OspC gene variations among Borrelia burgdorferi isolates INVESTIGATION OF TICK-DERIVED L YME DISEASE BORRELIA STRAINS ISOLATED IN STYRIA, AUSTRIA K. Pierer, D. Stiinzner, I. Livey, C. P. Gibbs, H. H. Kessler and E. Marth ABSTRACT In Styria, Austria, several areas are known to be endemic far Lyme disease. The Borrelia spirochetes which are the causative agent far this illness are transmitted by the tick vector Ixodes ricinus. The present study was undertaken to survey the tick population of Styria far the presence of Borrelia and to characterize the strains isolated. Ticks were collected in biotopes known to be natural faci of tick borne encephalitis, and Borrelia were cultivated from tick extracts. Each isolate was characterized by species and, from several strains, the sequence of the ospC gene was determined. Sixteen Lyme disease Borrelia strains were isolated, ten of which were further characterized. These included three Borrelia burgdorferi sensu stricto, three Borrelia afzelii and faur Borrelia garinii isolates. Sequence analysis of two of the Borrelia afzelii isolates and three of the Borrelia garinii isolates indicated that two of the strains have ospC genes identical to alleles previously described (RFLP types 20 and 34), and three of the genes were novel variants. In conclusion, it was demonstrated for the first tirne that the three major Lyme disease Borrelia species are present in the tick population of Styria. The ospC genes of the analyzed strains showed a high degree of variability. KEY WORDS Lyme disease, borrelia strains, ospC gene, RFLP types, tick isolates, Styria INTRODUCTION Lyme disease (LD) is a vector-transmitted infection caused by spirochetes of the genus Borrelia (1,2). In the Austrian province of Styria, the primary vector transmitting the infective agent is the tick Ixodes ricinus (3,4). In humans, LD is a multi-systemic illness with a wide range of symptoms ( dermatological, neurological, articular or cardiological) (5-8). Corre- acta derrnatovenerologica A.P.A. Vol 5, 96, No 3-4 lations between clinical manifestations of LD and Borrelia species have been reported (9,10). The major species responsible for LD are Borrelia burgdorferi (Bb) sensu stricto, B. afzelii and B. garinii. LD Borrelia are extremely heterogeneous (11-13); one of the most variable proteins expressed by Borrelia is the outer surface protein OspC (14-i6). Pior to this study, no data was available regarding LD Borrelia strains present in the tick population of 93 OspC gene variations among Borrelia burgdorferi isolates Table I. Collection areas, number of collected ticks and number of isolates. Tobelbad 284 Fernitz 500 Grambach 71 St. Veit / Vogau 53 Kleinsemmering 98 Styria. The aim of the present study was to survey ticks from this region for the presence of Borrelia and to perform a preliminary characterization of the spirochete strains isolated. Ticks were therefore collected from five different areas. Borrelia were isolated from the ticks, and the species of each spirochete isolate identified. Additionally, far severa! isolates, the nucleotide sequence of the ospC gene was determined. MATERIALS AND METHODS Five biotopes were selected for tick collection (Tab. I and II). These areas are endemic far human manifestations of LD and natura! foci of tick borne encephalitis. A total of 1004 ticks, including adults, nymphs and larvae, were collected by the flag dragging method; all were identified as Ixodes ricinus. Ticks were pooled (2-5 per pool) and cultivated in BSK- II- medium (Sigma Aldrich Chemie, Deisenhofen, Germany) with 12 mg/ml SXT at 33°C. After three to five passages, cultures were harvested in the logarithmic growing period. The protein profile was examined by SDS-PAGE using the PHAST-Gel- 94 5 6 1 1 3 Zl (5 nymphs) Z2 (5 nymphs) Z12 (3 nymphs) Z13 (2 nymphs) Z14 (2 females) Z3 (2 females) Z4 (5 nymphs) Z5 (5 nymphs) Z6 (5 nymphs) Z7 (5 nymphs) Z16 (2 nymphs) Z15 (2 nymphs) ZS (2 females) Z9 (5 nymphs) ZlO (2 males) Zll (2 males) Gradient 8-25 in a Phast System Separation and Development Unit (Pharmacia, Uppsala, Sweden). The protein patterns were visualized by silver staining (data not shown). Species determination was performed for isolates (n = 10) with less than six passages in culture. Species-specific primers were used in the polymerase chain reaction (PCR) to amplify 16S rRNA sequences from the strains as described (17). The ospC gene was amplified from five of the strains and the nucleotide sequence of the PCR product determined as recently described (16). Sequences were analyzed using GNASIS and PROSIS software. RESULTS AND DISCUSSION Cultivation of pools of the ticks resulted in the isolation of sixteen Borrelia isolates (Tab. I). Species- specific identification of those isolates with less than six passages in culture (n = 10) revealed that three isolates were Bb sensu stricto, three isolates B. afzelii, and four isolates B. garinii. More than one acta dennatovenerologica A.P.A. Vol 5, 96, No 3-4 OspC gene variations among Bo1Te/ia burgdorferi isolates Table II. Species-specific identified isolates of B. burgdo,feri s.l. in 5 Styrian regions endemic for bo1Telial infections . . COLLECTIO c(n = 5) Tobelbad Fernitz Grambach St. Veit/Vogau Kleinsemmering species was found in two of the five collection areas (Tab. II). The ospC gene was sequenced from five of the isolates. Bach strain examined had a different ospC allele; one of the B. garinii strains had RFLP type 20, another had RFLP type 34 and the remaining three ospC genes from the isolates Z5, Z13 and Z16 were novel alleles. In the present study it is shown for the first tirne that the three major LD Bolielia species Bb sensu stricto, B. afzelii and B. garinii are present in the tick population of Styria. In two of the five collection areas, more than one Bo1Telia species could be isolated, indicating co-existence of multiple species. Z12 Z13 zs Z6 Z16 Z15 Z8 Z9 ZlO Zll B. garinii B. garinii B. afzelii B. burgdo,feri s.s. B. afzelii B. afzelii B. garinii B. burgdo,feri s.s. B. garinii B. burgdo,feri s.s. Among the Styrian isolates, the ospC gene is highly variable. Three of the five determined ospC RFLP types have not been described until now. The other two RFLP types were described in Bomlia strains originating from varying geographical locations. The ospC gene of isolate Z8 showed RFLP type 20, which has been found in the Czech Republic, France and Switzerland. !solate ZlO possessed an ospC gene with RFLP type 34, also found in France and Finland. It is concluded that the Bo1Telia strains infecting Ixodes ricinus ticks in the Austrian province of Styria are genetically highly diverse. REFERENCES l. Burgdorfer W, Barbour AG, Hayes SF et al. Lyme disease - a tick-borne spirochetosis? Science 1982; 216: 1317-19. 2. Burgdorfer W. Discovery of the Lyme disease spirochete and its relationship to tick vectors. Yale J Biol Med 1984; 57: 71-76. 3. Stiinzer D, Einfalt M, Pierer K, Marth E. Isolation of Bo1Telia burgdorferi s.I. from Ixodes ricinus ticks collected in Styria (Austria). AAMJ 1994; 3: 267-69. 4. Stanek G, Flamm H, Groh V et al. Epidemiology of Bo1Telia infections in Austria. Zbl Bakt Hyg A 1986b; 263: 442-49. acta dermatovenerologica A.P A. Vol 5, 96, No 3-4 5. Ackermann R, Kabatzki J, Boisten HP et al. Spirochatenatiologie der Erythema-chronicum-mig- rans-Krankheit. Dt Med Wochenschr 1984; 109: 92- 97. 6. Schmutzhard E, Stanek G, Pleschette M. Infection after tick bites. Tick borne encephalitis and Lyme Borreliosis - a prospective epidemiological study from Tyrol. Infection 1988; 16: 269-72. 7. Steere AC, Malawista SE, Snydman DR et al. Lyme arthritis: an epidemic of oligoarticular arthritis in children and adults in three Connecticut commu- nities. Arthritis Rheum 1977; 20: 7-17. 95 OspC gene variations among Borrelia burgdorferi isolates 8. Steere AC, Batsford WP, Weinberg M et al. Lyme carditis: cardiac abnormalities of Lyme disease. Ann Intern Med 1980; 93: 8-16. 9. Canica MM, Nato F, du Merle Let al. Monoclonal antibodies for identification of Bo1Telia afzelii sp. nov. associated with late cutaneous manifestations of Lyme Borreliosis. Scand J Inf Dis 1993; 25: 441- 48. 10. Van Dam AP, Kuiper H, Vos K et al. Different genospecies of BolTelia burgdorferi are associated with distinct clinical manifestations of Lyme Borreliosis. Clin Inf Dis 1993; 17: 708-17. 11. Zingg BC, Anderson JF, Johnson RC, Lefebvre RB. Comparative analysis of genetic variability among BolTelia burgdorferi isolates from Europe and the United States by restriction enzyme analysis, gene restriction fragment length polymorphism, and pulsed field gel electrophoresis. J Clin Microbiol 1993; 31: 3115-22. 12. Picken RN, Cheng Y, Han D et al. Genotypic and phenotypic characterization of Bo1Telia burgdorferi isolated from ticks and small animals in Illinois. J Ciin Microbiol 1995; 33: 2304-15. 13. Wilske B, Preac-Mursic V, Schierz G et al. Antigenic variability of Borrelia burgdorferi Ann NY Acad Sci 1988; 539: 126-43. 14. Fukunaga M, Hamase A. Outer surface protein C gene sequence analysis of Bo1Telia burgdorferi sensu lato isolates from Japan. J Clin Microbiol 1995; 33: 2415-20. 15. Theisen M, Frederiksen B, Lebech A et al. Polymorphism in ospC gene of Borrelia burgdorferi and immunoreactivity of OspC protein: Implications for taxonomy and for use of OspC protein as a diagnostic antigen. J Clin Microbiol 1993; 31: 2570- 76. 16. Livey I, Gibbs CP, Schuster R, Dorner F. Evidence for lateral transfer and recombination in OspC variation in Lyme disease Bomlia. Mol Microbiol 1995; 18: 257-69. 17. Marconi RT, Garon CF. Development of polymerase chain reaction primer sets for diagnosis of Lyme disease and for species-specific identification of Lyme disease isolates by 16S rRNA signature nucleotide analysis. J Clin Microbiol 1992; 30: 2830- 34. AUTHORS' ADDRESSES Karen Pierer, MD, Institute of Hygiene, Karl-Franzens-University Graz, Universitatsplatz 4, A-8010 Graz, Austria Doris Stiinzner, PhD, Institute of Hygiene Graz, same address lan Livey, PhD, Immuno AG, Biomedical Research Center, UferstraBe 15, A-2304 Orth/Donau, Austria Carol P. Gibbs, PhD, Immuno AG, Biomedical Research Center, same address Harald H. Kessler, MD, Institute of Hygiene Graz, same address Egon Marth, MD, professor, chairman, Institute of Hygiene Graz, same address 96 acta dennatovenerologica A.P A. 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