Literature DB >> 32973327

Metagenomic analysis of human-biting cat fleas in urban northeastern United States of America reveals an emerging zoonotic pathogen.

Francisco C Ferreira1,2, Dina M Fonseca3, George Hamilton3, Dana Price3.   

Abstract

An infestation of cat fleas in a research center led to the detection of two genotypes of Ctenocephalides felis biting humans in New Jersey, USA. The rarer flea genotype had an 83% incidence of Rickettsia asembonensis, a recently described bacterium closely related to R. felis, a known human pathogen. A metagenomics analysis developed in under a week recovered the entire R. asembonensis genome at high coverage and matched it to identical or almost identical (> 99% similarity) strains reported worldwide. Our study exposes the potential of cat fleas as vectors of human pathogens in crowded northeastern U.S, cities and suburbs where free-ranging cats are abundant. Furthermore, it demonstrates the power of metagenomics to glean large amounts of comparative data regarding both emerging vectors and their pathogens.

Entities:  

Mesh:

Year:  2020        PMID: 32973327      PMCID: PMC7519146          DOI: 10.1038/s41598-020-72956-x

Source DB:  PubMed          Journal:  Sci Rep        ISSN: 2045-2322            Impact factor:   4.379


Introduction

Numbers of reported cases of diseases transmitted by mosquitoes, ticks, fleas and other vectors (vector-borne diseases), tripled across the U.S. between 2004 and 2016[1] and the trend is continuing even with rampant under-reporting[2]. The alphaproteobacterial genus Rickettsia is divided into four groups, three of which include vector-borne species pathogenic to humans. These three groups, followed by a representative vector-borne species are: the spotted fever group (SFG), Rickettsia rickettsii; the typhus group (TG), Rickettsia typhi and the transitional group (TRG), Rickettsia felis[3]. Species from all three groups are common in wild and domestic mammals globally; SFG transmission to humans occurs via tick bite, while many arthropods including fleas are known vectors of TG and TRG[4]. Since 2000, cases of presumptive SFG have increased markedly in the mid-Atlantic states, including New Jersey, associated with reduced morbidity and mortality[5], a puzzling phenomenon since recent surveys of the primary tick vectors have seldomly detected the presence of SFG Rickettsia[6]. Cat fleas (Ctenocephalides felis) are the most common ectoparasites of domestic cats and dogs worldwide[7], can parasitize humans in many areas of the globe[7,8] and are commonly infected with potentially dangerous pathogens including Rickettsia species[9,10]. Studies of flea-borne pathogens commonly focus on surveillance using fleas collected from companion animals or wildlife without examining their potential to feed on humans, thus limiting estimates of risk. To our knowledge, no previous studies have reported cat flea outbreaks affecting humans in the highly urbanized northeastern U.S., although cat flea transmission of endemic typhus (R. typhi) and flea-borne spotted fever (R. felis) have been reported in southern California and Texas[11]. Overall, human exposure risk to cat flea-borne pathogens in the northeastern U.S. is broadly unknown and potentially underestimated. Here we report a cat flea infestation at Rutgers University, New Jersey U.S. that eventually included an entomology laboratory at the Center for Vector Biology, NJ Agricultural Experiment Station.

Results

Cat flea infestation

On July 18, 2019 a Rutgers University maintenance worker discovered large numbers of small insects on his clothing and skin after exiting a nearby work site and rushed to the Center for Vector Biology seeking assistance. The following day, while doing research in one of the center’s laboratories, the first author (FCF) sustained multiple bites with subsequent lesions on legs (Fig. 1a), arms (Fig. 1b) and body, detected the first fleas in one of the center’s laboratories and collected five fleas actively feeding on himself. Subsequently, a large infestation of Ctenocephalides sp. fleas was identified at the (index) work site associated with the presence of free-ranging cats, and a secondary infestation of adult fleas (introduced with the maintenance worker) at the research center. The research center was evacuated and extensive meetings among entomologists, facilities, janitorial, occupational health and safety and contract pest exterminator personnel were required to develop a control plan. To limit impact on live insect colonies maintained at the research center but outside the infested quarters, all surfaces in infested areas were treated twice with a short-residual pyrethrin followed each time by extensive washing and vacuuming of floors and carpets. To assess control efficacy, the exterminators deployed glue boards in every room and light traps in the corridors. The infestation was declared over after 2 weeks when no new fleas were captured for three consecutive days.
Figure 1

Flea bites and cat flea (Ctenocephalides felis) engorged with blood. Flea bites were concentrated on the ankles and front of the arms but bites on the torso and abdomen also occurred. Examples of lesions on the researchers’ ankles (a) and anterior arms (b). Bite lesions were itchy for over a week and scratching resulted in significant damage to the skin (a). A cat flea collected while feeding (c).

Flea bites and cat flea (Ctenocephalides felis) engorged with blood. Flea bites were concentrated on the ankles and front of the arms but bites on the torso and abdomen also occurred. Examples of lesions on the researchers’ ankles (a) and anterior arms (b). Bite lesions were itchy for over a week and scratching resulted in significant damage to the skin (a). A cat flea collected while feeding (c). In addition to the five fleas that were collected feeding, we obtained 102 fleas from glue traps deployed in both infested sites, which were all morphologically identified as cat fleas (Ctenocephalides felis, Fig. 1c) based on three diagnostic characters: slightly convex shape of the head; first spine of the genal ctenidia exceeding at least half of the second in length; and presence of six spiniform setae in the dorsoposterior margin of the hind tibia. We extracted DNA individually from all 107 fleas and selected a sub-sample of 37 for molecular barcoding at the cytochrome c oxidase subunit I (coxI) locus. This revealed two coxI haplotypes of C. felis that matched those from a recent worldwide assessment of genetic diversity in Ctenocephalides fleas[7]. We found 31 fleas with coxI haplotype h1 (Accession no. MT901293) and 6 fleas with coxI haplotype h6, Accession no. MT901294), which differs from h1 by 2.1% at the nucleotide level. Haplotype h1 is distributed across the temperate zone in all continents except Antarctica and was also recently found in a Long Island, NY (cat flea sequenced as part of bioproject PRJNA184075, Accession no. MK481256). Haplotype h6 is known to occur in the Central African Republic and the Seychelles[7] and has been detected in Georgia, USA[12]. Four of the five fleas collected while feeding on humans had the h1 haplotype and one had the h6 haplotype. Fleas with different haplotypes were morphologically similar. Although the bites experienced indicate that fleas were biting humans, we amplified and sequenced a 741 bp fragment of vertebrate cytb locus (Ngo & Kramer 2003) from a h6 haplotype flea with a visible blood meal to confirm that they were successfully obtaining human blood and not just probing. We obtained a clean sequence of Homo sapiens cytb (Accession no. MT901295) confirming the blood in the flea was from a human.

Rickettsia detection in cat fleas

We tested all 107 fleas for Rickettsia sp. in pools of DNA with up to eight specimens using a qPCR assay targeting the conserved 17kD antigen locus[13]. Fleas from six positive pools were individually tested with the same assay, revealing six positive individuals (5.6%) with a single positive per pool. We then amplified and sequenced fragments of the gltA[6] (Accession no. MT901296) and ompB[14] (Accession no. MT901297) genes from all six positive fleas, which generated a single genotype for each gene. These sequences produced a 100% match with isolates previously described as Rickettsia asembonensis in California, US[15], Peru[16] and Brazil[17]. We found that five of the six infected fleas had haplotype h6 (83% of h6 fleas were positive for R. asembonensis) and one had haplotype h1 (3% of h1 fleas were positive for R. asembonensis). These infection rates are significantly different (Fisher's Exact Test; P < 0.001).

Metagenomic analyses: Rickettsia asembonensis genome and cat flea mitochondrial genome

We selected a h6 Rickettsia-positive cat flea that was trapped in a glue trap for a metagenomic analysis using next-generation Illumina sequencing and generated 12.19 M paired-end reads (24.38 M total reads) of 305 bp that assembled to 399,287 scaffolds with an N50 of 1.4Kbp and summed to 430 Mbp. Of these scaffolds, 391,098 (98.0%) had hits to the database (e-val = 1 × 10−10; Table S1); 390,877 (99.94%) were to C. felis genome scaffolds. Of the remaining scaffolds, 93 had top hits to Rickettsia bacteria and summed to 1.34 Mbp with an average nucleotide coverage of 85×, suggesting that we had a complete (or near-complete) bacterial genome using the 1.37 Mbp published R. asembonensis genome isolated from Kenya[18] and cultured in an Aedes albopictus cell line as a reference. Using this published bacterial genome, we identified 2373 single nucleotide variants (SNVs) with > 10 × coverage at 95% frequency in our short-read data, indicating that the two strains were > 99.99% identical on average at the nucleotide level. We used the Illumina metagenome assembly data to compare the R. asembonensis we detected with R. asembonensis isolates from around the world by deriving full-length gene sequences for five commonly sequenced rickettsial marker genes, which include conserved (gltA and 17-kDa) and variable (ompB, ompA and sca4) loci. Gene sequences identical or almost identical (> 99.9% identity) to those from our study were detected in cat fleas from California, Texas and Georgia within the U.S. and in cat fleas and other vectors in countries in Central and South America, Europe, Africa and in Asia (Table 1). The R. asembonensis detected here is similar (> 99%) to genotypes obtained from human blood in Peru[19] and Malaysia[20], from Long-tailed macaques (Macaca fascicularis) in Malaysia[21] and from cats in Thailand[22].
Table 1

Gene comparison between the Rickettsia asembonensis complete genome from this study and those previously detected in fleas, ticks and in blood samples across the world.

SourceVertebrate hostLocation, CountryYear1gltA17 kDaompBompAReference
Identities2GenBank acc. noIdentities2GenBank acc. noIdentities2GenBank acc. noIdentities2GenBank acc. no
Ctenocephalides felis

Human (Homo sapiens)

Grizzly (Ursus arctosi)

Columbia, SC, USA2009371/372 (99.7%)AY953289432/434 (99.5%)AY953286Nelder et al.[40]
C. felisOpossum (Didelphis virginiana)Orange Co., CA, USA20161035/1035 (100%)KU5970681517/1517 (100%)KU5970661224/1225 (99.9%)KU597069Krueger et al.[15]
C. felisCat (Felis catus)Los Angeles Co., CA, USA2016787/787 (100%)KP398499Billeter et al.[41]
C. felisCat (Felis catus)Georgia, USA2016613/613 (100%)KX431974833/833 (100%)KX431985Šlapeta and Šlapeta[12]
C. felisOpossum (Didelphis virginiana)Orange Co., CA, USA2016787/787 (100%)KP3984994Maina et al.[29]
C. felisCat (Felis catus)Galveston, TX, USA2019342/342 (100%)MH325379394/394 (100%)MH325383769/770 (99.9%)MH325368Blanton et al.[4]
C. felisDog (Canis lupus)Coclé province, Panama2011724/724 (100%)HM582437Bermudez et al.[42]
Pulex simulansDog (Canis lupus)Costa Rica2016350/350 (100%)KJ5690905Troyo et al.[43]
Amblyomma ovaleDog (Canis lupus)Costa Rica2016349/349 (100%)KX544811559/559 (100%)KX544817Troyo et al.[43]

Rhipicephalus

microplus

Cow (Bos taurus)Costa Rica2016350/350 (100%)KJ5690905Troyo et al.[43]
C. felisCollected from a bedVilleta, Colombia2016350/350 (100%)KJ569090382/382 (100%)KJ569091Faccini-Martínez et al.[44]
C. felisDog (Canis lupus)Imperatriz, Brazil20171018/1018 (100%)KY445726528/528 (100%)KY445730794/794 (100%)KY445737Silva et al.[17]
C. felisDog (Canis lupus)Edison Lobão, Brazil20171109/1110 (99.9%)KY445725532/532 (100%)KY445735762/762 (100%)KY445740Silva et al.[17]
Rhipicephalus sanguineusDog (Canis lupus)Tapes, Brazil20171136/1137 (99.9%)KX196267369/369 (100%)KX196268Dallagnol et al.[45]
C. felis VGD7NAIquitos, Peru20181314/1314 (100%)KY650697476/476 (100%)KY6506974944/4947 (99.9%)KY6506994159/4164 (99.9%)KY650698Loyola et al.[16]

Ctenocephalides canis 8294D3

C. felis LER205

NA

NA

Iquitos, Peru

Puerto Maldonado, Peru

2019

1314/1314 (100%)

1314/1314 (100%)

MK923743

MK923726

476/476 (100%)

476/476 (100%)

MK923744

MK923729

4947/4947 (100%)

4947/4947 (100%)

MK923741

MK923726

5151/5151 (100%)

5151/5151(100%)

MK923742

MK923727

Loyola et al.[16]
BloodHuman (Homo sapiens)Various localities, Peru2018382/383 (99.7)LN831076Palacios-Salvatierra et al.[19]
Archaeopsylla erinacei

Hedgehog

(Erinaceus europaeus)

Munich, Germany2009335/335 (100%)EU927696770/770 (100%)EU927697Gilles et al.[46]
Pulex irritansDog (Canis lupus)Hungary2010341/341 (100%)EU853838Hornok et al.[47]
Echidnophaga gallinaceaBlack rats Rattus rattus)Egypt2006341/341 (100%)DQ166938394/394 (100%)DQ166937Loftis et al.[48]
Synosternus pallidusCat (Felis catus), Dog (Canis lupus, traps in homesSine-Saloum, Senegal2012726/728 (99.7%)JF966774770/770 (100%)JF966775Roucher et al.[49]
C. canisDog (Canis lupus)Nyanza, Kenya20131127/1130 (99.7%)JN315968371/371 (100%)JN315968819/820 (99.8%)JN3159721515/1517 (99.9%)JN315977Jiang et al.[50]
C. felisDog (Canis lupus)Nyanza, Kenya20131311/1314 (99.8%)JWSW01000078

501/501

(100%)

JWSW01000044

4944/4947

(99.9%)

JWSW010000875080/5088(99.8%)JWSW01000076Jima et al.[18]
C. felisDog (Canis lupus)Musanze, Rwanda2018611/612 (99.8%)MH142453831/833 (99.7%)MH142452Nziza eet al.[51]
C. felisDog (Canis lupus)Mazabuka, Zambia2019320/321 (99.7%)LC431490696/696 (100%)LC431491208/208 (100%)LC431502Moonga et al.[52]
C. canisDog (Canis lupus)Sangkhlaburi, Thailand20031166/1171 (99.6%)AF516333772/774 (99.7%)JX183538Parola et al.[53]
C. felisDog (Canis lupus)Bangkok, Thailand2011328/328 (100%)JF511463390/390 (100%)JF511461Foongladda et al.[54]
C. felisDog (Canis lupus)Bangkok, Thailand2018132/134 (98.5%)MG264737304/305 (99.7)MG452137Mongkol et al.[55]
C. felisDog (Canis lupus)Nan province, Thailand2019525/525 (100%)MK660561Takhampunya et al.[56]
BloodCat (Felis catus)Bangkok, Thailand20181160/1168 (99.3%)MH523411Phoosangwalthong et al.[22]
C. felis

Dog (Canis lupus)

Cat (Felis catus)

Kuala Lumpur, Malaysia Pulau Pinang, Malaysia2014725/725 (100%)KF963606Tay et al.[57]
Ctenocephalides orientisDog (Canis lupus)Peninsular Malaysia20171136/1137 (99.9%)KX1962673Low et al.[58]
Rhipicephalus sanguineusDog (Canis lupus)Peninsular Malaysia2017748/749 (99.9%)MF281711Low et al.[58]
Blood

Long-tailed macaque

(Macaca fascicularis)

Peninsular Malaysia2015210/210 (100%)KP126803777/779 (99.7%)KP126804Tay et al.[21,22]
BloodHuman (H. sapiens)Kuala Lumpur, Malaysia2016399/402 (99.2%)KU255716816/818 (99.8%)KU255717Kho et al.[20]
Ceratophyllus fasciatusRat (Rattus rattus)Himachal Pradesh, India2015341/341 (100%)HM370112792/794 (99.7%)HM370113Cahota et al.[59]
C. orientisDog (Canis lupus)Delhi, Mumbai, Rajasthan, India2015586/586 (100%)KP256357794/795 (99.9%)KP256359Hii et al.[60]
Xenopsylla ramesisWild rodentsNegev, Israel2015340/340 (100%)KP050777332/332 (100%)KP050778739/740 (99.9%)KP050780505/505 (100%)KP050779Rzotkiewicz et al.[61]

Identical and almost identical (> 99.9%) matches are in bold.

The sca4 gene was omitted from the table to reduce its size. This gene was sequenced in only 4 studies[15,16,18,50,61], which produced sequences with 100% identity in relation to the R. asembonensis detected in this study.

NA = Information not available, C. felis = Ctenocephalides felis, C. canis = Ctenocephalides canis, C. orientis = Ctenocephalides orientis.

1Refers to the year of publication.

2 refers to the number of identical bp in the comparison, the total number of overlapping bp and the similarity percentage (in parenthesis).

3While Low et al. 2017 did not create a GenBank entry for their gltA sequences they stated the genotype they found was a 100% match to acc. number KX196267.

4While Maina et al. 2016 did not create a GenBank entry for their ompB sequences they stated the ompB genotype they found was a 100% match to acc. number KP398499.

5While Troyo et al. 2016 did not create a GenBank entry for some of their gltA sequences they stated that the genotype they found was a 100% match to the acc. number KJ569090.

Gene comparison between the Rickettsia asembonensis complete genome from this study and those previously detected in fleas, ticks and in blood samples across the world. Human (Homo sapiens) Grizzly (Ursus arctosi) Rhipicephalus microplus Ctenocephalides canis 8294D3 C. felis LER205 NA NA Iquitos, Peru Puerto Maldonado, Peru 1314/1314 (100%) 1314/1314 (100%) MK923743 MK923726 476/476 (100%) 476/476 (100%) MK923744 MK923729 4947/4947 (100%) 4947/4947 (100%) MK923741 MK923726 5151/5151 (100%) 5151/5151(100%) MK923742 MK923727 Hedgehog (Erinaceus europaeus) 501/501 (100%) 4944/4947 (99.9%) Dog (Canis lupus) Cat (Felis catus) Long-tailed macaque (Macaca fascicularis) Identical and almost identical (> 99.9%) matches are in bold. The sca4 gene was omitted from the table to reduce its size. This gene was sequenced in only 4 studies[15,16,18,50,61], which produced sequences with 100% identity in relation to the R. asembonensis detected in this study. NA = Information not available, C. felis = Ctenocephalides felis, C. canis = Ctenocephalides canis, C. orientis = Ctenocephalides orientis. 1Refers to the year of publication. 2 refers to the number of identical bp in the comparison, the total number of overlapping bp and the similarity percentage (in parenthesis). 3While Low et al. 2017 did not create a GenBank entry for their gltA sequences they stated the genotype they found was a 100% match to acc. number KX196267. 4While Maina et al. 2016 did not create a GenBank entry for their ompB sequences they stated the ompB genotype they found was a 100% match to acc. number KP398499. 5While Troyo et al. 2016 did not create a GenBank entry for some of their gltA sequences they stated that the genotype they found was a 100% match to the acc. number KJ569090. In addition to the R. asembonensis genome, we identified a scaffold encoding a near full-length C. felis mitochondrial genome. This 17.54 kbp scaffold (NODE_28 within the assembly) encodes 13 protein coding genes, 22 tRNAs and two rRNAs and had a mean mapping coverage of > 526×. We were unable to circularize the genome due to a high number of tandem repeats in the control region that could not be spanned by short-read sequencing. Annotation and alignment with four existing Siphonapteran mitogenomes currently available[23-25] (Fig. 2) indicate that gene order and sequence within the coding region remain relatively conserved among the three infraorders (Ceratophyllomorpha, Pulicomorpha, Hystrichopsyllomorpha) and four families sampled (Ceratophyllidae, Vermipsyllidae, Hystrichopsyllidae, Pulicidae).
Figure 2

Mitochondrial synteny diagram illustrating gene order and nucleotide sequence conservation between Ctenocephalides felis (generated in this study) and four currently sequenced flea mitochondrial genomes. The control region is excluded.

Mitochondrial synteny diagram illustrating gene order and nucleotide sequence conservation between Ctenocephalides felis (generated in this study) and four currently sequenced flea mitochondrial genomes. The control region is excluded.

Discussion

Our unanticipated study uncovered two different mitochondrial lineages of human-biting cat fleas infected with Rickettsia asembonensis. This flea-borne spotted fever Rickettsia species falls within the transitional group[26] and has been associated with human pathogenicity in Peru[19] and in Malaysia[20]. Rickettsia asembonensis was detected in the blood of healthy cynomolgus monkeys (Macaca fascicularis) in Malaysia[21] and in blood samples from cats in Thailand[22], showing that this bacterium infects wild and domestic mammals, which in turn can act as reservoirs for human infections. To date, R. asembonensis has been detected in three tick species and in 10 flea species from 17 countries across four continents; the global distribution of positive cat fleas suggest they are likely to be vectors of this Rickettsia species. More importantly, regions with confirmed cases of R. asembonensis infection in humans and other mammals also have reports of positive cat fleas (Table 1). The cat flea is the only known vector of R. felis[27], and currently stands as the main vector of typhus fever in the U.S.[4,28], reinforcing its importance as a vector of zoonotic pathogens. We found that fleas with both h1 and h6 coxI haplotypes bit humans and we identified human blood in a haplotype h6 flea infected with R. asembonensis. Of note, although the dozens of skin lesions resulted in a few days of significant discomfort no further symptoms have surfaced. While flea-borne rickettsioses in humans have been linked to the presence of Rickettsia-positive cat fleas[29], direct evidence of positive fleas biting humans is still scarce. The significant difference in infection rate between fleas with different coxI haplotypes raises questions about differences in vector competence or likelihood of vertical transmission of R. asembonensis in different genetic lineages of cat fleas. In the U.S., human cases of flea-borne diseases have been reported in Hawaii, Texas and California[30] and our study brings attention to the possible emergence of flea-borne pathogens in the northeastern region where millions of cats and dogs thrive alongside humans[31]. In fact, the cat flea infestation we report led to the discovery of a medium sized colony of free-ranging cats in the basement of the primary infestation site. Our results warrant increasing the public’s awareness that free-ranging cats can harbor fleas infected with zoonotic pathogens. Of note, serological assays for other rickettsial agents such as Rickettsia typhi (murine typhus) and R. rickettsii (the agent of Rocky Mountain spotted fever) cross-react with R. asembonensis[32] and the latter should therefore be considered when diagnosing fevers of unknown origin in the northeastern U.S. The ability to sequence and assemble an entire rickettsial genome from a single infected flea illustrates the potential that modern metagenomic analyses hold for vector biology and public health. We demonstrated that the R. asembonensis detected here is highly similar to those distributed in many countries across the Americas, Europe, Africa and Asia. These results are currently tempered, however, by a lack of comparative data in public databases e.g., GenBank, with a large majority of data from closely related Rickettsia species existing as single genes, partial gene fragments, or missing entirely. Recovery of the complete mitochondrial genome of C. felis concomitant with the pathogen genome enables expanded genotype by genotype evolutionary analyses and provides data useful for population-level analyses using mitochondrial markers. We envision that as metagenome sequencing becomes cheaper and commonplace in situations such as this, comparative analyses within and between global vector populations and their pathogens (inclusive of bacteria, viruses and eukaryote parasites) will be possible, and will quickly expand our knowledge about potential emerging pathogens to which human populations are exposed.

Methods

Flea sampling, identification and DNA extraction

One of the authors of this study (FCF) caught five fleas that were feeding on himself and put these specimens in microtubes containing 95% ethanol. We also obtained fleas that were trapped in glue boards (Catchmaster Mouse and Insects glue boards, Catchmaster, NJ, US) and light traps (Victor Ultimate Flea Trap, Woodstream Corporation, PA, US) deployed in the halls and offices of the infested buildings for 2 weeks. We inspected the traps daily, transferred glue boards positive for fleas to a − 20 °C freezer and later removed trapped fleas with forceps before extraction. Fleas were identified to the species level with the aid of a taxonomic key (Centers for Disease Control and Prevention[33]). We then extracted DNA from all 107 fleas individually using a phenolchloroform protocol[34].

Genetic identification of fleas and blood meal analysis

To confirm the flea species we used primers LCO1490 and Cff-R[35] to amplify and sequence the mitochondrial cytochrome oxidase 1 (coxI) barcode locus from 37 fleas (six Rickettsia-positive fleas), which included one collected feeding on a human (FCF), four other fleas collected on this same person and 27 additional fleas chosen randomly from those available. We amplified and sequenced a 741 bp fragment of vertebrate cytb locus using primers MammalianF and MammalianR[36] from a flea with a visible blood meal.

Rickettsia detection

We tested all 107 fleas for Rickettsia sp. in pools of up to eight specimens using a qPCR assay targeting the conserved 17kD locus[13]. Fleas from positive pools were individually tested with the same qPCR assay to pinpoint which fleas in each pool were positive. To identify the Rickettsia to species level we amplified and sequenced a 608 bp fragment of the rickettsia gltA gene using primers PgltA-2F 5′-TTCTCATCCTATGGCTATTATGC-3′ and PgltA-2R 5′-TTCAAGTTCTATTGCTATTTG-3′[6] and a 820 bp fragment of the rickettsia ompB gene using primers 120-M59 and 120–807[14]. Positive and negative controls produced the expected results in all tests performed.

Metagenomic analysis

We used approximately 50 ng of DNA from an un-engorged Rickettsia-positive flea (haplotype h6) to construct an Illumina shotgun sequencing library using the Nextera FLEX sample prep kit (Illumina Inc, San Diego, CA) and a 600-cycle version 3 sequencing kit in 305 bp × 305 bp paired-end mode. Raw reads were adapter and quality-trimmed using BBduk (sourceforge.net/projects/bbmap/) and assembled using SPAdes 3.14.0[37]. Each scaffold was queried against the NCBI ‘nt’ nucleotide database with the addition of the C. felis draft genome sequence (NCBI accession GCF_003426905; Driscoll et al. [unpublished]) using BLASTN 2.9.0+[38] on the Rutgers amarel high-performance computing cluster, and hits were annotated with corresponding NCBI taxonomy using the Taxonomizr R module (https://cran.r-project.org/web/packages/taxonomizr/index.html). Using BLAST homology to Rickettsia CDS sequences within NCBI, we identified full-length homologs of the gltA, ompB, ompA, sca4 and the 17 kDa outer membrane antigen htrA within this assembly. Raw reads were additionally mapped to the R. asembonensis strain NMRCii genome scaffolds and plasmid pRAS01[18] [GenBank accession GCA_000828125.2]) using BBmap. Reads with > 1 best alignment were discarded. Of the 23.24 M trimmed reads (totaling 4.51Gbp), 600 k (2.58%) were mapped to the reference. We used this mapping with the Geneious Prime v.2020.1.2 variant caller (Biomatters, Ltd., Auckland, NZ) to assess the number of single-nucleotide variants (SNVs) between the two R. asembonensis genomes. The scaffold encoding the C. felis mitochondrial genome was annotated using MITOS[39].

Ethical statements

All methods were carried out in accordance with relevant guidelines and regulations. The research reported does not involve experiments on humans or animals and therefore neither IRB nor IACUC protocols were necessary. Instead it reports the outcome of an inadvertent, unexpected and undesired ectoparasite infestation in our research center. Fleas were collected by the first author from his own person upon infestation of the research center. Supplementary Legends. Supplementary Table S1. Supplementary Table S2.
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1.  Phylogenetic analysis of members of the genus Rickettsia using the gene encoding the outer-membrane protein rOmpB (ompB).

Authors:  V Roux; D Raoult
Journal:  Int J Syst Evol Microbiol       Date:  2000-07       Impact factor: 2.747

2.  Identification of mosquito bloodmeals using polymerase chain reaction (PCR) with order-specific primers.

Authors:  Kiet A Ngo; Laura D Kramer
Journal:  J Med Entomol       Date:  2003-03       Impact factor: 2.278

Review 3.  Fleas and flea-borne diseases.

Authors:  Idir Bitam; Katharina Dittmar; Philippe Parola; Michael F Whiting; Didier Raoult
Journal:  Int J Infect Dis       Date:  2010-03-01       Impact factor: 3.623

4.  First report of a Rickettsia asembonensis related infecting fleas in Brazil.

Authors:  Arannadia Barbosa Silva; Vinicius Figueiredo Vizzoni; Andréa Pereira Costa; Francisco Borges Costa; Jonas Moraes-Filho; Marcelo Bahia Labruna; Gilberto Salles Gazêta; Rita de Maria Seabra Nogueira
Journal:  Acta Trop       Date:  2017-04-17       Impact factor: 3.112

5.  Rickettsiae Within the Fleas of Feral Cats in Galveston, Texas.

Authors:  Lucas S Blanton; Rahat F Vohra; Lea Fistein; Bethany Quade; David H Walker; Donald H Bouyer
Journal:  Vector Borne Zoonotic Dis       Date:  2019-03-05       Impact factor: 2.133

6.  "Candidatus Rickettsia asemboensis" in Rhipicephalus sanguineus ticks, Brazil.

Authors:  Bruno Dall'Agnol; Ugo Souza; Anelise Webster; Bárbara Weck; Bárbara Stenzel; Marcelo Labruna; Guilherme Klafke; João Ricardo Martins; Carlos Alexandre Sanchez Ferreira; José Reck
Journal:  Acta Trop       Date:  2016-12-13       Impact factor: 3.112

7.  Out-of-Africa, human-mediated dispersal of the common cat flea, Ctenocephalides felis: The hitchhiker's guide to world domination.

Authors:  Andrea L Lawrence; Cameron E Webb; Nicholas J Clark; Ali Halajian; Andrei D Mihalca; Jorge Miret; Gianluca D'Amico; Graeme Brown; Bersissa Kumsa; David Modrý; Jan Šlapeta
Journal:  Int J Parasitol       Date:  2019-03-09       Impact factor: 3.981

8.  Molecular identity of cat fleas (Ctenocephalides felis) from cats in Georgia, USA carrying Bartonella clarridgeiae, Bartonella henselae and Rickettsia sp. RF2125.

Authors:  Štěpán Šlapeta; Jan Šlapeta
Journal:  Vet Parasitol Reg Stud Reports       Date:  2016-07-02

9.  [Rickettsial species in human cases with non-specific acute febrile syndrome in Peru].

Authors:  Rosa Palacios-Salvatierra; Omar Cáceres-Rey; Andrés Vásquez-Domínguez; Patricia Mosquera-Visaloth; Elizabeth Anaya-Ramírez
Journal:  Rev Peru Med Exp Salud Publica       Date:  2018 Oct-Dec

10.  Rickettsial infections in monkeys, Malaysia.

Authors:  Sun Tee Tay; Fui Xian Koh; Kai Ling Kho; Frankie Thomas Sitam
Journal:  Emerg Infect Dis       Date:  2015-03       Impact factor: 6.883

View more
  2 in total

1.  Visual closed dumbbell-mediated isothermal amplification (CDA) for on-site detection of Rickettsia raoultii.

Authors:  Zheng Gui; Hao Cai; Lin Wu; Qing Miao; Jing Feng Yu; Ting Cai; Rui Mao
Journal:  PLoS Negl Trop Dis       Date:  2022-09-09

Review 2.  Unpacking the intricacies of Rickettsia-vector interactions.

Authors:  Hanna J Laukaitis; Kevin R Macaluso
Journal:  Trends Parasitol       Date:  2021-06-21
  2 in total

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