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Spirochetes belonging to the Borrelia burgdorferi sensu lato complex differ in resistance to complement-mediated killing by human serum. Here, we characterize complement sensitivity of a panel of B. lusitaniae isolates derived from ticks collected in Germany and Portugal as well as one patient-derived isolate, PoHL. All isolates are highly susceptible to complement-mediated lysis in human serum and activate complement predominantly by the alternative pathway, leading to an increased deposition of complement components C3, C6, and the terminal complement complex. Interestingly, serum-sensitive B. lusitaniae isolates were able to bind immune regulator factor H (CFH), and some strains also bound CFH-related protein 1 (CFHR1) and CFHR2. Moreover, CFH bound to the surface of B. lusitaniae was inefficient in mediating C3b conversion. Furthermore, the identification and characterization of a potential CFH-binding protein, OspE, revealed that this molecule possesses a significantly reduced binding capacity for CFH compared to that of CFH-binding OspE paralogs expressed by various serum-resistant Borrelia species. This finding suggests that a reduced binding capability of CFH is associated with an increased serum sensitivity of B. lusitaniae to human complement.

Bartonella spp. can cause persistent bloodstream infections in humans and animals. To determine whether Bartonella henselae is present in questing Ixodes ricinus ticks, we analyzed the prevalence of B. henselae DNA among tick stages compared to the prevalence of DNA from Borrelia burgdorferi sensu lato, the pathogen most frequently transmitted by ticks. B. henselae DNA was present with a prevalence of up to approximately 40% in tick populations sampled in four European sites (Eberdingen, Germany; Klasdorf, Germany; Lembach, France; and Madeira, Portugal). The odds of detecting B. henselae DNA in nymphal ticks was approximately 14-fold higher than in adult ticks. No tick was found to be coinfected with B. henselae and B. burgdorferi sensu lato. Taken together, our data indicate that ticks might serve as a vector for the transmission of B. henselae to humans.

Later Middle Pleistocene archeological deposits of the Galeria Pesada (Gruta da Aroeira), Almonda Karstic System, Torres Novas, Portugal, yielded two archaic human teeth, a mandibular canine and a maxillary third molar. The C(1)presents moderate and asymmetrical shoveling with a stout root. The slightly worn M(3)exhibits at least four cusps with a large hypocone, three roots with large radicular plates, and an absence of taurodontism. They are moderately large for later Middle Pleistocene humans in their buccolingual crown diameters, although the M(3)mesiodistal diameter is modest. The C(1)exhibits labial calculus and multiple linear hypoplastic defects, but the M(3)is lesion free. Both teeth are morphologically similar to those of other Middle Pleistocene European humans and reinforce a pattern of dental hypertrophy among these archaic Homo.

To determine whether the agent of Lyme disease (Borrelia burgdorferi) perpetuates on a subtropical island, we recorded prevalence of spirochetal infection in Ixodes ricinus ticks collected on Madeira Island and identified local reservoir hosts of both pathogen and vector tick. Spirochetes infect at least 1.3% of the nymphal ticks collected in a particular site. Subadult ticks frequently parasitized Norway as well as black rats on the island, and Lyme disease spirochetes were found in these hosts. Each was competent as reservoir host. Canaries, lizards and domestic ungulates, on the other hand, were incompetent for Madeiran spirochetal isolates. Madeiran spirochetes stimulated rodents to recognize the same antigens as did spirochetes isolated on the European continent. The polymerase chain reaction amplified identical specific sequences of Madeiran spirochetes as of European-derived spirochetes. Rats appear to be the main reservoir hosts of the agent of Lyme disease on Madeira Island, and cattle and sheep serve as definitive hosts of the vector tick. The agent of Lyme disease is enzootic on this subtropical island some 10 degrees of latitude south of the northern Mediterranean coast. Because I. ricinus ticks frequently attack people on Madeira Island, Lyme disease should be considered as a cause of locally acquired human illness.