Abstract
Tick-borne diseases have been an increasing threat to human and animal health all over the world. Anaplasmosis is one of the emerging tick-borne diseases and has zoonotic potential. A new novel species, which was detected in China in 2010–2012 and provisionally named Anaplasma capra in 2015, causes zoonotic infections and infects many different animal species. In this study, we investigated the presence of A. capra in domestic ruminants from Turkey. A total of 468 blood samples (cattle, sheep, and goat) were examined by the gltA gene-specific nested polymerase chain reaction, revealing the presence of A. capra in six samples (1.28%): one of them from cattle (0.41%) and the other five from sheep (3.22%). According to DNA sequences results of the gltA gene, A. capra isolates identified in the present study were shown high nucleotide similarity with A. capra isolates detected from different hosts. However, the nucleotide differences were detected in the same nucleotide positions between A. capra isolates. For this reason, we thought that at least two different A. capra genotypes could be circulating in the world. As a result, it is seen that A. capra, which was determined to be a new species with zoonotic potential, was revealed in European and Asian countries and in different hosts. In order to raise awareness about human anaplasmosis infections, it is important to reveal the prevalence of the species in the world. The emergence of A. capra in Turkey reveals the need for a re-evaluation of the human and animal health risk analysis in terms of anaplasmosis.
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Introduction
Tick-borne diseases (TBDs) pose a global risk to human and animal health (de la Fuente et al. 2017; Madison-Antenucci et al. 2020). With the development of molecular diagnostic methods and their widespread use in the researches, many new species and/or genotypes have been found in humans and animals (Altay et al. 2007; Liu et al. 2012; Aktas et al. 2021; Aktas and Çolak 2021; Altay et al. 2022). Anaplasma capra is a newly identified species and has a zoonotic character (Li et al. 2015). The novel species within the Anaplasma genus was detected for the first time in goats in China (2010–2012) (Zhou et al. 2010; Liu et al. 2012), and it was provisionally named as “Anaplasma capra” in 2015 (Li et al. 2015). However, in a study conducted on serows in Japan in 2009 based phylogenetic analyses of 16S SSU rRNA DNA sequences shown that some isolates collected in a different clade from known Anaplasma species as A. capra (Sato et al. 2009). After the first detection of A. capra in goats in China, its presence has been detected in Asia (China, Japan, South Korea, Malaysia, Iranian, and Kyrgyzstan) (Sato et al. 2009; Koh et al. 2018; Wei et al. 2020; Miranda et al. 2021; Staji et al. 2021; Altay et al. 2022) and Europe (France and Spain) (Jouglin et al. 2019; Remesar et al. 2021). On the other hand, A. capra has been found to infect humans (Li et al. 2015), goat, sheep, cattle, dog, and wild animals (e.g., deer, takin, Persian onegar, muntjac, serow) (Sato et al. 2009; Liu et al. 2012; Peng et al. 2018; Yang et al. 2018a, b; Jouglin et al. 2019; Shi et al. 2019; Seo et al. 2020; Staji et al. 2021; Altay et al. 2022). A. capra has been also detected in Ixodid tick species such as Ixodes persulcatus, Dermacentor everstianus, Haemaphysalis longicornis, H. qinghaiensis, and Rhipicephalus microplus, but potential biological vectors of A. capra have not yet been proven (Fang et al. 2015; Li et al. 2015; Yang et al. 2016; Qin et al. 2018; Guo et al. 2019; Han et al. 2019). Although A. capra was originally thought to be a common species in China, ongoing researches in this area highlight the global importance of this species in influencing human and animal health (Jouglin et al. 2019; Miranda et al. 2021; Remesar et al. 2021; Staji et al. 2021; Altay et al. 2022).
Turkey’s climate and geographical features, vegetation, and wildlife provide a suitable environment for ticks to continue their existence (Dumanli et al. 2012). Although the presence and prevalence of TBDs vary among the geographical regions, these diseases affect human and animal health in almost every region of the country (Dumanli et al. 2016; Inci et al. 2016). It has been reported that 19 TBDs, including parasitic, bacterial, and viral, have been detected in humans and animals in Turkey (Inci et al. 2016). Anaplasmosis is one of the important infections affecting human and animal health in Turkey. A. marginale, A. centrale, A. bovis, A. ovis, A. platys, and A. phagocytophilum species that cause anaplasmosis have been mostly reported from different hosts in Turkey, using serological (IFA) and molecular techniques (PCR, nested-PCR, PCR–RFLP, RLB, and DNA sequencing) (Gunes et al. 2011; Dumanli et al. 2012; Altay et al. 2014, 2020; Aktas et al. 2015; Aktas and Özübek 2018; Aktas and Çolak 2021; Aktas and Ozubek 2021); in these studies, two different A. phagocytophilum–related strain-like-1 and -2, three A. marginale genotypes (B, C, and G genotypes), and 13 A. ovis genotypes were detected (Aktas and Özübek 2018; Aktas and Çolak 2021; Aktas and Ozubek 2021; Aktas et al. 2021). But a study showing the presence of A. capra is not available in Turkey.
Determining the regional presence and prevalence of new species/genotypes and vectors will contribute to the understanding of epidemiology of vector-borne diseases such as anaplasmosis, which threats human and animal health, and to the development and application of control methods worldwide. The aim of the study was to investigate that presence of A. capra in domestic ruminants from Turkey by citrate synthase (gltA) gene which has great variation between Ehrlichia species-specific nested polymerase chain reaction. The phylogenetic position of A. capra Turkey isolate among the world isolates was determined.
Materials and methods
Study area and blood sampling
Turkey has a subtropical climate and is located on the Eurasian continent divided into seven distinct geographical regions (Eastern Anatolia, Southeastern Anatolia, Mediterranean, Aegean, Marmara, Black Sea, and Central Anatolia) with some of its lands in Europe and Asia. Turkey’s geographical location provides a natural bridge for the transmission of many diseases among the continents of Africa, Asia, and Europe (Inci et al. 2016). Sivas is located in the Central Anatolia region and with a surface area of 28,488 km2; it is Turkey’s second largest province in terms of land. Most of the lands of Sivas enter the Kizilirmak, and some of them enter the Yesilirmak and Firat basins (Anonymous, 2019). Sivas is at the intersection of Central Anatolia, Eastern Anatolia, and Black Sea regions (Fig. 1). While these features add richness and diversity to Sivas in terms of vegetation, they provide a suitable environment for the existence of different vectors in the different areas of the province (Dumanli et al. 2012; Inci et al. 2016). This study was conducted on cattle, sheep, and goats from Sivas (Center, Zara, Yildizeli, Koyulhisar, and Ulas). A total of 468 blood samples (241 cattle, 155 sheep, and 72 goat) were taken into collection tubes with EDTA. Randomly selected animals were clinically healthy and grazing on pasturelands during sampling periods. The animals were aged older than 1. The blood samples were stored at – 20 °C until DNA extraction.
DNA extraction and Anaplasma capra-gltA-nested PCR
Total genomic DNA was obtained from EDTA-treated blood samples using PureLink Genomic DNA kit (Cat. No.: K1820-02, Invitrogen, Carlsbad, USA) according to the manufacturer’s instructions. Positive (A. capra–positive cattle blood sample, Accession number: MW672115) and negative (DNase-RNase-free sterile water, Cat No.: 129114, Qiagen®, Germany) controls were used to control false positive or negative results during the DNA extraction and nested PCR. The extracted total genomic DNA sample was diluted with 200 μL DNA elution buffer and was stored at – 20 °C, until using PCR.
To survey the presence of A. capra in cattle, sheep, and goats from Turkey, the DNA of 468 blood samples were screened for the gltA gene by nested PCR, with the primers listed in Table 1. The PCR conditions were performed as described by Li et al. (2015) and Yang et al. (2016). PCR products were stained with ethidium bromide following electrophoresis in 1.5% agarose gel. The results visualized by UV transillumination. To avoid the risk of contamination, DNA extraction, PCR, and gel electrophoresis were performed in different compartments.
Sequencing of the gltA gene and phylogenetic analyses
The nested PCR products of all positive samples were purified from agarose gel using PCR Clean-Up & Gel Extraction Kit (GeneDireX®, Cat.No.: NA006-0300), according to the manufacturer’s instructions. Sequencing in both directions was performed using ABI 3730XL analyzer (Applied Biosystems, Foster City, CA) using BigDye Terminator v3.1 Cycle sequencing kit (Applied Biosystems, Foster City, CA). Nested PCR inner primer pairs listed Table 1 used for sequencing of A. capra the gltA gene.
The consensus sequences were obtained using the MUSCLE algorithm (Edgar 2004) in MEGA-X software (Kumar et al. 2018), and compared for similarity with published sequences in GenBank by a BLAST search. The sequences done in this study have been submitted and deposited in the GenBank database. Phylogenetic analyses of the gltA gene of A. capra–positive samples detected in this study and the other Anaplasma species DNA sequences obtained from GenBank were carried out (Fig. 2). Phylogenetic trees were constructed using maximum likelihood analysis (ML) in Mega X (Kumar et al. 2018). The best-fit model for ML was evaluated as the Kimura-2 parameter model (Kimura 1980) using the Find Best-Fit Substitution Model in Mega X (Kumar et al. 2018). Bootstrap values were performed with 1000 replicates (Fig. 2).
Ethics statement
The ethics committee report including permissions were obtained from the Sivas Cumhuriyet University Animal Experiments Local Ethics Committee (Approval number: 65202830–050.04.04–573).
Results
A total of 468 blood samples were analyzed with nested PCR to investigate the presence of A. capra in Turkey. In the analysis of the blood samples for the determination of the A. capra, positive results were obtained in a total of six samples (1.28%). The positive rate was 0.41% (1/241) in cattle and 3.22% (5/155) in sheep, respectively. No positive result was detected in goats (Table 2).
The six positive A. capra–nested PCR products were sequenced and aligned with A. capra sequences present in the GenBank and deposited in the GenBank. The GenBank accession numbers of A. capra gltA gene detected in this study are as follows: OK267267 (cattle) and OK267268-OK267272 (sheep).
BLAST analysis showed that DNA sequence of A. capra obtained in this study was found to have 88.39–99.44% similarity to the isolates of A. capra obtained from different host species in France, South Korea, and China. The A. capra DNA sequences detected in this study and A. capra isolates present in GenBank were aligned. Our DNA sequences results of A. capra gltA gene have high nucleotide similarity with A. capra isolates identified in red deer and swamp deer (France), Korean water deer (South Korea), and Dermacentor everestianus (China) (Amer et al. 2019; Han et al. 2019; Jouglin et al. 2019). The phylogenetic analysis of our A. capra DNA sequencing result with A. capra isolates which are obtained from different hosts present in GenBank revealed 59 nucleotide differences in the position of the same nucleotide of the gltA gene of A. capra (Table 3). For this reason, we thought that at least two different A. capra genotypes circulates in the world. According to the gltA gene sequences result, A. capra isolates obtained from sheep and cattle in the present study (Accession numbers: OK267267- OK267272), red deer and swamp deer in France (Accession numbers: MH084719- MH084720), Korean water deer in South Korea (Accession number: LC432155), and Dermacentor everstianus in China (Accession number: MG940872) could be named A. capra genotype-1, thanks to nucleotide similarity in the same nucleotide positions compared with other A. capra isolate (Amer et al. 2019; Han et al. 2019; Jouglin et al. 2019). A. capra isolates identified from dog in China (Accession number: MK838609), Rhipicephalus microplus in China (Accession number: MG869378), cattle in South Korea (Accession number: MT721147), human in China (Accession number: KM206274), sheep in China (Accession number: MG869282), and goat in China (Accession number: MG869310) could be named A. capra genotype-2 due to nucleotide differences in the same nucleotide positions compared with the A. capra genotype-1 of the gltA gene sequences (Li et al. 2015; Guo et al. 2018; Shi et al. 2019; Miranda et al. 2021). Detailed information on nucleotide differences is shown in Table 3.
The phylogenetic tree revealed that A. capra sequences obtained in the present study clustered with A. capra isolates compared to other Anaplasma species. Furthermore, the phylogenetic tree also revealed that A. capra isolates were divided into two clusters among themselves (Fig. 2).
Discussion
Anaplasmosis caused by Anaplasma species, known to be a worldwide tick-borne disease, is one of the most important vector-borne diseases which affects animal and human health. Six Anaplasma species (A. marginale, A. centrale, A. bovis, A. ovis, A. platys, and A. phagocytophilum) have been classified in the genus Anaplasma that cause of the infection (Dumler et al. 2001). Among these, A. phagocytophilum was considered the main species responsible for human infections (Dumler et al. 2001). A. capra was detected in humans shortly after it was identified in goats (Zhou et al. 2010; Liu et al. 2012; Li et al. 2015). In a study conducted in China, A. capra was detected by PCR in 28 of 477 people with tick infestation (Li et al. 2015). In these cases, varying degrees of fever, headache, weakness, dizziness, myalgia, chills, rash, eschar, lymphadenopathy, gastrointestinal symptoms, and neck stiffness were observed in the patients. Five patients were hospitalized because of severe illness (Li et al. 2015).
It has been observed that scientific interest in A. capra has increased, and the presence of this species has been determined in different parts of the world (Asian and European countries) (Jouglin et al. 2019; Wei et al. 2020; Staji et al. 2021; Remesar et al. 2021). In Turkey, anaplasmosis is well known to infect both animals and humans (Aktas et al. 2011, 2015; Gunes et al. 2011; Dumanli et al. 2012, 2016; Altay et al. 2014, 2020; Inci et al. 2016), but there is no information about the presence of A. capra in Turkey according to our knowledge. In this study, the presence of A. capra in Turkey was investigated based on the gltA gene–specific nested PCR in domestic ruminants. The emergence of A. capra in Turkey reveals the need for a re-evaluation of both human and animal health risk analysis in terms of anaplasmosis.
Ecological changes, especially global warming and changes in lifestyles (animal and human movement worldwide, increase in the transition between domestic and wildlife, etc.), increase the effects of ticks and tick-borne diseases on human and animal health (Dumanli et al. 2016; Inci et al. 2016; de la Fuente et al. 2017; Madison-Antenucci et al. 2020). Turkey has subtropic climate conditions and known that the presence over the 30 tick species from Ixodidae and Argasidae families (Dumanli et al. 2016). On the other hand, the diseases transmitted by the ticks such as anaplasmosis are determined all over the country. A. marginale, A. centrale, A. bovis, A. ovis, A. platys, and A. phagocytophilum are well documented in human, animals, and tick species in Turkey (Aktas et al. 2011, 2015, 2021; Gunes et al. 2011; Dumanli et al. 2012; Altay et al. 2014, 2020). In the present study, we investigated the presence of A capra in cattle, sheep, and goats from Turkey. As a result of nested PCR of 468 blood samples, we found that six animals (1.28%) infected: one of which from cattle (0.41%) and the other five from sheep (3.22%), but no positive results were detected in goats. It can be seen from the results of studies that the prevalence of A. capra differs according to the country. For example, A. capra was detected in 79 of 435 (18.2%) sheep in China (Yang et al. 2018b), in 13 of 224 (5.8%) cattle in Malaysia (Koh et al. 2018), and in 10 of 452 (2.2%) goats in South Korea (Seo et al. 2019). On the other hand, in the study conducted in Malaysia, 40 goats and 46 horses were found to be negative for A. capra (Koh et al. 2018). In our study, A. capra was detected for the first time in cattle and sheep in Turkey, albeit with a low prevalence. This result could be related to climate conditions and habitat in the sampling areas (Dumanli et al. 2012; Inci et al. 2016). When evaluated together with the studies conducted in other countries, our results are important in terms of showing that A. capra could be a worldwide species. Additionally, in this study, all samples were collected from clinically healthy animals. The certain clinic form in animals of A. capra is unclear, and subclinical anaplasmosis persisting more than 3 years may be the lifetime in animals, and the persisted infected animals may serve as reservoirs to vectors (Kocan et al. 2010; Brown and Barbet 2016). With this result, it can be concluded that new perspectives should be developed in the evaluations to be made in terms of anaplasmosis in animals.
The 16S SSU rRNA, gltA, groEL, and msp4 genes have been used for detection and description of A. capra isolates from other Ehrlichia species (Peng et al. 2018, 2020; Yang et al. 2018a, b; Shi et al. 2019; Wei et al. 2020; Altay et al. 2022). The gltA gene has a great genetic variation and may be preferred for both phylogenetic analysis and identification research of Anaplasma species (Inokuma et al. 2001). In this study, we used the gltA gene for phylogenetic analysis and identification of A. capra in Turkey. A total of six A. capra gltA gene partial sequences, one of which from cattle and the others from sheep, were obtained. The DNA sequence results we obtained for A. capra agreed with those for A. capra obtained from different host species with 88.39–99.44% similarity. Our samples showed high nucleotide sequence similarity with A. capra, which were detected in red deer and swamp deer from France (Jouglin et al. 2019), Korean water deer from South Korea (Amer et al. 2021), and Dermacentor everestianus from China (Han et al. 2019). But according to alignment results of the gltA gene sequences, nucleotide differences were detected between our and the abovementioned A. capra isolates and A. capra isolates obtained from dogs, cattle, sheep, goats, humans, and tick (Li et al. 2015; Guo et al. 2018; Shi et al. 2019; Miranda et al. 2021) in the same nucleotide positions of the gltA gene (Table 3). Moreover, the phylogenetic tree also revealed that A. capra isolates were gathered into two groups among themselves (Fig. 2). Therefore, we assert that at least two different A. capra genotypes (A. capra genotype-1 and A. capra genotype-2) have circulated among suitable host species.
In conclusion, A. capra was reported for the first time in Turkey using molecular identification techniques with the present study. This species is known to be human pathogenic novel Anaplasma genotype and can cause severe disease symptoms in humans. But there is paucity of information about distribution, genetic diversity, suitable vectors species, and host specificity of A. capra in the world. For this reason, the determination of distribution, genetic diversity, vector, and host specificity of A. capra isolates is important to protect both human and animal health and to constitute control strategies against the pathogen.
Data availability
All data generated or analyzed during this study are included in this manuscript.
Code availability
Not applicable.
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Acknowledgements
The authors would like to thank all veterinarians and technicians for their kind help during sample collection.
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Kursat Altay (DVM, PhD, Prof.): Conceptualization, field work, methodology, validation, formal analysis, supervision, writing—original draft preparation, reviewing, and editing
Ufuk EROL (DVM, PhD, Assist. Prof.): Conceptualization, field work, methodology, validation, data curation, formal analysis, writing—original draft preparation
Omer Faruk SAHİN (DVM, Res. Assist.): Field work, data curation, methodology, formal analysis
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Altay, K., Erol, U. & Sahin, O.F. The first molecular detection of Anaplasma capra in domestic ruminants in the central part of Turkey, with genetic diversity and genotyping of Anaplasma capra. Trop Anim Health Prod 54, 129 (2022). https://doi.org/10.1007/s11250-022-03125-7
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DOI: https://doi.org/10.1007/s11250-022-03125-7