chang C-F, Jacobson RH, Divers T, Quimby FW, Shin S, Lein DH. Experimental infection of ponies with Borrelia burgdorferi by exposure to Ixodid ticks.. Vet Pathol in press.
              pubmed: 10643983
            9. Daniels TJ, Boccia TM, Varde S, Marcus J, Le J, Bucher DJ, Falco RC, Schwartz I. Geographic risk for lyme disease and human granulocytic ehrlichiosis in southern New York State.. Appl Environ Microbiol 1998;64:4663–4669.
              pmc: PMC90906pubmed: 9835546
            10. Daniels TJ, Falco RC, Schwartz I, Varde S, Robbins RG. Deer ticks (Ixodes scapularis) and the agents of Lyme disease and human granulocytic ehrlichiosis in a New York City park.. Emerg Infect Dis 1997;3:353–355.
              pmc: PMC2627640pubmed: 9284380
            11. Des Vignes F, Fish D. Transmission of the agent of human granulocytic ehrlichiosis by host-seeking Ixodus scapularis (Acari:Ixodidae) in southern New York state.. J Med Entomol 1997;34:379–382.
              pubmed: 9220669
            12. Doherty T, Evans J, Molloy PJ, Seidner AL, Sabetta JR, Simon HJ, Klempner MS, Mays J, Marks D, Malawista SE. A vaccine consisting of recombinant Borrelia burgdorferi outer-surface protein A to prevent Lyme disease. Recombinant Outer-Surface Protein A Lyme Disease Vaccine Study Consortium.. N Engl J Med 1998;339:216–222.
              pubmed: 9673299
            13. Dumler JS. Is human granulocytic ehrlichiosis a new Lyme disease? Review and comparison of clinical, laboratory, epidemiological, and some biological features.. Clin Infect Dis 1997;25(Suppl. 1):S43–S47.
              pubmed: 9233663
            14. Dumler JS, Asanovich KM, Bakken JS, Richter P, Kimsey R, Madigan JE. Serologic cross-reactions among Ehrlichia equi, Ehrlichia phagocytophila, and human granulocytic ehrlichia.. J Clin Microbiol 1995;33:1098–1103.
              pmc: PMC228112pubmed: 7542262
            15. Goodman JL, Nelson C, Vitale B, Madigan JE, Dumler JS, Kurtti TJ, Munderloh UG. Direct cultivation of the causative agent of human granulocytic ehrlichiosis.. N Eng J Med 1996;334:209–215.
              pubmed: 8531996
            16. Gribble DH. Equine ehrlichiosis.. J Am Vet Med Assoc 1969;155:462–469.
              pubmed: 5819585
            17. Horowitz HW, Aguero-Rosenfeld M, Dumler JS, McKenna DF, Hsieh TC, Wu J, Schwartz I, Wormser GP. Reinfection with the agent of human granulocytic ehrlichiosis.. Ann Intern Med 1998;129:461–463.
              pubmed: 9735084
            18. Ijdo JW, Sun W, Zhang Y, Magnarelli LA, Fikrig E. Cloning of the gene encoding the 44-kilodalton antigen of the agent of human granulocytic ehrlichiosis and characterization of the humoral response.. Infect Immun 1988;66:3264–3269.
              pmc: PMC108341pubmed: 9632594
            19. Ijdo JW, Zhang Y, Hodzic E, Magnarelli LA, Wilson ML, Telford SRI. The early humoral response in human granulocytic ehrlichiosis.. J Infect Dis 1997;176:687–692.
              pubmed: 9291316
            20. Jahangir A, Kolbert C, Edwards W, Mitchell P, Dumler JS, Persing DH. Fatal pancarditis associated with human granulocytic ehrlichiosis in a 44-year-old man.. Clin Infect Dis 1998;27:1424–1427.
              pubmed: 9868655
            21. Madigan JE, Barlough JE, Dumler JS, Schankman NS, DeRock E. Equine granulocytic ehrlichiosis in Connecticut caused by an agent resembling the human granulocytotropic ehrlichia.. J Clin Microbiol 1996;34:434–435.
              pmc: PMC228814pubmed: 8789032
            22. Magnarelli LA, Dumler JS, Anderson JF, Johnson RC, Fikrig E. Coexistence of antibodies to tick-borne pathogens of babesiosis, ehrlichiosis, and Lyme borreliosis in human sera.. J Clin Microbiol 1995;33:3054–3057.
              pmc: PMC228637pubmed: 8576376
            23. Magnarelli LA, Flavell RA, Padula SJ, Anderson JF, Fikrig E. Serologic diagnosis of canine and equine borreliosis: use of recombinant antigens in enzyme-linked immunosorbent assays.. J Clin Microbiol 1997;35:169–173.
              pmc: PMC229532pubmed: 8968901
            24. Magnarelli LA, Ijdo JW, Anderson JF, Madigan JE, Dumler JS, Fikrig E. Antibodies to Ehrlichia equi in dogs from the northeastern United States.. J Am Vet Med Assoc 1997;211:1134–1137.
              pubmed: 9364226
            25. Magnarelli LA, Van Andel AE, Ijdo JW, Heimer R, Fikrig E. Serologic testing of horses for granulocytic ehrlichiosis, using indirect fluorescent antibody staining and immunoblot analysis.. Am J Vet Res 1999;60:631–635.
              pubmed: 10328436
            26. Marcus LC, Steere AC, Duray PH, Anderson AE, Mahoney EB. Fatal pancarditis in a patient with coexistent Lyme disease and babesiosis. Demonstration of spirochetes in the myocardium.. Ann Intern Med 1985;103:374–376.
              pubmed: 4040723
            27. Mitchell PD, Reed KD, Hofkes JM. Immunoserologic evidence of coinfection with Borrelia burgdorferi, Babesia microti, and human granulocytic Ehrlichia species in residents of Wisconsin and Minnesota.. J Clin Microbiol 1996;34:724–727.
              pmc: PMC228878pubmed: 8904446
            28. Pancholi P, Kolbert CP, Mitchell PD, Reed KD, Dumler JS, Bakken JS, Telford III SR, Persing DH. Ixodes dammini as a potential vector of human granulocytic ehrlichiosis.. J Infect Dis 1995;172:1007–1012.
              pubmed: 7561173
            29. Parola P, Beati L, Cambon M, Brouqui P, Raoult D. Ehrlichial DNA amplified from Ixodes ricinus (Acari: Ixodidae) in France.. J Med Entomol 1998;35:180–183.
              pubmed: 9538582
            30. Petrovec M, Lotric Furlan S, Zupanc TA, Strle F, Brouqui P, Roux V, Dumler JS. Human disease in Europe caused by a granulocytic Ehrlichia species.. J Clin Microbiol 1997;35:1556–1559.
              pmc: PMC229786pubmed: 9163481
            31. Reubel GH, Kimsey RB, Barlough JE, Madigan JE. Experimental transmission of Ehrlichia equi to horses through naturally infected ticks (Ixodes pacificus) from Northern California.. J Clin Microbiol 1998;36:2131–2134.
              pmc: PMC105004pubmed: 9650983
            32. Schauber EM, Gertz SJ, Maple WT, Ostfeld RS. Coinfection of blacklegged ticks (Acari: Ixodidae) in Dutchess County, New York, with the agents of Lyme disease and human granulocytic ehrlichiosis.. J Med Entomol 1998;35:901–903.
              pubmed: 9775627
            33. Telford SR III, Armstrong PM, Katavolos P, Foppa I, Garcia AS, Wilson ML, Spielman A. A new tick-borne encephalitis-like virus infecting New England deer ticks, Ixodes dammini.. Emerg Infect Dis 1997;3:165–170.
              pmc: PMC2627606pubmed: 9204297
            34. Van Andel AE, Magnarelli LA, Heimer R, Wilson ML. Development and duration of antibody response against Ehrlichia equi horses.. J Am Vet Med Assoc 1998;212:1910–1914.
              pubmed: 9638192
            35. Varde S, Beckley J, Schwartz I. Prevalence of tick-borne pathogens in Ixodes scapularis in a rural New Jersey County.. Emerg Infect Dis 1998;4:97–99.
              pmc: PMC2627663pubmed: 9452402
            36. Walker DH, Dumler JS. Emergence of the ehrlichiosis as human health problems.. Emerging Infect Dis 1996;2:18–29.
              pmc: PMC2639805pubmed: 8903194
            37. Woldehiwet Z. The effects of tick-borne fever on some functions of polymorphonuclear cells of sheep.. J Comp Pathol 1987;97:481–485.
              pubmed: 3667999
            38. Zhi N, Ohashi N, Rikihisa Y. Multiple p44 genes encoding major outer membrane proteins are expressed in the human granulocytic ehrlichiosis agent.. J Biol Chem 1999;274:17828–17836.
              pubmed: 10364227
            39. Zhi N, Rikihisa Y, Kim HY, Wormser GP, Horowitz HW. Comparison of major antigenic proteins of six strains of the human granulocytic ehrlichiosis agent by Western immunoblot analysis.. J Clin Microbiol 1997;35:2606–2611.
              pmc: PMC230019pubmed: 9316916

            Citations

            This article has been cited 1 times.
            1. Sprong H, Azagi T, Hoornstra D, Nijhof AM, Knorr S, Baarsma ME, Hovius JW. Control of Lyme borreliosis and other Ixodes ricinus-borne diseases. Parasit Vectors 2018 Mar 6;11(1):145.
              doi: 10.1186/s13071-018-2744-5pubmed: 29510749google scholar: lookup