WALDEMAR BIADUŃ, JOLANTA RZYMOWSKA, HALINA STĘPIEŃ-RUKASZ, MACIEJ NIEMCZYK, AND JAN CHYBOWSKI

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Bull Vet Inst Pulawy 51, 213-217, 2007 OCCURRENCE OF BORRELIA BURGDORFERI SENSU LATO IN IXODES RICINUS AND DERMACENTOR RETICULATUS TICKS COLLECTED FROM ROE DEER AND DEER SHOT IN THE SOUTH-EAST OF POLAND WALDEMAR BIADUŃ, JOLANTA RZYMOWSKA, HALINA STĘPIEŃ-RUKASZ, MACIEJ NIEMCZYK, AND JAN CHYBOWSKI Chair and Department of Biology and Genetics, Medical University of Lublin, 20-081 Lublin, Poland wbiadun@op.pl Received for publication October 25, 2006 Abstract The investigations concerning the spirochaetes Borrelia burgdorferi sensu lato were conducted in 169 Ixodes ricinus female ticks (141 collected from roe deer and 28 from red deer) as well as in 11 Dermacentor reticulatus female ticks from deer shot in the South-East of Poland. Moreover, a single female Dermacentor reticulatus from a dog and 9 collected from plants were examined. DNA was isolated using the Genomic DNA Prep Plus kit. Its amplification was conducted by means of the diagnostic PCR-Borrelia kit. The presence of spirochaetes was observed in 31.3% of ticks collected from male roe deer, 21.4% - from female roe deer, and 32.1% - from red deer. The highest numbers of infected ticks were detected to date in the Lublin region. Borrelia burgdorferi was found in 5 (45.4%) Dermacentor reticulatus from deer and in single ticks from a dog and plants. These are the first cases in Poland, which indicate that Dermacentor reticulatus is involved in the transmission of borreliosis. Key words: red deer, roe deer, Borrelia burgdorferi, Dermacentor reticulatus, Ixodes ricinus, Poland. The present epidemiological situation of borreliosis in Poland is quite well known. Studies on the extensiveness of tick-borne infections with Borrelia burgdorferi were mainly conducted in the regions of Western Pomerania, Wielkopolska, and Lublin (3-5, 7-10, 12, 15, 17-22, 25, 26, 28). The extensiveness of borreliosis was also studied in humans, particularly in high-risk groups (1, 2, 6). Nevertheless, numerous issues remain unexplained. One of them concerns the determination of various groups of hosts involved in the transmission of the pathogen (13, 16, 27). The majority of studies conducted so far dealt with ticks collected in the nonparasite phase. The parasites that feed on the animal s blood may infect or become infected transmitting spirochaetes to the successive hosts. Borreliosis is transmitted in two planes: perpendicular (ticks themselves) and horizontal (between hosts and ticks). The infection in ticks is likely to persist for many generations due to transovarian and transtadial transmission of the spirochaetes. The female tick plays an essential role in the transmission of pathogens (14, 23, 25, 27); therefore, our study concerned only this stage of the parasite. The studies conducted in Poland so far indicated that the only species of ticks involved in the borreliosis spread was Ixodes ricinus (4, 17, 25, 27). The present study, the degree of Borrelia burgdorferi infection in Ixodus ricinus and Dermacentor reticulatus female ticks collected from Capreolus capreolus and Cervus elaphus shot in the Lublin region was investigated. Female ticks were the most common form of the parasites examined; other forms were rare. Material and Methods The study involved the females of Ixodes ricinus and Dermacentor reticulatus ticks collected from roe deer and red deer shot in the Lublin region and northern part of the Carpathian Foothills. Single parasites were randomly collected from host samples and kept in 70% ethyl alcohol until examinations. In total, 169 Ixodes ricinus ticks were examined, including 99 collected from roe bucks in spring 2005, 42 from roe does (autumn 2005), 23 from deer bulls, and 5 from does (autumn 2005). The Dermacentor reticulatus ticks (11) were obtained exclusively from deer bulls (autumn 2005).

214 Additionally, the female ticks from a dog and 9 females, collected from plants of the northern Lublin region (near Puławy and Lubartów) in 2006, were examined. Detection of DNA of Borrelia burgdorferi. The Borrelia burgdorferi spirochaetes in ticks were detected by the PCR method using a DNA amplification of the fla gene encoding the ciliary protein - flageline. The following starters were used: BFL1 5` GCT CAA TAT AAC CAA ATG CAC ATG 3` BFL2 5` CAA GTC TAT TTT GGA AAG CAC CTA A 3` The genome DNA was isolated from bacteria according to the Genomic DNA Prep Plus kit protocol (A&A Biotechnology, Poland). The isolated DNA was used in the PCR reaction (diagnostic kit PCR-Borrelia, DNA Gdańsk II). The PCR solution contained: 20 µl of master mix, 2.5 µl of dntp nucleotide mixture (2 mm), 0.5 µl of thermostable polymerase Delta 2, and 2.0 µl of DNA. The DNA amplification reaction was conducted in the Mastercycler Personal (Eppendorf, Germany) 40 cycles. The first initial denaturation was carried out at 93ºC for 2 min. Each cycle involved: 30-s DNA denaturation at 93ºC, 60-s addition of starters at 52ºC, 60-s elongation of DNA chain at 72ºC, and 60-s final elongation at 72ºC. The reaction products were separated in 2% agarose gel with ethidium bromide (Sigma Aldrich, Germany) during 1 h at 100 V. The marker of DNA size, DNA M1 (DNA Gdańsk) was used as a standard. The amplification products were analysed in the UVP transilluminator (Eppendorf, Germany) and archived using the UVP software (Eppendorf, Germany). The expected size of the amplified gene fragment was 442 base pairs. Results Ixodes ricinus ticks. In total, 169 female ticks from roe deer and red deer were examined. Borrelia burgdorferi was found in 49 (29%) of them (Table 1, Fig. 1). The infection extensiveness in roe deer parasites was 28.5% and in red deer 32.1%. Table 1 Extensiveness of Borrelia burgdorferi incidence in Ixodes ricinus females from roe deer and deer Host of examined ticks of infected ticks (%) Roe buck Roe doe Deer bull Doe 99 42 23 5 31 (31.3) 9 (21.4) 8 (34.8) 1 (20) Total 169 49 (29) Lyme borreliosis was detected in 31 (31.3%) out of 99 females from roe bucks. The animals on which the infected parasites fed were shot in the region of Lublin, Chełm, Tarnogród, Kobylnica, Sieniawa, Horyniec, Strzelce, and Zalesie. In the regions, where ticks were collected, from at least 5 hosts the extensiveness of infection ranged from 22% (Lublin; in 2 of 9 examined), through 27% (Chełm, 9 of 33), 38% (Zalesie; 5 of 13) to 50% (Sieniawa; 5 of 10). Negative results were obtained in ticks from roe bucks shot in the vicinity of Janów Lubelski, Tarnobrzeg, Narol, and Ustianowa near Ustrzyki Dolne. The positive results were found in 9 (21.4%) of 42 ticks collected from roe deer shot in the vicinity of Krasnogliny near Dęblin (in 3 of 7 examined 43%), Suchodoły near Kraśnik (3 of 8 37%), Leżajsk (1 of 9-11%), Chełm (1 of 3), and Krasnystaw (1). There were no Borrelia spirochaetes found in ticks collected from roe deer shot near Lublin, Zalesie, and Wisznice. Amongst ticks obtained from 23 deer bulls, Borrelia burgdorferi was detected in 8 (34.8%). Only one tick of the 5 collected from does was infected. The presence of borreliosis was confirmed in the region of Zalesie, Opole Lubelskie, Chełm, Strzelce, Leżajsk, Adamówka, and Tarnogród. Dermacentor reticulatus ticks. DNA of B. burgdorferi was detected in 5 (45.4%) of 11 Dermacentor reticulatus samples collected from deer. The animals with infected parasites were from the region of Puławy, Chełm, Strzelce, Janów Lubelski, and Leżajsk. The infection was also detected in the tick from a dog and another one from plants of the western part of Lubartów. However, in the 8 remaining ones from Lasy Gułowskie, Lasy Kozłowieckie, and the Vistula valley, the bacterium was not found (Table 2). Table 2 Extensiveness of Borrelia burgdorferi incidence in Dermacentor reticulatus females from hosts and plants Place of collection of examined ticks of infected ticks (%) Deer bull Dog Plants 11 1 9 5 (45.4) 1 1 (11) Total 21 7 (33.3) In deer, infestation with both tick species was observed in 8 cases in 3 Dermacentor reticulatus females, 4 Ixodes ricinus ones; in one case the presence of bacteria in the tick corpse was not detected. The study showed a relatively uniform distribution of borreliosis foci in the whole area examined (Fig. 2).

Fig. 2. The location of roe deer and red deer shooting where ticks infected with Borrelia burgdorferi spirochaetes were collected. 215

216 M 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 18 KP KN 442 bp Fig. 1. PCR amplification product of Borrelia burgdorferi sensu lato in Ixodes ricinus on agarose gel after ethidium bromide staining. M molecular size marker; lane 3, 6, 7, 8, 10, 11 and 18 with positive product of amplification, KP positive control (442 bp), KN negative control. Discussion The studies conducted in Poland showed that the extensiveness of spirochaete infection in Ixodes ricinus ticks is extremely varied. This might have been related to various factors, e.g. the method chosen, focal nature of the disease, poor representative character of samples, time of the tick s collection, and period of examinations (4, 8, 11, 14, 20, 21, 24, 29). The results from the Lublin region confirm the regularities observed in the whole country. In several cases (5) negative results were obtained, in many others - highly variable. According to different authors, the average infection in various parts of the region was: 6.3% (3), 5.3% (4), and 11.3% (22). In the majority of cases, the highest values were detected in tick females. Our study demonstrated the highest (29%) mean percentage of Borrelia infections in tick females; particularly high values (34.8%), were found in parasites collected from deer bulls in autumn. The data concerning Borrelia burgdorferi infections in ticks from hosts are not numerous. Tylewska Wierzbanowska et al. (25) in their early studies demonstrated infections in 3.2% of Ixodes ricinus ticks collected from deer and wild boars. In their later studies, (25) the values found were even lower. Among 1 388 ticks collected from hosts in various parts of Poland in 1993-1995, only 12 (0.9%) were infected. Much higher values found in our study confirm an increase in borreliosis incidence observed recently in Poland, particularly east of the Vistula (1). Small rodents are the essential source of infection (24), while birds are thought to be involved in the spread of the disease and development of its new foci (27). It has not been explained; however, whether large animal species are involved in the transmission of borreliosis. This is strictly connected with possible differences in the infection s severity of parasites collected from plants and various hosts. Tylewska- Wierzbanowska et al. (25) described the case from the Krosno region, in which borreliosis was diagnosed in 7 ticks from the dog, which indicates that its source was likely to be that dog. According to Wegner and Stańczak (27), large animals (mainly deer) are not capable of transmitting the spirochaetes to ticks, nevertheless their role in epidemiology is important as they are the main hosts of mature forms of ticks. Our findings seem to confirm this, at least partly, when two species of ticks were present on one deer, only one of them was infected. The only known vector of Borrelia burgdorferi in Europe is Ixodes ricinus (27). According to Siński et al. (17), there are no known cases of Borrelia burgdorferi transmission by Dermacentor reticulatus. Studies of different authors conducted in Poland did not demonstrate the presence of bacteria in ticks collected from plants (4, 17) and hosts (5). Positive results were obtained only in the indirect immunofluorescence method, yet they were considered false (5). The results of the present study reveal that Dermacentor reticulatus may be a vector of borreliosis. The spirochaetes were detected in ticks from both hosts (deer, dog) and plants. This is likely to be related to the expansion of Dermacentor reticulatus ticks in the Lublin region (our own studies), as well as increased Lyme borreliosis incidence in Poland (1). References 1. Bartosik K., Kubrak T., Sitarz M., Święcicka M., Buczek A.: The public health risk of ticks and tick-borne diseases in the south-east of Poland. Wiad Parazytol 2004, 50, 249-252. 2. Chmielewska-Badora J.: Seroepidemiologic study on Lyme borreliosis in the Lublin region. Ann Agric Environ Med 1998, 5, 183-186. 3. Chmielewska-Badora J., Cisak E., Zwoliński J., Dutkiewicz J.: Evaluation of occurrence of spirochetes Borrelia burgdorferi sensu lato in Ixodes ricinus ticks in selected areas of the Lublin region by polimerase chain reaction method (PCR). Wiad Parazytol 2003, 49, 165-171.

217 4. Chodynicka B., Łukaszuk C., Flisiak I., Puciło K., Poczobut P., Trybuła J.: Badania wstępne nad występowaniem krętków Borrelia w kleszczach na terenie Białostocczyzny. Przegl Dermatol 1997, 84, 179-182. 5. Cisak E., Chmielewska-Badora J., Rajtar B., Zwoliński J., Jabłoński L., Dutkiewicz J.: Study on the occurrence of Borrelia burgdorferi sensu lato and tick-borne encephalitis virus (TBEV) in ticks collected in Lublin region (Eastern Poland). Ann Agric Environ Med 2002, 9, 105-110. 6. Cisak E., Chmielewska-Badora J., Zwoliński J., Wójcik- Fatla A., Polak J., Dutkiewicz J.: Risk of tick-borne bacterial diseases among workers of Roztocze National Park (South-Eastern Poland). Ann Agric Environ Med 2005, 12, 127-132. 7. Humiczewska M.: Seasonal activity of the ticks Ixodes ricinus in the lakesides and forests habitats of Szczecin and environs and its infestation with the spirochete Borrelia burgdorferi. Wiad Parazytol 2001, 47, 389-393. 8. Humiczewska M., Kuźna-Grygiel W., Kołodziejczyk L., Białek S., Kozłowska A., Rozen W., Sych Z.: Prevalence of Borrelia burgdorferi sensu lato in Ixodes ricinus population in forests of north-western Poland. Wiad Parazytol 2003, 49, 255-271. 9. Jenek J., Głazaczow A.: An evaluation of Borrelia burgdorferi sensu lato spirochaetes distribution in Ixodes ricinus ticks collected in selected regions of Wielkopolska macroregion by polymerase chain reaction (PCR) method. Przegl Epidemiol 1996, 50, 383-386. 10. Jenek J., Siuda K.: Occurrence of Borrelia burgdorferi sensu lato spirochaetes in Ixodes ricinus ticks from museum collection evaluated by polymerase chain reaction (PCR) methods. Przegl Epid 1997, 51, 437-440. 11. Kiewra D., Lonc E.: Biology of Ixodes ricinus (L.) and its pathogens in Wrocław area. Wiad Parazytol 2004, 50, 259-264. 12. Nowosad A., Jenek J., Głazaczow A., Wal M.: Ticks Ixodes ricinus (Linnaeus, 1758) from selected municipal forests of the city of Poznań and their infection with the spirochetes Borrelia burgdorferi sensu lato. Przegl Epidemiol 1999, 53, 299-308. 13. Pawełczyk A., Siński E.: Co-infection of Borrelia garinii and B. afzelii in a population of wild rodents from woodland. Wiad Parazytol 2001, 47, 741-746. 14. Pawełczyk A., Siński E.: Prevalence of Ixodes ricinus infection with Borrelia burgdorferi s. l.: seasonal and annual variations. Wiad Parazytol 2004, 50, 253-258. 15. Pet ko B., Siuda K., Stanko M., Tresová G., Karbowiak G., Fričová J.: Borrelia burgdorferi sensu lato in the Ixodes ricinus ticks in Southern Poland. Ann Agric Environ Med 1997, 4, 263-269. 16. Siński E.: Enzootic reservoir for new Ixodes ricinus transmitted infections. Wiad Parazytol 1999, 45, 135-142. 17. Siński E., Karbowiak G., Siuda K., Buczek A., Jongejan F.: Borrelia burgdorferi infection of ticks in some regions of Poland. Przegl Epidemiol 1994, 48, 461-465. 18. Siński E., Rijpkema S. G. T.: Prevalence of Borrelia burgdorferi s. l. infection in Ixodes ricinus at urban and suburban forest habitats. Przegl Epidemiol 1997, 51, 431-435. 19. Skotarczak B.: Detection of Borrelia burgdorferi sensu lato in ticks Ixodes ricinus by polimerase chain reaction (PCR). Wiad Parazytol 2000, 46, 93-99. 20. Skotarczak B., Wodecka B.: Occurrence of spirochetes Borrelia burgdorferi s. l. in ticks Ixodes ricinus in the forests of Szczecin province. Wiad Parazytol 1998, 44, 227-232. 21. Spausta G., Wiczkowski A., Ciarkowska J., Strzelczyk J., Trapp G., Adamek B., Zalewska-Ziob M.: Prevalence of Borrelia burgdorferi sensu lato in ticks, Ixodes ricinus in Tarnowskie Góry district. Wiad Parazytol 2003, 49, 39-45. 22. Stańczak J., Racewicz M., Kubica-Biernat B., Kruminis- Łozowska W., Dąbrowski J., Adamczyk A., Markowska M.: Prevalence of Borrelia burgdorferi sensu lato in Ixodes ricinus ticks (Acari, Ixodidae) in different Polish woodlands. Ann Agric Environ Med 1999, 6, 127-132. 23. Tylewska-Wierzbanowska S.: Borelioza z Lyme obecny stan wiedzy. Mikrobiol Med 1995, 2/3, 20-22. 24. Tylewska-Wierzbanowska S., Kruszewska D., Chmielewski T.: The comparison of indirect immunofluorescence assay and polymerase chain reaction (PCR) for detection of Borrelia burgdorferi in ticks. Przegl Epidemiol 1996, 50, 239-244. 25. Tylewska-Wierzbanowska S., Kruszewska D., Chmielewski T., Żukowski K., Żabicka J.: Ticks as reservoir of Coxiella burnetii and Borrelia burgdorferi in Poland. Przegl Epidemiol 1996, 50, 245-251. 26. Wegner Z., Racewicz M., Kubica-Biernat B., Kruminis- Łozowska W., Stańczak J.: Występowanie kleszczy Ixodes ricinus (Acari, Ixodidae) na zalesionych obszarach Trójmiasta i ich zakażenie krętkami Borrelia burgdorferi. Przegl Epidemiol 1997, 51, 11-20. 27. Wegner Z., Stańczak J.: The role of ticks in the epidemiology of Lyme borreliosis. Przegl Epidemiol 1995, 49, 245-250. 28. Wodecka B., Sawczuk M.: Occurrence of pathogenic genospecies of Borrelia burgdorferi sensu lato in Ixodes ricinus ticks collected from the north-west of Poland. Wiad Parazytol 2004, 50, 545-553. 29. Wodecka B., Skotarczak B.: Genetic diversity of Borrelia burgdorferi sensu lato in Ixodes ricinus ticks collected in the north-west of Poland. Wiad Parazytol 2000, 46, 475-485.