In order to investigate the possible role of Ixodes ricinus as a vector of zoonotic Babesia microti infection inEurope, a European rodent isolate (HK) and a zoonotic American isolate (GI) were studied in transmission experiments. PCR detected B. microti in the blood and spleens of infected gerbils (Meriones unguiculatus) and also in laboratory-induced infections of I. ricinus ticks. B. microti DNA was detected by PCR in all pooled samples of nymphs and the majority of adults that had fed as larvae and nymphs, respectively, on gerbils with acute infection of the European isolate, confirming that I. ricinus could serve as a vector in Europe. The American isolate, GI, proved to be equally infective for larval and nymphal I. ricinus as the HK strain, despite a very different appearance in gerbil erythrocytes. Nymphs infected with the HK and GI strains readily infected gerbils. In contrast to the finding in acute infections, ticks that fed on gerbils with chronic infections of HK and GI did not become infected. It was also found that the HK strain was not transmitted transovarially. The finding that a B. microti strain (GI) from a distant geographical region (United States) can infect and be transmitted by I. ricinus suggests that other European B. microti strains, in addition to the HK strain used here, are probably infective for I. ricinus, supporting the view that infection of humans with European B. microti may be a regular occurrence.Babesia microti is a tick-transmitted rodent blood parasite that was first reported as a cause of human disease in 1969 in the northeastern United States (23). Several hundred cases are now reported from this region each year (7). The disease is characterized by a gradual onset of malaise with anorexia, fever, headaches, myalgia, and other vague symptoms which may persist for long periods. Occasionally dangerous fulminating infections occur, particularly in immunocompromised or aged individuals. The vector is the tick Ixodes scapularis, and transmission is transstadial, the infection being acquired from mice (e.g., the white-footed mouse, Peromyscus leucopus) by larval or nymphal ticks and transmitted by nymphs or adults (5). Transovarial transmission, which occurs in other Babesia species, such as B. canis and B. bovis, has not been reported in B. microti (19).Babesia microti is also present throughout Europe, but no verified cases of human disease have been reported. This may be because the rodent tick Ixodes trianguliceps, implicated as the main vector in Europe (5, 7), does not bite humans. However, it has been shown that at least one European strain of B. microti may be transmitted by Ixodes ricinus (21), which is known to be a vector of several zoonotic diseases (4), and seroprevalence studies suggest that infection of humans with B. microti may occur in Europe (6, 9). In the present study, the infectivity for I. ricinus of a European strain and a zoonotic American strain of B. microti was investigated by PCR and by transmission to and from gerbils (Meriones unguiculatus).
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