Abstract
Borrelia species are spirochetes transmitted by ticks that are important in human and animals. In most countries, there is still no molecular epidemiology of borreliosis in ruminants. This study was aimed to evaluate the existence of Borrelia spp. DNA in the blood samples of small ruminants using polymerase chain reaction (PCR) method in West Azerbaijan Province, Iran. To detect Borrelia spp. DNA, about 1,018 ruminants (456 goats and 562 sheep) blood samples were examined from different bioclimatic regions in West Azerbaijan province, Iran. The DNA extracting and PCR were conducted. In sheep, the following prevalence rates were respectively obtained for the 16S rRNA, 5S - 23S rRNA and ospA genes: 3.55% (20/562), 2.13% (12/562) and 0.88% (5/562). And so, the prevalence rates of the genes in goats were 0.87% (4/456) for 5S - 23S rRNA gene, 1.75% (8/456) for 16S rRNA gene and 0.65% (3/456) for ospA gene. The prevalence of Borrelia spp. was significantly different in small ruminants based on the farms and localities. The sheep and goats in humid areas (north of West Azerbaijan) were infected statistically more than those in sub-humid areas (south of West Azerbaijan). It is demonstrated that host species like sheep and goats may have a key role in natural Lyme disease cycles and other borreliosis diseases in Iran.
Key Words: Blood, Borrelia spp., Goat, Polymerase chain reaction, Sheep
Introduction
Borrelia species are bacterial pathogen in the Spirochaetaceae family, causing tick-borne Lyme borreliosis (LB). It is a mammal multi-organ disease prevalent in the northern hemisphere.1,2 Ticks are the second most widespread pathogen vectors worldwide, followed by mosquitoes. The diseases caused by ticks are increasingly threatening human and animal health, besides causing economic losses.3-5 Borrelia spp. are distributed worldwide and maintained in nature within different mammalian and arthropod vectors, reptilian or avian hosts.6 Regarding domestic animals, studies on LB mainly focus on horses and dogs7 and only a few studies are available on sheep and cattle.8 The LB was first reported in cattle in the United States in the 1980s. Weight loss, lameness and abortion are the predominant clinical signs of infection. Some cases of infection of Borrelia burgdorferi sensu lato were reported in sheep with anorexia, lameness and poor body conditions.7,9 Most ruminants are incompetent reservoirs.9 However, they are important in the dynamic circulation and ecology of B. burgdorferi sensu lato, particularly by functioning as spreaders of infected ticks as maintenance hosts for tick populations6,10 or as a potential host of ticks which can infect themselves by co-feeding, as found in sheep.11
Some indirect and direct methods are available to identify the existence of Borrelia spp. The indirect methods, primarily serological ones, are mainly based on antibody detection.1,12 The higher sensitivity and specificity of the direct DNA identification of bacteria have been proved by polymerase chain reaction (PCR).13 There is little molecular information on the existence of Borrelia spp. in goat and sheep blood analysis in Iran. Regarding the livestock industry and animal health, Borrelia spp. must be identified. To detect Borrelia spp. by PCR, some primers were allocated to amplify various parts of the bacterium genome. The primers designed to detect the genes within the chromosome include rrf (gene encoding 5S rRNA), 16S rRNA sequence, rrl (gene encoding 23S rRNA) inter-genic gap and 23S rRNA sequence.12,14 The OspA gene is among the sequences within plasmids.
The present epidemiological study was aimed to identify Borrelia spp. in the blood samples of small ruminants by molecular analysis used for 5S 23S rRNA, 16S rRNA and ospA genes in West Azerbaijan province, Iran.
Materials and Methods
Study areas. West Azerbaijan province, located in the northwest of Iran, has a diverse climate and geographical areas such as mountainous areas, relatively flat terrains and the coastline of Urmia Lake. The climate of this province is mainly influenced by the rainy winds of the Mediterranean Sea and Atlantic Ocean (Fig. 1).15
Fig. 1.
Schematic map of the study areas, West Azerbaijan province, Iran
Collection of samples. In this study, 1,018 blood samples were randomly collected from goats (n = 456; 364 females and 92 males) and sheep (n = 562; 385 females and 177 males) belonging to 30 flocks in three various geographical areas of West Azerbaijan province (south, north and center) during four seasons in 2021. Ten flocks were randomly chosen from each area (five flocks of goats and sheep), and 53 animals were sampled from each flock. The samples were taken from seemingly healthy animals. The venous blood samples were put in sterile tubes containing anticoagulant. Then, the collected blood samples were put on ice and transferred immediately to the Microbiology Laboratory at the Faculty of Veterinary Medicine, Urmia University, Urmia, Iran.
DNA extraction. The DNA was extracted from the whole blood using Blood Genomic DNA Extraction Mini Kits (Favorgen, Ping Tung, Taiwan) based on the manufacturer’s instructions. The quantity and quality of the extracted DNA were assessed by NanoDrop 2000c (Thermo Scientific, Waltham, USA). The extracted DNA was kept at –20.00 ˚C for subsequent use in PCR. The negative control of DNA extraction process was the elution buffer from the extraction kit during the DNA extraction process.
Molecular detection of Borrelia spp. For molecular diagnosis of Borrelia species, Nested-PCR targeting 16S rRNA, 5S - 23S rRNA and ospA genes which were made with Amplifx Software (version 1.5.4; University of Marseille, Marseille, France) was used (Table 1). To perform the first stage of the Nested-PCR, Taq DNA Polymerase Master Mix RED (Amplicon, Odense, Denmark) was used.
Table 1.
Primer sequences for detection of Borrelia spp. gene by Nested-PCR being designed with Amplifix Software
| Genes | Primer | Nucleotide sequence (5′-3′) | Amplicon size (bp) | PCR condition |
|---|---|---|---|---|
| 16SrRNA | OuterF OuterR |
GCGAACGGGTGAGTAACG CCTCCCTTACGGGTTAGAA |
912 | Initial denaturation: 95.00 ˚C for 4 min. 32 cysles of: Denaturation at 95.00 ˚C for 90 sec. Touchdown at 63.00 - 66.00 ˚C (5) for 90 sec, Extension at 72.00 ˚C for 90 sec. Final extension: 72.00 ˚C for 7 min. |
| InnerF InnerR |
GAGGCGAAGGCGAACTTCTG CTAGCGATTCCAACTTCATGAAG | 597 | Initial denaturation: 95.00 ˚C for 4 min. 38 Cycles of: Denaturation at 95.00 ˚C for 60 sec, Annealing at 63.00 ˚C for 60 sec, Extension at 72.00 ˚C for 60 sec. Final extension at 72.00 ˚C for 7 min. | |
| 5S–23SrRNA | 5S rRNA 23S rRNA |
ACGGTCCTAAGGTAGCGAAATTCC ACTTGCCACCGCAGATCACTAA | 481 | Initial denaturation: 95.00 ˚C for 4 min. 32 cysles of: Denaturation at 95.00 ˚C for 55 sec, Touchdown at 63.00 - 66.00 ˚C (5) for 55 sec, Extension at 72.00 ˚C for 55 sec. Final extension: 72.00 ˚C for 7 min. |
| 5S rRNA (N) 23S Rrna(N) |
CGCACGAATGGTGTAACGATTTGG TTGCGCACCTCCGTTACTCTTTAG | 317 | Initial denaturation: 95.00 ˚C for 4 min. 30 Cycles of: Denaturation at 95.00 ˚C for 15 sec, Annealing at 66.00 ˚C for 15 sec, Extension at 72.00 ˚C for 15 sec. Final extension at 72.00 ˚C for 7 min. | |
| ospA | N1 C1 |
CAAAGACGGCAAGTACGATC GCTGACCCCTCTAATTTGGT | 636 | Initial denaturation: 95.00 ˚C for 4 min. 32 cysles of: Denaturation at 95.00 ˚C for 90 sec, Touchdown at 57.00 - 62.00 ˚C (5) for 90 sec, Extension at 72.00 ˚C for 90 sec. Final extension: 72.00 ˚C for 7 min. |
| N2 C2 |
ACTTGAAGGCGTAAAAGCTGAC TTAGCTTTTCCAGATCCATCGC |
252 | Initial denaturation: 95.00 ˚C for 4 min. 38 Cycles of: Denaturation at 95.00 ˚C for 55 sec, Annealing at 60.00 ˚C for 55 sec, Extension at 72.00 ˚C for 60 sec. Final extension at 72.00 ˚C for 7 min. |
The PCR reaction was carried out in 25.00 μL volume comprising 3.00 μL of extracted DNA, 1.00 μL of each primer, 12.50 μL of the master mix and 7.50 μL of DNAse free distilled water. For step two of Nested-PCR, 2.50 μL of the previous PCR product was used as a template and the other materials and conditions were same as the previous step. The PCR products for both stages were electrophoresed on a 2.00% agarose gel containing safe stain (Lab net, Chicago, USA) and then,visualized using Genius Gel Documentation (Syngene Bio-Imaging, Cambridge, UK; Fig. 2). The Borellia spp. positive PCR products were sent to Pishgam Biotech Co. (Tehran, Iran) to sequence the DNAs.
Fig. 2.

A) Agarose gel electrophoresis of amplified fragment of Borrelia spp. ospA gene (252 bp) using Nested-polymerase chain reaction (PCR). Lane M: 50-bp molecular ladder (Smobio Technology Inc., Hsinchu, Taiwan); Lanes 2 - 8: Positive blood samples for Borrelia spp.; Lane 1: Negative control. B) Agarose gel electrophoresis of amplified fragment of Borrelia spp. 16S rRNA gene (597 bp) using Nested-PCR. Lane M: 100-bp DNA ladder (Smobio Technology Inc); Lanes 1 - 4: Positive blood samples for Borrelia spp.; Lane 5: Negative control. C) Agarose gel electrophoresis of amplified fragment of Borrelia spp. 5S - 23S rRNA gene (317 bp) using Nested-PCR. Lane M: 50-bp DNA ladder (Smobio Technology Inc); Lanes 1 - 7: Positive blood samples for Borrelia spp.; Lane 8: Negative control
Nucleotide diversity and phylogenetic tree construction. Sequences were uploaded to the National Center for Biotechnology Information (NCBI) to seek the most analogous reference sequences. Furthermore, the Country of Origin Information (COI) positions were identified using NCBI's BLAST. For phylogenetic analysis, all Borrelia spp. COI sequences accessible in the GeneBank® were utilized. Using the Clustal alignment program, the alignment was manually adjusted to eliminate any related errors before being released as MEGA and FASTA files. All of the acquired nucleotide sequences were entered into the GeneBank® and given accession numbers. Following that, the phylogenetic association was investigated and developed using the MEGA Software (version 10.0; Biodesign Institute, Tempe, USA) by the maximum-likelihood method. One thousand bootstraps were used to test the reliability of an inferred tree. BioEdit (version 7.0; Ibis Therapeutics, Carlsbad, USA) and BLAST Software (https://blast.ncbi.nlm.nih.gov/Blast.cgi) were used to analyze DNA sequence polymorphism to assess nucleotide diversity (Fig. 3).16
Fig. 3.
The phylogenetic tree of A) ospA, B) 16S rRNA and C) 5S-23S rRNA genes sequences of our achieved Borrelia species and those deposited in GenBank from various accession numbers. Accession numbers are presented after isolate names. The ospA, 16S rRNA and 5S-23S rRNA genes sequences attained in this work are represented by arrows. To infer the tree, the neighbor-joining technique of MEGA Software (version 10.0; Biodesign Institute, Tempe, USA) was used and bootstrap values are displayed at each branch point. The bootstrap support is reflected by the numbers above the branch from 1,000 replications. All the alignment sites comprising missing or insertions-deletions data were removed from the analysis (option “complete deletion”)
Statistical analysis. The obtained data were analyzed using one-way ANOVA method in SPSS Software (version 22.0; IBM Corp., Armonk, USA). A p value less than 0.05 was considered statistically significant.
Results
The positive rate of Borrelia spp. DNA was 3.55% and 1.75% of blood samples using 16S rRNA and 5S - 23S rRNA genes, respectively, for both sheep and goat. Borrelia spp. DNA was identified based on 16S rRNA and 5S - 23S rRNA genes under accession numbers of OP293343.1 and OP888467. Also, the results of the molecular prevalence of Borrelia spp. DNA were presented 20 (n = 562; mean: 3.50%; 95.00% confidence interval (CI): 2.30 - 5.40%) based on 16S rRNA and 12 (n = 562; mean: 2.10%; 95.00% CI: 1.20 - 3.00%) positive cases on 5S - 23S rRNA genes in sheep. In goats, the prevalence of Borrelia spp. DNA was detected eight (n = 456; mean: 1.70%; 95.00% CI: 0.80 - 3.40%) and four (n = 456; mean: 0.80%; 95.00% CI: 0.30 - 2.20%) depending on both genes, respectively (Table 2).
Table 2.
Prevalence of Borrelia spp. DNA in the blood samples collected from sheep and goat farms in different seasons and regions of West Azerbaijan province, Iran
| Parameters | Sheep (n = 562) | Goat (n = 456) | ||||
|---|---|---|---|---|---|---|
| 16SrRNA | 5S - 23S rRNA | ospA | 16SrRNA | 5S - 23S rRNA | ospA | |
| Genus | ||||||
| female | 13/385 (3.37%) | 8/385 (2.07%) | 3/385 (0.77%) | 5/364 (1.37%) | 2/364 (0.54%) | 2/364 (0.54%) |
| male | 7/177 (3.95%) | 4/177 (2.25%) | 2/177 (1.12%) | 3/92 (3.26%) | 2/92 (2.17%) | 1/92 (1.08%) |
| p -value | 0.73 | 0.89 | 0.68 | 0.21 | 0.13 | 0.56 |
| Age (year) | ||||||
| < 2 | 6/106 (5.66%) | 3/106 (2.83%) | 1/106 (0.94%) | 2/113 (1.76%) | 1/113 (0.88%) | 1/113 (0.88%) |
| 3 - 6 | 10/361 (2.77%) | 7/361 (1.93%) | 3/361 (0.83%) | 5/256 (1.95%) | 3/256 (1.17%) | 1/256 (0.39%) |
| > 6 | 4/95 (4.21%) | 2/95 (2.10%) | 1/95 (1.05%) | 1/87 (1.14%) | 0/87 (0.00%) | 1/87 (1.14%) |
| p -value | 0.34 | 0.85 | 0.97 | 0.88 | 0.59 | 0.70 |
| Season | ||||||
| Spring | 7/152 (4.60%) | 4/152 (2.63%) | 1/152 (1.92%) | 4/123 (3.25%) | 2/123 (2.11%) | 0/123 (0.00%) |
| Summer | 10/143 (6.99%) | 7/143 (4.89%) | 3/143 (2.09%) | 3/114 (2.63%) | 2/114 (2.11%) | 2/114 (2.11%) |
| Autumn | 2/134 (1.49%) | 1/134 (0.74%) | 1/134 (0.74%) | 1/107 (0.93%) | 0/107 (0.00%) | 1/107 (0.93%) |
| Winter | 1/133 (0.75%) | 0/133 (0.00%) | 0/133 (0.00%) | 0/112 (0.00%) | 0/112 (0.00%) | 0/112 (0.00%) |
| p -value | 0.01* | 0.02* | 0.29 | 0.21 | 0.29 | 0.28 |
| Region | ||||||
| North | 10/236 (4.23%) | 5/236 (2.11%) | 2/236 (0.84%) | 5/142 (3.52%) | 2/142 (1.41%) | 2/142 (1.41%) |
| Center | 4/117 (3.41%) | 3/117 (2.56%) | 1/117 (0.85%) | 2/122 (1.63%) | 1/122 (0.81%) | 0/122 (0.00%) |
| South | 6/209 (2.87%) | 4/209 (1.91%) | 2/209 (0.95%) | 1/192 (0.52%) | 1/192 (0.52%) | 1/192 (0.52%) |
| p -value | 0.73 | 0.92 | 0.99 | 0.11 | 0.68 | 0.35 |
| Total | 20/562 (3.55%) | 12/562 (2.13%) | 5/562 (0.88%) | 8/456 (1.75%) | 4/456 (0.87%) | 3/456 (0.65%) |
* Indicates significant difference between the data at p < 0.05.
The ospA gene, which is a plasmid gene, was also assessed through PCR analysis (accession No. OP913461). But, compared to the previous genes, less was detected (five [n = 562; mean: 0.80%; 95.00% Cl: 0.30 - 2.00%] Borrelia-positive sheep). In goats, the prevalence of Borrelia spp. DNA was detected three (n = 456; mean: 0.60%; 95.00% Cl: 0.20 - 1.90%; Table 2).
The blood collection period was significantly different (p < 0.05). High positive samples were observed in summer and spring seasons in host that adapted to ticks exposure. Furthermore, the frequency of the positive blood samples for Borrelia spp. was higher in the north of West Azerbaijan province than other regions.
Discussion
Borreliosis, often known as Lyme disease, is one of the most widespread arthropod-transmitted diseases affecting humans, livestock farms, and domestic and wild animals.17,18 As a result of climate change, ticks can spread to new regions including higher elevations and mountain ranges as Lyme disease carriers or vectors.19,20
To date, there is still little knowledge on the distribution and prevalence of Borrelia spp. among ruminants in Iran. Therefore, in an attempt to fill this gap, the present study was the first report of the presence of Borrelia spp. in sheep and goats in West Azerbaijan province, Iran.
In a study done in Tunisia by Ben Said et al., the prevalence rates of borreliosis were lower in rams and bucks (10.00 - 35.70%) than ewes and does (5.20 - 28.80%). However, there was no significant difference between the sexes. Their results are consistent with the present study. In the current study, the prevalence rates of Borrelia DNA in the sex/species mentioned above were 1.37 - 3.30% and 3.26 - 3.95%, respectively. Based on statistical analysis, the present study results showed no significant difference between them.8
Based on the results of present study, Borrelia prevalence in ages older than 6 years was 4.21% in sheep and 1.14% in goats. While in ages between 3 and 6, it was 2.77% in sheep and 1.95% in goats. In younger ages (< 2 years old), the prevalence of Borrelia was 5.66% in sheep and 1.76% in goats. However, Ben Said et al. showed that older goats were more likely to be infected (42.10%) than younger ones (21.20%). In addition, younger sheep had higher contamination rates (14.30%) than older sheep (3.50%), which was in accordance with the present study. The statistical analysis of the present study showed no significant difference between groups.8
According to Furuno et al., Borrelia spp. were most prevalent during the summer and less prevalent during the winter in Japan.16 Our study was the first molecular study that investigated the effect of season on the prevalence of Borrelia in sheep and goats. The present study results were consistent with the study of Furuno et al.16 Their study showed a significant difference between the prevalence of Borrelia spp. in different seasons among sheep. However, the effect of seasons on the prevalence of Borrelia spp. was not significant in goats.
The Mediterranean and Atlantic Ocean wet winds significantly impact the climate of West Azerbaijan province. Regarding the geographic location, the results showed that the northern part of West Azerbaijan province had the highest frequency of Borrelia DNA in both sexes (4.23% in sheep and 3.52% in goats). Aouadi et al. found that the prevalence of Borrelia spp. was 5.80% in sheep blood samples and 10.80% in goat blood samples.21 In another study, Ben Said et al. showed that the prevalence rates for sheep and goats were 6.20% and 30.40%, respectively.8 A decrease in the humidity related to the amount of rainfall is directly proportional to the reduction in the tick population in the livestock population and the amount of rainfall is inversely proportional to the temperature of the environment; both of which may contribute to the relatively low level of contamination observed in this study.
Temperatures between 10.00 - 20.00 ˚C with relative humidity between 50.00 - 70.00% lead to a higher number of ticks. The difference between this study and others was likely because adult ticks prefer to stay near the ground surface during hot and dry seasons to find suitable habitats. Since Africa is a hot and dry continent, the study area geography and climate may be to blame.22 The statistical analysis of the present study showed no significant difference among geographical groups.
The frequency of Borrelia in blood samples of sheep in summer, spring, autumn and winter was 6.99%, 4.60%, 1.49% and 0.75%, respectively. While, the frequency of Borrelia in goats blood samples was 3.25%, 2.63%, 0.93% and 0.00%, respectively. In our study there was only a seasonal significant difference in contamination of sheep with Borrelia spp.
Finally, our findings also highlighted a considerable variation in Borrelia spp. prevalence between sheep and goats. It was found that Borrelia spp. DNA was significantly lower in sheep than goats. Our findings were consistent with those of a similar study conducted in Tunisia8 with the exception that the highest prevalence was found in goats. This difference could be attributed to different sample sizes used to analyze various animal species. Different prevalence rates of Borrelia were found in both sheep and goats in a separate investigation by Aouadi et al. in Algeria, which was 5.80% in sheep and 10.80% in goats. In contrast, in the current research, the prevalence was 3.55% in sheep and 1.75% in goats. Both housekeeping and location could play a role in this difference.21
To clarify the genetic identity of Borrelia spp. spirochetes, their differential reactivity can be considered with PCR primers being specific for genospecies, targeting the 5S - 23S rRNA inter-genic spacer amplicon gene. It is essential to further classify genetic heterogeneity by analyzing longer sequence data within Borrelia spp. identified previously as the same genospecies of uncharacteristic strains of Borrelia spirochetes.16,23 Furthermore, the 16S rRNA gene was found at a greater positive rate in blood samples studied for Borrelia spirochetes compared to the other genes in former studies.16 We found a lower detection rate of these genes as 16S rRNA > 5S -23S rRNA > ospA.
Considering the results of Nested-PCR, 562 sheep blood samples investigated with primers targeting the 16S rRNA, 5S-23S rRNA and ospA genes, represented 20 (3.55%), 12 (2.13%) and 5 (0.88%) positive samples. In 456 goat blood samples examined with primers targeting the 16S rRNA, 5S-23S rRNA and ospA genes, positive samples of eight (1.75%), four (0.87%) and three (0.65%) were revealed from three regions of West Azerbaijan province in Iran.
Borrelia spp. infection molecular prevalence was reported in goats and sheep for the first time in this study in Iran. In this study, the prevalence of Borrelia spp. infestation in sheep and goats was recorded by molecular method for the first time in Iran. The present work aimed to comprehend the role of goats and sheep as potential spreaders and carriers of Lyme disease in Iran. The PCR assay and sequencing were used to assess the exposure of goats and sheep to Borrelia spp. The sequences of the 5S - 23S rRNA, 16S rRNA and ospA genes achieved from positive DNA samples were analyzed and they were considered as hosts.
In the present work, Borrelia spp. DNA was found in goats and sheep in West Azerbaijan province, Iran. According to the phylogenetic and sequence analyses, those isolates were related closely to the consistent genotypes in terms of the 16S rRNA gene with higher sequence similarities (100%, accession No. OP703388; 98.00 - 100%, accession No. CP086555; Fig. 3B). Hence, it was indicated that the Borrelia spp. genetics was diverse in different geographical and host locations. The existence of a new Borrelia species related to the relapsing fever group was represented by sequencing the cloned PCR products from the 16S rRNA gene of Borrelia spp. from West Azerbaijan province, Iran.
There was a similarity of 100 and 99.80% in the 16S rRNA gene sequence of Borrelia spp. achieved from goats and sheep to the gene of Borrelia theileri, respectively (accession No. CP703388 and OP086555). The B. theileri is related to the relapsing fever Borrelia spp. group, and is the bovine borreliosis causative agent. It was first identified in cattle and then, in deer, goats and sheep from Africa, Mexico, Australia and South America.24,25
In conclusion, in the present study, the first insight was provided into the existence of Borrelia spp. by extraction of DNA from the blood through PCR in West Azerbaijan province, Iran. Infestation with Borrelia spirochetes was identified from goat and sheep blood samples taken from different districts in the West Azerbaijan province in Iran. Borrelia spp. was highly prevalent in the province sampled areas. More studies are required on the occurrence of Borrelia spp. groups for both relapsing fever and Lyme disease to prove the existence of these various Borrelia species in goats and sheep in Iran. We found that Borrelia infestation in goats and sheep could present a potential concern for public health. Future studies can warrant further widespread and detailed control of ticks population and screening for Borrelia in various hosts.
Conflict of interest
This manuscript has not been published and is not under consideration for publication elsewhere. There is no conflict of interest to disclose.
Acknowledgments
The authors would like to thank the Vice-Chancellor for Research and Technology of Urmia University, Urmia, Iran, for funding the project. Dr. Peyman Khademi’s technical assistance was also highly appreciated.
References
- 1.Chomel BB, Belotto A, Meslin FX. Wildlife, exotic pets, and emerging zoonoses. Emerg Infect Dis. 2007;13(1):6–11. doi: 10.3201/eid1301.060480. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Moon KL, Chown SL, Loh SM, et al. Australian penguin ticks screened for novel Borrelia species. Ticks Tick Borne Dis. 2018;9(2):410–414. doi: 10.1016/j.ttbdis.2017.12.007. [DOI] [PubMed] [Google Scholar]
- 3.Kilpatrick AM, Randolph SE. Drivers, dynamics, and control of emerging vector borne zoonotic diseases. Lancet. 2012;380(9857):1946–1955. doi: 10.1016/S0140-6736(12)61151-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Margos G, Vollmer SA, Ogden NH, et al. Population genetics, taxonomy, phylogeny and evolution of Borrelia burgdorferi sensu lato. Infect Genet Evol. 2011;11(7):1545–1563. doi: 10.1016/j.meegid.2011.07.022. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Yon L, Duff JP, Ågren EO, et al. Recent changes in infectious diseases in European wildlife. J Wildl Dis. 2019;55(1):3–43. doi: 10.7589/2017-07-172. [DOI] [PubMed] [Google Scholar]
- 6.Jaenson TG, Tälleklint L. Lyme borreliosis spirochetes in Ixodes ricinus (Acari: Ixodidae) and the varying hare on isolated islands in the Baltic, Sea. J Med Entomol. 1996;33(3):339–343. doi: 10.1093/jmedent/33.3.339. [DOI] [PubMed] [Google Scholar]
- 7.Jones BA, Grace D, Kock R, et al. Zoonosis emergence linked to agricultural intensification and environmental change. Proc Natl Acad Sci USA. 2013;110(21):8399–8404. doi: 10.1073/pnas.1208059110. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Ben Said M, Belkahia H, Alberti A, et al. First molecular evidence of Borrelia burgdorferi sensu lato in goats, sheep, cattle and camels in Tunisia. Ann Agric Environ Med. 2016;23(3):442–427. doi: 10.5604/12321966.1219184. [DOI] [PubMed] [Google Scholar]
- 9.Gern L, Rais O. Efficient transmission of Borrelia burgdorferi between cofeeding Ixodes ricinus ticks (Acari: Ixodidae) J Med Entomol. 1996;33(1):189–192. doi: 10.1093/jmedent/33.1.189. [DOI] [PubMed] [Google Scholar]
- 10.Orkun Ö. Comprehensive screening of tick-borne microorganisms indicates that a great variety of pathogens are circulating between hard ticks (Ixodoidea: Ixodidae) and domestic ruminants in natural foci of Anatolia. Ticks Tick Borne Dis. 2022;13(6):102027. doi: 10.1016/j.ttbdis.2022.102027. [DOI] [PubMed] [Google Scholar]
- 11.Pérez D, Kneubühler Y, Rais O, et al. Seasonality of Ixodes ricinus ticks on vegetation and on rodents and Borrelia burgdorferi sensu lato genospecies diversity in two Lyme borreliosis–endemic areas in Switzerland. Vector Borne Zoonotic Dis. 2012;12(8):633–644. doi: 10.1089/vbz.2011.0763. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Karageorgou I, Koutantou M, Papadogiannaki I, et al. Serological evidence of possible Borrelia afzelii lyme disease in Greece. New Microbes New Infect. 2022;46:100978. doi: 10.1016/j.nmni.2022.100978. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Wang W, Wang X, Liu J, et al. The integration of gold nanoparticles with polymerase chain reaction for constructing colorimetric sensing platforms for detection of health-related DNA and proteins. Biosensors (Basel) 2022;12(6):421. doi: 10.3390/bios12060421. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Sazmand A, Harl J, Eigner B, et al. Vector-borne bacteria in blood of camels in Iran: new data and literature review. Comp Immunol Microbiol Infect Dis. 2019;65:48–53. doi: 10.1016/j.cimid.2019.04.004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Khademi P, Ownagh A, Ataei B, et al. Prevalence of C burnetii DNA in sheep and goats milk in the northwest of Iran. Int J Food Microbiol. 2020;331:108716. doi: 10.1016/j.ijfoodmicro.2020.108716. [DOI] [PubMed] [Google Scholar]
- 16.Furuno K, Lee K, Itoh Y, et al. Epidemiological study of relapsing fever borreliae detected in Haemaphysalis ticks and wild animals in the western part of Japan. PLoS One. 2017;12(3):e0174727. doi: 10.1371/journal.pone.0174727. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Kybicová K, Kurzová Z, Hulínská D. Molecular and serological evidence of Borrelia burgdorferi sensu lato in wild rodents in the Czech Republic. Vector Borne Zoonotic Dis. 2008;8(5):645–652. doi: 10.1089/vbz.2007.0249. [DOI] [PubMed] [Google Scholar]
- 18.Sehgal VN, Khurana A. Lyme disease/borreliosis as a systemic disease. Clin Dermatol. 2015;33(5):542–550. doi: 10.1016/j.clindermatol.2015.05.006. [DOI] [PubMed] [Google Scholar]
- 19.Guo E, Agusto FB. Baptism of fire: modeling the effects of prescribed fire on Lyme disease. Can J Infect Dis Med Microbiol. 2022;2022:5300887. doi: 10.1155/2022/5300887. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Voyiatzaki C, Papailia SI, Venetikou MS, et al. Climate changes exacerbate the spread of Ixodes ricinus and the occurrence of lyme borreliosis and tick-borne encephalitis in europe-how climate models are used as a risk assessment approach for tick-borne diseases. Int J Environ Res Public Health. 2022;19(11):6516. doi: 10.3390/ijerph19116516. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Aouadi A, Leulmi H, Boucheikhchoukh M, et al. Molecular evidence of tick-borne hemoprotozoan-parasites (Theileria ovis and Babesia ovis) and bacteria in ticks and blood from small ruminants in Northern Algeria. Comp Immunol Microbiol Infect Dis. 2017;50:34–39. doi: 10.1016/j.cimid.2016.11.008. [DOI] [PubMed] [Google Scholar]
- 22.Esmaeilnejad B, Gharekhani J, Samiei A, et al. Molecular detection of Coxiella burnetii in ticks isolated from goats of Meshkin-Shahr county Ardabil province Iran [Persian] Nova Biologica Reperta. 2020;7(3):315–321. [Google Scholar]
- 23.Pesquera C, Portillo A, Palomar AM, et al. Investigation of tick-borne bacteria (Rickettsia spp Anaplasma spp Ehrlichia spp. and Borrelia spp.) in ticks collected from Andean tapirs, cattle and vegetation from a protected area in Ecuador. Parasit Vectors. 2015;8:46 . doi: 10.1186/s13071-015-0662-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Maggi RG, Krämer F. A review on the occurrence of companion vector-borne diseases in pet animals in Latin America. Parasit Vectors. 2019;12(1):145 . doi: 10.1186/s13071-019-3407-x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Jongejan F, Uilenberg G. The global importance of ticks. Parasitology. 2004;129(Suppl):S3–S14. doi: 10.1017/s0031182004005967. [DOI] [PubMed] [Google Scholar]


