Archive for the ‘research’ Category

Deer, Fragmented Forests, Ticks, a Lyme-like Disease….and a Little Praise for Possums

https://www.wm.edu/news/stories/2019/deer,-fragmented-forests,-ticks,-a-lyme-like-disease-and-a-little-praise-for-possums.php  Full Article Here

Deer, fragmented forests, ticks, a Lyme-like disease … and a little praise for possums

Joanna Weeks  drags a cloth to collect ticks in the College Woods

It’s a drag:  In a photo from 2013, Joanna Weeks ’13 drags a cloth to collect ticks working with W&M biologists Matthias Leu (left) and Oliver Kerscher. The three were among the co-authors on a 2019 paper that examines the link between a Lyme-like tick-borne disease and fragmented forested habitat.  Photo by Joseph McClain

 

 

“…Say — what’s that?”

“Nothing but a tick.”

“Where’d you get him?”

“Out in the woods.”

“What’ll you take for him?”

“I don’t know. I don’t want to sell him.”

—Tom and Huck, in Tom Sawyer

Ticks were evidently so rare in Samuel Clemens’ Hannibal that a single live specimen had value enough to tempt Tom Sawyer to part with his newly shed tooth. Matthias Leu says it was the same in the Switzerland of his more recent youth.

“When I was a boy, I spent all my time in the forest,” Leu said. “I never saw one tick. And in Switzerland now, you should not leave the trails because there are so many ticks. So, it’s not just in North America; it’s global.”

__________________

**Comment*

Great read which exposes the fact that little is known about the Ehrlichia chaffeensis bacterium which gives similar symptoms as Lyme disease. According to biologist Matthias Leu, “There probably has been a lot of ehrlichiosis that was misdiagnosed as Lyme.” Leu and his colleagues studied the habitat of the Lone Star Tick and found that forest fragmentation causes more edges which deer love, giving ticks an easy meal.

Leu explains that deer are “competent hosts,” serving not only as a meal for the tick, but also a reservoir for ehrlichiosis, capable of infecting the next feasting tick with Ehrlichia chaffeensis. He states that fawns and yearling deer are especially important in transmission of the bacterium.

According to this study, health providers often fail to consider ehrlichia when treating tick borne infections:  https://www.sciencedaily.com/releases/2018/10/181001171202.htm

“The failure to test for Ehrlichia, even as more and more evidence suggests that the infection may be just as common as other endemic tick-borne diseases, appears to impact patient care with antibiotics prescribed less frequently when testing is not ordered.”

For more on Ehrlichia:  https://madisonarealymesupportgroup.com/2018/12/02/everything-thats-known-about-ehrlichiosis/

https://madisonarealymesupportgroup.com/2018/10/15/ehrlichiosis-masquerading-as-thrombotic-thrombocytopenia-purpura/

https://madisonarealymesupportgroup.com/2018/10/02/north-carolina-ehrlichia-often-overlooked-when-tick-borne-illness-suspected/

https://madisonarealymesupportgroup.com/2018/07/24/oklahoma-ehrlichiosis-central/

https://madisonarealymesupportgroup.com/2018/03/09/dogs-ehrlichiosis/

https://madisonarealymesupportgroup.com/2019/05/04/ehrlichiosis-a-tick-borne-illness-that-can-imitate-blood-related-cancers/

https://madisonarealymesupportgroup.com/2018/12/02/everything-thats-known-about-ehrlichiosis/

https://madisonarealymesupportgroup.com/2018/10/15/ehrlichiosis-masquerading-as-thrombotic-thrombocytopenia-purpura/

https://madisonarealymesupportgroup.com/2018/10/02/north-carolina-ehrlichia-often-overlooked-when-tick-borne-illness-suspected/

 

 

 

Line Immunoblot Assay for Tick-Borne Relapsing Fever and Findings in Patient Sera From Australia, Ukraine, & the USA

https://www.mdpi.com/2227-9032/7/4/121

Line Immunoblot Assay for Tick-Borne Relapsing Fever and Findings in Patient Sera from Australia, Ukraine and the USA

Healthcare 2019, 7(4), 121; https://doi.org/10.3390/healthcare7040121
Received: 11 July 2019 / Revised: 25 September 2019 / Accepted: 16 October 2019 / Published: 21 October 2019
(This article belongs to the Special Issue Lyme Disease and Related Tickborne Infections)
Tick-borne relapsing fever (TBRF) is caused by spirochete bacteria of the genus Borrelia termed relapsing fever Borreliae (RFB). TBRF shares symptoms with Lyme disease (LD) caused by related Lyme disease Borreliae (LDB). TBRF and LD are transmitted by ticks and occur in overlapping localities worldwide. Serological detection of antibodies used for laboratory confirmation of LD is not established for TBRF. A line immunoblot assay using recombinant proteins from different RFB species, termed TBRF IB, was developed and its diagnostic utility investigated. The TBRF IBs were able to differentiate between antibodies to RFB and LDB and had estimated sensitivity, specificity, and positive and negative predictive values of 70.5%, 99.5%, 97.3%, and 93.4%, respectively, based on results with reference sera from patients known to be positive and negative for TBRF. The use of TBRF IBs and analogous immunoblots for LD to test sera of patients from Australia, Ukraine, and the USA with LD symptoms revealed infection with TBRF alone, LD alone, and both TBRF and LD. Diagnosis by clinical criteria alone can, therefore, underestimate the incidence of TBRF. TBRF IBs will be useful for laboratory confirmation of TBRF and understanding its epidemiology worldwide. View Full-Text
__________________

Parenting When Children Have Lyme Disease: Fear, Frustration, Advocacy

https://www.mdpi.com/2227-9032/7/3/95

Parenting When Children Have Lyme Disease: Fear, Frustration, Advocacy

Received: 30 June 2019 / Revised: 1 August 2019 / Accepted: 3 August 2019 / Published: 8 August 2019
(This article belongs to the Special Issue Lyme Disease and Related Tickborne Infections)
Increasing numbers of Canadians, including children and adolescents, are being infected with Borrelia burgdorferi and contracting Lyme disease. In the present study, we provided a qualitative analysis of written correspondence produced by 23 parents of children and adolescents with Lyme disease. The goal of this study was to investigate how medical and psychological issues were highlighted by parents describing their family’s Lyme disease experiences. The results suggest a series of four stages in these families where satisfactory treatment had not been obtained over months or years.
The experiences of parents evolved from feelings of worry for the child to frustration with the lack of a helpful treatment, to mistrust of physicians’ actions, and, in some case, to a rejection of the conventional health care system as a whole. Improved diagnostic testing and treatment guidelines, as well as family-centered practices of medical care were proposed as important features for improving the experiences of families living with Lyme disease. View Full-Text
__________________

Researchers Conclude Asian Longhorned Tick Contributes Minimally to Lyme Disease in the U.S.

https://www.sciencedirect.com/science/article/pii/S1877959X19303498

Original article

Failure of the Asian longhorned tick, Haemaphysalis longicornis, to serve as an experimental vector of the Lyme disease spirochete, Borrelia burgdorferi sensu stricto

Under a Creative Commons licenseopen access

Abstract

The invasive, human-biting Asian longhorned tick, Haemaphysalis longicornis, was detected in New Jersey in the eastern United States in August of 2017 and by November of 2018 this tick had been recorded from 45 counties across 9 states, primarily along the Eastern Seaboard. The establishment of H. longicornis in the United States has raised the questions of how commonly it will bite humans and which native pathogens may naturally infect this tick. There also is a need for experimental vector competence studies with native pathogens to determine if H. longicornis can acquire a given pathogen while feeding, pass it transstadially, and then transmit the pathogen in the next life stage.

In this experimental study, we evaluated the vector competence of a population of H. longicornis originating from the United States (New York) for a native isolate (B31) of the Lyme disease spirochete, Borrelia burgdorferi sensu stricto (s.s.).

In agreement with a previous experimental study on the vector competence of H. longicornis for Borrelia garinii, we found that uninfected H. longicornis larvae could acquire B. burgdorferi s.s. while feeding on infected Mus musculus mice (infection prevalence >50% in freshly fed larvae) but that the infection was lost during the molt to the nymphal stage. None of 520 tested molted nymphs were found to be infected, indicating that transstadial passage of B. burgdorferi s.s. is absent or rare in H. longicornis; and based on the potential error associated with the number of nymphs testing negative in this study, we estimate that the upper 95% limit for infection prevalence was 0.73%.

An Ixodes scapularis process control showed both effective acquisition of B. burgdorferi s.s. from infected mice by uninfected larvae and transstadial passage to the nymphal stage (infection prevalence of 80–82% for both freshly fed larvae and molted nymphs). We also observed that although H. longicornis larvae could be compelled to feed on mice by placing the ticks within feeding capsules, attachment and feeding success was minimal (<0.5%) when larvae were placed freely on the fur of the mice.

We conclude that H. longicornis is unlikely to contribute more than minimally, if at all, to transmission of Lyme disease spirochetes in the United States.

_______________

**Comment**

Transmission can still happen and if you are the sorry sucker it happens to – it makes all the difference in the world.  Here’s the deal – ticks are not your friends. Take each and every tick bite as seriously as a heart attack.  Little is known about the Asian Longhorned tick but in Asia it’s bite KILLS 15% of those whom contract it. Don’t take this lightly.

https://madisonarealymesupportgroup.com/2019/06/09/first-us-human-bite-from-worrying-longhorned-tick-noted-but-its-actually-the-second-human-bite/

Excerpt:

Several other human pathogens have been detected in the ticks, but it’s not clear the Asian longhorned species are able to transmit them to humans. They include Anaplasma, Ehrlichia, Rickettsia, and Borreliaspecies. Lyme disease is caused by Borrelia burgdorferi bacteria.

She warned that the organisms are present in states where longhorned ticks have been found and that it’s possible that the tick—known to be an aggressive bitermight be able to transmit Heartland virus, given its close relationship to SFTS virus.

Pritt said it’s clear that the invasive species is here to stay for the foreseeable future, and next steps should include public awareness campaigns that incorporate the new information, easy-to-use resources for labs to identify the tick, and more research to understand the implications of the new findings.

For a great read on this aggressive biter which can clone itself and is found in sunny open locations:   https://madisonarealymesupportgroup.com/2018/09/12/three-surprising-things-i-learned-about-asian-longhorned-ticks-the-tick-guy-tom-mather/.  This picture demonstrates how if you brush against a blade of grass a literal cluster bomb of ticks explodes onto you.  To downplay this is really short sighted.three_surprising_4.png-2

UMD Collaborates on New Department of Defense Grant to Study Tick-borne Infection using 3-D Models of Human Blood Vessels

https://globallymealliance.org/news/umd-collaborates-on-new-dept-of-defense-grant-to-study-tick-borne-infection-using-3-d-models-of-human-blood-vessels/

close up image of blood vessels

An exciting new project by GLA’s Scientific Advisory Board member Dr. Utpal Pal, Professor of Veterinary Medicine at the University of Maryland was announced. This project, funded by a grant from the U.S. Department of Defense, will study tick-borne disease bacteria and how they leave blood vessels to enter the tissue and spread through the body.

Dr. Pal will team up with Dr. Peter Searson of Johns Hopkins University and Dr. J. Stephen Dumler of Uniformed Services University, to build three-dimensional models of blood vessels and to examine endothelial cell interactions with Borrelia burgdorferi and Anaplasma phagocytophilum, which cause serious illnesses transmitted by tick bites. All three researchers bring high-level expertise to a complex question and will use a sophisticated model system not previously used, to answer important questions about pathogen spread.

Full press release here & below:   https://www.benzinga.com/pressreleases/19/10/p14638103/umd-collaborates-on-new-department-of-defense-grant-to-study-tick-borne-infection-using-3-d-models

UMD Collaborates on New Department of Defense Grant to Study Tick-borne Infection using 3-D Models of Human Blood Vessels

Models provide an opportunity to study how pathogens move in and out of the blood like never before, with implications for soldier and civilian health.

COLLEGE PARK, Md. (PRWEB) October 22, 2019

Utpal Pal, professor in Veterinary Medicine at the University of Maryland, is serving as one of three collaborators on a new innovative grant from the Department of Defense, using 3-D bioengineered models of human blood vessels for the first time to examine how tick-borne pathogens move in and out of blood and tissue to cause infection and diseases like Lyme and Anaplasmosis. The team is combining expertise in tick-borne infectious diseases and bioengineering to study mechanisms that cannot be adequately captured using animal models, thus providing new targets for vaccine development and therapeutic options to protect our troops and civilians alike.

Pal is partnering with principal investigator Dr. John Dumler at the Uniformed Services University and co-investigator Peter Searson at John Hopkins University.

“The story starts out with the reports that came out of the Centers for Disease Control and Prevention and the National Institutes of Health documenting the substantial increases in tick-borne diseases in the United States since 2004, and there is evidence that many are growing even faster than reported,” says Dumler.

Between 2004 and 2016, there was a reported four-fold increase in recorded tick-borne diseases, with 80% of vector-borne diseases that affect Americans actually being tick-borne and not mosquito carried. This phenomenon affects everyone in areas where ticks are prevalent, but our troops are disproportionately affected due to their frequent travel across the country and outdoor training exercises. Due to this upswing in tick-borne illness in soldiers and civilians, the United States Department of Defense started the Tick-Borne Disease Research Program as part of their Congressionally Directed Medical Research Program, charged with supporting research in tick-borne illness.

The Borrelia burgdorferi pathogen that causes Lyme disease and the Anaplasma phagocytophilum pathogen that causes Anaplasmosis are two prominent pathogens carried by a common tick in the United States, the Ixodes scapularis or black-legged tick (deer tick). Dumler is an expert in Anaplasma and has been working in tick-borne infection for forty years, while Pal is a world-renowned expert in Borrelia. Both Anaplasma and Borrelia, however, have many unknowns in their infection processes, specifically in determining how pathogens move from the skin to the blood and then from the blood to their target tissues and organs like the brain. These processes are profoundly distinct for each organism as each feature different lifestyles, but it is nearly impossible to do this work effectively in animal models.

“Humans, as incidental hosts, are a big part of the disease process in the life cycle of Borrelia,” says Pal. “How the pathogen enters the vasculature is a critical event because the pathogen is still only present in a small number. And you can’t study this using animal models. Human tissues are too different, and Borrelia can’t cross the blood-brain barrier in rodent models the way it can in humans. Dr. Searson’s models allow us to study these molecular events in a human model for the first time.”

Searson is quite well known for developing tissue-engineered models of human blood vessels and systems, particularly for the brain. With recent advances in stem cell technology, these models have become increasingly complex, with the ability to differentiate cells in a way that couldn’t be done before. While 2-D models have been used in the past to examine pathogen dissemination, this is the first time that 3-D vascular structures have been used in tick-borne infection to study how pathogens are transported by the blood and vascular system in real time, and how they can enter organs and tissues like the brain.

“Right now, there is absolutely no effective model to study this process,” says Pal, “so these 3-D models are essential.” Dumler adds, “Being able to study pathogen dissemination in a configuration that mimics what happens in a real tissue will give a much better picture about what happens in real life.”

The researchers are able to visualize this process in real time, tracking pathogens with fluorescent dyes that are easily viewed under the microscope and recorded for processing and analysis. With Searson’s expertise in creating tissue-engineered models, and Pal and Dumler’s extensive expertise in the biology of tick-borne infections, they are able to manipulate the models with different types of cells and structures to visualize how transfer in and out of the bloodstream occurs.

Everyone involved is excited about the collaboration and the future of this work.

“This is a fantastic opportunity to collaborate with world experts in tick-borne infections on such an important problem,” says Searson.

Pal adds,

“This grant is just the beginning to create a unique program that will use these models to help us to address many questions in tick-borne diseases that are unanswered.”

This work is funded by the Congressionally Directed Medical Research Program’s Tick Borne Disease Research Program, United States Department of Defense Award #W81XWH-19-2-0045.