Borrelia burgdorferi Promotes the Establishment of Babesia microti in the Northeastern United States

Dunn, J, Krause, P, Davis, S, Vannier, E, Fitzpatrick, M, Rollend, L, Belperron, A, States, S, Stacey, A, Bockenstedt, L, Fish, D and Diuk-Wasser, M 2014, 'Borrelia burgdorferi Promotes the Establishment of Babesia microti in the Northeastern United States', PLOS One, vol. 9, no. 12, e115494, pp. 1-21.


Document type: Journal Article
Collection: Journal Articles

Title Borrelia burgdorferi Promotes the Establishment of Babesia microti in the Northeastern United States
Author(s) Dunn, J
Krause, P
Davis, S
Vannier, E
Fitzpatrick, M
Rollend, L
Belperron, A
States, S
Stacey, A
Bockenstedt, L
Fish, D
Diuk-Wasser, M
Year 2014
Journal name PLOS One
Volume number 9
Issue number 12
Article Number e115494
Start page 1
End page 21
Total pages 21
Publisher PLOS
Abstract Babesia microti and Borrelia burgdorferi, the respective causative agents of human babesiosis and Lyme disease, are maintained in their enzootic cycles by the blacklegged tick (Ixodes scapularis) and use the white-footed mouse (Peromyscus leucopus) as primary reservoir host. The geographic range of both pathogens has expanded in the United States, but the spread of babesiosis has lagged behind that of Lyme disease. Several studies have estimated the basic reproduction number (R0) for B. microti to be below the threshold for persistence (<1), a finding that is inconsistent with the persistence and geographic expansion of this pathogen. We tested the hypothesis that host coinfection with B. burgdorferi increases the likelihood of B. microti transmission and establishment in new areas. We fed I. scapularis larva on P. leucopus mice that had been infected in the laboratory with B. microti and/or B. burgdorferi. We observed that coinfection in mice increases the frequency of B. microti infected ticks. To identify the ecological variables that would increase the probability of B. microti establishment in the field, we integrated our laboratory data with field data on tick burden and feeding activity in an R0 model. Our model predicts that high prevalence of B. burgdorferi infected mice lowers the ecological threshold for B. microti establishment, especially at sites where larval burden on P. leucopus is lower and where larvae feed simultaneously or soon after nymphs infect mice, when most of the transmission enhancement due to coinfection occurs. Our studies suggest that B. burgdorferi contributes to the emergence and expansion of B. microti and provides a model to predict the ecological factors that are sufficient for emergence of B. microti in the wild.
Subject Biological Mathematics
DOI - identifier 10.1371/journal.pone.0115494
Copyright notice © 2014 Dunn et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
ISSN 1932-6203
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