Borrelia burgdorferi and Borrelia miyamotoi seroprevalence in California blood donors.

The western blacklegged tick, Ixodes pacificus, an important vector in the western United States of two zoonotic spirochetes: Borrelia burgdorferi (also called Borreliella burgdorferi), causing Lyme disease, and Borrelia miyamotoi, causing a relapsing fever-type illness. Human cases of Lyme disease...

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Main Authors: Sharon I Brummitt, Anne M Kjemtrup, Danielle J Harvey, Jeannine M Petersen, Christopher Sexton, Adam Replogle, Andrea E Packham, Evan M Bloch, Alan G Barbour, Peter J Krause, Valerie Green, Woutrina A Smith
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0243950
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author Sharon I Brummitt
Anne M Kjemtrup
Danielle J Harvey
Jeannine M Petersen
Christopher Sexton
Adam Replogle
Andrea E Packham
Evan M Bloch
Alan G Barbour
Peter J Krause
Valerie Green
Woutrina A Smith
author_facet Sharon I Brummitt
Anne M Kjemtrup
Danielle J Harvey
Jeannine M Petersen
Christopher Sexton
Adam Replogle
Andrea E Packham
Evan M Bloch
Alan G Barbour
Peter J Krause
Valerie Green
Woutrina A Smith
author_sort Sharon I Brummitt
collection DOAJ
description The western blacklegged tick, Ixodes pacificus, an important vector in the western United States of two zoonotic spirochetes: Borrelia burgdorferi (also called Borreliella burgdorferi), causing Lyme disease, and Borrelia miyamotoi, causing a relapsing fever-type illness. Human cases of Lyme disease are well-documented in California, with increased risk in the north coastal areas and western slopes of the Sierra Nevada range. Despite the established presence of B. miyamotoi in the human-biting I. pacificus tick in California, clinical cases with this spirochete have not been well studied. To assess exposure to B. burgdorferi and B. miyamotoi in California, and to address the hypothesis that B. miyamotoi exposure in humans is similar in geographic range to B. burgdorferi, 1,700 blood donor sera from California were tested for antibodies to both pathogens. Sampling was from high endemic and low endemic counties for Lyme disease in California. All sera were screened using the C6 ELISA. All C6 positive and equivocal samples and nine randomly chosen C6 negative samples were further analyzed for B. burgdorferi antibody using IgG western blot and a modified two ELISA test system and for B. miyamotoi antibody using the GlpQ ELISA and B. miyamotoi whole cell sonicate western blot. Of the 1,700 samples tested in series, eight tested positive for antibodies to B. burgdorferi (0.47%, Exact 95% CI: 0.20, 0.93) and two tested positive for antibodies to B. miyamotoi (0.12%, Exact 95% CI: 0.01, 0.42). There was no statistically significant difference in seroprevalence for either pathogen between high and low Lyme disease endemic counties. Our results confirm a low frequency of Lyme disease and an even lower frequency of B. miyamotoi exposure among adult blood donors in California; however, our findings reinforce public health messaging that there is risk of infection by these emerging diseases in the state.
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spelling doaj.art-55e065aacc824b028023d172341c19212022-12-22T01:34:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-011512e024395010.1371/journal.pone.0243950Borrelia burgdorferi and Borrelia miyamotoi seroprevalence in California blood donors.Sharon I BrummittAnne M KjemtrupDanielle J HarveyJeannine M PetersenChristopher SextonAdam ReplogleAndrea E PackhamEvan M BlochAlan G BarbourPeter J KrauseValerie GreenWoutrina A SmithThe western blacklegged tick, Ixodes pacificus, an important vector in the western United States of two zoonotic spirochetes: Borrelia burgdorferi (also called Borreliella burgdorferi), causing Lyme disease, and Borrelia miyamotoi, causing a relapsing fever-type illness. Human cases of Lyme disease are well-documented in California, with increased risk in the north coastal areas and western slopes of the Sierra Nevada range. Despite the established presence of B. miyamotoi in the human-biting I. pacificus tick in California, clinical cases with this spirochete have not been well studied. To assess exposure to B. burgdorferi and B. miyamotoi in California, and to address the hypothesis that B. miyamotoi exposure in humans is similar in geographic range to B. burgdorferi, 1,700 blood donor sera from California were tested for antibodies to both pathogens. Sampling was from high endemic and low endemic counties for Lyme disease in California. All sera were screened using the C6 ELISA. All C6 positive and equivocal samples and nine randomly chosen C6 negative samples were further analyzed for B. burgdorferi antibody using IgG western blot and a modified two ELISA test system and for B. miyamotoi antibody using the GlpQ ELISA and B. miyamotoi whole cell sonicate western blot. Of the 1,700 samples tested in series, eight tested positive for antibodies to B. burgdorferi (0.47%, Exact 95% CI: 0.20, 0.93) and two tested positive for antibodies to B. miyamotoi (0.12%, Exact 95% CI: 0.01, 0.42). There was no statistically significant difference in seroprevalence for either pathogen between high and low Lyme disease endemic counties. Our results confirm a low frequency of Lyme disease and an even lower frequency of B. miyamotoi exposure among adult blood donors in California; however, our findings reinforce public health messaging that there is risk of infection by these emerging diseases in the state.https://doi.org/10.1371/journal.pone.0243950
spellingShingle Sharon I Brummitt
Anne M Kjemtrup
Danielle J Harvey
Jeannine M Petersen
Christopher Sexton
Adam Replogle
Andrea E Packham
Evan M Bloch
Alan G Barbour
Peter J Krause
Valerie Green
Woutrina A Smith
Borrelia burgdorferi and Borrelia miyamotoi seroprevalence in California blood donors.
PLoS ONE
title Borrelia burgdorferi and Borrelia miyamotoi seroprevalence in California blood donors.
title_full Borrelia burgdorferi and Borrelia miyamotoi seroprevalence in California blood donors.
title_fullStr Borrelia burgdorferi and Borrelia miyamotoi seroprevalence in California blood donors.
title_full_unstemmed Borrelia burgdorferi and Borrelia miyamotoi seroprevalence in California blood donors.
title_short Borrelia burgdorferi and Borrelia miyamotoi seroprevalence in California blood donors.
title_sort borrelia burgdorferi and borrelia miyamotoi seroprevalence in california blood donors
url https://doi.org/10.1371/journal.pone.0243950
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