Abstract

Rickettsia akari, an obligately intracellular bacterium, is the causative agent of the cosmopolitan urban disease rickettsialpox. R. akari is an atypical representative of spotted fever group rickettsiae (SFG) as it is associated with rodent mites rather than ticks or fleas; however, only limited information is available about the degree of genetic variability found among isolates of R. akari. We examined 13 isolates of R. akari from humans, rodents and mites in the USA, the former Soviet Union, and the former Yugoslavia made between 1946 and 2003 for diversity in their tandem repeat regions (TR) and intergenic regions (IGR). The 1.23 Mb genome of R. akari strain Hartford CWPP was analyzed using Tandem Repeat Finder software (http://tandem.bu.edu) and 374 different TRs were identified, with size variation from 1 to 483 bp and with TR copy numbers ranging between 21 and 1.9, respectively. No size polymorphisms were detected among the 11 TR regions examined from 5 open reading frames and 6 IGR. Eighteen non-TR IGR’s were amplified and sequenced for the same isolates comprising a total of 5.995 bp (0.49%) of the Hartford CWPP strain chromosome. Three single nucleotide polymorphism (SNP) sites were detected in two IGR’s which permitted separation of the five R. akari isolates from Ukraine SSR from the other eight isolates. In conclusion, this is the first study reporting genetic heterogeneity among R. akari isolates of different geographic origins. Further exploration of this genetic diversity is needed to understand better the geographic distribution of R. akari and the epidemiology of rickettsialpox. The potential of mites as hosts for other rickettsial agents also needs further investigation.

Highlights

  • Rickettsia akari is an obligate intracellular gramnegative bacterium which causes rickettsialpox in humans [2, 21]

  • Eleven selected primer pairs produced a single band of the predicted size when using DNA of Hartford CWPP strain

  • Homologous amplicon fragments were obtained for each R. akari isolate DNA available; the yield of PCR amplicons for each tandem repeat regions (TR) region was comparable for each set of primers permitting direct comparisons of their sizes

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Summary

Introduction

Rickettsia akari is an obligate intracellular gramnegative bacterium which causes rickettsialpox in humans [2, 21]. R. akari circulates in natural reservoirs of rats and house mice, Mus musculus, and is transmitted to humans by the bite of the mouse mite, Liponyssoides sanguineus [2, 22]. Rickettsialpox is one of the few rickettsioses which is characterized as an urban disease. It manifests as a mild disease accompanied by the classic triad of the eschar lesion at a site of the mite bite, fever, and vesicular rash, as well as headache and lymphadenopathy and leukopenia [2, 3, 21, 31]

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