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Human Exposure to Naturally Occurring Bacillus anthracis in the Kars Region of Eastern Türkiye   
Yazarlar
 Fatih BÜYÜK Fatih BÜYÜK
Kafkas Üniversitesi, Türkiye
Hugh Dyson
Thomas Laws
 Özgür ÇELEBİ Özgür ÇELEBİ
Kafkas Üniversitesi, Türkiye
Mehmet Doğanay
Türkiye
 Mitat ŞAHİN Mitat ŞAHİN
Türkiye
Les Baillie
Özet
Environmental contamination with Bacillus anthracis spores poses uncertain threats to human health. We undertook a study to determine whether inhabitants of the anthrax-endemic region of Kars in eastern Türkiye could develop immune responses to anthrax toxins without recognised clinical infection. We measured anti-PA and anti-LF IgG antibody concentrations by ELISA in serum from 279 volunteers, 105 of whom had previously diagnosed anthrax infection (100 cutaneous, 5 gastrointestinal). Of the 174 without history of infection, 72 had prior contact with anthrax-contaminated material. Individuals were classified according to demographic parameters, daily working environment, and residence type. All villages in this study had recorded previous animal or human anthrax cases. Stepwise regression analyses showed that prior clinical infection correlated strongly with concentrations at the upper end of the ranges observed for both antibodies. For anti-PA, being a butcher and duration of continuous exposure risk correlated with high concentrations, while being a veterinarian or shepherd, time since infection, and town residence correlated with low concentrations. For anti-LF, village residence correlated with high concentrations, while infection limited to fingers or thumbs correlated with low concentrations. Linear discriminant analysis identified antibody concentration profiles associated with known prior infection. Profiles least typical of prior infection were observed in urban dwellers with known previous infection and in veterinarians without history of infection. Four individuals without history of infection (two butchers, two rural dwellers) had profiles suggesting unrecognised prior infection. Healthy humans therefore appear able to tolerate low-level exposure to environmental B. anthracis spores without ill effect, but it remains to be determined whether this exposure is protective. These findings have implications for authorities tasked with reducing the risk posed to human health by spore-contaminated materials and environments.
Anahtar Kelimeler
Bacillus anthracis | clinical infection | endemic anthrax | human serology | Kars region | lethal factor | occupational exposure | protective antigen
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Microorganisms
Dergi ISSN 2076-2607
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q2
Makale Dili Türkçe
Basım Tarihi 01-2024
Cilt No 12
Sayı 1
Doi Numarası 10.3390/microorganisms12010167
Makale Linki https://www.mdpi.com/2076-2607/12/1/167