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JOURNAL OF CLINICAL MICROBIOLOGY, May 1999, p. 1474–1479 Vol. 37, No.

5
0095-1137/99/$04.0010
Copyright © 1999, American Society for Microbiology. All Rights Reserved.

Western Immunoblot Analysis of the Antigens of


Haemobartonella felis with Sera from
Experimentally Infected Cats
A. RICK ALLEMAN,1* MELANIE G. PATE,1 JOHN W. HARVEY,1
JACK M. GASKIN,2 AND ANTHONY F. BARBET2
Departments of Physiological Sciences1 and Pathobiology,2 College of Veterinary Medicine,
University of Florida, Gainesville, Florida 32610
Received 27 October 1998/Returned for modification 19 January 1999/Accepted 8 February 1999

Cats were experimentally infected with a Florida isolate of Haemobartonella felis in order to collect organisms
and evaluate the immune response to H. felis. Cryopreserved organisms were thawed and injected intravenously
into nonsplenectomized and splenectomized cats. Splenectomized animals were given 10 mg of methylpred-
nisolone per ml at the time of inoculation. Blood films were evaluated daily for 1 week prior to infection and
for up to 60 days postinfection (p.i.). Blood for H. felis purification was repeatedly collected from splenecto-
mized animals at periods of peak parasitemias. Organisms were purified from infected blood by differential
centrifugation, separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis, and transferred to
nitrocellulose membranes for immunoblot analysis. Serum was collected from nonsplenectomized animals
prior to and for up to 60 days p.i. and was used on immunoblots to identify antigens. The combination of
splenectomy and corticosteroid treatment resulted in marked, cyclic parasitemias without concurrent severe
anemia, providing an opportunity to harvest organisms in a manner that was not lethal to the animals. Several
antigens (150, 52, 47, 45, and 14 kDa) were identified. An antigen with a molecular mass of approximately 14
kDa appeared to be one of the most immunodominant and was consistently recognized by immune sera
collected at various times during the course of infection. These data suggest that one or more of these antigens
might be useful for the serologic diagnosis of H. felis infections in cats.

Haemobartonella felis is an epicellular, hemoparasite of do- fection (p.i.). Common clinical abnormalities include anemia,
mestic cats that causes a clinical disease known as feline infec- depression, weight loss, icterus, pyrexia (in about 50% of in-
tious anemia or hemobartonellosis. Haemobartonella spp. are fected cats), and splenomegaly. Clinical disease is most often
currently classified in the family Anaplasmataceae, order Rick- associated with the acute phase, but organisms can be identi-
ettsiales. However, Haemobartonella spp., including H. felis, fied only periodically during this time and rarely, if at all, in
have recently been shown by 16S rRNA gene sequencing to be chronically infected carriers (10, 11). Reported mortality rates
more closely related to Mycoplasma spp. (23). H. felis has a indicate about 33% of the infected animals die, mostly during
worldwide distribution and is believed to be one of the most the acute phase (6, 10, 20). With appropriate antibiotic therapy
common causes of hemolytic anemia in domestic cats (8, 10).

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most animals survive uncomplicated H. felis infection, but
Even so, many questions regarding the transmission, preva-
many remain subclinical carriers, probably for life (3, 4, 10, 11).
lence, and clinical impact of this organism on the domestic
However, because a reliable means of diagnosis is not readily
feline population remain unanswered, largely because a reli-
able and readily accessible means of diagnosis is not available. available, infection with H. felis often remains undetected and
H. felis may produce clinical disease alone or concomitantly many animals go untreated.
with other agents such as feline leukemia virus (FeLV) and Presently, the clinical diagnosis of H. felis infection relies on
feline immunodeficiency virus (FIV) (6, 8, 22). The lack of a the positive identification of organisms in peripheral blood
reliable means of diagnosis of H. felis infection makes accurate smears with Romanowsky-type or acridine orange stains (5).
assessment of concurrent infections difficult. However, in one Even in acute stages of the disease, however, a definitive iden-
survey, as many as 35% of H. felis-infected cats were FeLV tification of H. felis infection is difficult because of rapidly
positive, with even higher percentages of positivity seen among fluctuating parasite numbers and a lack of a consistent corre-
cats presenting with severe clinical disease (8). lation between parasitemia and clinical signs (10).
Uncomplicated infection with H. felis occurs in four phases: Recently, a species-specific PCR assay based on the 16S
the (i) preparasitic, (ii) acute, (iii) recovery, and (iv) carrier rRNA gene sequence of H. felis was developed (19). This assay
phases (10). The prepatent period for experimentally infected may provide workers with a valuable tool with which they can
cats is 2 to 3 weeks. Clinical signs may develop shortly after this answer many questions regarding the transmission and preva-
time, but this is quite variable; some experimentally infected lence of the disease. Reports indicate that the assay detects
animals did not develop clinical signs until 4 to 6 weeks postin- acutely ill and relapsing animals but does not consistently de-
tect asymptomatic carrier cats (3, 4). However, PCR-based
assays are labor-intensive, requiring specialized equipment and
* Corresponding author. Mailing address: Department of Physiolog-
highly trained personnel. In addition, these assays are limited
ical Sciences, College of Veterinary Medicine, University of Florida,
Box 100103C, Gainesville, FL 32610. Phone: (352) 392-4700, ext. 5858. to research and reference laboratories. A sensitive and specific
Fax: (352) 392-1769. E-mail: ALLEMANR@MAIL.VETMED.UFL serological assay based on one or more H. felis antigens would
.EDU. provide a more accessible means of diagnosis for clinicians

1474
VOL. 37, 1999 WESTERN BLOT ANALYSIS OF HAEMOBARTONELLA FELIS 1475

FIG. 1. PCV and percent parasitemia for each of two splenectomized cats (A and B) from 0 to 60 days postinoculation with an FL isolate of H. felis. Asterisks
indicate periods when the organisms were harvested from the peripheral blood.

presented with cats with suspected hemobartonellosis in which amounts that did not result in mortality (usually 40 ml). An equal volume of
organisms are not identified in the peripheral blood. uninfected blood from a donor cat was transfused back to the infected animal.
Immune serum was collected from all infected animals at intervals of 15, 30, 45,
Currently, the Haemobartonella spp. are not amenable to in and 60 days p.i.
vitro cultivation. Therefore, in this study, we used differential Antigen preparation. H. felis-infected whole blood was collected in heparin
centrifugation to purify a Florida (FL) isolate of H. felis from and centrifuged at 600 3 g for 10 min at room temperature. The plasma and buffy
the peripheral blood of experimentally infected cats. Purified coat were removed, and packed cells were washed and centrifuged three times in
organisms were then used with immune sera from experimen- an equal volume of 0.15 M phosphate buffered saline (PBS; pH 7.2). The wash
solution and any remaining buffy coat cells were removed after each centrifuga-
tally infected animals in Western immunoblot assays to identify tion. Wright-Giemsa-stained blood films of washed erythrocytes were examined
the immunodominant antigens of H. felis and to characterize for the presence of parasites. The pelleted erythrocytes were then placed in an
the humoral responses of cats to H. felis infection. This was equal volume of 0.15 M PBS (pH 7.2)–0.15% (vol/vol) polyoxyethylene-sorbitan

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done to determine the feasibility of a serology-based assay for monolaurate (Tween 20)–1.5% (wt/vol) disodium EDTA and were incubated on
the diagnosis of H. felis infection and to identify H. felis anti- a rocker at room temperature for 2 h to dislodge the H. felis organisms from the
erythrocytic membranes. The preparation was centrifuged at 300 3 g for 10 min
gens which might be targeted for future production as recom-
at room temperature, and the supernatant was removed. Wright-Giemsa-stained
binant test antigens. blood films were examined to ensure that the parasites were dislodged. The
supernatant containing H. felis organisms was centrifuged at 22,000 3 g for 1 h
MATERIALS AND METHODS at 4°C. The supernatant was removed, and the pelleted organisms were resus-
pended in 5.0 ml of 0.15 M PBS (pH 7.2). The preparation was further purified
Experimental animals. A total of six female, domestic short-haired cats bred from any host cell components by differential centrifugation through 20% di-
for research were purchased from a licensed dealer. These cats were certified to atrozoate meglumine and diatrozoate sodium (RenoCal-76; Bracco Diagnostics
be free of FeLV and FIV infection by testing for these viruses prior to and 45 Inc., Princeton, N.J.) at 22,000 3 g for 40 min at 4°C. The resulting pellet was
days following inoculation with H. felis-infected blood. At preinfection, negative resuspended in 0.5 ml of 0.15 M PBS (pH 7.2) and stored at 220°C. Most H. felis
control serum was collected from each cat. Wright-Giemsa-stained peripheral preparations resulted in 0.5 ml of antigen at a concentration of approximately 1.0
blood films were examined daily for 7 days prior to inoculation with H. felis to to 2.0 mg/ml, as determined by the Coomassie blue G dye-binding assay (21).
ensure that no hemoparasites were present. Two of the four animals to be Erythrocytic antigens, prepared from experimental animals prior to infection
infected were splenectomized 21 days prior to inoculation. The splenectomized with H. felis, were used as a negative control. Briefly, 1 ml of uninfected whole
cats were each given 10 mg of a single intramuscular injection of methylpred- blood was washed and centrifuged three times in an equal volume of 0.15 M PBS
nisolone acetate (Depo-Medrol; The Upjohn Company, Kalamazoo, Mich.) per
(pH 7.2), with the wash solution and any remaining buffy coat removed after each
kg of body weight at the time of inoculation. Two of the four animals to be
centrifugation. The washed erythrocyte pellet was suspended in 5 ml of 0.15 M
infected were not splenectomized. The splenectomized animals were used pri-
PBS (pH 7.2), freeze-thawed five times in liquid nitrogen, and used as an
marily for the harvesting of organisms and nonsplenectomized cats were used
primarily for the production of immune sera. Two uninfected cats were used as uninfected erythrocytic antigen preparation.
blood donors for the infected animals. Electron microscopy. A portion of the purified H. felis preparation was pre-
Organisms and immune sera. An FL isolate of H. felis (10) which had been pared in McDowell and Trumps fixative for transmission electron microscopy.
cryopreserved in liquid nitrogen was intravenously inoculated into two splenec- The sample was washed in 0.1 M cacodylate buffer, postfixed in 1% buffered
tomized cats and two nonsplenectomized cats. All cats were examined daily, and osmium tetroxide, washed several times with distilled water, and dehydrated in a
peripheral blood was drawn each morning for the monitoring of the packed cell graded ethanol series and then in 100% acetone. The sample was polymerized in
volume (PCV), total protein, icterus index, and parasite numbers. Infectivity was 100% EMbed 812 (Electron Microscopy Sciences, Fort Washington, Pa.) and
quantified with Wright-Giemsa-stained blood films and was recorded as a per- then trimmed and ultrasectioned on a Leica Ultracut R ultramicrotome (Leica
cent parasitemia. Infected blood was collected from splenectomized cats during Microscopy and Scientific Instruments, Deerfield, Ill.). The sections were stained
peak parasitemias (when 80 to 90% of the erythrocytes were infected) in in 2% uranyl acetate and then Reynold’s lead citrate.
1476 ALLEMAN ET AL. J. CLIN. MICROBIOL.

FIG. 2. PCV and percent parasitemia for each of two spleen-intact cats (A and B) from 0 to 60 days postinoculation with an FL isolate of H. felis. Asterisks indicate
periods when doxycycline administration was necessary to prevent mortality.

SDS-polyacrylamide gel electrophoresis. The protein concentrations of the days in splenectomized animals; however, in some instances
microorganism and noninfected erythrocyte preparations were determined by the number of infected erythrocytes went from 90 to ,1%
the Coomassie blue G dye-binding assay as described previously (21). The pro-
teins were dissolved in one-half their volume of a 33 sample buffer containing within a 3-h period. Indirect Coombs’ tests for antierythrocytic
0.1 M Tris (pH 6.8), 5% (wt/vol) sodium dodecyl sulfate (SDS), 50% glycerol, antibodies were negative for both cats.
7.5% b-mercaptoethanol, and 0.00125% bromophenol blue and were heat de- Neither nonsplenectomized cat developed recurrent, high-
natured at 100°C for 3 min. Solubilized microorganisms or noninfected erythro- level parasitemias suitable for the harvesting of organisms.
cytes were applied onto 10% (wt/vol) polyacrylamide-SDS gels at 20 mg per lane
and the gels were electrophoresed. The gels were fixed in 25 mM Tris–191.8 mM One animal became clinically ill by day 18 p.i., when parasite
glycine–20% methanol and were electrophoretically transferred to nitrocellulose numbers reached 9% parasitemia. The PCV decreased from 32
membranes (Hybond ECL; Amersham International plc, Little Chalfont, Buck- to 19% by day 22 p.i. (Fig. 2A). The cat was Coombs’ test
inghamshire, England).
positive when the test was performed at 37°C with a 1:4 dilu-

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Immunoblots with antisera. Nitrocellulose membranes containing transferred
proteins were blocked with 5% (wt/vol) milk in PBS with 0.25% Tween 20 and tion. The severity of the disease necessitated a whole-blood
washed with 1% (wt/vol) milk in PBS with 0.25% Tween 20 as described previ- transfusion and the administration (2 days) of doxycycline
ously (1). The membranes were probed with antisera collected from infected (orally at 10 mg/kg twice daily). The animal’s condition was
animals at 14, 21, 30, 45, and 60 days p.i. Serum dilutions of 1/300 or greater were
used. As a negative control, preinfection serum was used with erythrocytic and H.
stable for approximately 2 weeks, but parasite numbers then
felis antigens at concentrations equal to or greater than that used for infected increased dramatically and the PCV decreased precipitously to
sera. In addition, immune serum was used with erythrocytic antigens to confirm 10%. The severity of the disease necessitated a second trans-
that the antigens identified in the H. felis preparations were not of erythrocyte fusion and eventual prolonged treatment with doxycycline at
origin. The membranes were washed as described previously (1) and were probed
with horseradish peroxidase-conjugated goat anti-cat immunoglobulin G (whole the same dosage for 21 days. The other nonsplenectomized cat
molecule; ICN Pharmaceuticals, Inc., Biochemical Division, Aurora, Ohio) at a developed an infectivity which peaked at a 10% parasitemia
dilution of 1/20,000. The membranes were processed for enhanced chemilumi- (Fig. 2B). Clinical signs were minimal, consisting of a mild
nescence with detection reagents containing luminol (SuperSignal Substrate; anemia that persisted following the appearance of parasites in
Pierce, Rockford, Ill.) as a substrate and were exposed to X-ray film (Hyperfilm-
MP; Amersham International plc) to visualize the bound antibody. the peripheral blood at day 14 p.i. This cat did not become
Coombs’ test positive.
Collection of infected erythrocytes in tubes containing hep-
RESULTS arin as an anticoagulant prevented dislodging of the parasites
Splenectomy and the administration of methylprednisolone from the erythrocyte membranes, which may occur when
facilitated the development of recurrent episodes of marked EDTA is used as an anticoagulant (10). Pelleted erythrocytes
parasitemias. Parasitemias approaching 100% were seen in maintained original levels of parasitemia after gentle washes in
both splenectomized cats, usually without a significant drop in PBS. This was evaluated with Wright-Giemsa-stained smears
PCV (Fig. 1). This allowed repeated harvesting of large num- prepared from erythrocytes following each wash in PBS (data
bers of organisms without the development of severe clinical not shown). However, blood films prepared after incubation of
disease. Replacement of harvested, infected blood by transfu- infected erythrocytes in 1.5% EDTA for 2 h at room temper-
sions with uninfected whole blood maintained a relatively sta- ature revealed that the vast majority of the organisms were
ble PCV. High parasitemias sometimes persisted for 2 or more dislodged from the cell membranes. Slow-speed centrifugation
VOL. 37, 1999 WESTERN BLOT ANALYSIS OF HAEMOBARTONELLA FELIS 1477

FIG. 3. Electron micrograph of H. felis bodies purified from infected whole blood by differential centrifugation. Bar, 1 mm.

allowed easy separation of uninfected erythrocytes (pellet) rocytes were used with either preinfection sera or sera col-
from H. felis organisms (supernatant). A solution of 1.5% lected at 14, 30, 45, or 60 days p.i. Antibodies to some H. felis
EDTA resulted in mild to moderate hemolysis of erythrocytes; antigens were detected with immune sera collected as early as
however, lower concentrations (1.0% EDTA for 2 h) left sig- 14 days p.i. (Fig. 5). Bands of 14-kDa and possibly 52-kDa
nificant numbers of organisms remaining on the erythrocyte antigens were recognized by immune sera at dilutions of

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membranes (data not shown). Host cell membranes remaining 1/1,000. Several antigens were recognized by sera collected at
in the H. felis-rich supernatant after slow-speed centrifugation 30, 45, and 60 days p.i., and the antibody response to H. felis
were subsequently removed by differential centrifugation with antigens intensified during the course of the infection (Fig. 5).
20% diatrozoate meglumine and diatrozoate sodium. This re- These data suggest the 14-kDa antigen of H. felis is not only
sulted in an H. felis preparation suitable for evaluation for one of the most immunodominant antigens but is also consis-
antigen. The purity of the preparation was evaluated by elec- tently recognized by immune sera at various times during the
tron microscopy (Fig. 3), revealing minimal host cell mem- course of infection.
brane contamination.
Western immunoblot analysis of purified H. felis organisms DISCUSSION
was done to detect individual antigens. Uninfected erythrocytic
preparations were used as negative controls to ensure that the Parasite numbers have been known to fluctuate rapidly in
identified antigens were of parasite origin. Serial dilutions of the peripheral blood of cats infected with H. felis, resulting in
immune sera collected at 21 days p.i. identified five major a poor correlation between the clinical signs and parasite num-
antigens with molecular masses of 14, 45, 47, 52 and 150 kDa bers in the peripheral blood (10). There is substantial evidence
(Fig. 4). Three of these (14, 52, and 150 kDa) appeared to be implicating the spleen as the major organ involved in the re-
the most immunodominant antigens. We have designated moval of the organisms from infected erythrocytes (17, 18). H.
them major antigen 1 (MA1) (14 kDa), major antigen 2 (MA2) felis organisms were removed less readily in splenectomized
(52 kDa), and major antigen 3 (MA3) (150 kDa). A 56-kDa cats, resulting in parasitemias that lasted approximately twice
antigen was also recognized by immune sera at various dilu- as long as those in nonsplenectomized cats (16). Splenectomy
tions. An antigen of similar size, however, was identified in performed on recovered, carrier cats resulted in the transient
uninfected erythrocyte preparations and when H. felis prepa- reappearance of parasites, in most cases without the develop-
rations were used with preinfection sera (Fig. 4). This antigen ment of clinically significant anemia (11). The administration
was assumed to be of erythrocytic origin. of methylprednisolone has also been shown to increase circu-
In order to evaluate the temporal immune response of in- lating parasite numbers in chronically infected carriers (11).
fected cats to H. felis, purified organisms or uninfected eryth- For these reasons, animals used for propagation of organisms
1478 ALLEMAN ET AL. J. CLIN. MICROBIOL.

FIG. 5. Immunoblot of an FL isolate of H. felis and noninfected, feline


erythrocytes (RBC) with preinfection serum (Pre) or immune serum collected
from an experimentally infected animal at 14 days (Post 14), 21 days (Post 30),
45 days (Post 45), and 60 days (Post 60) postinoculation. The fraction (1/1,000)
indicates the dilution of serum used. Molecular size standards (in kilodaltons)
FIG. 4. Immunoblot of an FL isolate of H. felis and noninfected, feline are given on the left.
erythrocytes (RBC) with preinfection serum (Pre) or immune serum (Post)
collected from an experimentally infected animal 21 days postinoculation. The
fractions (1/300 to 1/3,000) indicate the dilutions of serum used. Molecular size
standards (in kilodaltons) are given on the left.
Incubation of H. felis-infected erythrocytes for 2 h in a so-
lution containing 1.0% EDTA resulted in significant numbers
of organisms remaining attached to erythrocytes. A previous
were splenectomized and administered methylprednisolone study (9) found that lower concentrations of EDTA (0.75%)
prior to inoculation. This resulted in consistently high para- were not as effective in releasing E. suis organisms from in-
sitemias without the concurrent development of severe ane- fected erythrocytes. However, unlike E. suis-infected erythro-
mia. PCVs remained stable in infected animals when collected cytes, a 1.5% concentration of EDTA resulted in a mild to
blood was replaced with an equal volume of uninfected blood moderate lysis of H. felis-infected erythrocytes. Although it is
from donor cats. Parasitemias of 80% or more sometimes possible that feline erythrocytes are inherently more sensitive

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persisted for up to 3 days, allowing ample time for collection. than swine erythrocytes to the effects of EDTA, we speculate
However, as reported previously (10), parasite numbers often that attachment of H. felis to the erythrocytic membranes re-
declined rapidly from .90 to ,1% in 3 h or less, even though sults in increased erythrocyte fragility, more so than with the
the animals were splenectomized. Thus, parasite numbers need attachment of E. suis organisms. Previous studies have dem-
to be monitored closely to determine the optimal time for onstrated the production of erosions and pockmarks on eryth-
harvesting. The mechanism of parasite removal in splenecto- rocyte membranes in areas where H. felis organisms were at-
mized animals is speculative, but macrophages in the lung, tached (13, 24). These lesions were considered to be important
liver, and bone marrow are thought to play a significant role in the development of the hemolytic anemia associated with H.
(12). felis infection (13).
A 1.5% (wt/vol) concentration of disodium EDTA in PBS A method of differential centrifugation with 20% diatrozo-
was effective in releasing the majority of the parasites from ate meglumine and diatrozoate sodium was necessary to fur-
infected erythrocytes. This concentration of EDTA has been ther separate organisms from the erythrocytic membranes
previously shown to cause the release of a closely related he- lysed during incubation in EDTA. This method has been
moparasite, Eperythrozoon suis, from infected swine erythro- shown to be effective in separating rickettsia from host cells in
cytes (9). However, the infectivity of the purified E. suis or- cell culture preparations (7). The concentrations of diatrozo-
ganisms was markedly reduced when the organisms were ate meglumine and diatrozoate sodium were reduced to en-
inoculated into susceptible pigs. The investigators concluded hance recovery of the mycoplasma-like H. felis organisms. The
that this method of dislodging E. suis from infected erythro- resulting preparation was shown by electron microscopy to
cytes produced a nonviable preparation but that the technique contain large numbers of H. felis bodies with minimal erythro-
was suitable for the preparation of antigens for use in immu- cytic membrane contamination.
nological assays. Although we did not attempt infectivity trials H. felis antigens of various molecular sizes ranging from 150
with purified H. felis organisms, on the basis of the reported to 14 kDa were identified in Western blots. The immune re-
findings with E. suis, we suspect that the viabilities of the sponse to some antigens was recognized as early as 14 days p.i.
purified organisms would be reduced. and persisted throughout the course of this study (60 days p.i.).
VOL. 37, 1999 WESTERN BLOT ANALYSIS OF HAEMOBARTONELLA FELIS 1479

Cats infected with H. felis and mice infected with Haemobar- ACKNOWLEDGMENTS
tonella muris have been shown by indirect fluorescent-antibody
We thank Heather Sorenson for technical support in performing
testing to mount an immune response to surface antigens on Western immunoblot experiments and Karen Vaughn and the Elec-
the organism (10, 23). However, the onset, duration, and spe- tron Microscopy Core, ICBR, University of Florida, for electron mi-
cific targets of the immune response have not been previously croscopic technical support.
identified. The detection of H. felis antibodies from 14 to 60 This work was supported by the Division of Sponsored Research
days p.i. indicates that it is possible to diagnose natural infec- grant 2805773-12 from the University of Florida.
tions both during the acute phase of the disease (when clinical
hemobartonellosis is most often seen) and during the recovery REFERENCES
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