1
|
de França DA, da Silva JS, Rodrigues NJL, Duré AÍDL, Farinhas JH, Kmetiuk LB, Langoni H, Biondo AW. Serosurvey of Coxiella burnetii in Police Officers and Working Dogs in Brazil: Case Report and One Health Implications. Trop Med Infect Dis 2024; 9:78. [PMID: 38668539 PMCID: PMC11054645 DOI: 10.3390/tropicalmed9040078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Revised: 03/29/2024] [Accepted: 04/03/2024] [Indexed: 04/29/2024] Open
Abstract
BACKGROUND Although the Coxiella burnetii infection has been investigated in dogs, its role in human transmission remains to be fully established, particularly in close and daily human-dog contact settings, such as in Police K-9 Units. METHODS Accordingly, this study aimed to assess anti-C. burnetii antibodies in clinically healthy police officers by an in-house indirect immunofluorescence assay (IFA), and working dogs by a commercial IFA Kit, from the State Special Operations Battalion, Paraná, Southern Brazil. RESULTS Overall, 1/18 (5.5%) police officers and 9/30 (30.0%; CI 95% 16.66-47.88) dogs tested seropositive to anti-C. burnetii IgG antibodies. CONCLUSIONS To date, this is the highest prevalence of Q fever seropositivity among military dogs worldwide. Despite the low sampling rate, a statistically significant association was found between seropositivity and female dogs (p = 0.0492). Further studies with larger sample sizes should be conducted to establish the prevalence of Q Fever in other Brazilian K-9 Units. In summary, this study is the first to conduct a concomitant serosurvey of police officers and working dogs, and its findings should be considered a warning for cross-exposure and transmission of Coxiella burnetii among Police K-9 Units in Brazil and worldwide.
Collapse
Affiliation(s)
- Danilo Alves de França
- Department of Animal Production and Preventive Veterinary Medicine, School of Veterinary Medicine and Animals Science, São Paulo State University, Botucatu 05508-220, Brazil; (D.A.d.F.); (N.J.L.R.); (H.L.)
| | - Jéssica Santos da Silva
- Department of Veterinary Medicine, Federal University of Paraná State, Curitiba 81530-000, Brazil; (J.S.d.S.); (J.H.F.)
| | - Nássarah Jabur Lot Rodrigues
- Department of Animal Production and Preventive Veterinary Medicine, School of Veterinary Medicine and Animals Science, São Paulo State University, Botucatu 05508-220, Brazil; (D.A.d.F.); (N.J.L.R.); (H.L.)
| | - Ana Íris de Lima Duré
- Service of Virology and Rickettsiosis, Octavio Magalhaes Institute, Ezequiel Dias Foundation, Belo Horizonte 30510-010, Brazil;
| | - João Henrique Farinhas
- Department of Veterinary Medicine, Federal University of Paraná State, Curitiba 81530-000, Brazil; (J.S.d.S.); (J.H.F.)
| | - Louise Bach Kmetiuk
- Zoonoses Surveillance Unit, Municipal Secretary of Health, Curitiba 81265-320, Brazil;
| | - Helio Langoni
- Department of Animal Production and Preventive Veterinary Medicine, School of Veterinary Medicine and Animals Science, São Paulo State University, Botucatu 05508-220, Brazil; (D.A.d.F.); (N.J.L.R.); (H.L.)
| | - Alexander Welker Biondo
- Department of Veterinary Medicine, Federal University of Paraná State, Curitiba 81530-000, Brazil; (J.S.d.S.); (J.H.F.)
| |
Collapse
|
2
|
Yadav A, Brewer MN, Elshahed MS, Shaw EI. Comparative Transcriptomics and Genomics from Continuous Axenic Media Growth Identifies Coxiella burnetii Intracellular Survival Strategies. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.02.06.527305. [PMID: 36798183 PMCID: PMC9934583 DOI: 10.1101/2023.02.06.527305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 02/10/2023]
Abstract
Coxiella burnetii (Cb) is an obligate intracellular pathogen in nature and the causative agent of acute Q fever as well as chronic diseases. In an effort to identify genes and proteins crucial to their normal intracellular growth lifestyle, we applied a "Reverse evolution" approach where the avirulent Nine Mile Phase II strain of Cb was grown for 67 passages in chemically defined ACCM-D media and gene expression patterns and genome integrity from various passages was compared to passage number one following intracellular growth. Transcriptomic analysis identified a marked downregulation of the structural components of the type 4B secretion system (T4BSS), the general secretory (sec) pathway, as well as 14 out of 118 previously identified genes encoding effector proteins. Additional downregulated pathogenicity determinants genes included several chaperones, LPS, and peptidoglycan biosynthesis. A general marked downregulation of central metabolic pathways was also observed, which was balanced by a marked upregulation of genes encoding transporters. This pattern reflected the richness of the media and diminishing anabolic and ATP-generation needs. Finally, genomic sequencing and comparative genomic analysis demonstrated an extremely low level of mutation across passages, despite the observed Cb gene expression changes following acclimation to axenic media.
Collapse
Affiliation(s)
- Archana Yadav
- Department of Microbiology and Molecular Genetics. Oklahoma State University. Stillwater, OK.USA
| | - Melissa N. Brewer
- Department of Microbiology and Molecular Genetics. Oklahoma State University. Stillwater, OK.USA
- Biological Sciences. Southeastern Oklahoma State University. Durant, OK. USA
| | - Mostafa S. Elshahed
- Department of Microbiology and Molecular Genetics. Oklahoma State University. Stillwater, OK.USA
| | - Edward I. Shaw
- Department of Microbiology and Molecular Genetics. Oklahoma State University. Stillwater, OK.USA
- Department of Biomedical Sciences. Philadelphia College of Osteopathic Medicine. Moultrie, GA. USA
| |
Collapse
|
3
|
Yadav A, Brewer MN, Elshahed MS, Shaw EI. Comparative transcriptomics and genomics from continuous axenic media growth identifies Coxiella burnetii intracellular survival strategies. Pathog Dis 2023; 81:ftad009. [PMID: 37193663 PMCID: PMC10237335 DOI: 10.1093/femspd/ftad009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 04/17/2023] [Accepted: 05/15/2023] [Indexed: 05/18/2023] Open
Abstract
Coxiella burnetii (Cb) is an obligate intracellular pathogen in nature and the causative agent of acute Q fever as well as chronic diseases. In an effort to identify genes and proteins crucial to their normal intracellular growth lifestyle, we applied a 'reverse evolution' approach where the avirulent Nine Mile Phase II strain of Cb was grown for 67 passages in chemically defined ACCM-D media and gene expression patterns and genome integrity from various passages was compared to passage number one following intracellular growth. Transcriptomic analysis identified a marked downregulation of the structural components of the type 4B secretion system (T4BSS), the general secretory (Sec) pathway, as well as 14 out of 118 previously identified genes encoding effector proteins. Additional downregulated pathogenicity determinants genes included several chaperones, LPS, and peptidoglycan biosynthesis. A general marked downregulation of central metabolic pathways was also observed, which was balanced by a marked upregulation of genes encoding transporters. This pattern reflected the richness of the media and diminishing anabolic, and ATP-generation needs. Finally, genomic sequencing and comparative genomic analysis demonstrated an extremely low level of mutation across passages, despite the observed Cb gene expression changes following acclimation to axenic media.
Collapse
Affiliation(s)
- Archana Yadav
- Department of Microbiology and Molecular Genetics, Oklahoma State University,, 74078 Stillwater, OK, United States
| | - Melissa N Brewer
- Department of Microbiology and Molecular Genetics, Oklahoma State University,, 74078 Stillwater, OK, United States
- Biological Sciences, Southeastern Oklahoma State University, 74078 Durant, OK, United States
| | - Mostafa S Elshahed
- Department of Microbiology and Molecular Genetics, Oklahoma State University,, 74078 Stillwater, OK, United States
| | - Edward I Shaw
- Department of Microbiology and Molecular Genetics, Oklahoma State University,, 74078 Stillwater, OK, United States
- Department of Biomedical Sciences, Philadelphia College of Osteopathic Medicine, 74078 Moultrie, GA, United States
| |
Collapse
|
4
|
Jabarzadeh S, Samiminemati A, Zeinoddini M. In Silico Design of a New Multi-Epitope Peptide-Based Vaccine Candidate Against Q Fever. Mol Biol 2021; 55:950-960. [PMID: 34955559 PMCID: PMC8682035 DOI: 10.1134/s0026893321050150] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2020] [Revised: 04/07/2021] [Accepted: 04/15/2021] [Indexed: 01/17/2023]
Abstract
Novel types of the vaccines with high immunogenicity and low risks, including epitope-based vaccines, are sought. Among zoonotic disease, Q fever caused by Coxiella burnetii is an important target due to numerous outbreaks and the pandemic potential. Here we present a synthetic multi-epitope vaccine against Coxiella burnetii. This vaccine was developed using immunoinformatics approach. Antigenic proteins were studied, and five T cell epitopes were selected. Antigenicity, allergenicity, and toxicity of the selected epitopes were evaluated using the VaxiJen 2.0, AllerTOP, and ToxinPred servers, respectively. Selected epitopes were joined in a peptide sequence, with the cholera toxin B subunit (CTXB) as an adjuvant. The affinity of the proposed vaccine to MHC I and II molecules was measured in a molecular docking study. Resultant vaccine has high antigenicity, stability, and a half-life compatible with utilization in vaccination programs. In conclusion, the validated epitope sequences may be used as a potential vaccine to ensure protection against Q fever agent.
Collapse
Affiliation(s)
- S Jabarzadeh
- Faculty of Chemistry and Chemical Engineering, Malek Ashtar University of Technology, Tehran, Iran
| | - A Samiminemati
- Faculty of Chemistry and Chemical Engineering, Malek Ashtar University of Technology, Tehran, Iran
| | - M Zeinoddini
- Faculty of Chemistry and Chemical Engineering, Malek Ashtar University of Technology, Tehran, Iran
| |
Collapse
|
5
|
Rabaza A, Macías-Rioseco M, Fraga M, Uzal FA, Eisler MC, Riet-Correa F, Giannitti F. Coxiella burnetii abortion in a dairy farm selling artisanal cheese directly to consumers and review of Q fever as a bovine abortifacient in South America and a human milk-borne disease. Braz J Microbiol 2021; 52:2511-2520. [PMID: 34405372 PMCID: PMC8578271 DOI: 10.1007/s42770-021-00593-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Accepted: 08/08/2021] [Indexed: 10/20/2022] Open
Abstract
Coxiella burnetii is a highly transmissible intracellular bacterium with a low infective dose that causes Q fever (coxiellosis), a notifiable zoonotic disease distributed worldwide. Livestock are the main source of C. burnetii transmission to humans, which occurs mostly through the aerogenous route. Although C. burnetii is a major abortifacient in small ruminants, it is less frequently diagnosed in aborting cattle. We report a case of C. burnetii abortion in a lactating Holstein cow from a dairy farm producing and selling artisanal cheese directly to consumers in Uruguay, and review the literature on coxiellosis as a bovine abortifacient in South America and as a milk-borne disease. The aborted cow had severe necrotizing placentitis with abundant intratrophoblastic and intralesional C. burnetii confirmed by immunohistochemistry and PCR. After primo-infection in cattle, C. burnetii remains latent in the lymph nodes and mammary glands, with milk being a significant and persistent excretion route. Viable C. burnetii has been found in unpasteurized milk and cheeses after several months of maturing. The risk of coxiellosis after the consumption of unpasteurized dairy products, including cheese, is not negligible. This report raises awareness on bovine coxiellosis as a potential food safety problem in on-farm raw cheese manufacturing and sales. The scant publications on abortive coxiellosis in cattle in South America suggest that the condition has probably gone underreported in all countries of this subcontinent except for Uruguay. Therefore, we also discuss the diagnostic criteria for laboratory-based confirmation of C. burnetii abortion in ruminants as a guideline for veterinary diagnosticians.
Collapse
Affiliation(s)
- Ana Rabaza
- Plataforma de Investigación en Salud Animal, Instituto Nacional de Investigación Agropecuaria (INIA), Estación Experimental La Estanzuela, Colonia, Uruguay
- Bristol Veterinary School, University of Bristol, Langford House, Langford, Bristol, UK
| | - Melissa Macías-Rioseco
- Plataforma de Investigación en Salud Animal, Instituto Nacional de Investigación Agropecuaria (INIA), Estación Experimental La Estanzuela, Colonia, Uruguay
- California Animal Health and Food Safety (CAHFS) Laboratory, University of California At Davis, Davis, CA, USA
| | - Martín Fraga
- Plataforma de Investigación en Salud Animal, Instituto Nacional de Investigación Agropecuaria (INIA), Estación Experimental La Estanzuela, Colonia, Uruguay
| | - Francisco A Uzal
- California Animal Health and Food Safety (CAHFS) Laboratory, University of California At Davis, Davis, CA, USA
| | - Mark C Eisler
- Bristol Veterinary School, University of Bristol, Langford House, Langford, Bristol, UK
| | - Franklin Riet-Correa
- Plataforma de Investigación en Salud Animal, Instituto Nacional de Investigación Agropecuaria (INIA), Estación Experimental La Estanzuela, Colonia, Uruguay
- Programa de Pós Graduação Em Ciência Animal Nos Trópicos, Faculdade de Veterinária, Universidade Federal da Bahia, Ondina, Salvador, BA, Brazil
| | - Federico Giannitti
- Plataforma de Investigación en Salud Animal, Instituto Nacional de Investigación Agropecuaria (INIA), Estación Experimental La Estanzuela, Colonia, Uruguay.
| |
Collapse
|
6
|
Rabaza A, Giannitti F, Fraga M, Macías-Rioseco M, Corbellini LG, Riet-Correa F, Hirigoyen D, Turner KME, Eisler MC. Serological Evidence of Human Infection with Coxiella burnetii after Occupational Exposure to Aborting Cattle. Vet Sci 2021; 8:196. [PMID: 34564590 PMCID: PMC8473284 DOI: 10.3390/vetsci8090196] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Revised: 08/30/2021] [Accepted: 09/10/2021] [Indexed: 11/29/2022] Open
Abstract
Cattle are broadly deemed a source of Coxiella burnetii; however, evidence reinforcing their role in human infection is scarce. Most published human Q fever outbreaks relate to exposure to small ruminants, notably goats. Anti-phase II C. burnetii IgG and IgM were measured by indirect fluorescent antibody tests in 27 farm and veterinary diagnostic laboratory workers to ascertain whether occupational exposure to cattle aborting due to C. burnetii was the probable source of exposure. Four serological profiles were identified on the basis of anti-phase II IgG and IgM titres. Profile 1, characterised by high IgM levels and concurrent, lower IgG titres (3/27; 11.1%); Profile 2, with both isotypes with IgG titres higher than IgM (2/27; 7.4%); Profile 3 with only IgG phase II (5/27; 18.5%); and Profile 4, in which neither IgM nor IgG were detected (17/27; 63.0%). Profiles 1 and 2 are suggestive of recent C. burnetii exposure, most likely 2.5-4.5 months before testing and, hence, during the window of exposure to the bovine abortions. Profile 3 suggested C. burnetii exposure that most likely predated the window of exposure to aborting cattle, while Profile 4 represented seronegative individuals and, hence, likely uninfected. This study formally linked human Q fever to exposure to C. burnetii infected cattle as a specific occupational hazard for farm and laboratory workers handling bovine aborted material.
Collapse
Affiliation(s)
- Ana Rabaza
- Instituto Nacional de Investigación Agropecuaria, Plataforma de Investigación en Salud Animal, Estación Experimental La Estanzuela, Colonia 70000, Uruguay; (A.R.); (F.G.); (M.F.); (M.M.-R.); (L.G.C.); (F.R.-C.); (D.H.)
- Bristol Veterinary School, University of Bristol, Langford House, Langford, Bristol BS40 5DU, UK;
| | - Federico Giannitti
- Instituto Nacional de Investigación Agropecuaria, Plataforma de Investigación en Salud Animal, Estación Experimental La Estanzuela, Colonia 70000, Uruguay; (A.R.); (F.G.); (M.F.); (M.M.-R.); (L.G.C.); (F.R.-C.); (D.H.)
| | - Martín Fraga
- Instituto Nacional de Investigación Agropecuaria, Plataforma de Investigación en Salud Animal, Estación Experimental La Estanzuela, Colonia 70000, Uruguay; (A.R.); (F.G.); (M.F.); (M.M.-R.); (L.G.C.); (F.R.-C.); (D.H.)
| | - Melissa Macías-Rioseco
- Instituto Nacional de Investigación Agropecuaria, Plataforma de Investigación en Salud Animal, Estación Experimental La Estanzuela, Colonia 70000, Uruguay; (A.R.); (F.G.); (M.F.); (M.M.-R.); (L.G.C.); (F.R.-C.); (D.H.)
- California Animal Health & Food Safety Laboratory System, University of California-Davis, Tulare, CA 95616, USA
| | - Luis G. Corbellini
- Instituto Nacional de Investigación Agropecuaria, Plataforma de Investigación en Salud Animal, Estación Experimental La Estanzuela, Colonia 70000, Uruguay; (A.R.); (F.G.); (M.F.); (M.M.-R.); (L.G.C.); (F.R.-C.); (D.H.)
| | - Franklin Riet-Correa
- Instituto Nacional de Investigación Agropecuaria, Plataforma de Investigación en Salud Animal, Estación Experimental La Estanzuela, Colonia 70000, Uruguay; (A.R.); (F.G.); (M.F.); (M.M.-R.); (L.G.C.); (F.R.-C.); (D.H.)
- Programa de Pós Graduação em Ciência Animal nos Trópicos, Faculdade de Veterinária, Universidade Federal da Bahia, Ondina, Salvador 40170-290, Brazil
| | - Darío Hirigoyen
- Instituto Nacional de Investigación Agropecuaria, Plataforma de Investigación en Salud Animal, Estación Experimental La Estanzuela, Colonia 70000, Uruguay; (A.R.); (F.G.); (M.F.); (M.M.-R.); (L.G.C.); (F.R.-C.); (D.H.)
| | - Katy M. E. Turner
- Bristol Veterinary School, University of Bristol, Langford House, Langford, Bristol BS40 5DU, UK;
| | - Mark C. Eisler
- Bristol Veterinary School, University of Bristol, Langford House, Langford, Bristol BS40 5DU, UK;
| |
Collapse
|
7
|
Guzman RM, Howard ZP, Liu Z, Oliveira RD, Massa AT, Omsland A, White SN, Goodman AG. Natural genetic variation in Drosophila melanogaster reveals genes associated with Coxiella burnetii infection. Genetics 2021; 217:6117219. [PMID: 33789347 PMCID: PMC8045698 DOI: 10.1093/genetics/iyab005] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Accepted: 01/07/2021] [Indexed: 12/16/2022] Open
Abstract
The gram-negative bacterium Coxiella burnetii is the causative agent of Query (Q) fever in humans and coxiellosis in livestock. Host genetics are associated with C. burnetii pathogenesis both in humans and animals; however, it remains unknown if specific genes are associated with severity of infection. We employed the Drosophila Genetics Reference Panel to perform a genome-wide association study to identify host genetic variants that affect host survival to C. burnetii infection. The genome-wide association study identified 64 unique variants (P < 10−5) associated with 25 candidate genes. We examined the role each candidate gene contributes to host survival during C. burnetii infection using flies carrying a null mutation or RNAi knockdown of each candidate. We validated 15 of the 25 candidate genes using at least one method. This is the first report establishing involvement of many of these genes or their homologs with C. burnetii susceptibility in any system. Among the validated genes, FER and tara play roles in the JAK/STAT, JNK, and decapentaplegic/TGF-β signaling pathways which are components of known innate immune responses to C. burnetii infection. CG42673 and DIP-ε play roles in bacterial infection and synaptic signaling but have no previous association with C. burnetii pathogenesis. Furthermore, since the mammalian ortholog of CG13404 (PLGRKT) is an important regulator of macrophage function, CG13404 could play a role in host susceptibility to C. burnetii through hemocyte regulation. These insights provide a foundation for further investigation regarding the genetics of C. burnetii susceptibility across a wide variety of hosts.
Collapse
Affiliation(s)
- Rosa M Guzman
- School of Molecular Biosciences, College of Veterinary Medicine, Washington State University, Pullman, WA 99164, USA
| | - Zachary P Howard
- School of Molecular Biosciences, College of Veterinary Medicine, Washington State University, Pullman, WA 99164, USA
| | - Ziying Liu
- School of Molecular Biosciences, College of Veterinary Medicine, Washington State University, Pullman, WA 99164, USA
| | - Ryan D Oliveira
- Department of Veterinary Microbiology and Pathology, College of Veterinary Medicine, Washington State University, Pullman, WA 99164, USA
| | - Alisha T Massa
- Department of Veterinary Microbiology and Pathology, College of Veterinary Medicine, Washington State University, Pullman, WA 99164, USA
| | - Anders Omsland
- Paul G. Allen School for Global Animal Health, College of Veterinary Medicine, Washington State University, Pullman, WA 99164, USA
| | - Stephen N White
- Department of Veterinary Microbiology and Pathology, College of Veterinary Medicine, Washington State University, Pullman, WA 99164, USA.,USDA-ARS Animal Disease Research, Pullman, WA 99164, USA.,Center for Reproductive Biology, Washington State University, Pullman, WA 99164, USA
| | - Alan G Goodman
- School of Molecular Biosciences, College of Veterinary Medicine, Washington State University, Pullman, WA 99164, USA.,Paul G. Allen School for Global Animal Health, College of Veterinary Medicine, Washington State University, Pullman, WA 99164, USA
| |
Collapse
|
8
|
Cook EAJ, de Glanville WA, Thomas LF, Kiyong'a A, Kivali V, Kariuki S, Bronsvoort BMDC, Fèvre EM. Evidence of exposure to C. burnetii among slaughterhouse workers in western Kenya. One Health 2021; 13:100305. [PMID: 34430697 PMCID: PMC8367830 DOI: 10.1016/j.onehlt.2021.100305] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 08/06/2021] [Accepted: 08/06/2021] [Indexed: 12/02/2022] Open
Abstract
Q fever, caused by C. burnetii, has been reported in slaughterhouse workers worldwide. The most reported risk factor for seropositivity is the workers' role in the slaughterhouse. This study examined the seroprevalence and risk factors for antibodies to C. burnetii in slaughterhouse workers in western Kenya to fill a data gap relating to this emerging disease in East Africa. Individuals were recruited from all consenting slaughterhouses in the study area between February and November 2012. Information was collected from participating workers regarding demographic data, animals slaughtered and role in the slaughterhouse. Sera samples were screened for antibodies to C. burnetii using a commercial ELISA and risk factors associated with seropositivity were identified using multi-level logistic regression analysis. Slaughterhouse workers (n = 566) were recruited from 84 ruminant slaughterhouses in western Kenya. The seroprevalence of antibodies to C. burnetii was 37.1% (95% Confidence Interval (CI) 33.2–41.2%). The risk factors identified for C. burnetii seropositivity included: male workers compared to female workers, odds ratio (OR) 5.40 (95% CI 1.38–21.22); slaughtering cattle and small ruminants compared to those who only slaughtered cattle, OR 1.52 (95% CI 1.06–2.19). In addition, specific roles in the slaughterhouse were associated with increased odds of being seropositive, including cleaning the slaughterhouse, OR 3.98 (95% CI 1.39–11.43); cleaning the intestines, OR 3.24 (95% CI 1.36–7.73); and flaying the carcass OR 2.63 (95% CI 1.46–4.75) compared to being the slaughterman or foreman. We identified that slaughterhouse workers have a higher seroprevalence of antibodies to C. burnetii compared to published values in the general population from the same area. Slaughterhouse workers therefore represent an occupational risk group in this East African setting. Workers with increased contact with the viscera and fluids are at higher risk for exposure to C. burnetii. Education of workers may reduce transmission, but an alternative approach may be to consider the benefits of vaccination in high-risk groups.
Collapse
Affiliation(s)
| | - William Anson de Glanville
- International Livestock Research Institute, Old Naivasha Road, PO Box 30709, 00100 Nairobi, Kenya.,Center for One Health, University of Global Health Equity, Rwanda
| | - Lian Francesca Thomas
- International Livestock Research Institute, Old Naivasha Road, PO Box 30709, 00100 Nairobi, Kenya.,Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Chester High Road, Neston CH64 7TE, UK
| | - Alice Kiyong'a
- International Livestock Research Institute, Old Naivasha Road, PO Box 30709, 00100 Nairobi, Kenya
| | - Velma Kivali
- International Livestock Research Institute, Old Naivasha Road, PO Box 30709, 00100 Nairobi, Kenya
| | - Samuel Kariuki
- Kenya Medical Research Institute, PO Box 19464-00200, Nairobi, Kenya
| | - Barend Mark de Clare Bronsvoort
- Roslin Institute, The Royal (Dick) School of Veterinary Studies, University of Edinburgh, Roslin, Midlothian EH25 9RG, UK.,Royal (Dick) School of Veterinary Studies, University of Edinburgh, Roslin, Midlothian EH25 9RG, UK
| | - Eric Maurice Fèvre
- International Livestock Research Institute, Old Naivasha Road, PO Box 30709, 00100 Nairobi, Kenya.,Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Chester High Road, Neston CH64 7TE, UK
| |
Collapse
|
9
|
Tellis AN, Rowe SM, Coilparampil R, Jenkins C, Dart A, Zadoks RN, Regnerus CD, Bosward KL. Evaluation of three immunological assays to mitigate the risk of transboundary spread of Coxiella burnetii by alpacas. Transbound Emerg Dis 2021; 69:793-804. [PMID: 33655708 DOI: 10.1111/tbed.14051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Revised: 02/07/2021] [Accepted: 02/27/2021] [Indexed: 11/30/2022]
Abstract
Coxiella burnetii causes coxiellosis in animals and Q fever in humans, a potentially debilitating zoonotic disease commonly transmitted through domestic ruminants. To prevent transboundary spread of C. burnetii, animals may be tested prior to export. In alpacas, this process is complicated by the lack of scientific evidence for C. burnetii infection in the species, and the unique composition of camelid antibodies, which may cause false-positive results in assays developed for ruminants. We evaluated a complement fixation test (CFT; currently recommended for alpacas in New Zealand), an enzyme-linked immunosorbent assay (ELISA) and an immunofluorescence assay (IFA). Positive analytical control samples were generated through vaccination of alpacas with a human Q fever vaccine, whereas negative analytical control samples were sourced from New Zealand (deemed free of C. burnetii). Immunological assays were conducted on 131 alpaca sera submitted for export testing. Test characteristics (sensitivity, specificity, positive and negative predictive values) for CFT, ELISA and IFA were determined using Bayesian latent class analysis. Due to anticomplementary activity, 37 (28.2%) of the CFT results were inconclusive, making CFT unsuitable for routine use. Of the remaining 94 samples, 10.6%, 0% and 7.4% were positive for C. burnetii antibodies based on CFT, ELISA and IFA, respectively, yielding estimated sensitivities of 58%, 26% and 78%, and estimated specificities of 95%, 98% and 95%, with the estimates for sensitivity being imprecise, as evidenced by wide 95% credible intervals. Positive predictive values were similar across assays, albeit very low at the estimated seroprevalence of 5%. Our results indicate that, of the tests available, IFA appears to be the most appropriate for use in alpacas. Higher sensitivity of antibody detection, use of antigen detection assays and availability of samples from individuals with evidence of infection could provide additional insight into the risk of transboundary spread of C. burnetii by alpacas.
Collapse
Affiliation(s)
- Anastasia N Tellis
- School of Life and Environmental Sciences, Faculty of Science, The University of Sydney, Camperdown, New South Wales, Australia
| | - Sam M Rowe
- Sydney School of Veterinary Science, Faculty of Science, The University of Sydney, Camden, New South Wales, Australia
| | - Ronald Coilparampil
- NSW Department of Primary Industries, Elizabeth Macarthur Agricultural Institute, Menangle, New South Wales, Australia
| | - Cheryl Jenkins
- NSW Department of Primary Industries, Elizabeth Macarthur Agricultural Institute, Menangle, New South Wales, Australia
| | - Andrew Dart
- Sydney School of Veterinary Science, Faculty of Science, The University of Sydney, Camden, New South Wales, Australia
| | - Ruth N Zadoks
- Sydney School of Veterinary Science, Faculty of Science, The University of Sydney, Camden, New South Wales, Australia
| | | | - Katrina L Bosward
- Sydney School of Veterinary Science, Faculty of Science, The University of Sydney, Camden, New South Wales, Australia
| |
Collapse
|
10
|
MALAL ME, KARAGÜL MS, ATEŞOĞLU A, AKAR K. Türkiye'de Sığırlarda Q Fever Seroprevalansının Araştırılması. KOCAELI ÜNIVERSITESI SAĞLIK BILIMLERI DERGISI 2021. [DOI: 10.30934/kusbed.840429] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
11
|
Abbass H, Selim SAK, Sobhy MM, El-Mokhtar MA, Elhariri M, Abd-Elhafeez HH. High prevalence of Coxiella burnetii infection in humans and livestock in Assiut, Egypt: A serological and molecular survey. Vet World 2020; 13:2578-2586. [PMID: 33487974 PMCID: PMC7811535 DOI: 10.14202/vetworld.2020.2578-2586] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Accepted: 10/16/2020] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND AND AIM Q fever is considered a neglected zoonotic disease and is caused by Coxiella burnetii. Very little information is available on C. burnetii infections in cattle, sheep, and goat populations in Egypt. The aim of this study was to identify the seroprevalence of C. burnetii in humans and livestock and to test for the presence of C. burnetii DNA in sera from seropositive animals and humans. MATERIALS AND METHODS Blood samples were collected from 160 apparently healthy farm animals and 120 patients from three hospitals of the Assiut Governorate throughout 2017/2018. These populations were tested for antibodies against C. burnetii phase II antigen by immunofluorescence assay [IFA] and enzyme-linked immunosorbent assay (ELISA). Seropositive samples were subjected to real-time quantitative polymerase chain reaction (RT-qPCR). RESULTS The results of the IFA revealed C. burnetii seroprevalence rates of 45.3%, 56.0%, 45.7%, and 53.3% in cattle, sheep, goats, and humans, respectively. In humans, the seroprevalence rates were 52.1%, 30.4%, 37.5%, 74.1%, and 62.5% in patients with fever of unknown origin, influenza, kidney dialysis, hepatitis C virus, and hepatitis B virus, respectively. Likewise, by ELISA, the seroprevalence in bovine was 50.7%; sheep, 60.0%; goats, 51.4%; and humans, 55.0% (54.3%, 30.4%, 37.5%, 77.8%, and 62.5% in patients with fever of unknown origin, influenza, kidney dialysis, hepatitis C virus, and hepatitis B virus, respectively). RT-qPCR targeting the repetitive element IS1111 confirmed the presence of C. burnetii DNA. CONCLUSION These results proved that apparently healthy cattle, sheep, and goats may be very important reservoirs of C. burnetii infection. In light of these data, the effect of Q fever on the replication of hepatitis virus remains unclear. Although hepatitis is one of the main aspects of acute Q fever, the influence of hepatitis on Q fever remains to be investigated. Q fever is not a reportable disease in Egypt, and clinical cases may rarely be recognized by the health-care system. Additional information on the epidemiology of C. burnetii in Egypt is warranted, including other associated problems such as the distribution of infections, pathologic hallmarks, and molecular typing.
Collapse
Affiliation(s)
- Hypy Abbass
- Department of Microbiology, Microbiologist at South Egypt Cancer Institute of Assiut University. Egypt
- Department of Microbiology, Faculty of Veterinary Medicine, Cairo University, Egypt
| | | | - Mona M Sobhy
- Department of Reproductive Diseases, Animal Reproduction Research Institute, Animal Research Centre, Giza, Egypt
| | - Mohamed A El-Mokhtar
- Department of Medical Microbiology and Immunology, Faculty of Medicine, Assiut University, Assiut 71515, Egypt
| | - Mahmoud Elhariri
- Department of Microbiology, Faculty of Veterinary Medicine, Cairo University, Giza, Egypt
| | - Hanan H Abd-Elhafeez
- Department of Anatomy, Embryology and Histology, Faculty of Veterinary Medicine, Assiut University, Egypt
| |
Collapse
|
12
|
Seo MG, Ouh IO, Lee SH, Kwak D. Detection and Genotyping of Coxiella burnetii in Pigs, South Korea, 2014-2015. Emerg Infect Dis 2018; 22:2192-2195. [PMID: 27869590 PMCID: PMC5189167 DOI: 10.3201/eid2212.161236] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
We assessed Coxiella burnetii prevalence and genotypes in pigs in South Korea during 2014–2015. Prevalence was low among 1,030 samples tested by ELISA and immunofluorescent assay and 1,124 samples tested by PCR. Despite this finding, possible transmission of C. burnetii from pigs to humans cannot be excluded.
Collapse
|
13
|
Muema J, Thumbi SM, Obonyo M, Wanyoike S, Nanyingi M, Osoro E, Bitek A, Karanja S. Seroprevalence and Factors Associated with Coxiella burnetii Infection in Small Ruminants in Baringo County, Kenya. Zoonoses Public Health 2017; 64:e31-e43. [PMID: 28117947 DOI: 10.1111/zph.12342] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2016] [Indexed: 01/06/2023]
Abstract
To improve estimates of C. burnetii epidemiology in Kenya, a survey was undertaken in small ruminants in Baringo County, where acute cases of Q fever in humans had been reported in 2014. From 140 household herds selected, 508 (60.5%) goats and 332 (39.5%) sheep were included and an indirect ELISA assay for C. burnetii IgG antibodies performed. In addition, epidemiological information at both herd and animal level was collected. Generalized mixed-effects multivariable logistic model using herd as the random effect was used to determine variables correlated to the outcome. Overall seroprevalence was 20.5% (95% CI: 17.8%, 23.3%). Goats had 26.0% (95% CI: 22.2%, 30.0%) compared to sheep 12.2% (95% CI: 8.7%, 16.0%). Nomadic pastoralism, goats and older animals (>1 year) were associated with greater risk of C. burnetii seropositivity (P = ≤0.05). Heterogeneity in C. burnetii seropositivity was observed across the sublocations (P = 0.028). Evidence of C. burnetii exposure in small ruminants revealed poses a potential risk of exposure to the people living in close proximity to the animals. We recommended integrated animal-human surveillance and socio-economic studies for C. burnetii, to aid our understanding of the risk of transmission between the animals and humans, and in the design of prevention and control strategies for the disease in the region.
Collapse
Affiliation(s)
- J Muema
- Field Epidemiology and Laboratory Training Program (FELTP), Nairobi, Kenya.,Zoonotic Disease Unit, Directorate of Veterinary Service, Nairobi, Kenya.,College of Health Sciences, Jomo Kenyatta University of Agriculture & Technology, Nairobi, Kenya
| | - S M Thumbi
- Paul G. Allen School for Global Animal Health, Washington State University, Pullman, WA, USA.,Center for Global Health Research, Kenya Medical Research Institute, Kenya
| | - M Obonyo
- Field Epidemiology and Laboratory Training Program (FELTP), Nairobi, Kenya.,Zoonotic Disease Unit, Directorate of Veterinary Service, Nairobi, Kenya
| | - S Wanyoike
- Directorate of Veterinary Services, Nairobi, Kenya
| | - M Nanyingi
- Department of Public Health, Pharmacology and Toxicology, University of Nairobi, Kenya.,Department of Biomedical Sciences, Colorado State University, Fort Collins, CO, USA
| | - E Osoro
- Zoonotic Disease Unit, Department of Preventive and Promotive Health Services, Ministry of Health, Nairobi, Kenya
| | - A Bitek
- Zoonotic Disease Unit, Directorate of Veterinary Service, Nairobi, Kenya
| | - S Karanja
- College of Health Sciences, Jomo Kenyatta University of Agriculture & Technology, Nairobi, Kenya
| |
Collapse
|
14
|
Chen HW, Ching WM. Evaluation of the stability of lyophilized loop-mediated isothermal amplification reagents for the detection of Coxiella burnetii. Heliyon 2017; 3:e00415. [PMID: 29057336 PMCID: PMC5639046 DOI: 10.1016/j.heliyon.2017.e00415] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2017] [Revised: 06/15/2017] [Accepted: 09/18/2017] [Indexed: 11/24/2022] Open
Abstract
Coxiella burnetii, the causative pathogen for Q fever, is an obligate intracellular bacterium and designated as a biosafety level 3 agent. Detection and quantification of the bacteria with conventional culturing methods is time-consuming and poses significant health risks. Polymerase chain reaction (PCR)-based assays have been developed for detecting C. burnetii and could provide rapid diagnosis. However, they require specialized equipment, including a cold chain for PCR reagents that maintains their stability during storage and transport. These requirements limit the advantage of PCR-based methods, especially in resource-limited areas. Previously, we had developed a lyophilized loop-mediated isothermal amplification (LAMP) assay to detect the presence of C. burnetii. To simplify and improve this assay, the reagents for the LAMP assay and the detecting reagent, SYBR green, were lyophilized together. The stability of the lyophilized reagents was evaluated by measuring changes in detection limit for plasmid DNA encoding a C. burnetii gene upon storage at 4 °C, 25 °C, or 37 °C. Our data indicate that the lyophilized reagents remain stable for 24 months when stored at 4 °C, 28 days at 25 °C, and 2 days at 37 °C. This improved LAMP assay can be easily performed in a simple water bath or heating block. The stability at ambient temperature, the simplicity of assay procedure, and the availability of low cost equipment make this method ideal for use in resource-limited settings where Q fever is endemic.
Collapse
Affiliation(s)
- Hua-Wei Chen
- Naval Medical Research Center, 503 Robert Grant Avenue, Silver Spring, MD 20910, United States
| | - Wei-Mei Ching
- Naval Medical Research Center, 503 Robert Grant Avenue, Silver Spring, MD 20910, United States
| |
Collapse
|
15
|
Pradeep J, Stephen S, Ambroise S, Gunasekaran D. Diagnosis of Acute Q Fever by Detection of Coxiella burnetii DNA using Real-Time PCR, Employing a Commercial Genesig Easy Kit. J Clin Diagn Res 2017; 11:DC10-DC13. [PMID: 29207703 PMCID: PMC5713725 DOI: 10.7860/jcdr/2017/31005.10606] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2017] [Accepted: 08/24/2017] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Query (Q) fever is an important zoonosis and a cause of concern for humans, due to the potential bioterrorism threat posed by the causative agent, Coxiella burnetii. Because of the danger of contracting the illness, isolation attempts are seldom made. Serological and molecular diagnostic tests are the main option. AIM To study the prevalence of acute Q fever in Puducherry and surrounding districts of Tamil Nadu, India, employing a new commercial Real-Time Polymerase Chain Reaction (RT-PCR) kit and confirming it by the gold standard Immunofluorescence Assay (IFA). MATERIALS AND METHODS Acute phase blood samples from 72 consecutive febrile patients and 24 healthy individuals were included in this prospective study. DNA was extracted from the buffy coats and preserved at -80°C. Detection of C. burnetii was carried out employing a commercial Real-Time PCR kit. Serum samples were tested for IgM (Phase I+II) and IgG (Phase I+II) by QM-120 and QG-120, Coxiella burnetii IFA Fuller Laboratories, California, USA. Sensitivity, Specificity, Positive Predictive Value (PPV) and Negative Predictive Value (NPV) were calculated keeping IFA as the reference. RESULTS Presumptive diagnosis of acute Q fever was made in two febrile patients by the Genesig Easy kit (2.78%). In addition to these two PCR positive cases, one more patient was positive for both Phase II IgM and Phase II IgG antibodies by the gold standard IFA. All 24 healthy controls were negative for Q fever by both PCR and IFA. The sensitivity, specificity, NPV and PPV for Genesig Easy kit PCR were: 66.67%, 100%, 100% and 98.57 % respectively against IFA as the reference. CONCLUSION The true prevalence of Q fever in India and other developing countries is poorly understood, owing to the difficulties in the diagnosis of this infection. Since molecular diagnostic tests have good specificity and are mandated for confirmation of single acute samples, validation of commercial Q fever PCR kits is the need of the hour. Genesig Easy kit in our hands was found to be reliable with the moderate sensitivity and high specificity. Performing both PCR (with acute specimens) and IFA (with paired sera) would be ideal for Q fever diagnosis.
Collapse
Affiliation(s)
- Jothimani Pradeep
- Ph.D Scholar, Department of Microbiology, Mahatma Gandhi Medical College and Research Institute, SBV University, Pillaiyarkuppam, Puducherry, India
| | - Selvaraj Stephen
- Professor, Department of Microbiology, Mahatma Gandhi Medical College and Research Institute, SBV University, Pillaiyarkuppam, Puducherry, India
| | - Stanley Ambroise
- Specialist Grade I, Department of General Medicine, Indira Gandhi Government General Hospital and Post Graduate Institute, Puducherry, India
| | - Dhandapany Gunasekaran
- Professor, Department of Paediatrics, Mahatma Gandhi Medical College and Research Institute, SBV University, Pillaiyarkuppam, Puducherry, India
| |
Collapse
|
16
|
Ndeereh D, Muchemi G, Thaiyah A, Otiende M, Angelone-Alasaad S, Jowers MJ. Molecular survey of Coxiella burnetii in wildlife and ticks at wildlife-livestock interfaces in Kenya. EXPERIMENTAL & APPLIED ACAROLOGY 2017; 72:277-289. [PMID: 28593481 DOI: 10.1007/s10493-017-0146-6] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2016] [Accepted: 05/27/2017] [Indexed: 06/07/2023]
Abstract
Coxiella burnetii is the causative agent of Q fever, a zoonotic disease of public health importance. The role of wildlife and their ticks in the epidemiology of C. burnetii in Kenya is unknown. This study analysed the occurrence and prevalence of the pathogen in wildlife and their ticks at two unique wildlife-livestock interfaces of Laikipia and Maasai Mara National Reserve (MMNR) with the aim to determine the potential risk of transmission to livestock and humans. Blood from 79 and 73 animals in Laikipia and MMNR, respectively, and 756 and 95 ixodid ticks in each of the areas, respectively, was analysed. Ticks were pooled before analyses into 137 and 29 samples in Laikipia and MMNR, respectively, of one to eight non-engorged ticks according to species and animal host. Real-time PCR amplifying the repetitive insertion element IS1111a of the transposase gene was used to detect C. burnetii DNA. Although none of the animals and ticks from MMNR tested positive, ticks from Laikipia had an overall pooled prevalence of 2.92% resulting in a maximum-likelihood estimate of prevalence of 0.54%, 95% CI 0.17-1.24. Ticks positive for C. burnetii DNA belonged to the genus Rhipicephalus at a pooled prevalence of 2.96% (maximum-likelihood estimate of prevalence of 0.54%, 95% CI 0.17-1.26). These ticks were Rhipicephalus appendiculatus, R. pulchellus and R. evertsi at pooled prevalence of 3.77, 3.03 and 2.04%, respectively. The presence of C. burnetii in ticks suggests circulation of the pathogen in Laikipia and demonstrates they may play a potential role in the epidemiology of Q fever in this ecosystem. The findings warrant further studies to understand the presence of C. burnetii in domestic animals and their ticks within both study areas.
Collapse
Affiliation(s)
- David Ndeereh
- Department of Veterinary Services, Kenya Wildlife Service, P.O. Box 40241-00100, Nairobi, Kenya.
| | - Gerald Muchemi
- Department of Public Health, Pharmacology and Toxicology, Faculty of Veterinary Medicine, University of Nairobi, P.O. Box 29053-00625, Nairobi, Kenya
| | - Andrew Thaiyah
- Department of Clinical Studies, Faculty of Veterinary Medicine, University of Nairobi, P.O. Box 29053-00625, Nairobi, Kenya
| | - Moses Otiende
- Department of Veterinary Services, Kenya Wildlife Service, P.O. Box 40241-00100, Nairobi, Kenya
| | - Samer Angelone-Alasaad
- Institute of Evolutionary Biology and Environmental Studies (IEU), University of Zürich, Winterthurerstrasse 190, 8057, Zurich, Switzerland
| | - Michael J Jowers
- CIBIO/InBIO (Centro de Investigação em Biodiversidade e Recursos Genéticos), Universidade do Porto, Campus Agrario De Vairão, 4485-661, Vairão, Portugal.
- National Institute of Ecology, 1210, Geumgang-ro, Maseo-myeon, Seocheon-gun, Chungcheongnam-do, 33657, Korea.
| |
Collapse
|
17
|
Mahapatra S, Gallaher B, Smith SC, Graham JG, Voth DE, Shaw EI. Coxiella burnetii Employs the Dot/Icm Type IV Secretion System to Modulate Host NF-κB/RelA Activation. Front Cell Infect Microbiol 2016; 6:188. [PMID: 28066723 PMCID: PMC5165255 DOI: 10.3389/fcimb.2016.00188] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2016] [Accepted: 12/02/2016] [Indexed: 12/17/2022] Open
Abstract
Coxiella burnetii is the causative agent of Q fever and an obligate intracellular pathogen in nature that survives and grows in a parasitophorous vacuole (PV) within eukaryotic host cells. C. burnetii promotes intracellular survival by subverting apoptotic and pro-inflammatory signaling pathways that are typically regulated by nuclear transcription factor-κB (NF-κB). We and others have demonstrated that C. burnetii NMII proteins inhibit expression of pro-inflammatory cytokines and induce expression of anti-apoptotic genes during infection. Here, we demonstrate that C. burnetii promotes intracellular survival by modulating NF-κB subunit p65 (RelA) phosphorylation, and thus activation, in a Type Four B Secretion System (T4BSS)-dependent manner. Immunoblot analysis of RelA phosphorylated at serine-536 demonstrated that C. burnetii increases NF-κB activation via the canonical pathway. However, RelA phosphorylation levels were even higher in infected cells where bacterial protein or mRNA synthesis was inhibited. Importantly, we demonstrate that inhibition of RelA phosphorylation impairs PV formation and C. burnetii growth. We found that a T4BSS-defective mutant (CbΔdotA) elicited phosphorylated RelA levels similar to those of wild type C. burnetii infection treated with Chloramphenicol. Moreover, cells infected with CbΔdotA or wild type C. burnetii treated with Chloramphenicol showed similar levels of GFP-RelA nuclear localization, and significantly increased localization compared to wild type C. burnetii infection. These data indicate that without de novo protein synthesis and a functional T4BSS, C. burnetii is unable to modulate NF-κB activation, which is crucial for optimal intracellular growth.
Collapse
Affiliation(s)
- Saugata Mahapatra
- Department of Microbiology and Molecular genetics, Oklahoma State UniversityStillwater, OK, USA
| | - Brandi Gallaher
- Department of Microbiology and Molecular genetics, Oklahoma State UniversityStillwater, OK, USA
| | - Sydni Caet Smith
- Department of Microbiology and Molecular genetics, Oklahoma State UniversityStillwater, OK, USA
| | - Joseph G. Graham
- Department of Microbiology and Immunology, University of Arkansas for Medical Sciences (UAMS)Little Rock, AR, USA
| | - Daniel E. Voth
- Department of Microbiology and Immunology, University of Arkansas for Medical Sciences (UAMS)Little Rock, AR, USA
| | - Edward I. Shaw
- Department of Microbiology and Molecular genetics, Oklahoma State UniversityStillwater, OK, USA
| |
Collapse
|
18
|
Shabbir MZ, Akram S, Hassan ZU, Hanif K, Rabbani M, Muhammad J, Chaudhary MH, Abbas T, Ghori MT, Rashid H, Jamil T, Islam ZU, Rasool H, Bano A, Ahmad A, Ali MA, Yaqub T, McVey W, Jayarao BM. Evidence of Coxiella burnetii in Punjab province, Pakistan. Acta Trop 2016; 163:61-9. [PMID: 27456937 DOI: 10.1016/j.actatropica.2016.07.017] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2016] [Revised: 07/19/2016] [Accepted: 07/21/2016] [Indexed: 11/24/2022]
Abstract
Coxiella burnetii causes query (Q) fever, an important zoonotic disease with worldwide significance. The role of environment in the ecology of C. burnetti, and its influence on seroconversion in animals has not been elucidated in Pakistan. We carried out a cross-sectional study in Punjab province to (1) determine the prevalence and distribution of C. burnetii in soil using an ISIIII gene-based real time-polymerase chain reaction (RT-PCR) assay, (2) analyze association between the occurrence of C. burnetii in soil and its predictors i.e. soil characteristics (macro- and micro-nutrients) and several likely risk factors including the seroconversion in small ruminants at places where its genome had or had not been detected, and (3) predict homology and genetic diversity of the identified strains using sequences originated from different hosts worldwide. A total of 2425 soil samples from nine districts of Punjab province were processed. C. burnetii DNA was detected in 47 samples (1.94%, 95% CI: ±0.55) originating from 35 villages of studied districts (7.22%, 95% CI: ±2.30). The highest prevalence was found in Attock (7.11%, 95% CI: ±3.36), followed by Lahore (4.83%, 95% CI: ±3.49), Sahiwal (4.70%, 95% CI: ±2.6), Dera Ghazi Khan (2.33%, 95% CI: ±2.02), Faisalabad (1.35%, 95% CI: ±1.18) and Sheikhupura (0.68%, 95% CI: ±0.94). The odds of detecting bacterial DNA in soil was increased with a unit increase in organic matter [2.511 (95% CI: 1.453-4.340), p=0.001] and sodium [1.013 (95% CI: 1.005-1.022), p=0.001], whereas, calcium [0.984 (95% CI: 0.975-0.994), p=0.002] and potassium [0.994 (95% CI: 0.990-0.999), p=0.011] had protective effect where a unit increase in each analyte decreased odds for its occurrence by 1.0% approximately. Likewise, for categorical variables (risk factors), the odds of detecting C. burnetii were higher at locations >500m away from a main road [1.95 (95% CI: 1.06-3.78), p=0.04]. The enzyme-linked immunosorbent assay (ELISA) revealed an increased prevalence of antibodies in sheep (17.9%, 95% CI: ±5.54) compared with goats (16.4%, 95% CI: ±4.34). When determining the association between soil DNA and C. burnetii antibodies in small ruminants, the odds of detecting these antibodies were significant in sheep at the livestock barns [2.81 (95% CI: 1.20-7.37), p=0.02]. The IS1111 gene-based sequence analysis revealed a clustering of the DNA into two distinct groups with much genetic divergence (0.76-68.70%): the first group that contained sequences from Lahore district clustered with human and buffalo origin isolates, whereas the second group that contained the sequences from the remaining study districts clustered with goat-, rodent- and human-origin isolates. This study provides the first evidence of the presence of C. burnetii in the environment in Punjab province, Pakistan. Future studies are needed to ascertain the bacteria's molecular epidemiology over a wide geographical area, type the isolates, and evaluates the potential risks to human populations, particularly farmers and veterinarians.
Collapse
|
19
|
Ndeereh D, Muchemi G, Thaiyah A. Knowledge, Attitudes and Practices Towards Spotted Fever Group Rickettsioses and Q Fever in Laikipia and Maasai Mara, Kenya. J Public Health Afr 2016; 7:545. [PMID: 28299153 PMCID: PMC5349257 DOI: 10.4081/jphia.2016.545] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2016] [Revised: 08/10/2016] [Accepted: 08/15/2016] [Indexed: 01/07/2023] Open
Abstract
Many factors contribute to misdiagnosis and underreporting of infectious zoonotic diseases in most sub-Saharan Africa including limited diagnostic capacity and poor knowledge. We assessed the knowledge, practices and attitudes towards spotted fever group rickettsioses (SFGR) and Q fever amongst local residents in Laikipia and Maasai Mara in Kenya. A semi-structured questionnaire was administered to a total of 101 respondents including 51 pastoralists, 17 human health providers, 28 wildlife sector personnel and 5 veterinarians. The pastoralists expressed no knowledge about SFGR and Q fever. About 26.7% of the wildlife sector personnel in Laikipia expressed some knowledge about SFGR and none in Maasai Mara. None of these respondents had knowledge about Q fever. About 45.5 and 33.3% of the health providers in Laikipia and Maasai Mara respectively expressed knowledge about SFGR and 9.1% in Laikipia expressed good knowledge on Q fever and none in Maasai Mara. The diseases are not considered amongst potential causes of febrile illnesses in most medical facilities except in one facility in Laikipia. Majority of pastoralists practiced at least one predisposing activity for transmission of the diseases including consumption of raw milk, attending to parturition and sharing living accommodations with livestock. Education efforts to update knowledge on medical personnel and One-Health collaborations should be undertaken for more effective mitigation of zoonotic disease threats. The local communities should be sensitized through a multidisciplinary approach to avoid practices that can predispose them to the diseases.
Collapse
Affiliation(s)
- David Ndeereh
- Department of Veterinary Services, Kenya Wildlife Service
| | | | - Andrew Thaiyah
- Department of Clinical Studies, Faculty of Veterinary Medicine, University of Nairobi , Kenya
| |
Collapse
|
20
|
Zahid MU, Hussain MH, Saqib M, Neubauer H, Abbas G, Khan I, Mansoor MK, Asi MN, Ahmad T, Muhammad G. Seroprevalence of Q Fever (Coxiellosis) in Small Ruminants of Two Districts in Punjab, Pakistan. Vector Borne Zoonotic Dis 2016; 16:449-54. [PMID: 27172109 DOI: 10.1089/vbz.2015.1852] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Coxiellosis caused by Coxiella burnetii is a cosmopolitan zoonosis, which causes significant losses through abortions and stillbirths in small ruminants. A cross-sectional seroprevalence study was conducted in two major sheep and goat farming districts of Punjab (Layyah and Muzaffargarh), Pakistan. In total, 542 small ruminants (271 sheep and goats each) of both sexes (60 males and 482 females) of different age groups from 104 flocks (52 flocks of either species) were randomly selected for the collection of sera and related epidemiological information. The sampling plan was devised at the expected prevalence of 50%, confidence interval (CI) of 95%, and error margin of 5%. A commercial indirect enzyme-linked immunosorbent assay (iELISA; ID Vet) was used to test the samples for the presence of both phase I and II antibodies. A high herd level prevalence (73.1%, 95% CI 63.5-81.3) was recorded in the studied districts. Individual level seroprevalence was recorded as 30.8% (95% CI 26.9-34.9). Higher value was recorded in females (32%) when compared with males (21.7%). Higher prevalence (34.8%, 95% CI 21.4-50.2) was observed in animals of 1 year (nulliparous) than to primiparous (24.8%, 95% CI 17.4-33.5) and multiparous (32.3%, 95% CI 27.6-37.3) animals. Univariable analysis indicated that caprine species (odds ratio [OR] 1.96, p = 0.22), females (OR = 1.70, p = 0.104), infestation with ticks (OR = 234.39, p < 0.001), abortion history (OR 1.96, p = 0.14), retention of fetal membranes (OR 1.50, p = 0.35), keeping a single breed in a herd (OR 1.50, p = 0.56), and mixed feeding management (OR 1.37, p = 0.33) were the variables found associated with high prevalence of antibodies to C. burnetii. The study indicates that seroprevalence of coxiellosis was high in the studied small ruminant population and further studies are required to discern its epidemiology more precisely.
Collapse
Affiliation(s)
- Muhammad Usman Zahid
- 1 Faculty of Veterinary Science, University of Agriculture , Faisalabad, Pakistan
| | - Muhammad Hammad Hussain
- 1 Faculty of Veterinary Science, University of Agriculture , Faisalabad, Pakistan .,2 Animal Health Research Center , Ministry of Agriculture and Fisheries, Muscat, Oman
| | - Muhammad Saqib
- 1 Faculty of Veterinary Science, University of Agriculture , Faisalabad, Pakistan
| | - Heinrich Neubauer
- 3 Institute of Bacterial Infections and Zoonoses, Friedrich Loeffler Institute , Jena, Germany
| | - Ghazanfar Abbas
- 1 Faculty of Veterinary Science, University of Agriculture , Faisalabad, Pakistan
| | - Iahtasham Khan
- 4 Section of Epidemiology and Public Health, College of Veterinary and Animal Sciences , Jhang, Pakistan
| | | | - Muhammad Nadeem Asi
- 2 Animal Health Research Center , Ministry of Agriculture and Fisheries, Muscat, Oman
| | - Tanveer Ahmad
- 1 Faculty of Veterinary Science, University of Agriculture , Faisalabad, Pakistan
| | - Ghulam Muhammad
- 1 Faculty of Veterinary Science, University of Agriculture , Faisalabad, Pakistan
| |
Collapse
|
21
|
Serological evidence of Rickettsia and Coxiella burnetii in humans of Buenos Aires, Argentina. Comp Immunol Microbiol Infect Dis 2015; 43:57-60. [PMID: 26616661 DOI: 10.1016/j.cimid.2015.10.007] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2015] [Revised: 10/07/2015] [Accepted: 10/22/2015] [Indexed: 11/20/2022]
Abstract
In Buenos Aires city (Argentina), the circulation of these agents has been detected mainly in vectors and animals, few human cases having been described. The aim of our study was to determine the seroprevalence of Rickettsia (spotted fever--SFG--and typhus--TG--groups) and Coxiella burnetii (Q fever agent) in residents of Buenos Aires city. The study involved 99 participants. Rickettsia IgG antibodies against SFG and TG were detected by IFA in 28.3% and 16.2% of serum samples, respectively. SFG titers were mostly 1/64 (53.6%) with a maximum of 1/512 (3.5%) whereas TG titers ranged between 1/64 (62.5%) and 1/256 (6.3%). Only one sample showed a titer of 1/32 for C. burnetii (phases I and II). The circulation of these pathogens in urban areas such as the city of Buenos Aires should be considered by health services, especially at the primary care level.
Collapse
|
22
|
A windy day in a sheep saleyard: an outbreak of Q fever in rural South Australia. Epidemiol Infect 2014; 143:391-8. [DOI: 10.1017/s0950268814001083] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
SUMMARYIn December 2004, the Department of Human Services investigated an outbreak of Q fever in South Australia. A case-control study tested an association between attending a local saleyard and human illness. A case was defined as a person with clinical illness and evidence of seroconversion or high phase II IgM. Controls were selected from a database of community controls matched on sex, age group and postcode. Matched analysis of the first 15 cases with 45 controls indicated that contracting Q fever was associated with attending the saleyard on one particular day (adjusted odds ratio 15·3, 95% confidence interval 1·7–undefined,P = 0·014). Saleyard conditions were windy and conducive for airborne dispersal of contaminated particles. In total, 25 cases were detected. Of these, 22 cases had attended a local saleyard on the same day. This outbreak suggests cases were probably infected by a single exposure at a saleyard from infected sheep and dust. The investigation resulted in an increase in the local uptake of Q fever vaccination and extension of the Australian national vaccination programme.
Collapse
|
23
|
Klaasen M, Roest HJ, van der Hoek W, Goossens B, Secka A, Stegeman A. Coxiella burnetii seroprevalence in small ruminants in The Gambia. PLoS One 2014; 9:e85424. [PMID: 24454863 PMCID: PMC3893215 DOI: 10.1371/journal.pone.0085424] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2013] [Accepted: 11/26/2013] [Indexed: 11/30/2022] Open
Abstract
Background Q fever is a zoonosis caused by Coxiella burnetii, a Gram negative bacterium present worldwide. Small ruminants are considered the main reservoirs for infection of humans. This study aimed to estimate the extent of C. burnetii infection among sheep and goats in part of The Gambia. Methodology/Principal Findings This survey was carried out from March to May 2012 at two areas in The Gambia. The first area comprised a cluster of seven rural villages situated 5–15 km west of Farafenni as well as the local abattoir. A second sampling was done at the central abattoir in Abuko (30 km from the capital, Banjul) in the Western Region. Serum samples were obtained from 490 goats and 398 sheep. In addition, 67 milk samples were obtained from lactating dams. Sera were tested with a Q fever ELISA kit. C. burnetii DNA was extracted from milk samples and then detected using a specific quantitative multiplex PCR assay, targeting the IS1111a element. A multivariable mixed logistic regression model was used to examine the relationship between seropositivity and explanatory variables. An overall seroprevalence of 21.6% was found. Goats had a significantly higher seroprevalence than sheep, respectively 24.2% and 18.5%. Seropositive animals were significantly older than seronegative animals. Animals from the villages had a significantly lower seroprevalence than animals from the central abattoir (15.1% versus 29.1%). C. burnetii DNA was detected in 2 out of 67 milk samples, whereas 8 samples gave a doubtful result. Conclusion/Significance A substantial C. burnetii seroprevalence in sheep and goats in The Gambia was demonstrated. People living in close proximity to small ruminants are exposed to C. burnetii. Q fever should be considered as a possible cause of acute febrile illness in humans in The Gambia. Future studies should include a simultaneous assessment of veterinary and human serology, and include aetiology of febrile illness in local clinics.
Collapse
Affiliation(s)
- Marieke Klaasen
- Department of Farm Animal Health, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands
| | - Hendrik-Jan Roest
- Department Bacteriology and TSEs, Central Veterinary Institute, part of Wageningen University and Research Centre, Lelystad, The Netherlands
| | - Wim van der Hoek
- Epidemiology and Surveillance Unit, National Institute for Public Health and Environment, Bilthoven, The Netherlands
| | - Bart Goossens
- SOS Children’s Villages International, Bakau, The Gambia
| | - Arss Secka
- International Trypanotolerance Centre, Banjul, The Gambia
| | - Arjan Stegeman
- Department of Farm Animal Health, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands
- * E-mail:
| |
Collapse
|
24
|
Anastácio S, Tavares N, Carolino N, Sidi-Boumedine K, da Silva G. Serological evidence of exposure to Coxiella burnetii in sheep and goats in central Portugal. Vet Microbiol 2013; 167:500-5. [DOI: 10.1016/j.vetmic.2013.08.004] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2013] [Revised: 08/02/2013] [Accepted: 08/04/2013] [Indexed: 11/16/2022]
|
25
|
Royal J, Riddle MS, Mohareb E, Monteville MR, Porter CK, Faix DJ. Seroepidemiologic survey for Coxiella burnetii among US military personnel deployed to Southwest and Central Asia in 2005. Am J Trop Med Hyg 2013; 89:991-5. [PMID: 24043692 DOI: 10.4269/ajtmh.12-0174] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
We used a seroepidemiologic study to estimate Q fever (Coxiella burnetii) seroprevalence, seroincidence, and risk factors for seroconversion in two deployed military populations in 2005. The first study group resided in an area with a known Q fever outbreak history (Al Asad, Iraq). Of this population, 7.2% seroconverted for an incidence rate of 10.6 seroconversions per 1,000 person-months. The second population included personnel transiting through Qatar on mid-deployment leave from southwest/central Asia. In this group, we found 2.1% prevalence with 0.92 seroconversions per 1,000 person-months. However, no significant risk factors for Q fever seroconversion were found in either population.
Collapse
Affiliation(s)
- Joseph Royal
- Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland; Naval Medical Research Center, Silver Spring, Maryland; US Naval Medical Research Unit, No. 3, Cairo, Egypt; Naval Health Research Center, San Diego, California
| | | | | | | | | | | |
Collapse
|
26
|
Balali-Mood M, Moshiri M, Etemad L. Medical aspects of bio-terrorism. Toxicon 2013; 69:131-42. [PMID: 23339855 DOI: 10.1016/j.toxicon.2013.01.005] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2012] [Revised: 01/02/2013] [Accepted: 01/09/2013] [Indexed: 12/25/2022]
Abstract
INTRODUCTION Bioterrorism is a terrorist action involving the intentional release or dissemination of a biological warfare agent (BWA), which includes some bacteria, viruses, rickettsiae, fungi or biological toxins. BWA is a naturally occurring or human-modified form that may kill or incapacitate humans, animals or plants as an act of war or terrorism. BWA is a weapon of choice for mass destruction and terrorism, because of the incubation period, less effective amount than chemical warfare agents, easily distribution, odorless, colorless, difficult to detect, no need of specialized equipment for production and naturally distribution which can easily be obtained. BWA may be disseminating as an aerosol, spray, explosive device, and by food or water. CLASSIFICATION Based on the risk for human health, BWAs have been prioritized into three categories of A, B and C. Category A includes microorganisms or toxins that easily spread, leading to intoxication with high death rates such as Anthrax, Botulism, Plague, Smallpox, Tularemia and Viral hemorrhagic fevers. Category B has lower toxicity with wider range, including Staphylococcal Entrotoxin type B (SEB), Epsilon toxin of Clostridium perfringens, Ricin, Saxotoxins, Abrin and Trichothecene mycotoxins. The C category includes emerging pathogens that could also be engineered for mass spread such as Hanta viruses, multidrug-resistant tuberculosis, Nipah virus, the tick-borne encephalitis viruses, hemorrhagic fever viruses and yellow fever. CLINICAL MANIFESTATIONS OF BIOTOXINS IN HUMAN: Clinical features and severity of intoxication depend on the agent and exposed dose, route of entry, individual variation and environmental factors. Onset of symptoms varies from 2-24 h in Ricin to 24-96 h in Botulism. Clinical manifestations also vary from irritation of the eyes, skin and mucus membranes in T2 toxin to an acute flaccid paralysis of bilateral cranial nerve impairment of descending manner in botulism. Most of the pyrogenic toxins such as SEB produce the same signs and symptoms as toxic shock syndrome including a rapid drop in blood pressure, elevated temperature, and multiple organ failure. MANAGEMENT There is no specific antidote or effective treatment for most of the biotoxins. The clinical management is thus more supportive and symptomatic. Fortunately vaccines are now available for most of BWA. Therefore, immunization of personnel at risk of exposure is recommended. CONCLUSION Biotoxins are very wide and bioterrorism is a heath and security threat that may induce national and international problems. Therefore, the security authorities, health professional and even public should be aware of bioterrorism.
Collapse
Affiliation(s)
- Mahdi Balali-Mood
- Medical Toxicology Research Centre, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad 91735-348, Islamic Republic of Iran.
| | | | | |
Collapse
|
27
|
Duncan C, Kersh GJ, Spraker T, Patyk KA, Fitzpatrick KA, Massung RF, Gelatt T. Coxiella burnetii in northern fur seal (Callorhinus ursinus) placentas from St. Paul Island, Alaska. Vector Borne Zoonotic Dis 2011; 12:192-5. [PMID: 22017469 DOI: 10.1089/vbz.2011.0715] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
The decline in the number of northern fur seal (NFS; Callorhinus ursinus) pups on St. Paul Island, Alaska, has led to multidisciplinary research, including investigation into issues of reproductive health and success. Given the recent identification of Coxiella burnetii in the placenta of two other marine mammal species, NFS placentas were collected from Reef rookery on St. Paul Island, Alaska, during the 2010 pupping season, examined histologically, and tested for C. burnetii using polymerase chain reaction (PCR). Of 146 placentas examined, gram-negative intratrophoblastic bacteria that were positive for C. burnetii on immunohistochemistry were observed in 5 (3%) placentas. Placental infection was usually devoid of associated inflammation or significant ancillary pathology. One hundred nine (75%) of the placentas were positive for C. burnetii on PCR. C. burnetii is globally distributed and persists for long periods in the environment, providing ample opportunity for exposure of many species. The significance of this finding for the declining fur seal population, potential human exposure and infection, and impact on other sympatric marine mammal or terrestrial species is unclear; further investigation into the epidemiology of Coxiella in the marine ecosystem is warranted.
Collapse
Affiliation(s)
- Colleen Duncan
- Department of Microbiology, Immunology, and Pathology, Colorado State University, Fort Collins, Colorado 80524, USA.
| | | | | | | | | | | | | |
Collapse
|
28
|
Messier V, Lévesque B, Proulx JF, Rochette L, Serhir B, Couillard M, Ward BJ, Libman MD, Dewailly É, Déry S. Seroprevalence of Seven Zoonotic Infections in Nunavik, Quebec (Canada). Zoonoses Public Health 2011; 59:107-17. [DOI: 10.1111/j.1863-2378.2011.01424.x] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
29
|
Cooper A, Hedlefs R, McGowan M, Ketheesan N, Govan B. Serological evidence of Coxiella burnetii infection in beef cattle in Queensland. Aust Vet J 2011; 89:260-4. [DOI: 10.1111/j.1751-0813.2011.00794.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
30
|
Surgical management of the goat. Lab Anim (NY) 2011; 40:203-4; author reply 206-8. [PMID: 21691287 DOI: 10.1038/laban0711-203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
31
|
Seto Y. Research and Development of On-site Decontamination System for Biological and Chemical Warfare Agents. ACTA ACUST UNITED AC 2011. [DOI: 10.1248/jhs.57.311] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- Yasuo Seto
- Third Department of Forensic Science, National Research Institute of Police Science
| |
Collapse
|
32
|
Abstract
The 2007-2009 human Q fever epidemic in The Netherlands attracted attention due to its magnitude and duration. The current epidemic and the historical background of Q fever in The Netherlands are reviewed according to national and international publications. Seroprevalence studies suggest that Q fever was endemic in The Netherlands several decades before the disease was diagnosed in dairy goats and dairy sheep. This was in 2005 and the increase in humans started in 2007. Q fever abortions were registered on 30 dairy goat and dairy sheep farms between 2005 and 2009. A total of 3523 human cases were notified between 2007 and 2009. Proximity to aborting small ruminants and high numbers of susceptible humans are probably the main causes of the human Q fever outbreak in The Netherlands. In general good monitoring and surveillance systems are necessary to assess the real magnitude of Q fever.
Collapse
|
33
|
Interlaboratory evaluation of different extraction and real-time PCR methods for detection of Coxiella burnetii DNA in serum. J Clin Microbiol 2010; 48:3923-7. [PMID: 20826645 DOI: 10.1128/jcm.01006-10] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
In the Netherlands, there is an ongoing and unparalleled outbreak of Q fever. Rapid and reliable methods to identify patients infected with Coxiella burnetii, the causative agent of Q fever, are urgently needed. We evaluated the performance of different DNA extraction methods and real-time PCR assays that are in use in seven diagnostic or reference laboratories in the Netherlands. A low degree of variation in the sensitivities of most of the developed real-time PCR assays was observed. However, PCR assays amplifying short DNA fragments yielded better results than those producing large DNA fragments. With regard to DNA extraction, the automated MagNA Pure Compact system and the manual QIAamp DNA mini kit consistently yielded better results than either the MagNA Pure LC system and NucliSens EasyMag (both automated) or the High Pure viral nucleic acid kit (manual). The present study shows that multiple combinations of DNA extraction kits and real-time PCR assays offer equivalent solutions to detect C. burnetii DNA in serum samples from patients suspected to have Q fever.
Collapse
|
34
|
Considering Q fever when working with laboratory sheep. Lab Anim (NY) 2010; 39:86-9. [PMID: 20164950 DOI: 10.1038/laban0310-86] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2009] [Accepted: 01/06/2010] [Indexed: 11/08/2022]
Abstract
The sheep (Ovis aries) is somewhat less common than smaller species in laboratory settings, but personnel who work with sheep or in a facility that houses sheep should be aware that certain zoonotic diseases are common in sheep. They should also know how to prevent transmission of zoonotic disease in facilities that house or work with small ruminants. Knowledge of diseases such as query fever (Q fever), which can cause severe human morbidity (and in some cases death), needs to be especially emphasized. In this paper, the author describes potential causes, transmission and manifestations of Q fever in humans and other animals and then discusses strategies for preventing the spread of Q fever.
Collapse
|
35
|
Flaherty DC, Hoxha B, Nelson S, Sun J, Gurji H, Simecka JW, Mallet RT, Olivencia-Yurvati AH, Daniels EQ. Peri- and intra-operative management of the goat during acute surgical experimentation. Lab Anim (NY) 2010; 39:80-5. [DOI: 10.1038/laban0310-80] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2009] [Accepted: 07/27/2009] [Indexed: 11/09/2022]
|
36
|
Chemical and Biological Threats to Public Safety. Clin Toxicol (Phila) 2010. [DOI: 10.3109/9781420092264-35] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
37
|
Abstract
Human cases of Q fever appear to be common in Northern Ireland compared to the rest of the British Isles. The purpose of this study was to describe the seroepidemiology of Coxiella burnetii infection in cattle in Northern Ireland in terms of seroprevalence and determinants of infection. A total of 5182 animals (from a stratified systematic random sample of 273 herds) were tested with a commercial C. burnetii phase 2 IgG ELISA. A total of 6.2% of animals and 48.4% of herds tested positively. Results from a multilevel logistic regression model indicated that the odds of cattle being infected with Q fever increased with age, Friesian breed, being from large herds and from dairy herds. Large dairy herd animal prevalence was 12.5% compared to 2.1% for small beef herds. Preliminary seroprevalence in sheep (12.3%), goats (9.3%), pigs (0%) rats (9.7%) and mice (3.2%) using indirect immunofluorescence is reported.
Collapse
|
38
|
Abstract
This chapter focuses on quarantine requirements at animal facilities. The well-established quarantine measures for nonhuman primates and those that have re-emerged for rodents are very important. The increased use and exchange of genetically engineered mutant mice especially demands rodent quarantine capabilities for the majority of research institutions. Apart from species-specific housing requirements, it is important to consider pathogens to be contained in terms of the route of transmission, and degree of hazard to human and animal health. Animals obtained from commercial vendors, as opposed to other research institutions, may be less likely to harbor undesirable microorganisms, often allowing them to be exempt from a quarantine program. The ideal quarantine facility should be flexible enough to allow the use of multiple species, and take into account the number and frequency of shipments expected. The more shipments and different species involved, the more subdivided the facility should be, through the use of multiple rooms, cubicles, isolators, etc. At a minimum, ABSL2 design criteria should be used to enable the containment of pathogens at the room or cage level, while also preventing agent transmission via contaminated animal waste, fomites, and personnel.
Collapse
|
39
|
Abstract
The purpose of this review is to summarize bacterial, fungal, protozoan, and viral causes of reproductive dysgenesis in cattle, sheep, goats, pigs, horses, dogs, and cats. The clinical presentations of disease due to reproductive pathogens are emphasized, with a focus on assisting development of complete lists of causes that result in abortion and infertility in these species. Clinicians are encouraged to assess clinical presentation, create complete lists of differential diagnoses, obtain appropriate diagnostic samples, maximize diagnostic laboratory support, and avoid zoonotic infections resulting from reproductive pathogens of animals. The foundation of an accurate diagnosis of reproductive loss due to infectious pathogens facilitates the prudent use of immunization and biosecurity to minimize reproductive losses.
Collapse
Affiliation(s)
- M Daniel Givens
- Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, AL 36849, USA.
| | | |
Collapse
|
40
|
Rabinowitz P, Gordon Z, Chudnov D, Wilcox M, Odofin L, Liu A, Dein J. Animals as sentinels of bioterrorism agents. Emerg Infect Dis 2006; 12:647-52. [PMID: 16704814 PMCID: PMC3294700 DOI: 10.3201/eid1204.051120] [Citation(s) in RCA: 59] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Pets, wildlife, or livestock could provide early warning. We conducted a systematic review of the scientific literature from 1966 to 2005 to determine whether animals could provide early warning of a bioterrorism attack, serve as markers for ongoing exposure risk, and amplify or propagate a bioterrorism outbreak. We found evidence that, for certain bioterrorism agents, pets, wildlife, or livestock could provide early warning and that for other agents, humans would likely manifest symptoms before illness could be detected in animals. After an acute attack, active surveillance of wild or domestic animal populations could help identify many ongoing exposure risks. If certain bioterrorism agents found their way into animal populations, they could spread widely through animal-to-animal transmission and prove difficult to control. The public health infrastructure must look beyond passive surveillance of acute animal disease events to build capacity for active surveillance and intervention efforts to detect and control ongoing outbreaks of disease in domestic and wild animal populations.
Collapse
Affiliation(s)
- Peter Rabinowitz
- Yale University School of Medicine, New Haven, Connecticut, USA.
| | | | | | | | | | | | | |
Collapse
|
41
|
Tsironi M, Andriopoulos P, Fokas S, Nikokiris G, Mantzourani M, Assimakopoulos G, Aessopos A. Acute Q fever lobar pneumonia: a case report. J Infect 2005; 51:e89-91. [PMID: 16230211 DOI: 10.1016/j.jinf.2004.09.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/06/2004] [Indexed: 11/25/2022]
Abstract
Q fever is a zoonotic disease caused by Coxiella burnetii-an obligate, Gram-negative, intracellular bacteria. Acute febrile illness, hepatitis, and atypical pneumonia are the three most common manifestations, whereas lobar pneumonia is rarely reported among acute Q fever patients. We report a case of acute Q fever with lobar pneumonia and multi-organ involvement.
Collapse
Affiliation(s)
- Maria Tsironi
- Department of Internal Medicine, Sparta General Hospital, 23100 Sparta, Greece.
| | | | | | | | | | | | | |
Collapse
|
42
|
Abstract
Q fever is a widespread zoonosis caused by the Gram-negative bacterium Coxiella burnetii. Aborting domestic ruminants are the main sources of human infection but the reservoir of infection is extremely wide. In humans, Q fever may occur as acute pneumonia, hepatitis or flu-like illness or may take a severe chronic form, characterized by endocarditis, chronic hepatitis and chronic fatigue syndrome. In animals, the main clinical manifestation is late abortion. Infection with C. burnetii can be diagnosed using cultural, serological and genetic methods but because the organism is potentially dangerous and requires specialized skills only specialist laboratories are capable of undertaking diagnostic tests. This paper provides a brief overview of the epidemiology and pathogenesis of Q fever (coxiellosis).
Collapse
Affiliation(s)
- Zerai Woldehiwet
- Department of Veterinary Pathology, University of Liverpool, Veterinary Teaching Hospital, Leahurst, Neston, Wirral CH64 7TE, UK.
| |
Collapse
|
43
|
Davis RG. The AbCs of bioterrorism for veterinarians, focusing on Category B and C agents. J Am Vet Med Assoc 2004; 224:1096-104. [PMID: 15074854 DOI: 10.2460/javma.2004.224.1096] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Radford G Davis
- Center for Food Security and Public Health, Department of Veterinary Microbiology and Preventive Medicine, College of Veterinary Medicine, Iowa State University Ames, IA 50011, USA
| |
Collapse
|
44
|
Bishara J, Pitlik S, Yagupsky P, Hershkovitz D. Comparative incidence of acute Q fever in two ethnic groups in Israel. Eur J Clin Microbiol Infect Dis 2004; 23:224-5. [PMID: 14986164 DOI: 10.1007/s10096-003-1095-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- J Bishara
- Department of Internal Medicine C and Infectious Diseases, Rabin Medical Center, Beilinson Campus, Sackler School of Medicine, Tel Aviv University, Petach Tivkah, Israel 49100.
| | | | | | | |
Collapse
|
45
|
Mair M. Publications of Interest. Biosecur Bioterror 2003. [DOI: 10.1089/15387130360514869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Michael Mair
- Center for Civilian Biodefense Strategies, Johns Hopkins University
| |
Collapse
|