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Memórias do Instituto Oswaldo Cruz, Vol. 100, No. 6, October 2005, pp. 613-617 Serological survey of Babesia bovis, Babesia bigemina, and Anaplasma marginale antibodies in cattle from the semi-arid region of the state of Bahia, Brazil, by enzyme-linked immunosorbent assays Silvia L Barros*, Claudio R Madruga/+, Flabio R Araújo, Carlos F Menk*, Maria Angela O de Almeida*, Elaine PS Melo, Raul H Kessler Embrapa Gado de
Corte, Área de Sanidade Animal, Br 262, Km 4, Caixa Postal 154, 72002-970
Campo Grande, MS, Brasil *Departamento de Patologia e Clínica
Veterinária, Escola de Medicina Veterinária, Universidade Federal
da Bahia,
Salvador, BA, Brasil Received 19 May
2005 Code Number: oc05134 The objectives of this work were to determine the prevalence of Babesia bovis, Babesia bigemina, and Anaplasma marginale detecting antibodies in cattle raised in the semi-arid region of the state of Bahia, Brazil, through indirect enzyme linked immunosorbent assays (ELISA) and to compare the performances of indirect enzyme-linked immunosorbent assays with crude (I-ELISA-CrAnaAg) and recombinant major surface protein-5 (I-ELISA-MSP-5Ag), as antigens to detect antibodies against A. marginale. An stable enzootic area was found in Senhor do Bonfim and Euclides da Cunha for B. bovis that showed 86 and 95.5% of prevalence, respectively, and for B. bigemina with 90.8 and 91.3%. On the other hand, Uauá and Juazeiro, were characterized as enzootically unstable areas, since prevalences were: B. bovis - 63.7 and 56.4% and B. bigemina - 53 and 54.8%, respectively. The prevalence of A. marginale in the four municipalities was above 97% with I-ELISA-CrAnaAg and 94.8% with I-ELISA-MSP-5Ag which is an indication of stable enzootic condition for the rickettsia. The I-ELISA-CrAnaAg and I-ELISA-MSP-5Ag showed a highly significant association (r = 0.977), which means that both ELISA tests are suitable for epidemiological studies of A. marginale. Key words: Anaplasma marginale - Babesia bovis - Babesia bigemina - ELISA - prevalence - semi-arid - Brazil Bovine babesiosis, caused by hemoprotozoans Babesia bovis and Babesia bigemina, as well as anaplasmosis, whose etiological agent is the intraerythrocitic rickettsia Anaplasma marginale, are responsible for important economical losses in the cattle industry of tropical and subtropical areas of the world. In Brazil, the annual losses caused by these hemoparasites were recently re-estimated in US$ 500 million (Grisi et al. 2002). The economical impact is a consequence of direct losses, such as mortality, reduction in meat and milk yield, and indirect ones with the application of control measures. The most relevant pathogenicity aspect of these hemoparasites is the marked anemia that leads to high percentage of mortality in non-immune cattle herds (Kessler & Schenk 1998). In the Brazilian territory, both species of Babesia and A. marginale are highly prevalent in the majority of the regions (Souza et al. 2000, Madruga et al. 2001). However, some microregions of the northeastern and southern regions are exceptions, because they are endemically unstable (Oliveira et al. 1992). In the Brazilian northeastern states, there are large areas with semi-arid climate, which are unsuitable for development of Boophilus microplus ticks during several months. Potentially, outbreaks of babesiosis and anaplasmosis may occur if cattle is moved from humid areas to the semi-arid regions during the short rainy season or inversely, if the cattle is transported from the semi-arid regions to humid regions, where tick prevalence is high. Interestingly, in some regions with very low seroprevalence of Babesia spp. the prevalence of A. marginale, determined by serological survey was high, suggesting other transmis-sion ways of infection than that by tick (Madruga et al. 1993). There is a small number of studies regarding the epidemiological situation of babesiosis/anaplasmosis in the semi-arid regions of northestern states of Brazil. Despite the low population of cattle in these areas, this activity has an important social impact as subsistence for poor families. One of the objectives of this work was to perform an epidemiological survey of Babesia spp. and A. marginale antibodies in cattle of semiarid regions of Bahia, whose climate condition is common to large areas of other northeastern states. In addition, indirect enzyme linked immunosorbent assays (ELISA) with crude and recombinant antigens were evaluated for diagnostic of antibodies against A. marginale. In the last decades, ELISA has replaced indirect fluorescent antibody technique, because the former showed advantages such as analysis possibility of a large number of tests in a shorter time and the discrimination of positive from negative sera without subjectivity (Madruga et al. 2000a). Various ELISA tests to detect antibodies against Babesia spp. and A. marginale with crude antigens were developed and evaluated in the last years (Molloy et al. 1998, Madruga et al. 2000a). More recently, efforts have been made to improve these serological tests for detection of antibodies against tick-borne diseases agents, especially A. marginale. One of these advances is the use of major surface protein-5 (MSP-5) as recombinant antigen (Knowles et al. 1996, Molloy et al. 1998, Reynna-Bello et al. 1998), although ELISA tests with A. marginale recombinant MSP1a and MSP2 antigens with high sensitivity and specificity have been recently described (Araújo et al. 2005, in press). This protein is highly conserved among isolates of A. marginale and elicits a strong humoral response, which can be detected by serological tests for long periods (Knowles et al. 1996). However, until the present time, there were no comparative studies in epidemiological surveys between indirect ELISA tests with crude and recombinant antigens. MATERIALS AND METHODS Characterization of the studied areas - The serological survey was performed with sera from cattle raised in the dry polygon of Bahia (municipalities of Juazeiro, Senhor do Bonfim, Uauá, and Euclides da Cunha). Data concerning geographical location and climate of the municipalities are shown on Table I. This region is characterized by a small number of permanent rivers and the caatingas are the predominant vegetation (xenomorphic plants). Sampling - The size of the cattle population studied was determined through a mathematical model developed by Pan American Zoonosis Center (1979) for epide-miological study of chronic diseases. The formula is the following: n = p (100-p)Z2/ (d.p/100)2, where n = sample number, p = expected prevalence, Z = degree of con-fidence, and d = error margin. A pre-sampling was done with 50 sera from each county to estimate the expected prevalence. One hundred sixty five samples from each county was determined based on the lowest expected prevalence of seropositive animals for B. bovis, B. bigemina, or A. marginale. The minimal sampling confers 95% of confidence degree and 2% of error probability. Nevertheless, a higher number of sera was analyzed, 848 for Babesia and 823 for A. marginale prevalence study. The number of sampled animals by age group was the following for the Babesia survey: 112 cattle with 12-24 months old, 124 cattle 24 to 36 months of age, 91 bovines with 36 to 48 months of age, and 521 animals age over 48 months of age. For A. marginale were 98 animals for the group with 12-24 months of age and 510 for cattle over 48 months of age. The remaining age groups had animal number equal as above mentioned for Babesia spp. Ten milliliters of blood were collected from each animal from the jugular vein using vaccum tubes. The serum obtained was kept at -20ºC until the serological analysis in the laboratory of hemoparasite diagnosis at Embrapa Beef Cattle, was done. Detection of antibodies against B. bovis and B. bigemina - The indirect ELISA with crude antigen of B. bovis and B. bigemina were performed according to the techniques described by Madruga et al. (2000b, 2001), respectively. Detection of antibodies against A. marginale - The crude ELISA antigen was performed according to Madruga et al. (2000a). The ELISA with recombinant MSP5 (rMSP5 ELISA), which is a stable GST fusion protein of the gene msp5 cloned in the pGEX plasmid (Amersham Bioscience), was performed according to the protocol of the International Livestock Research Institute (Katende 1997). Briefly, the lyophilized antigen was reconstituted with glycerol and diluted in Dulbelcco's buffered phosphate solution (DBPS) for adsorption in 96 wells ELISA plates (F96 Polysorp Nunc-Immuno). In each well, 5.1 mg of the diluted antigen were added and adsorption was performed during 90 min at 37ºC. Blocking of the wells was done with DBPS containing 0.2% of casein (DBPS-C) for 20 min at 37ºC. Control and test sera were diluted 1:50 in dilution buffer (DBPS plus 2% of skim milk) and incubated at 37ºC for 45 min. After three washes with DBPS containing 0.1% of tween-20 (DBPS-T), anti-bovine IgG peroxidase conjugate (Sigma A-7414) diluted 1:24,000 in DBPS containing 0.2% casein and 0.1% Tween-20 (DBPS-C-T) was added in each well and incubated at 37ºC for 30 min. The substrate H2O2 and chromogen 2,2'-azino-di [3-ethilbenzithianzoline-acid sulphonate(6)] solution were added and the results were read in a spectrophotometer (Bio-Tek Elx800) with a 414 hm filter after 30 min. In all Babesia spp. ELISA tests, the strong and weak positive control sera were obtained from calves free of haemoparasitic infections determined by indirect immunofluorescent antibody technique which were inoculated experimentally with 5 x 106 B. bovis and B. bigemina organisms. The A. marginale sera controls used were the same employed in the development and evaluation of the ELISA test in the ILRI, Nairobi, Kenya. Statistical analysis - The prevalences of B. bovis, B. bigemina, and A. marginale antibodies in the semi-arid micro-regions and in each county were statistically analyzed employing chi square as provided by the INSTAT 2 program (GraphPad Inc). The comparison of I-ELISA-CrAnaAg and I-ELISA-MSP-5Ag was done using the t-student test with 95% degree of confidence. RESULTS The overall prevalence of B. bovis and B. bigemina determined by antibody detection in cattle from the semi-arid of Bahia were 77.7 and 75.5%, respectively. The prevalence of A. marginale antibodies in this region was 98.9 and 97%, respectively by I-ELISA-CrAnaAg and I-ELISA-MSP-5Ag. The prevalence of seropositive animals ranged from 56.4 to 95.5% to B. bovis and from 53 to 91.3% to B. bigemina (Fig. 1) and were significantly higher in Senhor do Bonfim and Euclides da Cunha counties (P < 0.05). The prevalence of A. marginale determined by crude antigen and rMSP5 ELISA tests are shown in Fig. 2. No significant statistical differences were observed in the prevalence of this rickettsia among the studied municipalities of Bahia (P ≥ 0.05). The comparison between crude antigen and rMSP5 ELISAs (Table II) showed a highly significant association of results (r = 0.98). Despite the variation in the number of cattle sampled by age group, the differences in the prevalence of B. bovis, B. bigemina (Table III), and A. marginale (Fig. 3) between age groups and from the mean prevalence in the four counties of the semi-arid region groups were not significant (P > 0.05). DISCUSSION The results showed two distinct epidemiological conditions in the semi-arid region of Bahia, Senhor do Bonfim, and Euclides da Cunha were characterized as enzootically stable areas for B. bovis and B. bigemina, while Uauá and Juazeiro were described as unstable, according to the mathematical model developed by Mahoney (1975). On the other hand, applying the same model, the prevalence of A. marginale antibodies, characterized all four counties of this region as enzootically stable. The epidemiological distinction among the mentioned counties for both Babesia sp. seems to be associated with the interaction of climate and the life cycle of the only vector of these hemoprotozoans. Temperature and humidity are well known as crucial factors for B. microplus development and the latter climate factor seems to be determinant for the distinct epidemiological conditions found in the semi-arid region of Bahia. Although the rainy season in all four counties lasted three months, the mean annual pluviometric precipitation was above 700 mm in those with enzootic stability, while in the unstable the mean annual pluviometric precipitation was under 500 mm. The prevalence of B. bovis and B. bigemina in Senhor do Bonfim and Euclides da Cunha were similar to that found for B. bovis, 96.6%, in the southern region of Bahia, where the temperature and humidity are favorable to the tick biological cycle (Araújo et al. 1998). These results are also similar to those in other Brazilian states where B. microplus has conditions to complete its biological cycle during all year (Madruga et al. 2000a, Soares et al. 2000). Similarly to Uauá and Juazeiro, a low percentage of antibodies against Babesia spp. was found in the semi-arid region of Cariri in the state of Paraíba, characterizing an enzootic unstable area (Ma-druga et al. 1993). The enzootic stability of A. marginale in the semi-arid municipalities, including Uauá and Juazeiro, is an indication that the transmission of this rickettsia is not only dependent of B. microplus population. Similar epi-demiological situation was found in the semi-arid region of Cariri, in Paraíba. However in a region with the same climate characteristics, in the state of Sergipe, the A. marginale prevalence was only 16.3% (Oliveira et al. 1992). The description of anaplasmosis outbreaks in areas where tick B. microplus was eradicated (Gugliemone 1995) supports that other factors play important role in the epidemiology of A. marginale. Tabanids have been implicated as mechanical vectors of A. marginale for a long time. Recently in an epi-demiological study of A. marginale in Bolivia, was concluded that tabanids were responsible for the elevated prevalence of this rickettsia in that country (Carique et al. 2000). However, the humidity of the semi-arid region is not favorable for the development of tabanids, like it is not for the ixodidae, except during the short rainy season. Probably the most important epidemiological factor for the establishment of high prevalence is the persistence of A. marginale infection in the reservoir. Consequently, the needles used in the vaccinations and contaminated surgical instruments make the iatrogenic transmission an efficient way of infection spreading (Brinkman & Kersting 1990). The long persistence of A. marginale infection in cattle and the intra-uterine transmission even by cow raised in area free of B. microplus tick (Bock et al. 2003) may be important factors for A. marginale epidemiology, albeit this way of infection is not considered epi-demiologically important due to the low frequency, according to Ribeiro et al. (1996). Despite the reduced population of B. microplus in some areas of Bahia semi-arid region, A. marginale infection occurs in early age of the animals because the frequency of seropositive animals was above 98% in both ELISA tests in cattle with less than two years of age. Therefore, we concluded that there is risk of babesiosis outbreaks, but not of anaplasmosis, in cattle raised in Uauá and Juazeiro. Although the higher number of seropositive animals in the crude antigen ELISA, it was not statistically significant and possibly it was due to the greater polyantigenicity of the crude antigen compared with recombinant MSP-5. Also it is possible that non-specific reactions in the crude antigen ELISA, due to antibodies against red blood cells contaminants, influenced this difference, but according to previous evaluation, this is negligible (Madruga et al. 2000a). The indirect rMSP-5 ELISA has the advantage over the competitive ELISA that uses recombinant MSP-5 as antigen due to the lesser complexity and shorter time of execution. Therefore, both ELISA tests employed in this investigation proved to be useful for serological surveys of epidemiological studies and as evaluation tools in deciding the preventive measures to be used. REFERENCES
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