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Asian Pacific Journal of Tropical Biomedicine logoLink to Asian Pacific Journal of Tropical Biomedicine
. 2012 Feb;2(2):104–108. doi: 10.1016/S2221-1691(11)60202-5

Detection of Babesia bovis in blood samples and its effect on the hematological and serum biochemical profile in large ruminants from Southern Punjab

Samreen Zulfiqar 1, Sadia Shahnawaz 1, Muhammad Ali 2, Arif Mahmood Bhutta 1, Shahid Iqbal 1, Sikandar Hayat 2, Shazia Qadir 1, Muhammad Latif 1, Nazia Kiran 1, Ali Saeed 3, Muhammad Ali 3, Furhan Iqbal 1,*
PMCID: PMC3609249  PMID: 23569878

Abstract

Objective

To determine the presence of Babesia bovis (B. bovis) in large ruminants in southern Punjab and its effect on hematological and serum biochemical profile of host animals.

Methods

Blood samples were collected from 144 large ruminants, including 105 cattle and 39 buffaloes, from six districts in southern Punjab including Multan, Layyah, Muzaffar Garh, Bhakar, Bahawalnagar and Vehari. Data on the characteristics of animals and herds were collected through questionnaires. Different blood (hemoglobin, glucose) and serum (ALT, AST, LDH, cholesterol) parameters of calves and cattle were measured and compared between parasite positive and negative samples to demonstrate the effect of B. bovis on the blood and serological profile of infected animals.

Results

27 out of 144 animals, from 5 out of 6 sampling districts, produced the 541-bp fragment specific for B. bovis. Age of animals (P=0.02), presence of ticks on animals (P=0.04) and presence of ticks on dogs associated with herds (P=0.5) were among the major risk factors involved in the spread of bovine babesiosis in the study area. ALT concentrations were the only serum biochemical values that significantly varied between parasite positive and negative cattle.

Conclusions

: This study has reported for the first time the presence of B. bovis in large ruminant and the results can lead to the prevention of babesiosis in the region to increase the livestock output.

Keywords: Babesia bovis, PCR amplification, Cattle, Hematology, Serum biochemistry, Ruminant, Babesiosis, Serological profile, Cattle

1. Introduction

The role of livestock in Pakistan's rural economy may be realized from the fact that 30–35 million rural population is engaged in livestock raising which helps them to derive 30–40 percent of their income from it[1]. Tick infestation in cattle is one of the major constraints to the livestock industry in developing countries which adversely affects economic performance, mainly by transmission of serious pathogens of animals[2][5]. Bovine babesiosis is, transmitted by Ixodid ticks, caused by intraerythrocytic protozoan parasite, Babesia bovis (B. bovis) (Family: Babesiidae) that infects a wide range of domestic animals and causes progressive haemolytic anaemia[6],[7]. A marked rise in body temperature, reaching (40–41) °C, loss of appetite, cessation of rumination, labored breathing, hemoglobinurea, weakness and a reluctance to move are the symptoms developed especially in more protracted cases[8][11]. The fever during infections may cause pregnant cattle to abort and bulls to show reduced fertility lasting six to eight weeks[12],[13].

The diagnosis of ruminant piroplasmosis is generally based upon the microscopic examination of Giemsa stained blood smears and by clinical symptoms in acute cases. After acute infections, recovered animals frequently sustain sub clinical infections, which are microscopically undetectable[14][16]. They can be considered as a source of infection for the potential vector causing natural transmission of the disease. Serological methods are frequently employed in determining sub clinical infections. However, serology for detecting carrier state lacks specificity and sensitivity, especially for infection status[17][21]. Therefore, DNA amplification methods, which are more sensitive and specific than other conventional methods may facilitate and be used as a powerful tool for the diagnosis of babesiosis[22][30].

The aim of the present study was to establish a specific, reliable and sensitive molecular tool, the polymerase chain reaction (PCR), for the detection of B. bovis in cattle and buffaloes from southern Punjab. Two different diagnostic methods, blood smear screening and PCR, were also compared for the efficient parasite detection. Furthermore, the present study provided a baseline data regarding the presence of B. bovis and risk factors involved in the spread of tropical babesiosis in large ruminants and we have also compared various hematological and serum biochemical parameters between parasite positive and negative cattle and calves in order to demonstrate the effect of babesiosis on blood profile, if any, of the host.

2. Materials and methods

2.1. Sample and data collection

Blood samples were collected from 144 clinically healthy large ruminants (105 cattle and 39 buffaloes) from randomly selected herds located in the important livestock production regions of southern Punjab including Multan, Layyah, Muzaffar Garh, Bhakar, Bahawalnagar and Vehari districts during January to August 2010. Blood was collected from the jugular vein of the animals and immediately preserved in 10 mL Eppendorf tubes by adding 400 µL of 0.5 M EDTA. Data regarding the characteristics of animals (species, gender, age, presence of ticks) and herd (location, size, species of animals, dogs associated with the herds, presence of ticks on dogs associated with the herds) were collected through questionnaires completed by investigators on sampling sites in order to calculate the risk factors involved in the spread of bovine babesiosis.

2.2. Blood film formation

Blood films were prepared, fixed with methanol, stained with Giemsa and microscopically observed for the detection of Babesia sp. in blood.

2.3. DNA extraction

Inorganic method of DNA extraction was used following Shaikh et al[31]. The quality of the DNA extract in regard to purity and integrity was assessed with optical density counts at 260/280 nm and submerged gel electrophoresis.

2.4. PCR amplification

A set of oligonucleotide primers was used to amplify the 541 bp fragment of small subunit (SSU) rRNA gene sequences of B. bovis as previously described by Durrani and Kamal[6]. The nucleotide sequence of the primer-pair was: forward primer (GAU9) 5′CTGTCGTACCGTTGGTTGAC 3′ and reverse primer (GAU10) 5′CGCACGGACGGAGACCGA 3′. PCR was performed in a final reaction volume of 25 µL. Each reaction contained 50 mM KCl, 10 mM Tris-HCl (pH 8.3), 1.5 mM MgCl2, 0.1% Triton X-100, 200 µM (each) deoxynucleotide triphosphate (dNTPs), 2.5 U of Taq DNA polymerase (Merck, USA), 20 pmol of primers and 5 µL of extracted DNA sample. B. bovis DNA (previously isolated from the blood of naturally infected cattle and kindly provided by Dr. Munir Aktas, University of Firat, Turkey) and distilled water (without DNA) were run during every PCR amplification as positive and negative controls, respectively. DNA amplification was carried out in a thermal cycler (Gene Amp® PCR system 2700 Applied Biosystems Inc., UK). The thermo-profile used by Oliveira et al[32] and Shahnawaz et al[33] was modified for the present study. An initial denaturing step of 5 min at 94 °C was followed by 5 cycles: denaturing step of 1 min at 94 °C, an annealing step of 1 min at 56 °C and an extension step of 1 min at 72 °C. These 5 cycles were followed by 30 cycles. Each cycle consisted of denaturing step of 1 min at 94 °C, an annealing step of 1 min at 54 °C and an extension step of 1 min at 72 °C. The PCR program ended with a final extension step of 7 min at 72 °C. Amplified products were separated by electrophoresis on a 1.5% agarose gel and visualized under a UV transilluminator (Biostep, Germany).

2.5. Hematological and serological analysis

Blood glucose concentration was measured by using ACCU-CHEK® Active blood glucose meter (Roche, Germany) while hemoglobin was determined by using Metertek SP-8SO spectrophotometer (Korea) and Randox LTD Laboratories diagnostic kit (UK). For the determination of serum biochemical activity, the blood samples were centrifuged at 13 000 rpm for 10 min to separate the serum and serum was stored at -20 °C until further use. Serological biochemical parameters including cholesterol, aspartate transaminase (AST), alanine transaminase (ALT) and lactate dehydrogenase (LDH) were determined by using APEL PD-303S spectrophotometer (Japan) and diagnostic kits manufactured by Spinreact, Spain following their user's manuals.

2.6. Statistical analysis

Animals were grouped into two age categories: less or equal to 1 year (calf) and 1 year or more than 1 year old (adult). Herds were divided into two size categories: herds having 1–15 animals and herds with more than 15 animals. Also, herds were divided according to their composition into three categories: herds with cattle only, herds with buffalo only and herds with cattle and buffalo together. The absence or presence of ticks on cattle, buffalo, calf and dogs associated with the herds was also recorded. Association between the presence (positive and negative blood samples) of B. bovis and the various parameters, i.e. herd location, herd size, herd composition, gender and age of animal, and absence or presence of ticks on cattle, buffalo, calf and dogs in the herd was assessed by contingency table analysis using the Fisher's exact test (for 2×2 tables). Association of parasite prevalence with herd composition and herd location was determined by one way analysis of variance (ANOVA). Similarly one way ANOVA was also calculated for parasite prevalence and various blood and serological parameters (glucose, hemoglobin, and cholesterol, ALT, AST and LDH) in calf and cattle. All the values were expressed as mean ± standard deviations. Mini Tab (Version 16) was used for statistical analysis.

3. Results

PCR results revealed that 27 (18%) out of 144 examined ruminant blood samples, collected from 6 districts of southern Punjab, produced the 541-bp fragment specific for B. bovis. The 27 parasite positive blood samples included 18 cattle and 9 buffalo samples. On the other hand, only 4 (3%) of 144 blood samples were found parasite positive during microscopic examination of Giemsa stained blood smears. Out of the 6 districts, 5 (83%) had ruminant samples positive for B. bovis and the parasitic prevalence varied between 10% to 50% (Table 1).

Table 1. Prevalence of B. bovis detected according to the sampling districts and species [n (%)].

Parameters B. bovis (positive) B. bovis (negative) Total
Sampling site Multan 17 (30) 39 (70) 56
Layyah 3 (10) 27 (90) 30
Muzaffar Garh 3 (50) 3 (50) 6
Bhakar 3 (14) 19 (86) 22
Bahawalnagar 1 (10) 9 (90) 10
Vehari 0 (0) 20 (100) 20
Species Cattle 18 (17) 87 (83) 105
Buffalo 9 (23) 30 (77) 39

ANOVA showed a highly significant association between the sampling sites and prevalence of parasite (P=0.006).

Statistical analysis of the characteristics of animals showed that age (P=0.02) and presence of ticks on animals (P=0.04) might play an important role in the spread of babesiosis as animal less than 1 year old and those having ticks present on them were more infected with the parasite. Regarding the characteristics of herds, results indicated that presence of ticks on dogs associated with herds had non-significant correlation with increasing parasitic prevalence (P>0.05) (data not shown).

Blood and serum biochemical parameters (cholesterol, ALT, AST, LDH and glucose) varied non-significantly between parasite positive and negative blood samples except ALT. ALT level in cattle was the only parameter that varied significantly between parasite positive and negative large ruminants indicating that the presence of B. bovis, being a blood parasite, affects the blood biochemistry of host (Table 2).

Table 2. A comparison of serum biochemical parameters of parasite positive and negative blood samples from calves (less than 1 year old) and cattle (more than 1 year old) (mean±SD).

Parameters (mg/dL) Parasite (positive)
Parasite (negative)
Calves (n=12) Cattle (n=15) Calves (n=31) Cattle (n=65)
ALT 2.91-15.75 9.90±3.70 8.75-19.20 15.10±3.50** 7.00-22.10 12.20±3.70 7.58-23.30 13.60±4.00**
AST 16.30-52.50 37.90±14.80 17.50-48.40 32.70±11.00 16.30-52.50 34.00±12.90 12.83-48.40 28.90±9.30
Cholesterol 59.40-96.00 82.80±9.50 59.40-273.20 142.30±64.60 59.40-187.10 92.60±34.80 59.40-749.50 166.40±108.90
LDH 361.50-596.30 445.40±74.30 35.08-472.20 299.00±191.00 51.20-547.70 345.70±112.60 35.08-995.60 345.10±216.90
Hb 3.30-10.00 5.90±2.40 3.90-12.10 8.10±2.50 3.30-10.00 7.20±2.60 3.20-12.10 9.50±1.80
Glucose 11.00-75.00 39.20±19.10 19.00-57.00 35.50±15.40 11.00-75.00 49.10±14.50 11.00-70.00 39.80±17.80

Hb: hemoglobin; **: P<0.01.

4. Discussion

Babesia is one of the most important blood parasites affecting cattle and buffaloes and in its acute forms, it lowers the productive performance of the affected animals[8],[34]. It is estimated that 1.2 billion cattle are exposed to babesiosis in many countries of the world including Asia, Australia, Africa, South and Central America and the United States[35].

It is the demand of time to develop sensitive tools for the effective detection and drugs for treatment of Babesia sp. in order to decrease the economic losses by the parasite. Several conventional and modern methods are used for the detection of Babesia sp. in host animals. The most commonly used one is by microscopic examination of blood smears stained with Giemsa, but this technique is usually adequate for detection of acute infections and due to its low sensitivity this method is not used for the detection of carrier animals, where parasitemia may be low[10]. Many studies verified that PCR is a more specific and sensitive tool than conventional techniques for the detection of carrier ruminants having Babesia sp. present in blood without any apparent signs of babesiosis[8],[33],[34]. We had similar experience as the prevalence of B. bovis detected through PCR was 18% as compared with 3% (n=4) parasitic detection by microscopic examination of Giemsa-stained blood smears. Furthermore, these 4 blood samples were also found to be parasite positive by PCR. Only microscopic examination of PCR positive samples would have declared many of the positive samples as parasite free. A similar comparison was made by Durrani and Kamal[6] in Kasure, Pakistan. They found 33.3% prevalence for B. bovis and Babesia bigemina in cattle from Kasure by PCR as compared with 3% prevalence of B. bovis detected by blood smear examination.

Analysis of data revealed that calves (28%) were more infected by B. bovis as compared with adult animals (15%) (P=0.02). Further analysis showed that the calves of buffaloes (50%) were more prone to babesiosis than their adults (0%) (P=0.000 2). This result was in accordance with the findings of Niazi et al[15] who found a high incidence of babesiosis in calves in their study conducted at livestock experimental station Qadirabad and adjascent areas, in Sahiwal (Pakistan).

The presence of ticks on animals proved to be an important risk factor for the spread of babesiosis during the present study as ticks are the potential vectors for the transmission of parasite under study. Ticks were found on 37.5% of the infected animals (P=0.04). The incidence of babesiosis, possibly due to tick infestation, was more significant in buffaloes than in cattle during the present study as in cattle ticks were found on only 17.7% of the infected animals while 60% of the B. bovis positive buffaloes had ticks detected on their bodies (P=0.000 2). These results indicated that ticks may act as a vector for the transmission of Babesia sp. in large ruminants but parasite detection was not carried out in ticks found on the animals under study. A similar trend of tick infestation and babesiosis was previously reported by Iqbal et al[5] and Ghosh et al[26].

As B. bovis is a blood parasite, various hematological and serum biochemical parameters were measured in all large ruminant samples. Blood hemoglobin and glucose values were reduced in infected calves and cattle as compared with the parasite free ones. These observations were similar to those of Yuksek et al[13], Durrani et al[18], and Col and Uslu[19]. The decrease in blood glucose concentration could be due to the utilization of glucose by parasites and damage to the liver in large ruminants infected with B. bovis.

Serum AST and ALT concentrations are the indicators of hepatic function. The rise in serum ALT concentration may be due to alteration of liver function as a result of bovine babesiosis[13],[16]. The serum ALT concentration of infected calf samples was lower than parasite negative calves while the serum ALT concentration of infected cattle was higher as compared with non infected cattle. The level of serum AST in infected calves and cattle was higher as compared with the healthy ones. Similar findings were observed by Talkhan et al[8]. In present study the increase in ALT and AST levels in infected animals compared with healthy animals might indicate hepatic dysfunction in parasite positive animals.

The serum LDH concentrations of infected calves were found to be higher than parasite negative calves. LDH is a cytosolic enzyme, which is essentially present in all tissues involved in glycolysis. Any destructive process of these tissues leads to the enzyme leaking into extra cellular fluids and then into body fluids. Hence detection of elevated concentration of this enzyme released into the blood stream from the damaged tissues has become a definitive diagnostic and prognostic criterion for various diseases and disorders. The higher level of LDH in calves may be related to liver dysfunction reported by Talkhan et al[8].

Acknowledgments

This project was financed by the Directorate of Research and External Linkages, Bahauddin Zakariya University, Multan (Pakistan) through grant No. DR & EL/D-40 dated 05-04-2010. Authors would like to thank all the veterinarians for their kind help during sample collection.

Footnotes

Foundation Project: This work was financially supported by the Directorate of Research and External Linkages, Bahauddin Zakariya University, Multan, Pakistan (grant No. DR & EL/D-40 dated 05-04-2010).

Conflict of interest statement: We declare that we have no conflict of interest.

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