Comparison of the transmission efficiency and plague progression dynamics associated with two mechanisms by which

Christopher F Bosio1, Clayton O Jarrett1, Dana P Scott2

  • 1Laboratory of Bacteriology, Rocky Mountain Laboratories, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, Montana, United States of America.

Plos Pathogens
|December 7, 2020
PubMed

Insights

Yersinia pestis transmission by fleas is inefficient in both early and blocked stages. Some mice resolved infection and developed immunity, with bubonic plague being the primary outcome.

Area of Science:

  • Vector-borne diseases
  • Infectious disease transmission
  • Bacteriology

Background:

  • Yersinia pestis, the plague bacterium, can be transmitted by fleas in two main phases: early-phase (mass transmission) and late-phase (after flea gut blockage).
  • Understanding the efficiency and outcomes of these transmission modes is crucial for predicting plague dynamics.

Purpose of the Study:

  • To compare the transmission efficiency of Yersinia pestis by Oropsylla montana fleas during early-phase and blocked feeding stages.
  • To investigate disease progression and outcomes in mice following transmission by infected fleas.

Main Methods:

  • Fleas were experimentally infected with Yersinia pestis.
  • Mice were exposed to infected fleas during either the early-phase transmission window or after fleas developed proventricular blockage.
  • Disease progression was monitored in mice infected with a bioluminescent Y. pestis strain.

Main Results:

  • Transmission efficiency was variable and generally inefficient for both early-phase and blocked flea feeding.
  • Early infection focused at the flea bite site and draining lymph nodes, but did not always lead to systemic disease.
  • Some mice cleared the infection and developed immunity, especially after intermediate early-phase transmission.
  • Two distinct patterns of terminal disease were observed: rapid onset and prolonged onset.
  • Bubonic plague was the predominant outcome, rather than primary septicemic plague.

Conclusions:

  • Both early-phase and blocked flea transmission of Yersinia pestis are relatively inefficient.
  • Flea bite transmission can lead to resolution and immunity, challenging models assuming inevitable systemic spread.
  • The findings are vital for refining mathematical models of plague epizootics and understanding the roles of different transmission modes.