Anaplasma phagocytophilum Infection in Small Mammal Hosts of Ixodes Ticks, Western United States

A total of 2,121 small mammals in California were assessed for Anaplasma phagocytophilum from 2006 through 2008. Odds ratios were >1 for 4 sciurids species and dusky-footed woodrats. High seroprevalence was observed in northern sites. Ten tick species were identified. Heavily infested rodent species included meadow voles, woodrats, deer mice, and redwood chipmunks.

Tomahawk, WI, USA) at 9 sites or collected as carcasses on roads (online Technical Appendix, available from www. cdc.gov/EID/content/14/7/1147-Techapp.pdf) from 2006 to 2008. Traps were set at locations of observed active rodent use or dens and baited with peanut butter and oats or corn, oats, and barley. Rodents were anesthetized with ketamine and xylazine delivered subcutaneously, examined for ectoparasites, and bled by retro-orbital abrasion or femoral venipuncture. The blood was anticoagulated with EDTA. Shrew (Sorex spp.) carcasses were retrieved when found in traps, kept cold, and then sampled in the laboratory. Live shrews were examined for ticks but released without further processing. All carcasses were identifi ed to species, age, and sex; examined for ectoparasites; and then dissected for coagulated heart blood and spleen. Ectoparasites were preserved in 70% ethanol for identifi cation. Data were included for animals from 3 previous studies (5,8,9).
Plasma anti-A. phagocytophilum immunoglobulin G (Ig) was assayed by an indirect immunofl uorescent antibody assay (3), by using A. phagocytophilum-infected HL-60 cells as substrate and fl uorescein isothiocyanate-labeled goat anti-rat heavy and light chain IgG (Kirkegaard and Perry, Gaithersburg, MD, USA). This assay does not distinguish exposure to A. phagocytophilum from A. platys, but the PCR was specifi c for A. phagocytophilum. PCR was performed for all fl ying (Glaucomys sabrinus), Douglas (Tamiasciuris douglasii), and gray squirrels; all chipmunks from Santa Cruz and Marin Counties; a random subset of chipmunks from Humboldt Redwoods State Park and Hendy Woods State Park; and a random subset of individual mammals of other species. DNA was extracted from whole blood by using a kit (DNeasy Tissue kit, QIAGEN, Valencia, CA, USA), and real-time PCR was performed as described previously (5).
Data were analyzed with "R" (www.r-project.org), with a cutoff for statistical signifi cance of p = 0.05. Differences in seroprevalence among small mammal species and between sexes were assessed by χ 2 test. Individual small mammals' risk for A. phagocytophilum exposure and infection were assessed as a function of sex, species, and location by calculating odds ratios (OR) and 95% confidence intervals (CI). Multivariate logistic regression was performed to evaluate seropositivity as a function of site, host species, and interactions to evaluate possible interaction and confounding between the variables.
A total of 2,121 small mammals, including 2,100 rodents, 20 shrews, and 1 lagomorph, were evaluated for exposure to and infection with A. phagocytophilum and infestation with Ixodes spp. ticks ( Table 1). The overall seroprevalence was 15.2% (95% CI 13.6-16.9). Highest values and ORs >1 occurred in dusky-footed woodrats, tree squirrels, and some chipmunk species (Table 1; online Technical Appendix). The PCR prevalence among rodents tested was 3.8% (N = 652, 95% CI 2.9-5.3); highest values were reported in tree squirrels and some chipmunk species (Table 1). Although deer mice have been reported to be exposed to A. phagocytophilum (10,11), we found little evidence of this in our study. Woodrats at northern sites tended to be infected, while sciurids (excluding ground squirrels) showed high rates of exposure at multiple sites, consistent with previous reports (5). A total of 60% of eastern gray squirrels from Connecticut were seropositive with reservoir competence documented by producing PCR-positive ticks after feeding on infected squirrels (12). A PCRpositive eastern chipmunk (Tamias striatus) was reported from Minnesota (13).
Location was an important determinant of exposure to infection, with high seroprevalence in the Hoopa Valley Indian Reservation and Hendy Woods State Park (Table 2). ORs signifi cantly <1 were observed for Samuel P. Taylor State Park and the Morro Bay area, and 5 sites in the far northern coast range and Quincy in the Sierra Nevada had ORs >1 (online Technical Appendix). Statistical analy-sis failed to document a signifi cant interaction between site and host species, but confounding was apparent, with overrepresentation of gray squirrels and woodrats in some high prevalence sites (online Technical Appendix). PCR prevalence was high at Sutter Buttes State Park and Siskiyou County (both with low sample size) and Big Basin State Park and Hendy Woods State Park, each ≈12% (Table  2). Results are consistent with prior reports for horses and dogs (4). Previous spatial analysis documented increased A. phagocytophilum risk in redwood, montane hardwood, and blue oak/foothill pine habitats (14). In our dataset, obvious habitat differences would not account for differences in disease exposure, given the presence of live oak, tanoak, redwood, and Douglas fi r at many sites. Further ecologic studies to identify differing ecologic factors among these sites would be useful.
Tick species observed in our study sites include possible enzootic vectors and several human-biting species, including I. pacifi cus and I. angustus (online Technical Appendix). Host species from which relatively large col- Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 14, No. 7, July 2008 lections were obtained included meadow voles, woodrats, deer mice, tree squirrels, and redwood chipmunks (T. ochrogenys). Tick diversity was highest on redwood chipmunks and in more northerly sites (online Technical Appendix). I. angustus, primarily a nidicolous tick of rodents but occasionally bites humans and is a competent vector for Borrelia burgdorferi sensu stricto (15), occurred on most rodent species. I. spinipalpis, which occurred on woodrats, deer mice, squirrels, and chipmunks, functions as a primary vector for B. bissettii in a woodrat enzootic cycle (16), and Neotoma mexicana and I. spinipalpis have an enzootic cycle in Colorado for A. phagocytophilum.

Conclusions
We show that a strong distinction can be made in possible reservoir capacity among rodent species, with many, such as deer mice and voles, only contributing to the ecology of granulocytic anaplasmosis through their support of ticks but not A. phagocytophilum infection. Others, including tree squirrels and woodrats, are frequently infected, in addition to supporting ticks. Considerable similarities exist between the ecology of A. phagocytophilum and B. burgdorferi in the West, although the large diversity of genospecies that exists for B. burgdorferi has not been reported for A. phagocytophilum. These data provide a starting point for future work to clarify the reservoir competence of small mammals for A. phagocytophilum and to determine how ecologic interactions among small mammals, other vertebrate hosts, multiple possible vectors, and both B. burgdorferi and A. phagocytophilum could affect the enzootic persistence of these pathogens and risk to humans and animals.