Understanding Tick-Borne Encephalitis Virus Foci, a Tale of Two Mountains

What factors influence the formation and disappearance of tick-borne encephalitis virus (TBEV) foci [...].

What factors influence the formation and disappearance of tick-borne encephalitis virus (TBEV) foci? TBEV is member of the genus Flavivirus, family Flaviviridae, and is the most important viral pathogen transmitted by hard ticks in Europe [1]. In natural foci, this virus circulates between vertebrate hosts (e.g., small rodents of the genera Apodemus and Myodes) and the tick vectors that feed on them, mainly Ixodes ricinus but also Dermacentor reticulatus [2]. TBEV foci are complex microecosystems that are highly dependent on biotic and abiotic factors, which affect all components of TBEV transmission and the amplification chain [3]. The identification of TBEV foci is based on the detection of continuous virus transmission and virus dispersion from TBEV-positive ticks to rodents and other mammals [4]. Although tick vectors can become infected when feeding on viremic vertebrate hosts, one of the crucial elements for the formation and maintenance of TBEV foci is the occurrence of tick cofeeding, where the virus is disseminated from infected ticks to uninfected larvae or nymphs that are feeding simultaneously and in close proximity on the same nonviremic host [5,6].
One of the Editor's Choice Articles in 2020 published in Pathogens, by Bournez et al. [6], showed that the dynamics of temperature oscillation in the period 2012-2018 influenced tick cofeeding in an examined area of the Vosgian forest, located in low mountains of the Alsace region in Eastern France. Their results suggest that cold temperatures in the mountain forest of Vosgian led to reduced larval activity in spring 2017 in territories with an altitude higher than 600 meters (m). This led to diachronicity in the questing activity of Ixodes sp. larvae and nymphs, decreasing the number of infected questing ticks and seropositive rodents, consequently leading to the disappearance of TBEV foci [6]. This was a focal event in the Vosgian mountain forest, since cases of human TBE were still occurring in the rest of the Guebwiller valley, which indirectly confirms the circulation of TBEV between its vectors and vertebrate reservoirs [6]. The study by Bournez et al. [6] adds evidence to the hypothesis that the focal distribution of TBEV is determined by the geographically variable degree of synchrony in the seasonal activity of larval and nymphal I. ricinus ticks [7].
The Vosgian forest encompasses a territory with complex microclimate characteristics that support various ecosystems, some of which are foci of different tick-borne pathogens (TBPs), including members of spotted fever group rickettsia (SFGR), Borrelia burgdorferi sensu lato complex, Borrelia miyamotoi, and Anaplasma phagocytophilum [8,9]. Similarly, the Fruška Gora mountain is a national park regarded as a suitable ecosystem for the vector Ixodes ricinus and transmitted TBPs such as Borrelia burdgorderi sensu lato complex, B. miyamotoi, and SFGR [10][11][12][13][14]. In addition to climatic conditions favorable for ticks, the presence of small rodents, such as yellow-necked mice (Apodemus flavicollis) and bank voles (Myodes glareolus) [15], may contribute to the circulation of TBPs, including TBEV, in the Fruška Gora mountain; however, although TBEV was previously detected in I. ricinus ticks from different sites of the Fruška Gora mountain [16], no locations in the mountain have been reported and/or regarded as TBEV foci [17]. Could similar climatic conditions drive the absence and/or disappearance of TBEV foci at the Fruška Gora mountain and the mountain forest in Vosgian? The Fruška Gora mountain is located in the Pannonian Plain (North Serbia), with an altitude of 539 m, and due to its height gradient and forest cover the climate has subcontinental characteristics. As the altitude increases the climate is more humid and colder, such that the ridges have the characteristics of a mountain climate with colder winters and fresher summers. There is thus a possibility that local climate factors occurring on the Fruška Gora mountain (e.g., cold winters and cold springs due to the presence of northern winds [18]) could reduce Ixodes sp. larval activity and therefore prevent the synchronic feeding of nymphs and larvae on small rodents, which may in turn decrease or eliminate the circulation of TBEV in established foci.
Given that Fruška Gora is a low mountain positioned in the Pannonian Plain, spanning across 266.7 km 2 , there is a high chance that microclimatic factors favorable to the emergence of TBEV foci are present in some locations, such as lower areas where temperatures in spring are not highly affected by a cold climate. A similar hypothesis was proposed by Bournez et al. for an area surrounding the Vosgian forest, the Guebwiller valley, where TBE cases occur systematically [6]. A better understanding of the ecology of natural TBEV foci is essential for accurately predicting temporal variations in the risk of TBE for humans. Further studies on the temporal dynamics of natural TBEV foci in regions such as the Vosgian forest in France and the Fruška Gora mountain in Serbia offer an invaluable opportunity to empirically test how synchronous cofeeding between infected nymphs and uninfected larvae on small rodents favors TBEV transmission and increases the human risk of infection. For example, it could be interesting to compare the dynamics of the emergence and disappearance of TBEV foci in the Vosgian forest and Fruška Gora mountain and test whether these are stochastic or follow certain temporal patterns. The availability of TBEV-neutralizing antibody assays in Serbia since June 2022 [19] may enable the detection of autochthonous TBEV infection in the following years, while anamnestic data of TBE patients could reveal tick exposure localities of the Fruška Gora mountain and allow effective surveillance of TBEV hosts and vectors.

Conflicts of Interest:
The authors declare no conflict of interest.