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Presentation Abstract
Session:
Ectoparasite-Borne Diseases
Abstract Number:
61
Title:
Borrelia burgdorferi coinfection enhances Babesia microti infection in white-footed mice and transmission to Ixodes scapularis ticks
Presentation Start:
11/12/2012 11:45:00 AM
Authors:
Peter J. Krause
1
, Lindsay Rollend
1
, Maria Diuk-Wasser
1
, Linda K. Bockenstedt
2
, Edouard Vannier
3
, Alexia A. Belperron
2
, Steven J. Bent
1
, Natasha Lloyd
1
, Durland Fish
1
1
Yale School of Public Health and Yale School of Medicine, New Haven, CT, United States,
2
Yale School of Medicine, New Haven, CT, United States,
3
Tufts Medical Center, Boston, MA, United States
Abstract:
Babesia microti
and
Borrelia burgdorferi,
the primary agents of human babesiosis and Lyme disease, are both transmitted by
Ixodes scapularis
ticks to white-footed mice (
Peromyscus
leucopus
) and to humans. To determine whether co-infection increases intensity of infection in
P. leucopus
or transmission to feeding ticks, we infested
Peromyscus leucopus
mice with nymphal
I. scapularis
ticks infected with either
B. microti
or
B. burgdorferi
alone, or coinfected with both simultaneously or sequentially. We then assessed intensity of infection in mice and the transmission of
B. microti
and
B. burgdorferi
infection to ticks at 1, 2, 3, 4, and 6 weeks after mouse infection. Mice were infested with infected nymphal ticks and intensity of infection measured by
B. microti
parasitemia in blood and
B. burgdorferi
DNA in bladder, heart, and joint tissue. Transmission of infection to ticks was assessed by placing uninfected larval ticks on the same infected mice and assaying for both pathogens
in ticks after they fed and molted to the nymphal stage. We found that
B. microti
parasitemia was greater in
B. microti/B. burgdorferi
-coinfected mice than mice infected with
B. microti
alone. The percentage of ticks that became infected with
B. microti
was greater in those fed on coinfected mice compared to those fed on mice infected with
B. microti
alone. In contrast, coinfection did not uniformly increase
B. burgdorferi
tissue burden or transmission to ticks. We conclude that
B. microti/B. burgdorferi
coinfection increases
B. microti
parasitemia and transmission to larval ticks in the natural mouse reservoir host. These findings suggest that the presence of
B. burgdorferi
infection may increase the incidence of human babesiosis in endemic areas and may be a prerequisite for
B. microti
enzootic or endemic establishment in selected regions.
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