Journal of Clinical Microbiology, November 2001, p. 3871-3876, Vol. 39, No. 11
0095-1137/01/$04.00+0 DOI: 10.1128/JCM.39.11.3871-3876.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Division of Viral and Rickettsial Diseases, National Center
for Infectious Diseases, Centers for Disease Control and Prevention,
Atlanta, Georgia1; The Edward
Mallinckrodt Department of Pediatrics, Washington University School of
Medicine and St. Louis Children's Hospital, St.
Louis,2 and Department of Veterinary
Pathobiology, College of Veterinary Medicine, University of
Missouri
Columbia, Columbia,5 Missouri; and
Division of Infectious Diseases, Department of Medicine,
University of Oklahoma Health Sciences Center,3
and Department of Veteran's Affairs Medical
Center,4 Oklahoma City, Oklahoma
Received 8 May 2001/Returned for modification 3 July 2001/Accepted 12 August 2001
PCR was used to amplify a 537-bp region of an Ehrlichia
ewingii gene encoding a homologue of the 28-kDa major antigenic
protein (P28) of Ehrlichia chaffeensis. The E.
ewingii p28 gene homologue was amplified from DNA extracted
from whole blood obtained from four humans and one canine with
confirmed cases of infection. Sequencing of the PCR products (505 bp)
revealed a partial gene with homology to outer membrane protein genes
from Ehrlichia and Cowdria spp.:
p30 of Ehrlichia canis (
71.3%),
p28 of E. chaffeensis (
68.3%), and
map1 of Cowdria ruminantium (67.3%). The
peptide sequence of the E. ewingii partial gene product
was deduced (168 amino acids) and the antigenicity profile was
analyzed, revealing a hydrophilic protein with
69.1% identity to P28
of E. chaffeensis,
67.3% identity to P30 of E.
canis, and
63.1% identity to MAP1 of C.
ruminantium. Primers were selected from the E. ewingii
p28 sequence and used to develop a species-specific PCR
diagnostic assay. The p28 PCR assay amplified the
expected 215-bp product from DNA that was extracted from EDTA-treated
blood from each of the confirmed E. ewingii infections
that were available. The assay did not produce PCR products with DNA
extracted from E. chaffeensis-, E.
canis-, or E. phagocytophila-infected samples, confirming the specificity of the p28 assay for
E. ewingii. The sensitivity of the E.
ewingii-specific PCR assay was evaluated and determined to
detect as few as 38 copies of the p28 gene.
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