Ehrlichia ruminantium, Sudan

To the Editor: Ehrlichia ruminantium, the causative agent of heartwater, is transmitted by Amblyomma spp. ticks. Amblyomma variegatum ticks, which are found in the Caribbean and sub-Saharan Africa, except in certain areas of southern Africa, are major vectors of E. ruminantium (1–3). A. lepidum is also an important vector of heartwater, especially in eastern Sudan (4). However, few epidemiologic data exist on infection rates of Amblyomma spp. ticks and distribution of E. ruminantium in Sudan. A polymerase chain reaction (PCR) assay that uses DNA probe pCS20 has been developed for detecting E. ruminantium (5). Another PCR assay for the major antigen protein 1 gene (map1) has been used to differentiate strains of E. ruminantium (6,7). These PCR assays have high sensitivity and specificity for the amplification of E. ruminantium DNA (6,8). For epidemiologic study of E. ruminantium in Sudan, we used PCR to detect E. ruminantium DNA in ticks. We also sequenced PCR products to identify the genotype of E. ruminantium. The pCS20 DNA fragment of E. ruminantium was detected in 8 (8.2%) of 97 A. variegatum ticks and 2 (1.9%) of 106 A. lepidum ticks (χ2= 3.123, by Yates correction). The nucleotide sequences (279 bp) obtained from 5 A. variegatum ticks and 1 A. lepidum tick were identical (GenBank accession no. {"type":"entrez-nucleotide","attrs":{"text":"AB218277","term_id":"78126078"}}AB218277). The sequences were similar to those of Welgevonden, Vosloo, and Ball3 strains from southern Africa and Gardel strain from the Caribbean islands (similarity = 99.64%). The pCS20 sequences obtained in this study were different from those of strains from western Africa. An 855-bp map1 nucleotide sequence obtained from 1 A. lepidum tick was provisionally named Gedaref (GenBank accession no. {"type":"entrez-nucleotide","attrs":{"text":"AB218278","term_id":"78126080"}}AB218278). The nucleotide sequence of Gedaref was found to be closely related to those of Senegal and Pokoase strains from western Africa and to South Africa Canine and Kumm1 strains from southern Africa (similarity = 90.53%–97.43%). Gedaref clustered with these 4 strains and with 6 other strains, including Kiswani from eastern Africa and Antigua from the Caribbean islands (Figure). In contrast, the nucleotide sequence of Gedaref showed 84.8% similarity with that of Um Banein, which has been known as the only strain of E. ruminantium in Sudan. Um Banein formed another cluster with Gardel, Lutale, and Umpala strains from southern Africa (Figure). The map1 coding sequence of Gedaref was closely related to those of strains Senegal, Ball3, South Africa Canine, and Pokoase (similarity = 92.61%–97.97%). Gedaref and these 4 strains formed a cluster and branch with Um Banein (similarity = 87.6%). Figure Neighbor-joining phylogram based on map1 nucleotide sequences of Ehrlichia ruminantium strains. Ninety-seven Amblyomma variegatum ticks were obtained from cattle in the suburbs of Juba in southern Sudan, and 106 A. lepidum ticks were obtained from camels ... The novel E. ruminantium genotype Gedaref was detected in A. lepidum by PCR assays. This work has shown that another strain of E. ruminantium, in addition to the Um Banein strain, is present in Sudan. Since the Um Banein strain of E. ruminantium was isolated from sheep in 1984 (4), no other strain had been reported in Sudan. The map1 sequence of Gedaref has diverged from that of Um Banein. Gedaref formed a cluster with several strains that originated in southern and western Africa. As previously reported, the variation of map1 sequences of E. ruminantium strains does not reflect the geographic distribution of the strains (6). However, Gedaref was distinctively differentiated from the Um Banein strain. Gedaref was closely related to 3 southern African strains and a Caribbean strain in the pCS20 sequence but different from western African strains. The pCS20 sequence has been highly conserved among strains from western Africa (10), and the distribution of A. lepidum is limited to eastern Africa (3). If one considers the distribution of A. lepidum, results of genetic analyses in the pCS20 gene regions of Gedaref are important for epidemiologic research on E. ruminantium. We detected pCS20 DNA specific for E. ruminantium in A. variegatum. This tick is widely distributed in Africa and is the most efficient vector of heartwater (3). Nevertheless, detection of E. ruminantium in A. variegatum in Sudan had not previously been reported. Our results show that A. variegatum is also an important vector of E. ruminantium in Sudan. A. variegatum ticks are also found North and South America, Southeast Asia, and Australia (3). Thus, the potential spread of E. ruminantium to livestock is a continuous threat in these regions from the importation of tick-infested and subclinically infected wild animals from Africa and the importation of livestock from Caribbean islands (1,2). We believe that A. variegatum plays an important role in the spread of heartwater because of its ability to adapt to various environments.