Vol.3, No.9, 501-503 (2013) Open Journal of Preventive Medicine
http://dx.doi.org/10.4236/ojpm.2013.39067
Preliminary study of natural reservoirs as sentinels
of Anaplasma phagocytophilum and Ehrlichia
chaffeensis in Soria, northern Spain
Lourdes Lledó
1*
, Consuelo Giménez-Pardo
1
, José Luis Serrano
2
1
Departamento de Biomedicina y Biotecnología, Universidad Alcalá, Alcalá de Henares, Spain;
*
Corresponding Author: lourdes.lledo@uah.es
2
Consejería de Sanidad y Bienestar Social de la Junta de Castilla y León, Soria, Spain
Received 29 September 2013; revised 30 October 2013; accepted 9 November 2013
Copyright © 2013 Lourdes Lledó et al. This is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
The serum of foxes and red deer from the Prov-
ince of Soria (northern Spain) was screened in
indirect immunofluorescence assays to deter-
mine whether these animals could be used as
sentinels of the tick-borne pathogens Anaplas-
ma phagocytophilum and Ehrlichia chaffeensis.
The results suggest that foxes and red deer
would not make good sentinels in epidemiol-
ogical studies on E. chaffeensis in this region,
although red deer could be used as such for the
study of A. phagocytophilum transmission.
Keywords: Anaplasma phagocytophilum; Ehrlichia
chaffeensis; Foxes; Red Deer; Sentinels; Spain
1. INTRODUCTION
Ehrlichia chaffeensis and Anaplasma phagocytophi-
lum are the causal agents of severe emerging and re-
emerging human diseases [1]. Both are transmitted
through the bite of an infected tick. In Europe, the pri-
mary vector is Ixodes ricinus, for which red deer (Cervus
elaphus), foxes (Vulpes vulpes), cattle, sheep, goats and
horses act as reservoirs [2]. In Spain, little is known
about the epidemiology of these diseases. The present
work reports a preliminary study, undertaken in the Pro-
vince of Soria, to record the prevalence of the above
pathogens in foxes and red deer, and to determine the
value of these animals as sentinel species.
2. MATERIAL AND METHODS
2.1. Study Area
The Province of Soria is located in northern Spain
(central point 41˚25'0"N, 2˚28'0"W; altitude range 1100 -
1650 m). It has a continental climate with cold winters
and mild summers. The region has extensive forested
areas and high shrubland [3].
2.2. Collection of Serum Samples
All the serum samples used in this work—30 from
wild red deer and 30 from wild foxes—came from our
group’s frozen (−20˚C) serum collection.
2.3. Serological Assays
Indirect immunofluorescence assays (IFA) were per-
formed to detect antibodies to A. phagocytophilum and E.
chaffeensis in the tested serum samples according to
Santos et al. [4] and Brouqui et al. [5]. Samples were
diluted 1:40 in PBS and incubated on slides prepared
with HL-60 cells infected with A. phagocytophilum
(prepared with Arkansas strain) or DH82 cells infected
with E. chaffeensis (prepared with Webster strain) (both
types of slides were kindly supplied by R. Sousa and A.S.
Santos of the Centro de Estudos de Vectores e Doenças
Infecciosas, Instituto Nacional de Saúde Dr. Ricardo
Jorge, Portugal). The fluorescein-labelled conjugate was
adapted according to the animal species studied (Sigma,
St Louis, MO). Results were interpreted as positive when
IgG titres of ≥40 were recorded. All positive samples
were serially diluted to determine the endpoint titre,
which was expressed as the reciprocal of the serum dilu-
tion.
2.4. Tick Counts
The number of different ticks on each animal from
which serum was extracted was recorded in a database at
the time of serum preparation. Ticks were enumerated
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