Ehrlichia Ewingii
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''Ehrlichia ewingii'' is a species of Rickettsiales bacteria. It has recently been associated with human infection, and can be detected via PCR serological testing. The name ''Ehrlichia ewingii'' was proposed in 1992.


Taxonomy and characterization


Taxonomy

The current classification is
Bacteria Bacteria (; : bacterium) are ubiquitous, mostly free-living organisms often consisting of one Cell (biology), biological cell. They constitute a large domain (biology), domain of Prokaryote, prokaryotic microorganisms. Typically a few micr ...
,
Pseudomonadota Pseudomonadota (synonym "Proteobacteria") is a major phylum of gram-negative bacteria. Currently, they are considered the predominant phylum within the domain of bacteria. They are naturally found as pathogenic and free-living (non- parasitic) ...
,
Alphaproteobacteria ''Alphaproteobacteria'' or ''α-proteobacteria'', also called ''α-Purple bacteria'' in earlier literature, is a class of bacteria in the phylum '' Pseudomonadota'' (formerly "Proteobacteria"). The '' Magnetococcales'' and '' Mariprofundales'' ar ...
, Rickettsiales, Ehrlichiaceae, ''Ehrlichia ewingii''. Classification of different members of the genus '' Ehrlichia'' has been disputed, however, it is generally agreed that close relatives of ''Ehrlichia ewingii'' are ''
Ehrlichia chaffeensis ''Ehrlichia chaffeensis'' is an obligate intracellular, Gram-negative species of Rickettsiales bacteria. It is a zoonotic pathogen transmitted to humans by the lone star tick (''Amblyomma americanum''). It is the causative agent of human monoc ...
'' and '' Ehrlichia canis''. It is also closely related to ''
Wolbachia ''Wolbachia'' is a genus of gram-negative bacteria infecting many species of arthropods and filarial nematodes. The symbiotic relationship ranges from parasitism to obligate mutualism. It is one of the most common parasitic microbes of arthrop ...
'', '' Anaplasma'', and '' Neorickettsia'' bacteria, with ''
Rickettsia ''Rickettsia'' is a genus of nonmotile, gram-negative, nonspore-forming, highly pleomorphic bacteria that may occur in the forms of cocci (0.1 μm in diameter), bacilli (1–4 μm long), or threads (up to about 10 μm long). The genus was n ...
'' as a more distant genus.


Characterization

Species in the family Anaplasmataceae have unique characteristics that can help differentiate them from other families including: sensitivity to mechanical stress, changes in
osmolarity Osmotic concentration, formerly known as osmolarity, is the measure of solute concentration, defined as the number of osmoles (Osm) of solute per litre (L) of solution (osmol/L or Osm/L). The osmolarity of a solution is usually expressed as Osm/ ...
, and thawing.  All ''Ehrlichia sp''. are
gram-negative Gram-negative bacteria are bacteria that, unlike gram-positive bacteria, do not retain the crystal violet stain used in the Gram staining method of bacterial differentiation. Their defining characteristic is that their cell envelope consists ...
and spherical with a rippled outer membrane that shows no
peptidoglycan Peptidoglycan or murein is a unique large macromolecule, a polysaccharide, consisting of sugars and amino acids that forms a mesh-like layer (sacculus) that surrounds the bacterial cytoplasmic membrane. The sugar component consists of alternating ...
layer or any
lipopolysaccharide Lipopolysaccharide (LPS), now more commonly known as endotoxin, is a collective term for components of the outermost membrane of the cell envelope of gram-negative bacteria, such as '' E. coli'' and ''Salmonella'' with a common structural archit ...
s.


History


Discovery

In 1971 Ewing et al. detected a new ''Ehrlichia'' strain, which was thought of as another ''Ehrlichia canis'' strain.  ''Ehrlichia canis'' is usually found in
lymphocyte A lymphocyte is a type of white blood cell (leukocyte) in the immune system of most vertebrates. Lymphocytes include T cells (for cell-mediated and cytotoxic adaptive immunity), B cells (for humoral, antibody-driven adaptive immunity), an ...
s and
monocyte Monocytes are a type of leukocyte or white blood cell. They are the largest type of leukocyte in blood and can differentiate into macrophages and monocyte-derived dendritic cells. As a part of the vertebrate innate immune system monocytes also ...
s, but this new strain was found in
granulocyte Granulocytes are cells in the innate immune system characterized by the presence of specific granules in their cytoplasm. Such granules distinguish them from the various agranulocytes. All myeloblastic granulocytes are polymorphonuclear, that i ...
s.  Due to the variable location, this strain was called Canine Granulocytic ''Ehrlichia'' (CGE).


Method of identification

A field study was conducted by Anderson et al. on June 18, 1987 using a canine diagnosed with granulocytic ehrlichiosis: an infection of the granulocytes by a member of the ''Ehrlichia'' sp. The blood from this canine was infused in another specimen to ensure the blood transmission of the
intracellular parasite Intracellular parasites are microparasites that are capable of growing and reproducing inside the cells of a host. They are also called intracellular pathogens. Types There are two main types of intracellular parasites: Facultative and Obligate ...
.  This transmission was then completed using
tick Ticks are parasitic arachnids of the order Ixodida. They are part of the mite superorder Parasitiformes. Adult ticks are approximately 3 to 5 mm in length depending on age, sex, and species, but can become larger when engorged. Ticks a ...
s of the species ''
Amblyomma americanum ''Amblyomma americanum'', also known as the lone star tick, northeastern water tick, turkey tick, and cricker tick, is a type of tick indigenous to much of the eastern United States and Mexico that bites painlessly and commonly goes unnoticed, r ...
'' by exposing them to infected dogs and then to susceptible ones.  From blood samples,
16S rRNA 16S ribosomal RNA (or 16Svedberg, S rRNA) is the RNA component of the 30S subunit of a prokaryotic ribosome (SSU rRNA). It binds to the Shine-Dalgarno sequence and provides most of the SSU structure. The genes coding for it are referred to as ...
genes were amplified using standard
polymerase chain reaction The polymerase chain reaction (PCR) is a method widely used to make millions to billions of copies of a specific DNA sample rapidly, allowing scientists to amplify a very small sample of DNA (or a part of it) sufficiently to enable detailed st ...
(PCR), and the genes were analyzed using
gel electrophoresis Gel electrophoresis is an electrophoresis method for separation and analysis of biomacromolecules (DNA, RNA, proteins, etc.) and their fragments, based on their size and charge through a gel. It is used in clinical chemistry to separate ...
and a GAP (Genetic Analysis Program) system.  This data was compared to all other ''Ehrlichia'' species, and Anderson et al. found that CGE is most closely related to ''E. chaffeensis'' and ''E. canis.'' These three—''E. ewingii, E. chaffeensis,'' and ''E. canis—''form a group in terms of relatedness within the genus ''Ehrlichia''. Despite being related, due to the level of divergence between CGE and the other species, it has been determined that CGE deserves to have
species A species () is often defined as the largest group of organisms in which any two individuals of the appropriate sexes or mating types can produce fertile offspring, typically by sexual reproduction. It is the basic unit of Taxonomy (biology), ...
level recognition.  The name was proposed to be ''Ehrlichia ewingii'', named after S.A. Ewing who initially identified the parasitic organism.


Metabolism and genomics


Genomics

This organism mostly uses
host cell In biology and medicine, a host is a larger organism that harbours a smaller organism; whether a parasitic, a mutualistic, or a commensalist ''guest'' (symbiont). The guest is typically provided with nourishment and shelter. Examples include ...
machinery to replicate its
genome A genome is all the genetic information of an organism. It consists of nucleotide sequences of DNA (or RNA in RNA viruses). The nuclear genome includes protein-coding genes and non-coding genes, other functional regions of the genome such as ...
. Although the genome itself has not been sequenced, the use of the host cell for replication is known based on comparisons to other ''Ehrlichia sp''. Since ''Ehrlichia ewingii'' is unable to synthesize all the
organic compound Some chemical authorities define an organic compound as a chemical compound that contains a carbon–hydrogen or carbon–carbon bond; others consider an organic compound to be any chemical compound that contains carbon. For example, carbon-co ...
s required for growth, also known as an
auxotroph Auxotrophy ( "to increase"; ''τροφή'' "nourishment") is the inability of an organism to synthesize a particular organic compound required for its growth (as defined by IUPAC). An auxotroph is an organism that displays this characteristic; ''a ...
, the bacterium requires a host for growth and survival.


Metabolism

No specific studies on ''E. ewingii''
metabolism Metabolism (, from ''metabolē'', "change") is the set of life-sustaining chemical reactions in organisms. The three main functions of metabolism are: the conversion of the energy in food to energy available to run cellular processes; the co ...
have been conducted so far. However, the organism is assumed to have a similar metabolism to members of the genus due to the high similarity between functional 16S rRNA gene sequencing and the highly related infections they cause within cells.


Ecology

All ''Ehrlichia sp.'' are obligate intracellular parasites that are transmitted by ticks to vertebrate animals; ''Ehrlichia ewingii'' is specifically transmitted by the North American Tick, ''Amblyomma americanum''. This bacterium then infects granulocytes in canines and humans. Currently, ''Ehrlichia ewingii'' cannot be cultivated in a number of
cell lines An immortalised cell line is a population of cells from a multicellular organism that would normally not proliferate indefinitely but, due to mutation, have evaded normal cellular senescence and instead can keep undergoing division. The cells ...
, meaning that study of this organism is dependent on extraction from
arthropod Arthropods ( ) are invertebrates in the phylum Arthropoda. They possess an arthropod exoskeleton, exoskeleton with a cuticle made of chitin, often Mineralization (biology), mineralised with calcium carbonate, a body with differentiated (Metam ...
and
vertebrate Vertebrates () are animals with a vertebral column (backbone or spine), and a cranium, or skull. The vertebral column surrounds and protects the spinal cord, while the cranium protects the brain. The vertebrates make up the subphylum Vertebra ...
hosts.


Disease and treatment

''Ehrlichia ewingii'' is a human
pathogen In biology, a pathogen (, "suffering", "passion" and , "producer of"), in the oldest and broadest sense, is any organism or agent that can produce disease. A pathogen may also be referred to as an infectious agent, or simply a Germ theory of d ...
which results in a serious
infection An infection is the invasion of tissue (biology), tissues by pathogens, their multiplication, and the reaction of host (biology), host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmis ...
if not treated in a timely manner. Ehrlichiosis, the disease caused by ''E. ewingii'' and ''E. chaffeensis'', presents with fever, headache, fatigue, and muscle aches.  These symptoms are extremely unspecific which makes the infections difficult to diagnose.
Doxycycline Doxycycline is a Broad-spectrum antibiotic, broad-spectrum antibiotic of the Tetracycline antibiotics, tetracycline class used in the treatment of infections caused by bacteria and certain parasites. It is used to treat pneumonia, bacterial p ...
is effective when administered early in the infection, but despite this, the estimated
fatality rate In epidemiology, case fatality rate (CFR) – or sometimes more accurately case-fatality risk – is the proportion of people who have been diagnosed with a certain disease and end up dying of it. Unlike a disease's mortality rate, the CFR does ...
is still 1.8%. This is partially due to the difficulty diagnosing the
causative agent In biology, a pathogen (, "suffering", "passion" and , "producer of"), in the oldest and broadest sense, is any organism or agent that can produce disease. A pathogen may also be referred to as an infectious agent, or simply a germ. The term ...
of infection, however further ''Ehrlichia ewingii'' research could allow better
diagnostic tests A medical test is a medical procedure performed to detect, diagnose, or monitor diseases, disease processes, susceptibility, or to determine a course of treatment. Medical tests such as, physical and visual exams, diagnostic imaging, genetic t ...
to identify ehrlichial infections before they progress to severe cases.


References


External links


Ehrlichia infection in deer
{{Taxonbar, from=Q5348630 Rickettsiales