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Prevalence and Diversity of Borrelia Species in Ticks That Have Bitten Humans in Sweden

Authors: Wilhelmsson, Peter; Fryland, Linda; Börjesson, Stefan; Nordgren, Johan; Bergström, Sven; Ernerudh, Jan; Forsberg, Pia; +1 Authors

Prevalence and Diversity of Borrelia Species in Ticks That Have Bitten Humans in Sweden

Abstract

ABSTRACTMembers of the genusBorreliaare among the most common infectious agents causing tick-borne disease in humans worldwide. Here, we developed a Light Upon eXtension (LUX) real-time PCR assay that can detect and quantifyBorreliaspecies in ticks that have fed on humans, and we applied the assay to 399 such ticks.BorreliaPCR-positive ticks were identified to species level by sequencing the products of conventional PCR performed usingBorreliagroup-specific primers. There was a 19% prevalence ofBorreliaspp. in the detached ticks, and the number of spirochetes perBorreliaPCR-positive tick ranged from 2.0 × 102to 4.9 × 105, with a median of 7.8 × 103spirochetes. Adult ticks had a significantly larger number of spirochetes, with a median of 8.4 × 104compared to the median of nymphs of 4.4 × 104. Adult ticks also exhibited a higher prevalence ofBorrelia(33%) than nymphs (14%). Among the identified species,Borrelia afzeliiwas found to predominate (61%) and was followed byB.garinii(23%),B.valaisiana(13%),B.burgdorferisensu stricto (1%),B.lusitaniae(1%), andB.miyamotoi-like (1%). Also, 3% of the ticks were coinfected with multiple strains ofB. afzelii. Notably, this is the first report ofB. lusitaniaebeing detected in ticks in Sweden. Our LUX real-time PCR assay proved to be more sensitive than a corresponding TaqMan assay. In conclusion, the novel LUX real-time PCR method is a rapid and sensitive tool for detection and quantification ofBorreliaspp. in ticks.

Country
Sweden
Related Organizations
Keywords

Sweden, Medicin och hälsovetenskap, Bacteriological Techniques, Borrelia, Molecular Sequence Data, Genetic Variation, DNA, Sequence Analysis, DNA, Medical and Health Sciences, Polymerase Chain Reaction, Sensitivity and Specificity, Bacterial Load, Ticks, Prevalence, Animals, Humans

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    popularity
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    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
83
Top 10%
Top 10%
Top 10%
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gold