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disease in the United. States. Human infection can lead to a wide spec- trum of illnesses, ranging from cat-scratch disease to bacillazy angiomatosis. (Koehler,.
(If miiliuf

Jmirual

ISOLATION

OF BARTONELLA

SPP.

NEONATES

OF NATURALLY

INFECTED

Michael Y. Kosoy,1 Russell and James E. Chllds2

Olga

L. Regnery,

Division of Viral and Rickettsial Diseases, Prevention, Atlanta, Georgia, 30333, USA 2 Corresponding author (e-mail: [email protected])

National

FROM

EMBRYOS

1995. pp

AND

RODENTS

I. Kosaya,

Center

l42

Diwa.ses.

Dana

for Infectious

C. Jones,

Diseases,

Eric

Centers

L Marston

for Disease

Control

and

Embryos and neonatal offspring of wild-captured cotton rats (Sigrnodon hispidus) white-footed mice (Peromyscus leucopus) were tested for the presence of Bartonella Spp. Isolates of Bartonella spp. were obtained from 18 of 31 embryos and 7 of 19 neonates from bacteremic dams of the two species; no isolates were obtained from material from non-bacteremic dams. Sequence analysis demonstrated that the isolates from embryos and neonates matched the phylogenetic group of Bartonella spp. isolates obtained from the mother. No antibodies to homologous Bartonella spp. antigens were detected in maternal and neonatal blood or embryonic tissue. These findings suggest the possibility of vertical transmission of Bartonella spp. among natural rodent hosts. Key words: Bartonella spp., embryos, immune tolerance, infection transmission, Perornyscus leucopus. rodents, Sigrnodon hispidus, zoonotic disease. ABSTRACT:

and

INTRODUCTION

The

prevalence spp.

tonella

Several

species

of the

genus including

Rochalimaea),

(formerly

Bartonella B.

rodent

1994;

with

Bar-

communities

>50% (Birtles Kosoy et at., 1997).

typically hen-

of bacteremia

within

is

and Harrison, Bacteremic and

selae,

B.

and B. elizabethae, cause human disease in the United States. Human infection can lead to a wide spectrum of illnesses, ranging from cat-scratch

non-bacteremic animals either lack, or have very low titers of, antibodies to these organisms (Kosoy et at., 1997). The mech-

disease 1996).

to bacillazy The number

nella

spp.

been

suggested

quintana,

the

genus

the and

last several characterization

nella from

(formerly wild-captured

ed

Harrison,

Our tenance nella vectors B.

and the 1994;

human Cat

infected

fleas

States et at.,

spp. and

is;

of

Byam

(Birtles mainBarto-

the

and

B.

henselae

83#{176}72’W), (30#{176}62’N,

of

State

cats to humans

and

(Tyzzer,

Barto-

fleas

have

1942).

genus

Lloyd, may

(Zangwill

et

Amelia 81#{176}46’W),

Island, and

vertical transmisBartonella spp. embryonal, and rodents. Rolive traps (H. B. Florida, USA) USA (33#{176}66’N, Florida, USA

Morrow

Mountain

Park,

retroorbital

plexus.

Ten

be

at., et

1993). 305

hispidus)

and

pregnant four

pregnant

cotton

rats

whitefooted mice (Peromyscus leucopus) were captured and deeply anesthetized, and 49 fettuses or uteri containing small embryos were removed and placed into sterile vials. In some instances only a single embryo was removed for testing, although the pregnant female may have (Sigrnodon

of Bar-

(Chomel

AND METHODS

North Carolina, USA (35#{176}36’N, 80#{176}14’W), from May 1996 through May 1997. Captured animals were anesthetized with methoxyflurane (Metofane, PittmanMoore, Mundelein, Illinois, USA) and bled from the

can cycle

acquire

although

To assess the potential for sion, we attempted to isolate simultaneously from maternal, neonatal tissues of wild-caught dents were captured by using Sherman Traps, Tallahassee, from Social Circle, Georgia,

quintana can be human body louse

transmission

among possibly

B.

rodents

unclear,

MATERIALS

1997).

(Ctenocephalidesfelis)

with in the

tonella 1996)

United Kosoy

which

are

over

spp. isolated from the Unit-

(sandflies while by the

by

with the description of numerous Barto-

Grahamella) rodents

bacillzformis

important

at.,

increased

anisms

in

spp. is still rudimentary. Arthropod play a role in the transmission

(Pediculus be

years

(Koehler, included

understanding of the natural and transmission cycle of

Lutzomyia), transmitted 1920).

has

Bartonella

Kingdom

and

angiomatosis of species

JOURNAL

306

had

additional

tuses

were

OF WILDLIFE

DISEASES,

embryos.

In

separated

within a biosafety phosphate-buffered moved from their technique. Estimated

tamed

by measuring

1968).

Fotur

the

from

34, NO. 2, APRIL

laboratory,

placental

hood, rinsed saline (pH amniotic sacs gestational

lengths

S. hispidus

VOL.

with sterile 7.4), and reusing aseptic age was ob-

of fetuses

gave

fe-

tisstues

birth

(Rugh,

in the

traps.

These 19 newborn rodents were anesthetized, bled by cardiac puncture, and measured. Blood, placental and embryonic tissue samples were stored at -70 C until they were used. Details

of the procedures tused to isolate spp. have been published previously (Regnery et al., 1992a). Whole or diluted blood and 10% suspensions of embryonal tissue in brain heart infusion medium (Becton Dickinson, Cockeysvihle, Maryland, USA) were used for isolation. Aliquots of 0.1 ml of the blood or tissue stuspensions were applied to heart infusion agar plates supplemented with 5% rabbit

1998

Antigen

wells

suspensions,

BALB/c of

were

overlaid

or mouse

mice

2,048.

with

of

conjugate

ratories

Inc.,

serum,

fluid

homologotus

Mixtures

hamster

with

ascitic

tissue

produced

in

reciprocal

anti-mouse

titers

and

(Kirkegaard

& Perry

Gaithersburg,

Maryland,

anti-

LaboUSA)

beled with fluorescein isothiocyanate as appropriate. The same conjugates

were

ha-

used

have given good results when used against a variety of sera from diverse rodent species, including S. hispidus and P leucopus, in other studies (Kosoy et al., 1996). Sera and tissue suspension were screened at a dilution of 1:32.

Bartonella

blood

(Becton

Dickinson).

The

plates

were

in-

cubated at 32 C in an aerobic atmosphere of 5% CO2 and held for 5 to 15 days. The cultiures were examined daily for bacterial growth and colonies tentatively identified as Bartonella spp. were streaked onto a new agar plate. When visually uncontaminated Bartonella-like colony counts were >500 per plate, material was collected, placed in brain heart infusion medium,

and

stored

at

Isolated belonging pared for

using

-70

C.

Tissue

Kit

(Qiagen,

Inc.,

Chat-

sworth, California). Primers homologous to the citrate synthase (gltA) gene of B. henselae Hotuston I were used, as described previously (Norman et al., 1995), to amplify a 379-bp

product. directly.

The PCR products were sequenced Sequences were analyzed by STADEN (Staden, 1982) and Wisconsin Sequence Analysis Package 8.1 Unix (Genetic Computer Group, Inc., Madison, Wisconsin, USA) and aligned with B. henselae. B. quintana. B. yinsonii, groups (Kosoy

and

four newly described phylogenetic C, and D) of the genus Bartonella et al., 1997). The gltA gene sequences have GenBank accession numbers of L38987, B. henselae; U28073, B. quintana; U28074, B. vinsonil; U84372, group A; U84375, group B; U84377, group C; and U84379, group D. (A,

The

B,

indirect

performed al., 1992b;

fluorescence

as previously Kosoy et al.,

antibody

spot slides were dotted with antigens selae (ATCC 49882), B. quintana 358), lates and

B.

vinsonii

(ATCC

test

was

described (Regnery et 1997). Wells of 12-well

VR-152),

of (ATCC

and

representing phylogenetic groups D) of Bartonella obtained from

B.

henVR-

four iso(A, B, C rodents.

spp.

Bartonella

of four pregnant from six of 10 colony

counts

mary from

plating 1,000

were

of bacteria of to

agar

to

and

embryos)

or

placental tissues nine bacteremic

not

of

any rats

(Table spp.

Bartonella

bryos

after

pri-

obtained

sethe P

phylogenetic group from S. hispidus begroup A (five of six

1). Bartonella

(Table

from

and The

Citrate synthase gene demonstrated that isolates from pregnant

isolated from from eight of cotton

three

mice rats.

blood varied colony-forming

400,000

belonged D, while the isolates longed to phylogenetic females

from

on

maternal

leucopus

five adults)

isolated

white-footed pregnant cotton

units (CFU)/ml. quence analysis three Bartonella

adult

organisms tentatively identified as to the genus Bartonella were prepolymerase chain reaction (PCR) by

QIAamp

RESULTS

the

four

C (one of spp. were obtained dams, but

nonbacteremic

1). were isolated from emfrom each of the bactere-

mic females of P leucopus bryos recovered from four teremic S. hispidus (Table

and from emof the five bac1). The colony

counts plating varied analysis

of bacteria on agar after primary of the 10% embryonal suspensions from 4 to 200 CFU/ml. Sequence demonstrated that the three Bar-

tonella

isolates

from

to phylogenetic cultured from longed No

to phylogenetic

isolates

were

and

cotton

rat which

tonella

phylogenetic

emic

removed cotton

rats.

while

was

belonged 15 isolates embryos be-

group

obtained

the placenta

tissues

embryos

P leucopus

group D, S. hispidus

A (Table

from

removed

from

bacteremic group from

C, four

1).

embryonic with or

the Bar-

from

nonbacter-

14

KOSOY

TABLE

Bartone!la

1.

/mispidus)

in

spp.

obtained

frouii

ET AL.-BARTONELLA

emiibrvos

Ceorgia

of

amid

IN EMBRYOS

bacteremic

North

white-footed

Carolina,

AND

mice

NEONATES

leucopus)

(P.

OF RODENTS

and

307

cotton

rats

(S.

1996-1997. Phvlogemmetic group of Bartonella (numnher ol isolates scjtuemuced) frommm:

Emnbrvos Nmimmi-

Species

Locality

P leucopus

Morrow North

P leucopus

Morrow North

P. leucopus

Morrow Northi

S. /mi.spidus

Social

amid date

Momuntaimi

State

Caroliusa,

May

her in litter

I .emugth (mmumuu)

Pmmsitive/ tested

Staternal

3

12

1/1

D

(1)

D

(1)

1

20

1/1

1)

(1)

D

(I

2

17

1/1

1)

(1)

D

Park.

Placental tissue

blood

Emnhrommal tissime 1)

(1)

I)

(I)

(1)

1)

(1)

(4)

1996

Momumutain

State

Carolina,

May

Park,

)

1996

Momuuitaiui

State

Carolina,

May

Park, 1996

Circle,

Ceorgia,

Atugust

4

11

4/4

A (I)

A

(1)

A

Circle,

Ceorgia,

August

6

40

0/6

A (1)

A

(1)

uiouie

Circle.

Ceorgia.

March

3

3/3

A

A

(3)

A (3)

Circle,

Ceorgia,

April

5

40

0/5

C (1)

none

uione

Circle,

Ceorgia,

May

6

42

3/5

A

(I)

A

(1)

A (3)

Circle.

Ceorgia,

May

8

12

5/5

A

(1)

A

(1)

A

1996 S. /ii.spidu.s

Social 1996

S. Imispidus

Social

7

(1)

1997 S.

lzispidus

Social 1997

S. /zi.spidu.s

Social

1997 S. /zi.spk/us

Social

(5)

1997 Pluvlogemuetic isolates

group

of phvlogenetic

The

was determnimued h the similarity of the gItA gemme to seqtuemmces groups A. B. C, and D (Kosov et al.. 1997).

gestation

period

genus 1968),

Peromyscus

bryos

of P leucopus

days

(Meyer

and

the

in

averages

lengths

rodents

of

of the

the

with

infected

em-

pidus

of

Meyer,

infected

neonates

to

age. cotton

2.

days

rats

inside

1944),

in

of