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<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="brief-report"><?properties open_access?><front><journal-meta><journal-id journal-id-type="nlm-ta">Emerg Infect Dis</journal-id><journal-id journal-id-type="iso-abbrev">Emerging Infect. Dis</journal-id><journal-id journal-id-type="publisher-id">EID</journal-id><journal-title-group><journal-title>Emerging Infectious Diseases</journal-title></journal-title-group><issn pub-type="ppub">1080-6040</issn><issn pub-type="epub">1080-6059</issn><publisher><publisher-name>Centers for Disease Control and Prevention</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">30457527</article-id><article-id pub-id-type="pmc">6256375</article-id><article-id pub-id-type="publisher-id">16-1958</article-id><article-id pub-id-type="doi">10.3201/eid2412.161958</article-id><article-categories><subj-group subj-group-type="heading"><subject>Dispatch</subject></subj-group><subj-group subj-group-type="article-type"><subject>Dispatch</subject></subj-group><subj-group subj-group-type="TOC-title"><subject><italic>Candidatus</italic> Cryptoplasma Associated with Green Lizards and <italic>Ixodes ricinus</italic> Ticks, Slovakia, 2004&#x02013;2011</subject></subj-group></article-categories><title-group><article-title><italic>Candidatus</italic> Cryptoplasma Associated with Green Lizards and <italic>Ixodes ricinus</italic> Ticks, Slovakia, 2004&#x02013;2011</article-title><alt-title alt-title-type="running-head"><italic>Candidatus</italic> Cryptoplasma and Lizards and Ticks</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Ko&#x0010d;&#x000ed;kov&#x000e1;</surname><given-names>Bo&#x0017e;ena</given-names></name></contrib><contrib contrib-type="author"><name><surname>Majl&#x000e1;th</surname><given-names>Igor</given-names></name></contrib><contrib contrib-type="author"><name><surname>V&#x000ed;chov&#x000e1;</surname><given-names>Bronislava</given-names></name></contrib><contrib contrib-type="author"><name><surname>Malini&#x0010d;ov&#x000e1;</surname><given-names>Lenka</given-names></name></contrib><contrib contrib-type="author"><name><surname>Prista&#x00161;</surname><given-names>Peter</given-names></name></contrib><contrib contrib-type="author"><name><surname>Connors</surname><given-names>Vincent A.</given-names></name></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Majl&#x000e1;thov&#x000e1;</surname><given-names>Vikt&#x000f3;ria</given-names></name></contrib><aff id="aff1">Slovak Academy of Sciences, Ko&#x00161;ice, Slovakia (B. Ko&#x0010d;&#x000ed;kov&#x000e1;, B. V&#x000ed;chov&#x000e1;, P. Prista&#x00161;, V. Majl&#x000e1;thov&#x000e1;); </aff><aff id="aff2">Pavol Jozef &#x00160;af&#x000e1;rik University in Ko&#x00161;ice, Ko&#x00161;ice (I. Majl&#x000e1;th, L. Malini&#x0010d;ov&#x000e1;, P. Prista&#x00161;, V. Majl&#x000e1;thov&#x000e1;); </aff><aff id="aff3">University of South Carolina Upstate, Spartanburg, South Carolina, USA (V.A. Connors)</aff></contrib-group><author-notes><corresp id="cor1">Address for correspondence: Vikt&#x000f3;ria Majl&#x000e1;thov&#x000e1;, Institute of Parasitology, Slovak Academy of Sciences, Hlinkova 3, 040 01 Ko&#x00161;ice, Slovakia; email: <email xlink:href="majlat@saske.sk">majlat@saske.sk</email></corresp></author-notes><pub-date pub-type="ppub"><month>12</month><year>2018</year></pub-date><volume>24</volume><issue>12</issue><fpage>2348</fpage><lpage>2351</lpage><abstract><p>During 2004&#x02013;2011, we collected green lizards and <italic>Ixodes ricinus</italic> ticks in Slovak Karst National Park in Slovakia; 90% (36/40) of lizards and 37% of ticks removed from lizards were infected with family <italic>Anaplasmataceae</italic> bacteria. Only <italic>Candidatus</italic> Cryptoplasma sp. REP (reptile) was identified in these samples. Green lizards transmit this bacterium.</p></abstract><kwd-group kwd-group-type="author"><title>Keywords: </title><kwd><italic>Anaplasmataceae</italic></kwd><kwd>reptile-associated <italic>Candidatus</italic> Cryptoplasma</kwd><kwd><italic>Lacerta viridis</italic></kwd><kwd>green lizard</kwd><kwd><italic>Ixodes ricinus</italic></kwd><kwd>Slovakia</kwd><kwd>Karst</kwd><kwd>tick-borne infections</kwd><kwd>zoonoses</kwd><kwd>green lizards</kwd><kwd>ticks</kwd><kwd>Slovak Karst National Park</kwd><kwd>bacteria</kwd></kwd-group></article-meta></front><body><p>The family <italic>Anaplasmataceae</italic> (Rickettsiales; Alphaproteobacteria) comprises bacteria that are able to invade and infect their vertebrate host&#x02019;s blood cells, bone marrow&#x02013;derived phagocytic cells, and endothelial cells; these bacteria can also infect cells of insects, helminths, and arthropod reproductive tissues (<xref rid="R1" ref-type="bibr"><italic>1</italic></xref>&#x02013;<xref rid="R3" ref-type="bibr"><italic>3</italic></xref>). Tickborne family members include bacteria of <italic>Anaplasma</italic>, <italic>Ehrlichia</italic>, <italic>Candidatus</italic> Neoehrlichia sp., and <italic>Candidatus</italic> Cryptoplasma californiense (<xref rid="R4" ref-type="bibr"><italic>4</italic></xref>).</p><p>Although reptiles play a role as hosts for ixodid and argasid ticks, their role in maintaining tickborne <italic>Anaplasmataceae</italic> bacteria in the environment has not been described. Nieto et al. (<xref rid="R5" ref-type="bibr"><italic>5</italic></xref>) suggested that lizards and snakes in the far western part of the United States could become exposed to <italic>Anaplasma phagocytophilum</italic> when fed on by infected ticks. Moreover, Rejmanek et al. detected 2 highly dissimilar strains of <italic>A. phagocytophilum</italic> in the same lizard species (<xref rid="R6" ref-type="bibr"><italic>6</italic></xref>). In Europe, an undescribed <italic>Anaplasma</italic> sp. was detected in <italic>Ixodes ricinus</italic> ticks feeding on sand lizards and sand lizard blood samples (<xref rid="R7" ref-type="bibr"><italic>7</italic></xref>,<xref rid="R8" ref-type="bibr"><italic>8</italic></xref>). In our study, we sought to confirm these previous findings by determining whether family <italic>Anaplasmataceae</italic> bacteria were present in lizards and their feeding ticks in Slovakia.</p><sec><title>The Study</title><p>We conducted this study in the Slovak Karst National Park in Slovakia (48&#x000b0;36&#x02032;N, 20&#x000b0;52&#x02032;E) during 2004&#x02013;2011. We carried out lizard capture and sample collections with official permits (6103/2007-2.1 and 5498/2011-2.2) issued by the Ministry of Environment of the Slovak Republic. We captured 103 green lizards (<italic>Lacerta viridis</italic>) and collected blood from 40 (30 males and 10 females). We collected 235 <italic>I. ricinus</italic> ticks (118 larvae and 117 nymphs) from 63 green lizards and 271 questing <italic>I. ricinus</italic> ticks (132 nymphs, 76 males, and 63 females) from the same area and immediately stored them in 70% ethanol.</p><p>We isolated DNA from lizard blood using a DNeasy Blood &#x00026; Tissue <italic>Kit</italic> (QIAGEN, Hilden Germany) and isolated DNA from ticks by alkaline hydrolysis. We performed PCR amplification in 25-&#x003bc;L (total) reaction mixtures using the Master<italic>Taq</italic> DNA Polymerase Kit (Eppendorf AG, Hamburg, Germany). We amplified sequences using the primer combinations EHR747 plus EHR521 or fD1 plus rP2 (<xref rid="R9" ref-type="bibr"><italic>9</italic></xref>), which spanned almost the entire 16S rRNA sequence (<xref rid="T1" ref-type="table">Table 1</xref>). We examined the &#x02248;250-bp gene fragment of 16S rRNA by single-strand conformation polymorphism (SSCP) analysis to determine <italic>Anaplasmataceae</italic> species type (<xref rid="R10" ref-type="bibr"><italic>10</italic></xref>). We performed SSCP analysis following the protocol of Derdakova et al. (<xref rid="R11" ref-type="bibr"><italic>11</italic></xref>). We ran positive control samples <italic>A. phagocytophilum</italic>, <italic>A. ovis</italic>, <italic>Wolbachia</italic> sp., and <italic>Candidatus</italic> N. mikurensis with each reaction. We purified the PCR products obtained using the GenElute PCR Clean-Up Kit (Sigma-Aldrich, Buchs, Switzerland) and sequenced both strands. We edited variants obtained in this study (1,410 bp) using MEGA 4.0.2 (<ext-link ext-link-type="uri" xlink:href="https://megasoftware.net/">https://megasoftware.net/</ext-link>) and checked by eye. We made comparisons to sequences in GenBank with BLASTn 2.2.26 (<ext-link ext-link-type="uri" xlink:href="https://pods.iplantcollaborative.org/wiki/display/DEapps/Blastn-2.2.26">https://pods.iplantcollaborative.org/wiki/display/DEapps/Blastn-2.2.26</ext-link>). For phylogenetic analysis of our variant (GenBank accession no. MG924904), we aligned 17 related sequences obtained from the GenBank database and constructed a phylogenetic tree using the Bayesian inference method (<xref rid="R12" ref-type="bibr"><italic>12</italic></xref>).</p><table-wrap id="T1" position="float"><label>Table 1</label><caption><title>Primers used to amplify 16S rRNA gene of <italic>Candidatus</italic> Cryptoplasma sp. found in green lizards and <italic>Ixodes ricinus</italic> ticks, Slovakia, 2004&#x02013;2011</title></caption><table frame="hsides" rules="groups"><col width="95" span="1"/><col width="43" span="1"/><col width="226" span="1"/><col width="73" span="1"/><col width="42" span="1"/><thead><tr><th valign="bottom" align="left" scope="col" rowspan="1" colspan="1">Organism</th><th valign="bottom" align="center" scope="col" rowspan="1" colspan="1">Primer name</th><th valign="bottom" align="center" scope="col" rowspan="1" colspan="1">Sequences, 5&#x02032; &#x02192; 3&#x02032;</th><th valign="bottom" align="center" scope="col" rowspan="1" colspan="1">Length of amplified fragment, bp</th><th valign="bottom" align="center" scope="col" rowspan="1" colspan="1">Reference</th></tr></thead><tbody><tr><td valign="top" align="left" scope="row" rowspan="1" colspan="1">Family <italic>Anaplasmataceae</italic></td><td valign="top" align="center" rowspan="1" colspan="1">EHR747</td><td valign="top" align="center" rowspan="1" colspan="1">GCACTCATCGTTTACAGCGTG</td><td valign="top" align="center" rowspan="1" colspan="1">247</td><td valign="top" align="center" rowspan="1" colspan="1">(<xref rid="R10" ref-type="bibr"><italic>10</italic></xref>)</td></tr><tr><td valign="top" align="left" scope="row" rowspan="1" colspan="1"><hr/></td><td valign="top" align="center" rowspan="1" colspan="1">EHR521<hr/></td><td valign="top" align="center" rowspan="1" colspan="1">TGTAGGCGGTTCGGTAAGTTAAAG<hr/></td><td valign="top" align="left" rowspan="1" colspan="1"><hr/></td><td valign="top" align="left" rowspan="1" colspan="1"><hr/></td></tr><tr><td valign="top" align="left" scope="row" rowspan="1" colspan="1">Most eubacteria</td><td valign="top" align="center" rowspan="1" colspan="1">fD1</td><td valign="top" align="center" rowspan="1" colspan="1"><styled-content style="color: ALLCAPS">ccgaattcgtcgacaac</styled-content>AGAGTTTGATCCTGGCTCAG</td><td valign="top" align="center" rowspan="1" colspan="1">1,500</td><td valign="top" align="center" rowspan="1" colspan="1">(<xref rid="R9" ref-type="bibr"><italic>9</italic></xref>)</td></tr><tr><td valign="top" align="left" scope="row" rowspan="1" colspan="1"/><td valign="top" align="center" rowspan="1" colspan="1">rP2</td><td valign="top" align="center" rowspan="1" colspan="1"><styled-content style="color: ALLCAPS">cccgggatccaagctt</styled-content>ACGGCTACCTTGTTACGACTT</td><td valign="top" align="left" rowspan="1" colspan="1"/><td valign="top" align="left" rowspan="1" colspan="1"/></tr></tbody></table></table-wrap><p>We examined all blood and ticks collected for the presence of family <italic>Anaplasmataceae</italic> bacteria. <italic>Anaplasmataceae</italic> family members were present in 36 lizards (28 males and 8 females). Of the ticks removed from lizards, 87 (37%) were infected, and of questing ticks, 18 (6.6%) were infected (<xref rid="T2" ref-type="table">Table 2</xref>).</p><table-wrap id="T2" position="float"><label>Table 2</label><caption><title>Prevalence of family <italic>Anaplasmataceae</italic> bacteria in <italic>Ixodes ricinus</italic> ticks collected from green lizards and surrounding vegetation, Slovakia, 2004&#x02013;2011</title></caption><table frame="hsides" rules="groups"><col width="85" span="1"/><col width="49" span="1"/><col width="67" span="1"/><col width="67" span="1"/><col width="72" span="1"/><col width="49" span="1"/><col width="90" span="1"/><thead><tr><th rowspan="2" valign="bottom" align="left" scope="col" colspan="1">Tick source, type</th><th rowspan="2" valign="bottom" align="center" scope="col" colspan="1">No. ticks examined</th><th rowspan="2" valign="bottom" align="center" scope="col" colspan="1">No. (%) positive ticks</th><th valign="bottom" colspan="4" align="center" scope="colgroup" rowspan="1">No. (%) positive ticks <hr/></th></tr><tr><th valign="bottom" colspan="1" align="center" scope="colgroup" rowspan="1"><italic>Candidatus</italic> Cryptoplasma</th><th valign="bottom" align="center" scope="col" rowspan="1" colspan="1"><italic>Anaplasma phagocytophilum</italic></th><th valign="bottom" align="center" scope="col" rowspan="1" colspan="1"><italic>Wolbachia pipientis</italic></th><th valign="bottom" align="center" scope="col" rowspan="1" colspan="1"><italic>Candidatus</italic> Neoehrlichia mikurensis</th></tr></thead><tbody><tr><td valign="top" align="left" scope="col" rowspan="1" colspan="1">Lizards</td><td valign="top" align="left" rowspan="1" colspan="1"/><td valign="top" align="left" rowspan="1" colspan="1"/><td valign="top" align="left" rowspan="1" colspan="1"/><td valign="top" align="left" rowspan="1" colspan="1"/><td valign="top" align="left" rowspan="1" colspan="1"/><td valign="top" align="left" rowspan="1" colspan="1"/></tr><tr><td valign="top" align="left" scope="row" rowspan="1" colspan="1"> Larvae</td><td valign="top" align="center" rowspan="1" colspan="1">118</td><td valign="top" align="center" rowspan="1" colspan="1">43 (36.4)</td><td valign="top" align="center" rowspan="1" colspan="1">43 (100)</td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;</td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;</td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;</td></tr><tr><td valign="top" align="left" scope="row" rowspan="1" colspan="1"> Nymphs</td><td valign="top" align="center" rowspan="1" colspan="1">117</td><td valign="top" align="center" rowspan="1" colspan="1">44 (37.6)</td><td valign="top" align="center" rowspan="1" colspan="1">44 (100)</td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;</td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;</td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;</td></tr><tr><td valign="top" align="left" scope="row" rowspan="1" colspan="1"> Total<hr/></td><td valign="top" align="center" rowspan="1" colspan="1">235<hr/></td><td valign="top" align="center" rowspan="1" colspan="1">87 (37)<hr/></td><td valign="top" align="center" rowspan="1" colspan="1">87 (100)<hr/></td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;<hr/></td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;<hr/></td><td valign="top" align="center" rowspan="1" colspan="1">&#x02013;<hr/></td></tr><tr><td valign="top" align="left" scope="col" rowspan="1" colspan="1">Vegetation</td><td valign="top" align="left" rowspan="1" colspan="1"/><td valign="top" align="left" rowspan="1" colspan="1"/><td valign="top" align="left" rowspan="1" colspan="1"/><td valign="top" align="left" rowspan="1" colspan="1"/><td valign="top" align="left" rowspan="1" colspan="1"/><td valign="top" align="left" rowspan="1" colspan="1"/></tr><tr><td valign="top" align="left" scope="row" rowspan="1" colspan="1"> Nymphs</td><td valign="top" align="center" rowspan="1" colspan="1">132</td><td valign="top" align="center" rowspan="1" colspan="1">8 (6.1)</td><td valign="top" align="center" rowspan="1" colspan="1">2</td><td valign="top" align="center" rowspan="1" colspan="1">3</td><td valign="top" align="center" rowspan="1" colspan="1">3</td><td valign="top" align="center" rowspan="1" colspan="1">0</td></tr><tr><td valign="top" align="left" scope="row" rowspan="1" colspan="1"> Males</td><td valign="top" align="center" rowspan="1" colspan="1">76</td><td valign="top" align="center" rowspan="1" colspan="1">4 (5.3)</td><td valign="top" align="center" rowspan="1" colspan="1">1</td><td valign="top" align="center" rowspan="1" colspan="1">2</td><td valign="top" align="center" rowspan="1" colspan="1">0</td><td valign="top" align="center" rowspan="1" colspan="1">1</td></tr><tr><td valign="top" align="left" scope="row" rowspan="1" colspan="1"> Females</td><td valign="top" align="center" rowspan="1" colspan="1">63</td><td valign="top" align="center" rowspan="1" colspan="1">6 (9.5)</td><td valign="top" align="center" rowspan="1" colspan="1">3</td><td valign="top" align="center" rowspan="1" colspan="1">2</td><td valign="top" align="center" rowspan="1" colspan="1">1</td><td valign="top" align="center" rowspan="1" colspan="1">0</td></tr><tr><td valign="top" align="left" scope="row" rowspan="1" colspan="1"> Adults</td><td valign="top" align="center" rowspan="1" colspan="1">139</td><td valign="top" align="center" rowspan="1" colspan="1">10 (7.2)</td><td valign="top" align="center" rowspan="1" colspan="1">4</td><td valign="top" align="center" rowspan="1" colspan="1">4</td><td valign="top" align="center" rowspan="1" colspan="1">1</td><td valign="top" align="center" rowspan="1" colspan="1">1</td></tr><tr><td valign="top" align="left" scope="row" rowspan="1" colspan="1"> Total</td><td valign="top" align="center" rowspan="1" colspan="1">271</td><td valign="top" align="center" rowspan="1" colspan="1">18 (6.6)</td><td valign="top" align="center" rowspan="1" colspan="1">6</td><td valign="top" align="center" rowspan="1" colspan="1">7</td><td valign="top" align="center" rowspan="1" colspan="1">4</td><td valign="top" align="center" rowspan="1" colspan="1">1</td></tr></tbody></table></table-wrap><p>Denatured and electrophoresed PCR products from samples demonstrated several SSCP profiles, of which 1 was clearly distinguishable from the profiles of the <italic>Anaplasmataceae</italic> species used as controls (<xref ref-type="fig" rid="F1">Figure 1</xref>). We detected this unique profile in all lizard blood samples, all ticks feeding on lizards, and some questing ticks. We sequenced representatives of this unidentified SSCP profile (&#x02248;247 bp; GenBank accession nos. KY031322&#x02013;3) and compared them with DNA fragments in the GenBank database. The closest related (99% identity) 16S rRNA sequences were from uncultured <italic>Anaplasma</italic> sp. isolates from questing <italic>I. ricinus</italic> ticks from Morocco (GenBank accession no. AY672415), Tunisia (GenBank accession no. AY672420), and France (GenBank accession no. GU734325). Sequencing of a longer (1,410-bp) fragment of the 16S rRNA gene revealed 99.1% similarity with the <italic>Candidatus</italic> C. californiense isolate from <italic>I. pacificus</italic> ticks in California (<xref ref-type="fig" rid="F2">Figure 2</xref>). The 16S rRNA sequence obtained in this study was found to share a maximum of 94% identity with <italic>A. phagocytophilum</italic> Norway variant 2 (GenBank accession no. CP015376). The phylogenetic tree we constructed using 16S rRNA gene sequences showed that the reptile-associated <italic>Candidatus</italic> Cryptoplasma sp. REP (reptile) clustered in a separate branch with <italic>Candidatus</italic> C. californiense, indicating the isolate represents a lineage distinct from other known <italic>Anaplasmataceae</italic> species (e.g., <italic>A. phagocytophilum</italic>, <italic>A. marginale</italic>, <italic>A. platys</italic>, <italic>Ehrlichia muris</italic>, <italic>E. chaffeensis</italic>, and <italic>E. ewingii</italic>).</p><fig id="F1" fig-type="figure" position="float"><label>Figure 1</label><caption><p>Single-strand conformation polymorphism profile of <italic>Anaplasmataceae</italic> isolate from reptiles, Slovakia, 2004&#x02013;2011. The 247-bp 16S rRNA PCR fragments from the isolate from reptiles and known <italic>Anaplasmataceae</italic> species were denatured and electrophoresed. Lane 1, 100-bp ladder marker; lane 2, <italic>Candidatus</italic> Neoehrlichia mikurensis; lane 3, <italic>Anaplasma phagocytophilum</italic>; lane 4, isolate <italic>Candidatus</italic> Cryptoplasma sp. REP (reptile) obtained in this study; lane 5, <italic>A. ovis</italic>; and lane 6, <italic>Wolbachia</italic>.</p></caption><graphic xlink:href="16-1958-F1"/></fig><fig id="F2" fig-type="figure" position="float"><label>Figure 2</label><caption><p>Phylogenetic relatedness of <italic>Candidatus</italic> Cryptoplasma sp. REP (reptile; bold), Slovakia, 2004&#x02013;2011, to other <italic>Anaplasmataceae</italic> sp. family members. We constructed the tree using 16S rRNA sequences and the Bayesian inference method. The <italic>Rickettsia parkeri</italic> sequence was used as an outgroup. Scale bar indicates nucleotide substitutions per site.</p></caption><graphic xlink:href="16-1958-F2"/></fig></sec><sec sec-type="conclusions"><title>Conclusions</title><p>The role of ectotherm animals, especially lizards, in the maintenance of vectorborne pathogens is not clear. The interaction between reptiles and <italic>Anaplasmataceae</italic> family members has only been investigated in a few studies. Our findings expand knowledge on this research topic. Only limited information about the reptile&#x02013;<italic>Anaplasma</italic> relationship exists. Ekner et al. suggested that sand lizards could potentially serve as a reservoir host for species of the <italic>Anaplasmataceae</italic> family when she discovered that ticks collected from these lizards in Poland were infected with <italic>Anaplasma</italic>-like pathogens (<xref rid="R8" ref-type="bibr"><italic>8</italic></xref>). Although <italic>A. phagocytophilum</italic> might be transmitted by reptiles to a limited extent (<xref rid="R5" ref-type="bibr"><italic>5</italic></xref>), the <italic>Anaplasma</italic>-like species detected in reptiles could also be a novel species, as suggested by Rejmanek et al. (<xref rid="R6" ref-type="bibr"><italic>6</italic></xref>).</p><p>Despite the fact that lizards are exposed to a number of family <italic>Anaplasmataceae</italic> bacteria through infected ticks, our findings suggest that, except for <italic>Canditatus</italic> Cryptoplasma sp. REP, green lizards do not acquire infections with these species. In short, we detected <italic>Canditatus</italic> Cryptoplasma sp. REP in 90% of examined lizards, 37% of ticks feeding on lizards, and 6.6% of questing ticks in localities with lizards.</p><p>On the basis of our results, we cautiously speculate that <italic>Canditatus</italic> Cryptoplasma sp. REP is selected for and other genospecies selected against in ticks feeding on lizards. The <italic>Canditatus</italic> Cryptoplasma sp. REP variant had a high homology (100%) with a sequence obtained from an <italic>Apodemus agrarius</italic> mouse from Slovakia (<xref rid="R13" ref-type="bibr"><italic>13</italic></xref>), which indicates that rodents or other mammals might also become infected with this bacterium and contribute (to a lesser extent) to the circulation of these bacteria in nature.</p><p>In conclusion, we found a yet to be named species of <italic>Canditatus</italic> Cryptoplasma sp. (<italic>Canditatus</italic> Cryptoplasma sp. REP) in questing <italic>I. ricinus</italic> ticks, <italic>I. ricinus</italic> ticks collected from and feeding on green lizards, and the blood of green lizards in Slovakia. These results indicate that green lizards serve as an intermediate host for this bacterium and that lizards can influence the enzootic maintenance and circulation of bacteria in the environment. However, other hosts besides reptiles could be involved in the <italic>Canditatus</italic> Cryptoplasma sp. REP lifecycle as well, though probably to a lesser extent.</p></sec></body><back><fn-group><fn fn-type="citation"><p><italic>Suggested citation for this article</italic>: Ko&#x0010d;&#x000ed;kov&#x000e1; B, Majl&#x000e1;th I, V&#x000ed;chov&#x000e1; B, Malini&#x0010d;ov&#x000e1; L, Prista&#x00161; P, Connors VA, et al. <italic>Candidatus</italic> Cryptoplasma associated with green lizards and <italic>Ixodes ricinus</italic> ticks, Slovakia, 2004&#x02013;2011. Emerg Infect Dis. 2018 Dec [<italic>date cited</italic>]. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3201/eid2412.161958">https://doi.org/10.3201/eid2412.161958</ext-link></p></fn></fn-group><ack><p>This study was conducted within the framework of the project Environmental Protection against Parasitozoonoses under the Influence of Global Climate and Social Changes (project no. <italic>26220220116</italic>), which is supported by the Research and Development Operating Program funded by the European Fund for Regional Development (0.4). Additional support was provided by the Scientific Grant Agency of the Ministry of Education of the Slovak Republic, Slovak Academy of Sciences VEGA 2/0113/18 (to I.M.), and EurNegVec COST Action TD1303. We thank the Fulbright Foundation (USA, to V.A.C.) for support.</p></ack><bio id="d35e791"><p>Dr. Ko&#x0010d;&#x000ed;kov&#x000e1; is a postdoctoral researcher at the Department of Vector-Borne Diseases, Institute of Parasitology, Slovak Academy of Sciences, Ko&#x00161;ice, Slovakia. Her research interests include ecology and epidemiology of ticks and tickborne pathogens, the role of reptiles in transmission of vectorborne microorganisms, and molecular diversity of emerging parasitic and infectious disease agents in light of global changes.</p></bio><ref-list><title>References</title><ref id="R1"><label>1. </label><mixed-citation publication-type="journal"><string-name><surname>Dumler</surname>
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