Borrelia miyamotoi Infections in Small Mammals, California, USA

Surveillance to investigate the wildlife–vector transmission cycle of the human pathogen Borrelia miyamotoi in California, USA, revealed infections in dusky-footed woodrats, brush mice, and California mice. Phylogenetic analyses suggest a single, well-supported clade of B. miyamotoi is circulating in California.

Surveillance to investigate the wildlife-vector transmission cycle of the human pathogen Borrelia miyamotoi in California, USA, revealed infections in dusky-footed woodrats, brush mice, and California mice. Phylogenetic analyses suggest a single, well-supported clade of B. miyamotoi is circulating in California.
B orrelia miyamotoi is a spirochete that causes a relapsing febrile illness and is transmitted by hard Ixodes species ticks (1,2). B. miyamotoi is prevalent in western black-legged tick (I. pacificus) populations in California, USA (3,4); in some locations, B. miyamotoi prevalence in ticks is comparable with or higher than the prevalence of the Lyme disease agent, B. burgdorferi sensu stricto (3)(4)(5). There is mounting evidence that human infections occur in northern California (6).
Surveillance of B. miyamotoi in California has focused on ticks, and little is known about infection in wildlife hosts. B. miyamotoi has been identified from spleen samples of birds and rodents in Europe (7), from blood and bladder samples of rodents in Japan (8), and from white-footed mice (Peromyscus leucopus) in the eastern United States (9). In California, surveillance in Alameda County (east of the San Francisco Bay) observed B. miyamotoi in tick populations but failed to detect the spirochete in mammals (10). We investigated B. miyamotoi infection status in small mammals at 3 California sites where the bacterium is present in tick populations (3,5).

The Study
We captured animals on 2 consecutive nights at each of 3 sites in the San Francisco Bay area of California during June 2014: Windy Hill (37.37315°, -122.22466°) and Thornewood (37.39086°, -122.25066°) Open Space Preserves (OSP) in San Mateo County, and Foothills Park (37.36243°, -122.17362°) in Santa Clara County. We chose these sites on the basis of local B. miyamotoi prevalence of 3.6%-10.7% in I. pacificus nymphs (5). Trapping occurred in June to coincide with the peak abundance of nymphal black-legged ticks and so perhaps increase the chance that B. miyamotoi would be circulating in animal populations (11). Animals were captured using Sherman live traps baited with peanut butter and oats.
We anesthetized captured animals with isoflurane, identified them by morphology using taxonomic guides, and examined them for ticks. We obtained blood and eartissue biopsy samples from each individual and tested both sample types for Borrelia spp. because different Borrelia species may vary in tissue tropism (9).
We extracted DNA from all samples (i.e., whole blood, ear punch biopsies, and ticks) using DNeasy Blood and Tissue Kits (QIAGEN, Valencia, CA, USA) and assayed for the presence of Borrelia using quantitative PCR (qPCR) (9), which is able to detect as few as 10 spirochetes. We sequenced all qPCR-positive samples using a primer set targeting the intergenic spacer rrs-rrlA locus, which allowed for differentiation of Borrelia genospecies (12). Alignments were made in ClustalX (http://www.clustal.org). We compared our sequences from I. pacificus ticks and wild-caught rodents (GenBank accession nos. MH342008-31) to representative GenBank sequences from isolates found in other sites in California (accession nos. KT343321, KT343334, KT343337, KU184505, KF957668), elsewhere in the United States (accession nos. HQ658901, HQ658902, AY374140, AY37139, AY374138, AY363706, GU993308, KY293400, KY293399, KY293398, KY293397, KY293396, GQ856588, GU993309, GQ856589), Japan (accession nos. AY363703, AY363704), and Sweden (accession no. AY363705). We conducted phylogenetic reconstruction using MrBayes We captured a total of 117 small mammals from 5 species (  (10); possible reasons are that the spirochete is rarer in this locality (NIP = 0.4% in Alameda study sites), that mammal capture periods were dispersed across multiple years and not as coincident with nymphal tick activity, or that brush mice and California mice were not captured at that location.
We did not find B. burgdorferi sensu stricto, although we observed uncharacterized B. burgdorferi sensu lato infection in 1 California mouse. None of the animals captured in the redwood habitat (Thornewood OSP) were infected with Borrelia spp., although the sample size was small at this location (Table 1). We found a co-infection of B. burgdorferi sl and B. miyamotoi in a brush mouse.
Co-infections of B. burgdorferi and B. miyamotoi have previously been reported from mice and ticks in the northeastern United States (9) and from ticks in Marin County, California (4).
Five mammals were infested with I. angustus ticks, of which we observed all 3 life stages. In redwood habitat at Thornewood OSP, 1 California mouse hosted 2 adult females and a nymph, 1 brush mouse was infested with 2 adult females and 2 nymphs, and 1 brush mouse carried 1 female and 1 nymphal tick. Of 2 brush mice captured at Windy Hill, 1 harbored 3 larvae and the other 5 larvae. None of the 17 I. angustus ticks tested positive for Borrelia spp., nor did the host animals from which the ticks were removed. We found no I. pacificus ticks infesting the small mammals.
Phylogenetic analyses suggest that B. miyamotoi in California is a single strain, separate from B. miyamotoi in the eastern United States and from strains circulating in Asia and Europe (Figure), corroborating an earlier study (15). Sequences from I. pacificus ticks previously collected in the San Francisco Bay area were identical to the sequences obtained from rodent infections.

Conclusions
The identification of B. miyamotoi in small mammals in California mirrors research from other locations that have documented the spirochete in small rodents. It is premature to claim these infected species as B. miyamotoi reservoirs (i.e., responsible for maintenance of the pathogen and acting as a source for of zoonotic transmission), in part because  B. miyamotoi can also be transmitted transovarially in the tick population; local maintenance of the spirochete may not require a reservoir host. Nonetheless, in California, where B. miyamotoi clusters into a single, well-supported phylogenetic clade, the spirochete appears to be circulating among rodent species. Xenodiagnostic investigation of these putative reservoir species, as well as more comprehensive investigations of the reservoir potential of other local fauna, including larger mammals (e.g., squirrels and deer) and birds, will further elucidate the ecology of B. miyamotoi in California.

Figure.
Phylogenetic tree of Borrelia miyamotoi intergenic spacer (rrs-rrlA) sequences isolated from wild-caught rodents and ticks (black dots) from California, USA, in study of Borrelia spp. in small mammal species in the San Francisco Bay area, compared with reference samples from California, the eastern United States, Japan, and Sweden. Isolates are identified by isolate identification number or GenBank accession number. Scale bar indicates nucleotide substitutions per site.