Fischer Stefan, Mayer-Scholl Anne, Imholt Christian, Spierling Nastasja G, Heuser Elisa, Schmidt Sabrina, Reil Daniela, Rosenfeld Ulrike M, Jacob Jens, Nöckler Karsten, Ulrich Rainer G
1 Institute of Novel and Emerging Infectious Diseases , Friedrich-Loeffler-Institut, Federal Research Institute for Animal Health, Greifswald-Insel Riems, Germany .
2 Department for Biological Safety, German Federal Institute for Risk Assessment , Berlin, Germany .
Vector Borne Zoonotic Dis. 2018 Apr;18(4):188-199. doi: 10.1089/vbz.2017.2140. Epub 2018 Feb 22.
Leptospirosis is a worldwide emerging infectious disease caused by zoonotic bacteria of the genus Leptospira. Numerous mammals, including domestic and companion animals, can be infected by Leptospira spp., but rodents and other small mammals are considered the main reservoir. The annual number of recorded human leptospirosis cases in Germany (2001-2016) was 25-166. Field fever outbreaks in strawberry pickers, due to infection with Leptospira kirschneri serovar Grippotyphosa, were reported in 2007 and 2014. To identify the most commonly occurring Leptospira genomospecies, sequence types (STs), and their small mammal host specificity, a monitoring study was performed during 2010-2014 in four federal states of Germany. Initial screening of kidney tissues of 3,950 animals by PCR targeting the lipl32 gene revealed 435 rodents of 6 species and 89 shrews of three species positive for leptospiral DNA. PCR-based analyses resulted in the identification of the genomospecies L. kirschneri (62.7%), Leptospira interrogans (28.3%), and Leptospira borgpetersenii (9.0%), which are represented by four, one, and two STs, respectively. The average Leptospira prevalence was highest (∼30%) in common voles (Microtus arvalis) and field voles (Microtus agrestis). Both species were exclusively infected with L. kirschneri. In contrast, in bank voles (Myodes glareolus) and yellow-necked mice (Apodemus flavicollis), DNA of all three genomospecies was detected, and in common shrews (Sorex araneus) DNA of L. kirschneri and L. borgpetersenii was identified. The association between individual infection status and demographic factors varied between species; infection status was always positively correlated to body weight. In conclusion, the study confirmed a broad geographical distribution of Leptospira in small mammals and suggested an important public health relevance of common and field voles as reservoirs of L. kirschneri. Furthermore, the investigations identified seasonal, habitat-related, as well as individual influences on Leptospira prevalence in small mammals that might impact public health.
钩端螺旋体病是一种由钩端螺旋体属人畜共患病细菌引起的全球新兴传染病。许多哺乳动物,包括家畜和伴侣动物,都可能被钩端螺旋体属感染,但啮齿动物和其他小型哺乳动物被认为是主要宿主。德国(2001 - 2016年)每年记录的人类钩端螺旋体病病例数为25 - 166例。2007年和2014年报告了草莓采摘者因感染克氏钩端螺旋体血清型Grippotyphosa而爆发的田间热疫情。为了确定最常见的钩端螺旋体基因组种、序列类型(STs)及其小型哺乳动物宿主特异性,2010 - 2014年在德国四个联邦州进行了一项监测研究。通过针对lipl32基因的PCR对3950只动物的肾脏组织进行初步筛查,发现6种435只啮齿动物和3种89只鼩鼱的钩端螺旋体DNA呈阳性。基于PCR的分析鉴定出基因组种克氏钩端螺旋体(62.7%)、问号钩端螺旋体(28.3%)和波摩那钩端螺旋体(9.0%),它们分别由4个、1个和2个STs代表。普通田鼠(Microtus arvalis)和田野田鼠(Microtus agrestis)的钩端螺旋体平均患病率最高(约30%)。这两个物种都只感染了克氏钩端螺旋体。相比之下,在林姬鼠(Myodes glareolus)和黄颈鼠(Apodemus flavicollis)中,检测到了所有三种基因组种的DNA,而在普通鼩鼱(Sorex araneus)中鉴定出了克氏钩端螺旋体和波摩那钩端螺旋体的DNA。个体感染状况与人口统计学因素之间的关联因物种而异;感染状况始终与体重呈正相关。总之,该研究证实了钩端螺旋体在小型哺乳动物中的广泛地理分布,并表明普通田鼠和田野田鼠作为克氏钩端螺旋体宿主具有重要的公共卫生意义。此外,调查确定了季节、栖息地相关以及个体对小型哺乳动物钩端螺旋体患病率的影响,这些可能会影响公共卫生。