J Arthropod-Borne Dis, December 2013, 7(2): 132–138 M Tavassoli et al.: PCR-based Detection of … http://jad.tums.ac.ir Published Online: August 31, 2013 Original Article PCR-based Detection of Babesia spp. Infection in Collected Ticks from Cattle in West and North-West of Iran *Mousa Tavassoli 1, Mohammad Tabatabaei 2, Mosleh Mohammadi 1, Bijan Esmaeilnejad 1, Hemn Mohamadpour 3 1Department of Pathobiology, Faculty of Veterinary Medicine, Urmia University, Urmia, Iran 2Department of Pathobiology, Faculty of Veterinary Medicine, Shiraz University, Shiraz, Iran 3Department of Immunology, Faculty of Medical Science, Tarbiat Modares University, Tehran, Iran (Received 7 Feb 2011; accepted 07 Apr 2013) Abstract Background: Babesiosis is a haemoparasitic disease of domestic and wild animals caused by species of the genus Babesia. Babesia bigemina, B. bovis and B. divergens are known to be pathogenic in cattle. The disease is transmit- ted during blood feeding by infected ticks and is the most economically important tick-borne disease in tropical and subtropical areas. Ixodid ticks are vectors in the transmission of babesiosis. The classic presentation is a febrile syn- drome with apparent anemia and hemoglobinuria. This study was carried out to determine species of bovine Babesia spp. vector ticks collected from naturally occurring bovine babesiosis in West and North-West of Iran. Methods: Two hundred and eleven ticks were collected from 113 cattle and ticks' species were identified using the standard taxonomic keys. After DNA extraction from salivary glands of each tick, the presence of Babesia spp. in- fection in ticks was examined by PCR method using primers derived from the gene encoding rhoptry protein. Results: Rhipicephalus sanguineus and R. bursa ticks were infected with bovine Babesia spp. Conclusion: Rhipicephalus spp. may play a major role in the transmission of infection of bovine Babesia spp. in West and North-West of Iran. Keywords: Babesia, Rhipicephalus, bovine, PCR, Iran Introduction Babesiosis is a serious disease of cattle caused by protozoan parasites of the genus Babesia. It is an important emerging tick- borne disease, which causes major economic losses, and affects many domestic animals, mainly cattle and sheep, in tropical and sub- tropical regions (Bock et al. 2004). Three Babesia species, namely B. bigemina, B. bovis and B. divergens are mainly the agents of bovine babesiosis (Uilenberg 1995). Rhipicephalus sanguineus, R. decolaratus, R. geiyi, R. annulatus, R. evertsi, R. bursa, Ixodes ricinus and I. persulcatus have been implicated in the transmission of Babesia spp (Estrada-Pena et al. 2004). The first demonstrated case of human babesiosis in the world was reported in a Yugoslavia farmer, in 1957 (Skrabalo et al. 1957). Babesia divergens, a parasite of cat- tle, has been implicated as the most common agent of human babesiosis in Europe, caus- ing severe disease in splenectomized indi- viduals. In the US, B. microti, a babesial parasite of small mammals, has been the cause of over 300 cases of human babesiosis since 1969, resulting in mild to severe dis- ease, even in non-splenectomized patients (Kjemtrup and Conrad 2000). Hard-bodies ticks, in particular I. dammini (I. scapularis) and I. ricinus, are the vectors of the parasite. Human babesiosis is characterized by fe- ver, chills, sweating, headache, and muscle *Corresponding author: Prof Mousa Tavassoli, E- mail: mtavassoli2000@yahoo.com 132 J Arthropod-Borne Dis, December 2013, 7(2): 132–138 M Tavassoli et al.: PCR-based Detection of … http://jad.tums.ac.ir Published Online: August 31, 2013 ache. Additional symptoms include joint pain, nausea, vomiting, and prostration. Repeating episodes of clinical disease can persist for months eventually leading to anemia, jaun- dice, and blood in urine (Michael, 2001). A relatively recently described babesial para- site, the Washington (WA1) type, has been shown to be the causative agent in seven human cases in the western US. This para- site is closely related to babesial parasites isolated from large wild ungulates in Cali- fornia (CA-1). Like B. microti, WA1-type parasites cause mild to severe disease and the immunopathogenesis of these parasites is distinctly different from each other in ex- perimental infections of hamsters and mice. A B. divergens-like parasite was also identi- fied as the cause of a fatal human babesiosis case in Missouri (MO-1). Isolated cases of human babesiosis have been described in Africa and Mexico, but the causative para- sites were not well-characterized (Michael et al. 2001). Most cases were infected by ticks carrying the rodent parasite B. microti, but other emerging. Babesia spp. (currently known as WA1, CA1, and MO1) are increasingly in- volved. A few other cases of human babesial infection have been described in China, Egypt, Mexico, South Africa and Taiwan (Michael et al. 2001). Several cases were the result of blood transfusion (Gorenflot et al. 1998). Diagnosis of babesiosis can be traditionally achieved by microscopic examination of Giemsa-stained blood smears, clinical signs and serological methods (D’Oliveira et al. 1997). Other diagnostic techniques, based on the detection of DNA from the infective agent, such as PCR are able to simultaneously detect and differentiate the infecting organ- isms in a given animal (Schnittger et al. 2004). This study aimed to determine the presence of the bovine Babesia spp. in salivary glands of ticks' species collected from naturally in- fested cattle with Ixodid ticks in West and North-West of Iran. Materials and Methods Field study area and animals The study was conducted in two semi-arid provinces (Kurdistan and West-Azerbaijan) lo- cated in Western and North-Western Iran where bovine babesiosis is endemic. Ticks were col- lected from 113 cattle suspected of bovine babesiosis during a period of 4 month spanning from June to September 2008. In these areas, the cattle are traditionally grazing on extensively natural pasture. Collection of ticks A total of 211 ticks were collected, which were manually removed from cattle clini- cally suspected to bovine babesiosis. The adults and nymph ticks were collected from cattle and kept in dry plastic tubes contain- ing few fresh grass leaves covered by a lid containing several minute holes. Tubes were labeled and conditioned under room temper- ature for a few days, and then were dis- patched to the laboratory. The purpose of this procedure was to maintain ticks alive inside the tubes until the laboratory taxo- nomic identification. The ticks were identi- fied by morphologic characteristics accord- ing to the standard taxonomic keys (Estrada- Pena et al. 2004) and then transferred to 70% ethanol until further use. DNA isolation from tick Ticks were processed individually as de- scribed by D’Oliveira et al. (1997) with some modifications. Briefly, each tick was taken from the 70% ethanol, air dried on a filter paper and the scutum was removed with a microscalpel by cutting across the dorsal shield before removing the salivary glands. For each tick, a new blade and heat- sterilized forceps were used. The salivary glands was placed in a 1.5ml micro-centri- fuge tube, 200µl phosphate-buffer saline (PBS) was added and the sample boiled for 10min on a hot plate. SDS 1% was added to 150µl of the 133 J Arthropod-Borne Dis, December 2013, 7(2): 132–138 M Tavassoli et al.: PCR-based Detection of … http://jad.tums.ac.ir Published Online: August 31, 2013 boiled sample, which was then extracted once with phenol, pH 7.8, phenol: chloroform (1: 1) and chloroform: isoamyl alcohol (24: 1), re- spectively. Subsequently, DNA was ethanol precipitated and resuspended in 25µl 10 mM Tris HCl, pH 7.5. Two micro liters was used as template DNA in each PCR reaction. PCR reaction For PCR amplification of the rhoptry pro- tein spanning the 239bp amplicon, the for- ward and the reverse primers 5'CAGGATT GCTTTCGCAACAAG3' and 5'CCTTGAC ATAACCGGCGAGG3' were used (Shayan et al. 2007). Reaction mixture contained 12.5μl of ready to use PCR Master Kit (containing dNTPs, Taq DNA Polymerase and MgCl2, Cinagen, Iran), 2μl of each primers (final con- centration: 0.5 μM), 2μl of template DNA extract (10 ng) and distilled water to a final volume of 25μl. The PCR amplification re- actions were carried out using thermal cycler (Corbett Research, CP2-003, Australia). The reactions were incubated at 94 °C for 5 min followed by 35 cycles of 94 °C for 45 sec, 56 °C for 45 sec and 72 °C for 45 sec. The PCR reactions were ended by a final exten- sion at 72 °C for 10 min. The amplified PCR products were separated by electrophoresis on 1.5% agarose gel in 0.5x TBE buffer and subsequently stained with ethidium bromide and visualized under UV light using a transilluminator (BTS-20M, Japan). The 100bp DNA ladder (Fermentas, Hannover, Germany) was used as a size marker in all gels. The positive control for Babesia was ob- tained from cattle with clinical babesiosis (diagnosis was done based on clinical signs and light microscopic examination Giemsa- stained thin blood smear). Venous blood sample, taken from healthy calf without contact with ticks, served as negative control in the study. Results A total of 113 cattle suspected of suffering from babesiosis were investigated for the presence of tick species on their bodies. To- tally, 211 ticks were collected from 113 cat- tle. The following ticks were isolated, Hya- lomma anatolicum anatolicum 27.9%, H. asiaticum asiaticum 20.3%, H. anatolicum excavatum 11.8%, H. detritum 12.7%, R. sanguineus 7.5%, R. annulatus 2.8%, R. bursa 13.7%, Dermacentor marginatus 3.3% and Haemaphysalis punctata 0.9% (Table 1). Detection of T. annulata in ticks by PCR Primer set P1/P2 was used in the PCR per- formed on tick DNA samples taken from suspected cattle (Shayan et al. 2007). A 239 bp fragment was generated in all samples (Fig. 1). The examination of 211 ticks re- vealed that 8 out 16 R. sanguineus and 1 out of 29 of R. bursa ticks were infected with Babesia spp. (Table 1). Moreover, out of 11 male and 5 female ticks of R. sanguineus 7 and 1 ticks were infected to Babesia spp., respectively. The results also showed the in- fection in one male R. bursa tick (Table 1). Fig. 1. Agarose gel electrophoresis of amplified DNA from different ticks infected with Babesia spp. Lane NC: negative control, lane PC: positive control, lanes 1–3: positive samples, M: 100 bp molecular size markers (Fermentas, Germany) 134 J Arthropod-Borne Dis, December 2013, 7(2): 132–138 M Tavassoli et al.: PCR-based Detection of … http://jad.tums.ac.ir Published Online: August 31, 2013 Table 1. Frequency of tick species on the infected cattle and percentage of infection with Babesia spp. by PCR Thick species Tick (n-%) Male (n) Female (n) Total Infected Tick (%) Infected Male (%) Infected Female (%) W* NW** H.a. anatolicum 19(32.2%) 40(67.8%) 35 24 - - - H.a. asiaticum 24(60%) 16(40%) 19 21 - - - H.a. excavatum 10(40%) 15(60%) 12 13 - - - H. detritum 15(55.5%) 12(44.5%) 15 12 - - - R. sanguineus 6(37.5%) 10(62.5%) 11 5 8(50) 7(43.7) 1(6.3) R. annulatus 0 6 0 6 - - - R. bursa 19(65.5%) 10(34.5%) 19 10 1(3.8) 1(3.8) - D. marginatus 0 7(100%) 3 4 - - - H. punctata 0 2(100%) 0 2 - - - Total 93(44.1%) 118(55.9%) 114(54%) 97(46%) 9(4.3%) 8(3.8%) 1(0.5%) 211 *: West **: North West Discussion Babesiosis is one of the most important tick-borne zoonoses. Human babesiosis is a malaria-like disease caused by a protozoan parasite that develops inside red blood cells (RBCs) of humans and small rodents, in- cluding voles, and shrews (Senanayake et al. 2012). Babesia bigemina and B. bovis are known to be pathogenic in cattle (Uilenberg 2006). It is a species that causes human and cattle babesiosis (Kjemtrup and Conrad, 2000). In 1968, B. divergens and B. microti were identified as the cause of human babesiosis and small mammalian hosts in Europe and US, respectively (Senanayake et al. 2012). Ixodes spp. and Rhipicephalus spp. have been implicated in the transmis- sion of human and bovine Babesia spp., re- spectively (Friedhoff 1988, Uilenberg 2006). Diagnosis of babesiosis can be achieved by microscopic examination of Giemsa-stained blood smears and clinical signs in acute phase of the disease, but after acute infec- tions, recovered animals frequently sustain subclinical infections, which are microscopi- cally undetectable. They can be served as a source of infection for the potential biologi- cal vectors causing natural transmission of the disease. Serological methods are not specific for any Babesia spp. due to cross-reactivity with other Babesia spp. (D’Oliveira et al. 1997). Furthermore, false positive and nega- tive results are commonly observed in these tests. A problem discussed in protozoan in- fections is the determination and character- ization of transmitter agent. Because many analyses were previously performed with the salivary gland smears such as Methyl-green- pyronin staining or Feulgen staining meth- ods, in some cases, the transfer vector re- mains unanswered (Guglielmone et al. 1997). Staining of the ticks' salivary glands can definitely confirm the Babesia spp. infection of the ticks, but the main drawbacks for this method are the low sensitivity, time-con- suming and the difficulty of differentiating the species involved (Oliviera_Sequeira et al. 2005). The use of alternative techniques, such as PCR, has become necessary to detect and identify Babesia infections effectively. Molecular techniques are more sensitive and specific than other traditional diagnostic meth- ods (Sparagano 1999, Almeria et al. 2001). Recently, DNA amplification methods have 135 J Arthropod-Borne Dis, December 2013, 7(2): 132–138 M Tavassoli et al.: PCR-based Detection of … http://jad.tums.ac.ir Published Online: August 31, 2013 been developed and used for the detection of Babesia spp. (Schnittger et al. 2004). Information on the prevalence of tick-borne pathogens in potential vector ticks of the region is essential for the identification of tick-borne diseases. Altay et al. (2008) found that R. bursa was main vector tick for cattle Babesia spp. in eastern Turkey (where, it is contiguous with present surveyed-areas). Sev- eral pervious studies that carried out in Med- iterranean region showed that B. bigemina and B. bovis are transmitted by R. bursa (Bouattour and Darghouth 1996, Ravindran et al. 2006, Ghirbi et al. 2010). In addition, authors reported that bovine Babesia spp. was transmitted by R. sanguineus (Mahoney and Mirre 1971, 1977). The results are in agreement with our finding. We found Rhipicephalus spp. as major vectors for bo- vine babesiosis in West and North-West of Iran. According to reports by Morisod et al. (1972), Oliviera et al. (2005), Oliviera-Sequeria et al. (2005), Boophilus microplus and I. ricinus are major vectors of cattle Babesia spp. However, we did not determine B. microplus and I. ricinus as vectors. This may be due to geographical disparity between two surveyed- regions. Babesia microplus has not been found during tick sampling in present study and Rhipicephalus spp. was better adapted to climate of current investigated-areas. The present study showed that Rhipicephalus spp. might play a major role in the transmis- sion of bovine Babesia infection. There are records that Hyalomma anatolicum anatolicum, H. a. asiaticum, H. a. excavatum, H. detritum, Dermacentor marginatus and Haemaphysalis punctata can be the agent for Crimean-Con- go Hemorrhagic fever virus (CCHF) and Tick- Borne encephalitis virus (TBE) (Estrada-Pena and Jongejan 1999). Therefore, we suggest molecular-based diagnostic method can be employed to determine the rate of CCHF and TBE virus infection in humans and interme- diate host tick collected from naturally in- fested humans. Acknowledgements The study was financially supported by the Faculty of Veterinary Medicine, Urmia Uni- versity. The authors would like to thank Mr E Aghapour and Mr A Kazemnia for their technical assistance. References Ahall FR (1990) Theileria annulata: control measures, diagnosis and the potential use of subunit vaccines. Vet Res. 56: 24–32. Almeria J, Castella D, FerrerA, Ortuño A, Estrada-Peña JF, Gutiérrez G (2001) Bovine piroplasms in Minorca (Bale- aric Islands, Spain): a comparison of PCR-based and light microscopy de- tection. Vet Parasitol. 99: 249–259. Altay K, Fatih Aydin M, Dumanli N, Aktas M (2008) Molecular detection of Theileria and Babesia infection in cattle. Vet Parasitol. 158: 295–301. Bock R, Jackson L, de Vos A, Jorgensen W (2004) Babesiosis of cattle. Parasitol. 129: 247–269. Bouattour A, Darghouth MA (1996) First report of Babesia divergens in Tunisia. Vet Parasitol. 63: 161–165. D’Oliveira C, Van der Weide M, Habella MA, Jacquiet P, Jongejan F (1995) Detection of Theileria annulata in blood samples of carrier cattle by PCR. J Clin Microbiol. 33(10): 2665–2669. D’Oliveira C, Van der Wide M, Jacquiet P, Jongejan F (1997) Detection of Theileria annulata by the PCR in ticks (Acari: Ixodidae) collected from cattle in Mau- ritania. Exp Appl Acarol. 21: 279–291. Estrada-Pena A, Jongejan F (1999) Tick feeding on humans: a review of rec- ords on human-bitting Ixodidea with 136 J Arthropod-Borne Dis, December 2013, 7(2): 132–138 M Tavassoli et al.: PCR-based Detection of … http://jad.tums.ac.ir Published Online: August 31, 2013 special reference to pathogen transmis- sion. Exp Appl Acarol. 23: 685–715. Estrada-Pena A, Bouattour A, Camicas JL, Walker AR (2004) Ticks of Domestic Animals in the Mediterranean Region, a Guide to Identification of Species. University of Zaragoza, Spain. Friedhoff KT (1988) Transmission of Babesia. In: Ristic M (Ed) Babesiosis of Do- mestic Animals and Man. CRC Press, Boca Raton, Florida, pp. 23–52. Guglielmone AA, Gaido AB, Aguirre DA, Cafrune MM (1997). Some quantita- tive aspects of natural babesial infec- tion in the haemolynph of Boophilus microplus engorged female ticks. Pa- raiste. 4: 337–341. Georges K, Loria GR, Riili,S, Greco A, Caracappa S, Jongejan F, Sparagano O (2001) Detection of haemoparasites in cattle by reverse line blot hybridisation with a note on the distribution of ticks in Sicily. Vet Parasitol. 99: 273–286. Ghirbi M, Hurtado A, Bouattour A (2010) Theileria and Babesia parasites in ticks in Tunisia. J Emerg Med. 57: 49–51. Gorenflot A, Moubri K, Precigout E, Carcy B, Schetters TP (1998) Human babesiosis. Ann Trop Med Parasitol. 92: 489–501. Gubbels JM, de Vos AP, Van der Weide M, Viseras J, Schouls LM, de Vries E, Jongejan F (1999) Simultaneous detec- tion of bovine Theileria and Babesia species by reverse line blot hybridiza- tion. J Clin Microbiol. 37: 1782–1789. Ica A, Vatansever Z, Yildirim A, Duzlu O, Inci A (2007) Detection of Theileria and Babesia species in ticks collected from cattle. Vet Parasitol. 148: 156–160. Krause PJ, Telford SR, Spielman A (1996) Concurrent lyme disease and babe- siosis. Int J Parasitol. 275: 1657–1660. Kjemtrup AM, Conrad PA (2000) Human babesiosis: an emerging tick-borne dis- ease. Int J Parasitol. 30: 1323–1337. Mahoney DF, Mirre GB (1971) Bovine babe- siasis: estimation of infection rates in the tick vector Boophilus microplus. Ann Trop Med Parasitol. 65: 309–317. Mahoney DF, Mirre GB (1977) The selec- tion of larvae of Boophilus microplus infected with Babesia bovis (Syn B. argentina). Res Vet Sci.23: 126–127. Michael R, Fibin MD, Eleftherios E, Mylo- nakis MD, Callegari L, Eric Legome M (2001) Babesiosis. J Emerg Med. 20: 21–24. Morisod A, Brossard M, Lambert C, Suter H, Aeschlimann A (1972) Babesia bovis: transmission by Ixodes ricinus (Ixo- doidea) on the Rhone plain Schweiz Arch Tierheilkd. Vet Parasitol. 114: 387–391. Morzaria S, Katende J, Kairo A, Nene V, Musoke A (1992) New methods for the diagnosis of Babesia bigemina in- fection. Mem Inst Oswaldo Cruz. 87: 201–205. Oliviera MCS, Oliviera_Sequeira TCG, Aruaujo JP, Amarante AFT, Oliviera HN (2005) Babesia spp. infection in Boophilus microplus engorged females and eggs in São Paulo State, Brazil. Vet Parasitol. 130: 61–67. Oliviera-Sequeira TCG, Oliviera MCS, Aruaujo JP, Amarante AFT (2005) PCR-based detection of Babesia bovis and Babesia bigemina in their natural host Boophilus microplus and cattle. Int J Parasitol. 35: 105–111. Ravindran R, Rao JR, Mishra AK (2006) De- tection of Babesia bigemina DNA in ticks by DNA hybridization using a non- radioactive probe generated by arbitrary PCR. Vet Parasitol. 141: 181–185. Schnittger L, Yin H, Qi B, Gubbels MJ, Beyer D, Niemann S, Jongejan F, Ahmed JS (2004) Simultaneous detection and dif- ferentiation of Theileria and Babesia parasites infecting small ruminants by 137 J Arthropod-Borne Dis, December 2013, 7(2): 132–138 M Tavassoli et al.: PCR-based Detection of … http://jad.tums.ac.ir Published Online: August 31, 2013 reverse line blotting. Parasitol Res. 92: 189–196. Senanayake SN, Paparini A, Latimer M, Andriolo K, Dasilva AJ, Wilson H, Xayavong MV, Collignon PJ, Jeans Ph, Irwin PJ (2012) First report of hu- man babesiosis in Australia. Med J Aust. 196: 350–352. Shayan P, Hooshmand E, Rahbari S (2007). Detemination of Rhipicephalus spp. as vectors for Bobesia ovis in Iran. Parasitol Res. 101: 1029-1033. Skrabalo Z, Deanovi Z (1957) Piroplasmosis in man: report on a case. Doc Med Georgr Trop. 9: 6–11. Sparagano O (1999) Molecular diagnosis of Theileria and Babesia species. Vet Parasitol. 13: 83–92. Uilenberg G (1995) International collaborative research: significance of tick-borne hemoparasitic diseases to world animal health. Vet Parasitol. 57: 19–41. Uilenberg G (2006). Babesia-A historical overview. Vet Parasitol. 138: 3–10. Western KA, Benson GD, Gleason NN (1970) Babesiosis in a Massachusetts resident. N Engl J Med. 283: 854–856. 138