First Report on Transplacental Transmission of Anaplasma marginale in Neonatal Dairy
Calves from District Jhang, Punjab, Pakistan
Farhan
Ahmad Atif1, *, Kashif Hussain1,2, Muhammad Fiaz
Qamar3, Muhammad Sohail Sajid2, Muhammad Arfan
Zaman3 and Muhammad Kamran Rafique3
1Medicine
Section, Department of Clinical Sciences, College of Veterinary and Animal
Sciences, Jhang; (Sub-campus) University of Veterinary and Animal Science,
Lahore, Pakistan
2Department of
Parasitology, Faculty of Veterinary Science, University of Agriculture,
Faisalabad, Pakistan
3Department of
Pathobiology, College of Veterinary and Animal Sciences, Jhang; University of
Veterinary and Animal Science, Lahore, Pakistan
*For correspondence:
farhan.atif@uvas.edu.pk; atifvet_2000@yahoo.com
Received 22 June 2020; Accepted 18 November 2020; Published 25 January
2021
Abstract
The current
study was planned to evaluate the
transplacental transmission potentials of Anaplasma marginale among
naturally infected adult dairy cattle in district Jhang, Punjab,
Pakistan. A dairy farm was selected after a district level survey having
highest number of blood smear, cELISA and PCR positives of A. marginale infected pregnant
crossbred cows (Holstein Friesian × Cholistani). Blood samples were collected
from dams (within 4 months of their pregnancies and at the time of
parturitions) as well as from the new-born calves (before colostrum feeding
within 3 h of the birth). Eighty pregnant
cows were screened through the cELISA and PCR. Out of these, 54 were found positive
for anaplasmosis. Further follow up revealed that 38 cows remained positive at
the time of parturition. Finally, based on the criteria, 32 calves without
colostrum feeding qualified for the vertical transmission trial. The results of
present study revealed that 28 (9/32) and 13% (4/32) of the neonatal calves
acquired intrauterine infection confirmed by cELISA and PCR, respectively. Overall
occurrence of the transplacental transmission was 31%. Nevertheless, we
concluded that transplacental transmission occurs and this route of
transmission, can lead to a significant number of neonatal deaths. Hence, the
transplacental route of disease transmission should also be considered for
devising the prevention and control strategies regarding anaplasmosis in the dairy
cattle. © 2021 Friends Science Publishers
Keywords: Anaplasma;
Transplacental transmission; cELISA; PCR; Punjab; Pakistan
Introduction
Anaplasmosis is a tick-borne infectious disease, caused
by an obligatory intracellular pathogen of genus Anaplasma (A.); causing heavy economic losses, worldwide including
Pakistan (Sajid et al. 2014; Atif
2016; Abbas et al. 2020; Spare et al. 2020). The bovine anaplasmosis (BA), mostly prevalent in the tropical,
and the subtropical regions, is transmitted biologically by the ticks,
mechanically by the mosquitoes, lice, biting flies, contaminated fomites and trans
placentally through placenta from mother to the offspring (Aubry and Geale
2011; Costa et al. 2016; Karim et al. 2017; Rehman et al. 2019). Rhipicephalus microplus
is the major vector of the BA, worldwide; nevertheless, competent vector of the
BA in the region is not known. Transplacental transmission of anaplasmosis occurs
mainly during the second and third trimesters of pregnancy (Zaugg and Kuttler
1984; Ribeiro et al. 1995; Grau et al. 2013) and may lead to death of
the new-borne calves (Vos et al.
1976; Pypers et al. 2011; Santarosa et al. 2013). Transplacental transmission potential permits the
bacterium to adapt different transmission strategies (Estrada-Peña et al. 2009). Usually, transplacental transmission has been
commonly described during the case series, experimental and longitudinal
studies (Pypers et al. 2011; Grau et al. 2013; Silva et al. 2015; Costa et al.
2016; Nazar et al. 2018; Henker et al. 2020). Anaplasma is being transferred from the dams to the calves through
placenta (Grau et al. 2013; Silvestre
et al. 2016; Costa et al. 2016). Different studies reported
the mortality in calves of the infected dams due to vertical transmission of
the pathogen (Pypers et al. 2011;
Santarosa et al. 2013; Henker et al. 2020).
Molecular
and serological techniques are more specific and sensitive towards the
detection of anaplasmosis as compared to the conventional blood smear
microscopy (Brito et al. 2007; Atif,
2016; Wen et al. 2016; Farooqi et al. 2018; Rehman et al. 2019). The improved competitive ELISA (cELISA) is the most used
serological test for the detection of Anaplasma
antibodies in cattle with higher sensitivity (100%) and specificity (99.7%)
(Chung et al. 2014). This uses a
monoclonal antibody (MAb) specific for the surface protein 5 (MSP5).
Confirmatory diagnosis is usually based on the serology followed by the
molecular tests (Atif 2016). Only one study has reported the transplacental
transmission in Khyber Pakhtunkhwa province, Pakistan (Nazar et al. 2018). However, status of the
trans-placental transmission in the natural infection of anaplasmosis in the
dairy cattle is lacking from Punjab, Pakistan. Therefore, the current study was
planned to evaluate the trans-placental
transmission potentials of A. marginale
in the adult dairy cattle from Jhang district, Punjab, Pakistan.
Materials and Methods
Study location and sampling criteria
Adairy farm located
at Moza KotSai Singh, Jhang was selected (31.2761° N, 72.3496° E), based on
highest number of positive pregnant
crossbred (Holstein Friesian x Cholistani) dairy cattle, identified from a
district level survey. In Jhang district, molecular based herd prevalence of A. marginale in crossbred and exotic
cattle was 35.48 and 56.76%; respectively (Annual Project Report, Pakistan
Science Foundation, Pakistan, Project # PSF/NSLP-UVAS (967). First batch of the
blood samples were collected from asymptomatic carrier cows (within 120 days of
the gestation/before parturition). The second batch of the samples was
collected just after parturition and subsequently, from their newborn calves
(before colostrum feeding). However, there was a history of clinical disease
seven months prior to sampling. Species of ticks were identified based on the
morphological features using taxonomic key (Walker et al. 2014). The blood samples collected from the dairy farm were
transported to laboratory in an ice box for further analysis.
Serology
The blood samples were collected in a Vacutainer (BD Vacutainer®SSTTM),
containing polymer gel and spray-coated silica for separation of the sera. The
samples were centrifuged for 5 mins at 5000 rpm. Sera were separated and stored
at –20°C until used for cELISA.
Competitive ELISA
The cELISA
was performed using Anaplasma Antibody Test Kit (cELISA v. 2; Catalog No.
283-2) as described by Veterinary Medical Research & Development (MRD)
Inc., Pullman, WA, USA. The wells
with no color change were considered as positive and those with blue color were
considered as negative. The intensity of blue described the percentage of
positivity. Furthermore, the results were recorded with the help of ELISA
reader (Biobase-EL10A; China) at 630 nm wavelength. The samples
with inhibition ≥ 30% were considered positive. Conversely, the samples
with < 30% inhibition were considered negative.
Isolation of the genomic DNA from the blood samples
The DNA was extracted using Gene JET Whole Blood Genomic
DNA Purification Mini Kit (Thermofisher Scientific; Catalogue No. K0782) following the manufacturer’s guidelines. Briefly, 200 μL
of the blood sample was filled in an Eppendorf tube and ‘Proteinase K Solution’
(20 μL) was added. Later, lysis
solution (400 μL) was added and
mixed by vortexing (MS-X DLAB; U.S.A.) followed by an incubation
at 56°C in water bath (APin, Samheung Energy) for 10 mins and vortexed.
Subsequently, 200 μL of ethanol
(96–100%) was added followed by the reverse pipetting. The mixture was shifted
to a spin column containing collection tube included in the kit, and
centrifuged (8,000 rpm) for 1 min in microcentrifuge machine (D2012plus DLAB,
USA). The column was washed twice with 500 μL
Wash Buffer and centrifuged. At the end, 200 μL elution buffer was added to remove the genomic DNA.
Finally, the spin column was disposed off after centrifugation (10,000 rpm for
1 min). The micro-centrifuge tube containing the purified DNA was stored at -20°C
until used for further processing.
PCR
The PCR was
based on amplification of MSP1b gene using master-mix (Dream taq green PCR
master mix; catalogue No. K1081). The MAR1bB2 primers (forward: 5’-GCT CTA GCA
GGT TAT GCG TC-3’ and reverse primer 5’- CTG CTT GGG AGA ATG CAC CT-3’) were
utilized for the detection of 265 base pair DNA product, which specifically
amplify A. marginale in the bovine
blood samples (Bilgiç et al. 2013). A total of 35 cycles
(initial heating and denaturation at 94°C for 3 mins, annealing at 55°C for 50
seconds and extension at 72°C for 1 min using thermal cycler (T100; Bio Rad, U.S.A.).
Positive control was obtained from the Institute of Pure and Applied Biology,
Bahauddin Zakariya University (BZU), Multan, Pakistan; isolated from whole frozen blood of Bubalus bubalis (Layyah district, Pakistan).
Whereas sterile distilled water was used as a negative control. Furthermore,
the PCR products along with positive and negative controls were analyzed on
1.3% agarose gel having ethidium bromide at the rate of 0.5 µg/µL
of gel in 1X TAE buffer using 100 bp DNA ladder (Gene Ruler 100 bp DNA Ladder,
Catalog No. SM0323; Thermo-Fisher Scientific, USA). Gel electrophoresis was
performed at 90 V, and 400 amp (maximum) for 30 min or until the dye migrated
to the two-third of the gel. Finally, the gel image was captured using Table 1: Results of competitive ELSIA
with percent inhibition and their interpretation for the detection of
anaplasmosis in selected cattle population of Jhang district, Punjab, Pakistan
Sr. No. |
Sample ID on ELISA plate |
OD Value |
% Inhibition |
Interpretation |
1 |
A1 |
0.64 |
57.33333 |
Positive
Control |
2 |
A2 |
1.5 |
0 |
Negative
Control |
3 |
A3 |
1.601 |
-6.73333 |
Negative |
4 |
A4 |
1.443 |
3.8 |
Negative |
5 |
A5 |
1.283 |
14.46667 |
Negative |
6 |
A6 |
0.718 |
52.13333 |
Positive* |
7 |
A7 |
1.493 |
0.466667 |
Negative |
8 |
A8 |
0.845 |
43.66667 |
Positive* |
9 |
A9 |
0.708 |
52.8 |
Positive* |
10 |
A10 |
1.72 |
-14.6667 |
Negative |
11 |
A11 |
1.68 |
-12 |
Negative |
12 |
A12 |
0.68 |
54.66667 |
Positive* |
13 |
B1 |
1.32 |
12 |
Negative |
14 |
B2 |
1.671 |
-11.4 |
Negative |
15 |
B3 |
0.83 |
44.66667 |
Positive* |
16 |
B4 |
1.29 |
14 |
Negative |
17 |
B5 |
1.88 |
-25.3333 |
Negative |
18 |
B6 |
1.364 |
9.066667 |
Negative |
19 |
B7 |
1.674 |
-11.6 |
Negative |
20 |
B8 |
0.902 |
39.86667 |
Positive* |
21 |
B9 |
1.56 |
-4 |
Negative |
22 |
B10 |
1.801 |
-20.0667 |
Negative |
23 |
B11 |
0.742 |
50.53333 |
Positive* |
24 |
B12 |
1.308 |
12.8 |
Negative |
25 |
C1 |
1.532 |
-2.13333 |
Negative |
26 |
C2 |
0.684 |
54.4 |
Positive* |
27 |
C3 |
1.637 |
-9.13333 |
Negative |
28 |
C4 |
1.781 |
-18.7333 |
Negative |
29 |
C5 |
1.407 |
6.2 |
Negative |
30 |
C6 |
0.821 |
45.26667 |
Positive* |
31 |
C7 |
1.583 |
-5.53333 |
Negative |
32 |
C8 |
1.734 |
-15.6 |
Negative |
33 |
C9 |
1.625 |
-8.33333 |
Negative |
34 |
C10 |
1.742 |
-16.1333 |
Negative |
*These are positive samples (Percent inhibition greater
than 30%) as mentioned by manufacturer a positive sample must have inhibition
≥ 30%
Fig. 1: The cELISA results showing color change after
addition of stop solution and arrow heads indicate positive and negative
samples. The –C and +C on top of the wells represent negative and positive
controls; respectively
Transilluminator
(Catalog no. MUVB-112; Major Scientific, USA).
Results
Transplacental
transmission
From the sampling frame a dairy farm
was selected for transplacental transmission study having highest number of
positive pregnant crossbred cattle after district level survey. At an initial
screening, 54 pregnant animals were found positive for A. marginale (within 120 days of gestation) and 38 cows remained
positive until parturition with both detection methods (2nd blood
sampling). We managed to get blood of 32 newborn calves (before colostrum’s
feeding) out of 38 positive dams. Blood samples of the six calves were not
taken because they had ingested colostrum. In the present study, overall
transplacental transmission rate of A.
marginale in neonatal crossbred calves was 31%; whereas occurrence of 12
(4/32) and 28% (9/32) was noticed using PCR and cELISA, respectively. The DNA
product with 265 bp was detected using PCR. Three calves found positive from both
detection methods (Table 1; Fig. 1–3). The cutoff values for validation of
negative control with optical density ranging from > 0.40 to < 2.10 and
inhibition of >30% for positive controls was considered. Furthermore, Rhipicephalus microplus and Hyalomma anatolicum species of ticks
were identified based on the morphological features from the selected dairy
farm.
Discussion
Most of the earlier reports have demonstrated
transplacental transmission for A.
marginale and A. phagocytophilum
during case series and experimental studies (Pypers et al. 2011; Grau et al.
2013; Silva et al. 2015; Costa et al. 2016; Nazar et al. 2018; Stuen et al.
2018; Henker et al. 2020). However,
limited longitudinal studies have mentioned intra-uterine transmission during
natural infection. So far, there is a single report of the vertical
transmission from Khyber Pakhtunkhwa
(KPK), Pakistan with occurrence of 13.7% transplacental transmission rate of A. marginale in cattle (Nazar et al. 2018). Additionally, during a
survey from limited samples, prevalence of A.
marginale was mentioned as 45.83 and 34.3% using qPCR (MSP1a gene) and
indirect ELISA (iELISA), respectively from Peshawar (KPK). Nevertheless, they
did not mention the sampling sources, disease status of dams (at parturition),
breed of new-born calves and their dams as well as whether neonates have
ingested colostrum before blood sampling. These are important aspects prior to
validate transplacental transmission. In the present study, for the detection
of anaplasmosis MSP1b and recombinant MSP5 (rMSP5) genes were utilized for PCR
and cELISA; respectively. Furthermore, the different gene targets for various
PCRs and serodiagnostic kits yield variable sensitivity and specificity (cELISA
vs. iELISA) (Chung et al. 2014; Atif 2015).
Ixodidae ticks, act as biological vector and
play essential role in spread and propagation of disease during different
lifecycle stages. Biological transmission A.
marginale is accomplished through ticks, mechanically through biting flies,
fomites and tans-placental spread (during 3rd and 4th
trimesters of pregnancy) (Dikmans 1950; Zaugg 1985; Rikihisa 1991). Biting
insects chiefly from order Dipteran and Phthiraptera such as horse flies
(Tabanus), Stable flies (Stomoxys), deer flies (chrysops), eye flies
(Hippelates) and mosquitoes (Psorophora) contribute for mechanical
transmission. Contrary to other tick-borne diseases anaplasmosis is also
predominant in tick free areas. In tick free zones the flies meaningfully
contribute for mechanical transmission of disease (Dikmans 1950; Ewing 1981;
Hawkins et al. 1982; Silva et al. 2014). The exotic
and crossbred cattle had genetic susceptibility to ticks and tick-bone diseases;
remain persistently infected with higher potential for vertical transmission.
The
cELISA detects A. marginale
antibodies in undiluted serum samples by inhibiting the binding of horseradish
peroxidase (HRP) labeled monoclonal antibody (conjugate) coated with each wells
of microtiter plate. Recombinant major surface protein5 (rMSP5) along with
Glutathione S-transferase fusion protein is attached with the plate wells as
antigen. Glutathione S-transferase fusion protein help to minimize cross
reaction with bacterial proteins. This test proved 99.7% specific and 100%
specific (Chung et al. 2014). The
discrepancy in our molecular and serological results may be due to the fact
that dams were carrier during gestation. We detected higher persistently
infected cows, transferred immunoglobulins to their calves as detected by
cELISA. The calves that were positive through both of the detection methods
(cELISA and PCR) were justified as they had the latent infection. Nevertheless,
neonates who were positive with PCR and negative through cELISA were suggestive
of the recent infection. However, young ones with positive cELISA and negative
PCR possibly have had very low bacteremia and infection could have been
controlled by the fetus (Zaugg and Kuttler 1984). Immunosuppressive conditions
during the gestation period also contribute in the reoccurrence of infection in
dams and increase the chances of transplacental transmission of infections.
During peripartum period, transitional immunosuppression occurs which leads to
the subclinical infection and may be the possible cause of an in-utero transmission of anaplasmosis
(Silva and Fonseca 2014). Furthermore, Pypers et al. (2011) reported that there is a correlation between
immunosuppression of dams and death in calves. Earlier reports published on the
congenital anaplasmosis in calves had led to undiagnosed neonatal deaths (Grau et al. 2013).
Different
diagnostic tests with variable detection limits can yield different vertical
transmission rates. For example, Grau and associates has detected higher
sero-positivity using indirect fluorescent antibody test (100%) as compared to
the indirect ELISA (97%) during a survey. The PCR-based occurrence of the
transplacental transmission was 10.5% in Braford calves from Pelotas, Brazil
(Grau et al.
Fig. 2: Transplacental transmission of A. marginale detected by serological (cELISA) and molecular (PCR)
techniques. The error bar indicates standard error
Fig. 3: Agarose gel electrophoresis of A. marginale targeting cytob1 gene with DNA product of 265 bp
visualized on Transilluminator (M= Marker/Ladder; C=Control; P= Positive
sample)
2013).
Furthermore, they mentioned that not a single calf was found positive for
anaplasmosis with ELISA and 10% of the calves were positive with IFAT. In
contrast, we noticed the transmission rate of 28% with cELISA, perhaps due to
larger number of the carrier animals in our study. Nevertheless, Silvestre et al. (2016) demonstrated occurrence of
10% vertical transmission in male Holstein calves from Minas Gerais, Brazil.
They depicted lower transmission rate of A.
marginale using nested PCR (MSP4)
than our results, possibly due to difference in regional tick control and
managemental practices. Likewise, transplacental transmission rate of 15.6% was
reported by Potgieter and Rensburg (1987) in Anaplasma-infected calves kept under laboratory conditions in South
Africa using a serological test, rapid card agglutination test. Conversely,
Costa et al. (2016) mentioned higher
26.47% transplacental positivity in the crossbred neonatal calves using the
nested PCR. Siva and his colleagues from Rio de Janeiro reported higher
occurrence of the transplacental transmission 41% (Silva et al. 2015). Likewise, Salabarria and Pino (1988) from Cuba
mentioned higher 86.4% (32/37) frequency of vertical transmission under
clinical anaplasmosis in the last month of the gestation. The variation in
results might be due to different of diagnostic techniques, genetic diversity
and different agro-climatic conditions of area (Costa et al. 2016). Taken together, lower transmission rate might be due
to susceptibility of dams towards infection and environmental conditions in
comparison to Jhang, Pakistan.
Our
findings are supported by Pohl and their colleagues; they mentioned that the
vertical transmission in cattle is mainly due to persistent infection in a
population (Pohl et al. 2013). The
rate of in-utero transmission depends
upon the timing of fetal infection during gestation as the occurrence of transmission
is higher at the end of gestation. Nonetheless, Henker and co-workers
identified anaplasmosis/babesiosis infected cases of abortion; stillbirth and
neonatal deaths in neonatal Angus/crossbred beef calves from Rio Grande do Sul
(Southern Brazil). They stressed the importance of considering anaplasmosis in
differential diagnosis (Henker et al.
2020). Concisely, the transmission potential may vary due to the detection methods (as well as their sensitivities), climatic
conditions, region, host/breed, vectors, and pathogenic characteristics (Costa et al. 2016).
Conclusion
Anaplasmosis might be one of the major
causes of mortality in young cattle calves in Pakistan. We reported first
occurrence of the transplacental transmission of A. marginale in the pregnant dairy cows in Jhang district of
Punjab, Pakistan using cELISA and PCR. This would be an important route of Anaplasma transmission in cattle and can
lead to significant number of neonatal deaths. Based on our conclusion,
following recommendations are suggested: (a) Anaplasmosis might be one of the
major causes of mortality in young cattle calves, further studies are needed to
explore the transplacental transmission potential of the disease in buffalo
calves and other domestic animals. (b) Early treatment of the calves or
preventive therapy can minimize the risk of mortality. (c) Enhancing dam’s
immunity in general or specifically against bovine anaplasmosis can help to
reduce calf mortality.
Acknowledgement
The research was financially supported
by Pakistan Science Foundation, Islamabad, Pakistan having Project No.
PSF/NSLP/P-UVAS (697). We are thankful to farmer of Masha Allah Dairy Farm for
execution of research and laboratory staff for sampling and research work.
Author
Contributions
FAA was involved in the
conceptualization, planning, interpretation of results, and proof-reading; KH
typed the manuscript, performed research work, and made illustrations; MSS
planned the study design and proof-read; MFQ, MAZ and MKR helped in the
conceptualization, and interpretation of the results.
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