SEROLOGICAL SURVEY OF LYME BORRELIOSIS IN THE SOUTH REGION OF KAZAKHSTAN

Main Article Content

Authors

A. Kuligin

Almaty Branch of the National Center for Biotechnology, 14 Zhahanger St., Almaty, Kazakhstan

A. Lushova

Almaty Branch of the National Center for Biotechnology, 14 Zhahanger St., Almaty, Kazakhstan
M.A. Aitkhozhin’s Institute of Molecular Biology and Biochemistry, 86 Dosmukhamedov St., Almaty, 050012, Kazakhstan

S. Kan

Almaty Branch of the National Center for Biotechnology, 14 Zhahanger St., Almaty, Kazakhstan
M.A. Aitkhozhin’s Institute of Molecular Biology and Biochemistry, 86 Dosmukhamedov St., Almaty, 050012, Kazakhstan

A. Bissenbay

Almaty Branch of the National Center for Biotechnology, 14 Zhahanger St., Almaty, Kazakhstan
M.A. Aitkhozhin’s Institute of Molecular Biology and Biochemistry, 86 Dosmukhamedov St., Almaty, 050012, Kazakhstan

Yu. Perfilyeva

Almaty Branch of the National Center for Biotechnology, 14 Zhahanger St., Almaty, Kazakhstan
M.A. Aitkhozhin’s Institute of Molecular Biology and Biochemistry, 86 Dosmukhamedov St., Almaty, 050012, Kazakhstan

N. Abdolla

Almaty Branch of the National Center for Biotechnology, 14 Zhahanger St., Almaty, Kazakhstan
M.A. Aitkhozhin’s Institute of Molecular Biology and Biochemistry, 86 Dosmukhamedov St., Almaty, 050012, Kazakhstan

A. Dmitrovskiy

Almaty Branch of the National Center for Biotechnology, 14 Zhahanger St., Almaty, Kazakhstan

Yu. Skiba

Almaty Branch of the National Center for Biotechnology, 14 Zhahanger St., Almaty, Kazakhstan
M.A. Aitkhozhin’s Institute of Molecular Biology and Biochemistry, 86 Dosmukhamedov St., Almaty, 050012, Kazakhstan

N. Ospanbekova

NOU Kazakh-Russian Medical University, 51/53 Abylai Khan St., Almaty, Kazakhstan

T. Davlyatshin

Clinical diagnostic laboratory “Omikron 3D”, 28 Amanjol St., Almaty, Kazakhstan

G. Abuova

South Kazakhstan Medical Academy, Department of Infectious Diseases and Dermatovenerology, 1 Al-Farabi Square, Shymkent, Kazakhstan

M. Bayakhmetova

South Kazakhstan Medical Academy, Department of Infectious Diseases and Dermatovenerology, 1 Al-Farabi Square, Shymkent, Kazakhstan

A. Adil

NOU Kazakh-Russian Medical University, 51/53 Abylai Khan St., Almaty, Kazakhstan

Ye. Ostapchuk

Almaty Branch of the National Center for Biotechnology, 14 Zhahanger St., Almaty, Kazakhstan
M.A. Aitkhozhin’s Institute of Molecular Biology and Biochemistry, 86 Dosmukhamedov St., Almaty, 050012, Kazakhstan

Abstract

Lyme borreliosis (LB) is an infectious disease caused by spirochetes of the Borrelia burgdorferi sensu lato complex. Transmission occurs through the bites of hard ticks within the genus Ixodes. Cases of fever of unknown origin are recorded in southern Kazakhstan, however, the prevalence of LB in this area remains unstudied. Almaty oblast is recognized as an endemic area for LB. Ixodid tick vectors also inhabit Jambyl oblast, where antibodies to LB agent were previously detected among residents, while it is classified as non-endemic. Turkistan oblast is also considered non-endemic for LB. The purpose of this study was to investigate the seroprevalence of IgG antibodies to B. burgdorferi s.l. among apparently healthy residents of Almaty city (Almaty oblast), Taraz city (Jambyl oblast), and Shymkent city (Turkistan oblast). A total of 465 human serum samples were collected from March 2022 to September 2023. Using the ELISA method, we detected the presence of IgG antibodies to the LB agent in 5.4% of the entire study group (24/465, 95% CI: 3.3-7.6%), and specifically in 9.3% of residents of Almaty city (11/118, 95% CI: 4.7-16.1%, p=0.03), 4.5% – Taraz city (11/242, 95% CI: 2.3-8.0%) and 1.9% – Shymkent city (2/105, 95% CI: 0.2-6.7%). The results of the study confirm the seroprevalence of IgG antibodies to B. burgdorferi s.l. among the population of Almaty city and Jambyl oblast, and also reveal seropositive samples in residents of Turkistan oblast, suggesting possible infection during travel to endemic regions. It is important to continue LB surveillance in endemic and emerging regions, as well as to raise awareness of the infection among healthcare workers and the general public in non-endemic areas.

Keywords

Lyme borreliosis, Borrelia burgdorferi sensu lato, south Kazakhstan, seroprevalence, ELISA

Article Details

References

Steere, A. C., Strle, F., Wormser, G. P., Hu, L. T., Branda, J. A., Hovius, J. W., Li, X., Mead, P. S. Lyme borreliosis // Nature reviews. Disease primers. – 2016. – Vol. 2. – P. 16090. Crossref

Ji, Z., Jian, M., Yue, P., Cao, W., Xu, X., Zhang, Y., Pan, Y., Yang, J., Chen, J., Liu, M., Fan, Y., Su, X., Wen, S., Kong, J., Li, B., Dong, Y., Zhou, G., Liu, A., Bao, F. Prevalence of Borrelia burgdorferi in Ixodidae Tick around Asia: A Systematic Review and Meta-Analysis // Pathogens (Basel, Switzerland). – 2022. – Vol. 11, No 2. – P. 143. Crossref

Centers for Disease Control and Prevention (CDC). Lyme disease. Available online: URL. (accessed: 02.12.2023)

Schotthoefer, A. M., Green, C. B., Dempsey, G., Horn, E. J. The Spectrum of Erythema Migrans in Early Lyme Disease: Can We Improve Its Recognition? // Cureus. – 2022. – Vol. 14, No 10. – P. e30673. Crossref

Steere, A. C., Schoen, R. T., Taylor, E. The clinical evolution of Lyme arthritis // Annals of internal medicine. – 1987. – Vol. 107, No 5. – P. 725–731. Crossref

Ogrinc, K., Lusa, L., Lotrič-Furlan, S., Bogovič, P., Stupica, D., Cerar, T., Ružić-Sabljić, E., Strle, F. Course and Outcome of Early European Lyme Neuroborreliosis (Bannwarth Syndrome): Clinical and Laboratory Findings // Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. – 2016. – Vol. 63, No 3. – P. 346–353. Crossref

Centers for Disease Control and Prevention (CDC). Three sudden cardiac deaths associated with Lyme carditis - United States, November 2012-July 2013 // MMWR. Morbidity and mortality weekly report. – 2013. – Vol. 62, No 49. – P. 993–996.

Asbrink, E., Brehmer-Andersson, E., Hovmark, A. Acrodermatitis chronica atrophicans--a spirochetosis. Clinical and histopathological picture based on 32 patients; course and relationship to erythema chronicum migrans Afzelius // The American Journal of dermatopathology. – 1986. – Vol. 8, No 3. – P. 209–219. Crossref

Margos, G., Vollmer, S. A., Ogden, N. H., Fish, D. Population genetics, taxonomy, phylogeny and evolution of Borrelia burgdorferi sensu lato // Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases. – 2011. – Vol. 11, No 7. – P. 1545–1563. Crossref

Stanek, G., Strle, F. Lyme borreliosis-from tick bite to diagnosis and treatment // FEMS microbiology reviews. – 2018. – Vol. 42, No 3. – P. 233–258. Crossref

Margos, G., Wilske, B., Sing, A., Hizo-Teufel, C., Cao, W. C., Chu, C., Scholz, H., Straubinger, R. K., Fingerle, V. Borrelia bavariensis sp. nov. is widely distributed in Europe and Asia // International journal of systematic and evolutionary microbiology. – 2013. – Vol. 63, No 11. – P. 4284–4288. Crossref

Stanek, G., Reiter, M. The expanding Lyme Borrelia complex--clinical significance of genomic species? // Clinical microbiology and infection: the official publication of the European Society of Clinical Microbiology and Infectious Diseases. – 2011. – Vol. 17, No 4. – P. 487–493. Crossref

Fingerle, V., Schulte-Spechtel, U. C., Ruzic-Sabljic, E., Leonhard, S., Hofmann, H., Weber, K., Pfister, K., Strle, F., Wilske, B. Epidemiological aspects and molecular characterization of Borrelia burgdorferi s.l. from southern Germany with special respect to the new species Borrelia spielmanii sp. nov. // International journal of medical microbiology : IJMM. – 2008. – Vol. 298, No 3-4. – P. 279–290. Crossref

Bissenbay A.O., Zhigailov A.V., Perfilyeva Y.V., Naizabayeva D.A., Neupokoyeva A.S., Berdygulova Z.A., Ostapchuk Y.O., Maltseva E.R., Kuatbekova S.A., Nizkorodova A.S., Dmitrovskiy A.M., Skiba Y.A., Mamadaliyev S.M. Epidemiology and molecular genetic characteristics of Lyme borreliosis pathogens circulating in tick’s population in the Almaty oblast of the Republic of Kazakhstan // Journal of microbiology, epidemiology and immunobiology. – 2020. – Vol. 97, No 6. – P. 535-545. Crossref (in Russian)

Cook M. J. Lyme borreliosis: a review of data on transmission time after tick attachment // International journal of general medicine. – 2014. – Vol. 8. – P. 1–8. Crossref

Yegemberdieva R.A., Toksanbaeva K.N., Duĭsenova A.K., Ermukhanova N.T. Clinical manifestations of chronic forms tickborne borreliosis in the East Kazakhstan area // Vestnik Kazakhskogo natsional'nogo meditsinskogo universiteta. – 2013. – Vol. 2. – P. 89–92. (in Russian)

Yegemberdieva R.A. Clinical and epidemiological manifestations of some natural focal vector-borne infections in Kazakhstan // Diss. Alma-Ata. – 2011. (in Russian)

Yegemberdieva R.A., Ermukhanova N.T., Dmitrovskiy A.M., Shapieva Zh.Zh., Kyraubaev K.K., Lavrenyuk V.I. Epidemiological characteristics of some tick-borne vector-borne infections in Kazakhstan // Natsional'nye prioritety Rossii. – 2013. – Vol. 2. – P. 92–4. (in Russian)

Ostapchuk, Y. O., Perfilyeva, Y. V., Zhigailov, A. V., Maltseva, E. R., Neupokoyeva, A. S., Bissenbay, A. O., Berdygulova, Z. A., Naizabayeva, D. A., Nizkorodova, A. S., Shapiyeva, Z. Z., Yegemberdiyeva, R. A., Kuznetsova, T. V., Kuatbekova, S., Akanova, A., Ismagulova, G. A., Mamadaliyev, S. M., Dmitrovskiy, A. M., Skiba, Y. A. Monitoring of pathogenic Borrelia burgdorferi sensu lato in the Almaty oblast, Kazakhstan // Ticks and tick-borne diseases. – 2021. – Vol. 12, No 4. – P. 101725. Crossref

Filippova, N.A. Ixodid Ticks of the Subfamily Ixodinae, Fauna of USSR // Nauka Publishing House, St. Petersburg. – 1997. – P. 393. (in Russian)

Bekshin Zh.M., Yesmagambetova A.S., Akhmetov V.N. Sanitary and Epidemiological Situation in the Republic of Kazakhstan in 2018 // Almaty. – 2019. – P. 111–8. (in Russian)

Head, J. R., Bumburidi, Y., Mirzabekova, G., Rakhimov, K., Dzhumankulov, M., Salyer, S. J., Knust, B., Berezovskiy, D., Kulatayeva, M., Zhetibaev, S., Shoemaker, T., Nicholson, W. L., Moffett, D. Risk Factors for and Seroprevalence of Tickborne Zoonotic Diseases among Livestock Owners, Kazakhstan // Emerging infectious diseases. – 2020. – Vol. 26, No 1. – P. 70–80. Crossref

Ostapchuk, Y. O., Dmitrovskiy, A. M., Pak, E. A., Perfilyeva, Y. V. A Case of Combined Infection with Tick-Borne Encephalitis and Lyme Borreliosis with Severe Meningoencephalitis and Complete Recovery // Journal of global infectious diseases. – 2023. – Vol. 15, No 2. – P. 81–83. Crossref

Jorge, L. M., Lupi, O., Hozannah, A. R., Bernardes Filho, F. Lyme disease in a Brazilian traveler who returned from Germany // Anais brasileiros de dermatologia. – 2017. – Vol. 92, No 1. – P. 148–149. Crossref

Subedi, S., Dickeson, D. J., Branley, J. M. First report of Lyme neuroborreliosis in a returned Australian traveller // The Medical journal of Australia. – 2015. – Vol. 203, No 1. – P. 39–40. Crossref

Perfilyeva, Y. V., Shapiyeva, Z. Z., Ostapchuk, Y. O., Berdygulova, Z. A., Bissenbay, A. O., Kulemin, M. V., Ismagulova, G. A., Skiba, Y. A., Sayakova, Z. Z., Mamadaliyev, S. M., Maltseva, E. R., Dmitrovskiy, A. M. Tick-borne pathogens and their vectors in Kazakhstan - A review // Ticks and tick-borne diseases. – 2020. – Vol. 11, No 5. – P. 101498. Crossref

Zhigailov, A. V., Neupokoyeva, A. S., Maltseva, E. R., Perfilyeva, Y. V., Bissenbay, A. O., Turebekov, N. A., Frey, S., Essbauer, S., Abdiyeva, K. S., Ostapchuk, Y. O., Berdygulova, Z. A., Aimbetov, R. S., Naizabayeva, D. A., Dmitrovskiy, A. M., Skiba, Y. A., Mamadaliyev, S. M. The prevalence of Borrelia in Ixodes persulcatus in southeastern Kazakhstan // Ticks and tick-borne diseases. – 2021. – Vol. 12, No4. – P. 101716. Crossref

Donohoe, H., Pennington-Gray, L., Omodior, O. Lyme disease: Current issues, implications, and recommendations for tourism management // Tourism management. – 2015. – Vol. 46. – P. 408–418. Crossref

Hoeve-Bakker, B. J. A., van den Berg, O. E., Doppenberg, H. S., van der Klis, F. R. M., van den Wijngaard, C. C., Kluytmans, J. A. J. W., Thijsen, S. F. T., Kerkhof, K. Seroprevalence and Risk Factors of Lyme Borreliosis in The Netherlands: A Population-Based Cross-Sectional Study // Microorganisms. – 2023. – Vol. 11, No 4. – P. 1081. Crossref

Johansson, M., Manfredsson, L., Wistedt, A., Serrander, L., Tjernberg, I. Significant variations in the seroprevalence of C6 ELISA antibodies in a highly endemic area for Lyme borreliosis: evaluation of age, sex and seasonal differences // APMIS : acta pathologica, microbiologica, et immunologica Scandinavica. – 2017. – Vol. 125, No 5. – P. 476–481. Crossref

Wilking, H., Fingerle, V., Klier, C., Thamm, M., Stark, K. Antibodies against Borrelia burgdorferi sensu lato among Adults, Germany, 2008-2011 // Emerging infectious diseases. – 2015. – Vol. 21, No 1. – P. 107–110. Crossref

Dehnert, M., Fingerle, V., Klier, C., Talaska, T., Schlaud, M., Krause, G., Wilking, H., Poggensee, G. Seropositivity of Lyme borreliosis and associated risk factors: a population-based study in Children and Adolescents in Germany (KiGGS) // PloS one. – 2012. – Vol. 7, No 8. – P. e41321. Crossref