<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">OJPM</journal-id><journal-title-group><journal-title>Open Journal of Preventive Medicine</journal-title></journal-title-group><issn pub-type="epub">2162-2477</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/ojpm.2013.39067</article-id><article-id pub-id-type="publisher-id">OJPM-40344</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Medicine&amp;Healthcare</subject></subj-group></article-categories><title-group><article-title>
 
 
  Preliminary study of natural reservoirs as sentinels of &lt;i&gt;Anaplasma phagocytophilum&lt;/i&gt; and &lt;i&gt;Ehrlichia chaffeensis&lt;/i&gt; in Soria, northern Spain
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>ourdes</surname><given-names>Lledó</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Consuelo</surname><given-names>Giménez-Pardo</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>José</surname><given-names>Luis Serrano</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib></contrib-group><aff id="aff2"><addr-line>Consejería de Sanidad y Bienestar Social de la Junta de Castilla y León, Soria, Spain</addr-line></aff><aff id="aff1"><addr-line>Departamento de Biomedicina y Biotecnología, Universidad Alcalá, Alcalá de Henares, Spain</addr-line></aff><author-notes><corresp id="cor1">* E-mail:<email>lourdes.lledo@uah.es(OL)</email>;</corresp></author-notes><pub-date pub-type="epub"><day>03</day><month>12</month><year>2013</year></pub-date><volume>03</volume><issue>09</issue><fpage>501</fpage><lpage>503</lpage><history><date date-type="received"><day>29</day>	<month>September</month>	<year>2013</year></date><date date-type="rev-recd"><day>30</day>	<month>October</month>	<year>2013</year>	</date><date date-type="accepted"><day>9</day>	<month>November</month>	<year>2013</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
   The serum of foxes and red deer from the Province of Soria (northern Spain) was screened in indirect immunofluorescence assays to determine whether these animals could be used as sentinels of the tick-borne pathogens Anaplasma phagocytophilum and Ehrlichia chaffeensis. The results suggest that foxes and red deer would not make good sentinels in epidemiological studies on E. chaffeensis in this region, although red deer could be used as such for the study of A. phagocytophilum transmission. 
 
</p></abstract><kwd-group><kwd>&lt;i&gt;Anaplasma phagocytophilum&lt;/i&gt;; &lt;i&gt;Ehrlichia  chaffeensis&lt;/i&gt;; Foxes; Red Deer; Sentinels; Spain</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. INTRODUCTION</title><p>Ehrlichia chaffeensis and Anaplasma phagocytophilum are the causal agents of severe emerging and reemerging human diseases [<xref ref-type="bibr" rid="scirp.40344-ref1">1</xref>]. Both are transmitted through the bite of an infected tick. In Europe, the primary vector is Ixodes ricinus, for which red deer (Cervus elaphus), foxes (Vulpes vulpes), cattle, sheep, goats and horses act as reservoirs [<xref ref-type="bibr" rid="scirp.40344-ref2">2</xref>]. In Spain, little is known about the epidemiology of these diseases. The present work reports a preliminary study, undertaken in the Province of Soria, to record the prevalence of the above pathogens in foxes and red deer, and to determine the value of these animals as sentinel species.</p></sec><sec id="s2"><title>2. MATERIAL AND METHODS</title><sec id="s2_1"><title>2.1. Study Area</title><p>The Province of Soria is located in northern Spain (central point 41˚25'0&quot;N, 2˚28'0&quot;W; altitude range 1100 - 1650 m). It has a continental climate with cold winters and mild summers. The region has extensive forested areas and high shrubland [<xref ref-type="bibr" rid="scirp.40344-ref3">3</xref>].</p></sec><sec id="s2_2"><title>2.2. Collection of Serum Samples</title><p>All the serum samples used in this work—30 from wild red deer and 30 from wild foxes—came from our group’s frozen (−20˚C) serum collection.</p></sec><sec id="s2_3"><title>2.3. Serological Assays</title><p>Indirect immunofluorescence assays (IFA) were performed to detect antibodies to A. phagocytophilum and E. chaffeensis in the tested serum samples according to Santos et al. [<xref ref-type="bibr" rid="scirp.40344-ref4">4</xref>] and Brouqui et al. [<xref ref-type="bibr" rid="scirp.40344-ref5">5</xref>]. Samples were diluted 1:40 in PBS and incubated on slides prepared with HL-60 cells infected with A. phagocytophilum (prepared with Arkansas strain) or DH82 cells infected with E. chaffeensis (prepared with Webster strain) (both types of slides were kindly supplied by R. Sousa and A.S. Santos of the Centro de Estudos de Vectores e Doen&#231;as Infecciosas, Instituto Nacional de Sa&#250;de Dr. Ricardo Jorge, Portugal). The fluorescein-labelled conjugate was adapted according to the animal species studied (Sigma, St Louis, MO). Results were interpreted as positive when IgG titres of ≥40 were recorded. All positive samples were serially diluted to determine the endpoint titre, which was expressed as the reciprocal of the serum dilution.</p></sec><sec id="s2_4"><title>2.4. Tick Counts</title><p>The number of different ticks on each animal from which serum was extracted was recorded in a database at the time of serum preparation. Ticks were enumerated following the method of Dominguez-Pe&#241;afiel et al. [<xref ref-type="bibr" rid="scirp.40344-ref6">6</xref>].</p></sec></sec><sec id="s3"><title>3. RESULTS AND DISCUSSION</title><p>None of the fox serum samples examined was positive for E. chaffeensis, while three were positive for A. phagocytophilum. All the red deer serum samples were positive for A. phagocytophilum but negative for E. chaffeensis.</p><p>A total of 109 ticks were obtained from the red deer: 37 males (33.94%), 56 females (51.37%) and 11 nymphs (10.09%). The most common species identified was Ixodes ricinus, with 35 males (41.17%), 50 females (58.82%), followed by Haemaphysalis punctata with 1 male (20%) and 4 females (80%), and Rhipicephalus bursa with 1 male (33.33%) and 2 females (66.66%). As expected, most of the ticks found were adults (93 [85.32%]). The other work in the study area reported the same tick species on the same hosts [<xref ref-type="bibr" rid="scirp.40344-ref3">3</xref>].</p><p>Some 20% of the foxes were parasitised by ticks. The most common species identified (always as adults) were Rhipicephalus sanguineus (50%), Ixodes canisuga (16.6%), Ixodes ricinus (16.6%) and Ixodes hexagonus (16.6%). These species are similar to those recorded on foxes from Thuringia (Germany) [<xref ref-type="bibr" rid="scirp.40344-ref7">7</xref>], and the same as those recorded in foxes in eastern Spain [<xref ref-type="bibr" rid="scirp.40344-ref8">8</xref>] and the Spanish south [<xref ref-type="bibr" rid="scirp.40344-ref9">9</xref>]. Dermacentor variabilis and species of Amblyoma are known to act as vectors of A. phagocytophilum and Ehrlichia spp., but whether other ticks do so is unknown. The present results for the red deer suggest studies are needed to identify the role of other tick species in A. phagocytophilum transmission.</p><p>E. chaffeensis is the causal agent of human monocytotropic ehrlichiosis, and foxes are potential reservoirs for this bacterium [<xref ref-type="bibr" rid="scirp.40344-ref10">10</xref>]. A. phagocytophilum is the causal agent of monocytic anaplasmosis, and this pathogen has been confirmed in red deer in Slovakia [<xref ref-type="bibr" rid="scirp.40344-ref11">11</xref>], as well as in sheep, ticks and foxes in Hungary [<xref ref-type="bibr" rid="scirp.40344-ref12">12</xref>]. In Spain, it has been detected serologically and by PCR (in both the north and south) in ticks, roe deer, and cattle [13,14].</p><p>Since Ehrlichia and Anaplasma species can cause human disease [15-18], the prevalence of these pathogens in the study area, where contact between wild animals and people through outdoor activities and work, should be monitored. The present results suggest that foxes and red deer would not make good sentinels in epidemiological studies on E. chaffeensis in the study region, although red deer could be used as such for the study of A. phagocytophilum transmission. Red deer would seem to be involved in the natural cycle of this pathogen in this province.</p></sec><sec id="s4"><title>4. ACKNOWLEDGEMENTS</title><p>We thank Drs. Rita Sousa and Ana Sof&#237;a Santos (Centro de Estudos de Vectores e Doen&#231;as Infecciosas, Instituto Nacional de Sa&#250;de Dr. Ricardo Jorge, Portugal) for providing the antigen slides for IFA.</p></sec><sec id="s5"><title>REFERENCES</title></sec></body><back><ref-list><title>References</title><ref id="scirp.40344-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Blanco, J.R., Jado, I., Marín, M., Sanfeliu, I., Portillo. A., Anda. P., Pons. I. and Oteo, J.A. (2008) Diagnóstico microbiológico de las infecciones por patógenos bacterianos emergentes: Anaplasma, Bartonella, Rickettsia, Tropheryma whipplei. Enfermedades Infecciosas y Microbiología Clínica, 26, 573-580. http://dx.doi.org/10.1157/13128275</mixed-citation></ref><ref id="scirp.40344-ref2"><label>2</label><mixed-citation publication-type="other" xlink:type="simple">Kalinová, Z., Cisláková, L. and Halánová, M. (2009) Ehrlichiosis/Anaplasmosis. Klinická Mikrobiologie a Infekcni Lekarstvi, 15, 210-213.</mixed-citation></ref><ref id="scirp.40344-ref3"><label>3</label><mixed-citation publication-type="other" xlink:type="simple">Merino, F.J., Nebreda, T., Serrano, J.L., Fernández-Soto, P., Encinas, A. and Pérez-Sánchez, R. (2005) Tick species and tick-borne infections identified in population from a rural area of Spain. Epidemiology and Infection, 133, 943-949. http://dx.doi.org/10.1017/S0950268805004061</mixed-citation></ref><ref id="scirp.40344-ref4"><label>4</label><mixed-citation publication-type="other" xlink:type="simple">Santos, A. S., Alexandre, N., Sousa, R., Núncio, M. S., Bacellar, F.J. and Dumler, S. (2009) Serological and molecular survey of Anaplasma species infection in dogs with suspected tickborne disease in Portugal. Veterinary Record, 164, 168-171. http://dx.doi.org/10.1136/vr.164.6.168</mixed-citation></ref><ref id="scirp.40344-ref5"><label>5</label><mixed-citation publication-type="other" xlink:type="simple">Brouqui, P., Lecam, C., Olson, J. and Raoult, D. (1994) Serologic diagnosis of human monocytic ehrlichiosis by immunoblot analysis. Clinical and Diagnostic Laboratory Immunology, 1, 645-649.</mixed-citation></ref><ref id="scirp.40344-ref6"><label>6</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Domínguez</surname><given-names> G. </given-names></name>,<etal>et al</etal>. (<year>2004</year>)<article-title>North Spain (Burgos) wild mammals ectoparasites</article-title><source> Parasite</source><volume> 11</volume>,<fpage> 262</fpage>-<lpage>272</lpage>.<pub-id pub-id-type="doi"></pub-id></mixed-citation></ref><ref id="scirp.40344-ref7"><label>7</label><mixed-citation publication-type="other" xlink:type="simple">Meyer-Kayser, E., Hoffmann, L., Silaghi, C., Pfister, K., Mahling, M. and Passos, L.M. (2012) Dynamics of tick infestations in foxes in Thuringia, Germany. Ticks and Tick-Borne Diseases, 3, 232-239.http://dx.doi.org/10.1016/j.ttbdis.2012.05.004</mixed-citation></ref><ref id="scirp.40344-ref8"><label>8</label><mixed-citation publication-type="other" xlink:type="simple">Estrada-Pe&amp;ntildea, A., Osácar, J.J., Gortázar, C., Calvete, C. and Lucientes, J. (1992) An account of the ticks of the northeastern of Spain (Acarina: Ixodidae). Annales de Parasitologie Humaine et Comparée, 67, 42-49.</mixed-citation></ref><ref id="scirp.40344-ref9"><label>9</label><mixed-citation publication-type="other" xlink:type="simple">Millán, J., Ruiz-Fons, F., Márquez, F.J., Viota, M., López-Bao, J.V. and Paz Martín-Mateo, M. (2007) Ectoparasites of the endangered Iberian lynx Lynx pardinus and sympatric wild and domestic carnivores in Spain. Medical and Veterinary Entomology, 21, 248-254.http://dx.doi.org/10.1111/j.1365-2915.2007.00696.x</mixed-citation></ref><ref id="scirp.40344-ref10"><label>10</label><mixed-citation publication-type="other" xlink:type="simple">Davidson, W.R., Lockhart, J.M., Stallknecht, D.E. and Howerth, E.W. (1999) Susceptibility of red and gray foxes to infection by Ehrlichia chaffeensis. Journal of Wildlife Diseases, 35, 696-702.http://dx.doi.org/10.7589/0090-3558-35.4.696</mixed-citation></ref><ref id="scirp.40344-ref11"><label>11</label><mixed-citation publication-type="other" xlink:type="simple">Víchová, B., Majláthová, V., Nováková, M., Stanko, M., Hviscová, I., Pangrácová, L., Chrudimsky, T., Curlík, J. and Pet'ko, B. (2013) Anaplasma infections in ticks and reservoir host from Slovakia. Infection, Genetics and Evolution, in Press.</mixed-citation></ref><ref id="scirp.40344-ref12"><label>12</label><mixed-citation publication-type="other" xlink:type="simple">Sréter, T., Kálmán, D., Sréterné Lancz, Z., Széll, Z. and Egyed, L. (2005) Babesia microti and Anaplasma phagocytophilum: Two emerging zoonotic pathogens in Europe and Hungary. Orvosi Hetilap, 46, 595-600.</mixed-citation></ref><ref id="scirp.40344-ref13"><label>13</label><mixed-citation publication-type="other" xlink:type="simple">de la Fuente, J., Ruiz-Fons, F., Naranjo, V., Torina, A., Rodríguez, O. and Gortázar, C. (2008) Evidence of Anaplasma infections in European roe deer (Capreolus capreolus) from southern Spain. Research in Veterinary Science, 84, 382-386. http://dx.doi.org/10.1016/j.rvsc.2007.05.018</mixed-citation></ref><ref id="scirp.40344-ref14"><label>14</label><mixed-citation publication-type="other" xlink:type="simple">Portillo, A., Pérez-Martínez, L., Santibá&amp;ntildeez, S., Santibá&amp;ntildeez, P., Palomar, A.M. and Oteo, J.A. (2011) Anaplasma spp. in wild mammals and Ixodes ricinus from the north of Spain. Vector-Borne and Zoonotic Diseases, 11, 3-8. http://dx.doi.org/10.1089/vbz.2009.0214</mixed-citation></ref><ref id="scirp.40344-ref15"><label>15</label><mixed-citation publication-type="other" xlink:type="simple">Ganguly, S. and Mukhopadhayay, S.K. (2008) Tick-borne ehrlichiosis infection in human beings. Journal of Vector Borne Diseases, 45, 273-280.</mixed-citation></ref><ref id="scirp.40344-ref16"><label>16</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Schneider</surname><given-names> J.G. </given-names></name>,<etal>et al</etal>. (<year>2009</year>)<article-title>Human ehrlichiosis: A case study</article-title><source> Clinical Laboratory Science</source><volume> 22</volume>,<fpage> 3</fpage>-<lpage>8</lpage>.<pub-id pub-id-type="doi"></pub-id></mixed-citation></ref><ref id="scirp.40344-ref17"><label>17</label><mixed-citation publication-type="other" xlink:type="simple">Cochez, C., Ducoffre, G., Vandenvelde, C., Luyasu, V. and Heyman, P. (2011) Human anaplasmosis in Belgium: A 10-year seroepidemiological study. Ticks and Tick-Borne Diseases, 2, 156-159. http://dx.doi.org/10.1016/j.ttbdis.2011.06.004</mixed-citation></ref><ref id="scirp.40344-ref18"><label>18</label><mixed-citation publication-type="other" xlink:type="simple">Hao, Q., Geng, Z., Hou, X.X., Tian, Z., Yang, X.J., Jiang, W.J., Shi, Y., Zhan, Z.F., Li, G.H., Yu de, S., Wang, H.Y., Xu, J.G. and Wan, K.L. (2013) Seroepidemiological investigation of Lyme disease and human granulocytic anaplasmosis among people living in forest areas of eight provinces in China. Biomedical and Environmental Sciences, 26, 185-189.</mixed-citation></ref></ref-list></back></article>