A real-time PCR assay for detection of the Ehrlichia muris-like agent, a newly recognized pathogen of humans in the upper Midwestern United States

Ticks Tick Borne Dis. 2016 Feb;7(1):146-149. doi: 10.1016/j.ttbdis.2015.10.004. Epub 2015 Oct 22.

Abstract

The Ehrlichia muris-like agent (EMLA) is an emerging, tick-transmitted human pathogen that occurs in the upper Midwestern United States. Here, we describe the development and validation of a p13-based quantitative real-time PCR TaqMan assay to detect EMLA in blood or tissues of ticks, humans, and rodents. The primer and probe specificities of the assay were ascertained using a large panel of various Ehrlichia species and other members of Rickettsiales. In addition to control DNA, both non-infected and EMLA-infected human blood, Mus musculus blood, and M. musculus tissue extracts were evaluated, as were non-infected and EMLA-infected Ixodes scapularis and uninfected Dermacentor variabilis DNA lysates. The specificity of the probe was determined via real-time PCR. An EMLA p13 control plasmid was constructed, and serial dilutions were used to determine the analytical sensitivity, which was found to be 1 copy per 4μl of template DNA. The sensitivity and specificity of this assay provides a powerful tool for ecological studies involving arthropod vectors and their mammalian hosts.

Keywords: Ehrlichia muris; Ehrlichia muris-like (EML) agent; Ehrlichiosis; Tick-borne disease.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Ehrlichia / classification
  • Ehrlichia / genetics
  • Ehrlichia / isolation & purification*
  • Ehrlichiosis / epidemiology*
  • Ehrlichiosis / microbiology*
  • Humans
  • Midwestern United States
  • Real-Time Polymerase Chain Reaction / methods*
  • Sensitivity and Specificity