Mather T N, Telford S R, Moore S I, Spielman A
Department of Tropical Public Health, Harvard School of Public Health, Boston, Massachusetts 02115.
Exp Parasitol. 1990 Jan;70(1):55-61. doi: 10.1016/0014-4894(90)90085-q.
In endemic regions, Peromyscus leucopus, the mouse reservoir of the Lyme disease spirochete (Borrelia burgdorferi) and the piroplasm causing human babesiosis (Babesia microti), is nearly universally infected with both agents. Paradoxically, spirochetal infection is nearly twice as prevalent as is babesial infection in populations of field-collected nymphal Ixodes dammini, the tick vector. In the laboratory, a similarly disproportionate rate of infection was observed among nymphal ticks, feeding as larvae, on either B. burgdorferi- or B. microti-infected mice. Ticks which fed on mice with concurrent spirochetal and babesial infections also exhibited twice the incidence of spirochetal infection over that of the piroplasm. These data suggest that the efficiency of acquisition and transstadial passage of B. burgdorferi and B. microti infection differ by a factor of two. This discrepancy may explain differences observed both in the prevalence of infection in ticks collected in the field, as well as the apparently greater risk of spirochetal infection to humans in endemic areas.
在流行地区,白足鼠(Peromyscus leucopus)作为莱姆病螺旋体(伯氏疏螺旋体,Borrelia burgdorferi)和引起人类巴贝斯虫病的梨形虫(微小巴贝斯虫,Babesia microti)的鼠类宿主,几乎普遍感染这两种病原体。矛盾的是,在野外采集的若虫期达氏硬蜱(Ixodes dammini)种群中,螺旋体感染的发生率几乎是巴贝斯虫感染的两倍,而达氏硬蜱是蜱传播媒介。在实验室中,在以感染伯氏疏螺旋体或微小巴贝斯虫的小鼠为幼虫宿主的若虫期蜱中,也观察到了类似的不成比例的感染率。以同时感染螺旋体和巴贝斯虫的小鼠为宿主的蜱,其螺旋体感染的发生率也比梨形虫感染高出两倍。这些数据表明,伯氏疏螺旋体和微小巴贝斯虫感染的获取效率和经变态期传播效率相差两倍。这种差异可能解释了在野外采集的蜱中观察到的感染率差异,以及在流行地区人类感染螺旋体的风险明显更高的现象。