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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Infect. Microbiol.</journal-id>
<journal-title>Frontiers in Cellular and Infection Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Infect. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">2235-2988</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcimb.2024.1496925</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular and Infection Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Two decades of research on <italic>Borrelia burgdorferi</italic> sensu lato in questing <italic>Ixodes ricinus</italic> ticks in Slovakia</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Rus&#x148;&#xe1;kov&#xe1; Tarage&#x13e;ov&#xe1;</surname>
<given-names>Veronika</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Derd&#xe1;kov&#xe1;</surname>
<given-names>Mark&#xe9;ta</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Selyemov&#xe1;</surname>
<given-names>Diana</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Chvost&#xe1;&#x10d;</surname>
<given-names>Michal</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Mangov&#xe1;</surname>
<given-names>Barbara</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
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<contrib contrib-type="author">
<name>
<surname>Didyk</surname>
<given-names>Yuliya M.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Ko&#x10d;i</surname>
<given-names>Juraj</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2844278"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Kolen&#x10d;&#xed;k</surname>
<given-names>Stanislav</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>V&#xed;chov&#xe1;</surname>
<given-names>Bronislava</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2844381"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Pe&#x165;ko</surname>
<given-names>Branislav</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Stanko</surname>
<given-names>Michal</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Kazim&#xed;rov&#xe1;</surname>
<given-names>M&#xe1;ria</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>Institute of Zoology, Slovak Academy of Sciences</institution>, <addr-line>Bratislava</addr-line>, <country>Slovakia</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Schmalhausen Institute of Zoology of the National Academy of Sciences of Ukraine</institution>, <addr-line>Kyiv</addr-line>, <country>Ukraine</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Faculty of Natural Sciences, Comenius University in Bratislava</institution>, <addr-line>Bratislava</addr-line>, <country>Slovakia</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Institute of Parasitology, Slovak Academy of Sciences</institution>, <addr-line>Ko&#x161;ice</addr-line>, <country>Slovakia</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Department of Epizootiology, Parasitology and Protection of One Health, University of Veterinary Medicine and Pharmacy</institution>, <addr-line>Ko&#x161;ice</addr-line>, <country>Slovakia</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Omid Teymournejad, University of Illinois Chicago, United States</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Stephen Lu, National Institute of Allergy and Infectious Diseases (NIH), United States</p>
<p>Pablo Colunga-Salas, Universidad Veracruzana, Mexico</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Veronika Rus&#x148;&#xe1;kov&#xe1; Tarage&#x13e;ov&#xe1;, <email xlink:href="mailto:veronika.taragelova@savba.sk">veronika.taragelova@savba.sk</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>13</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>14</volume>
<elocation-id>1496925</elocation-id>
<history>
<date date-type="received">
<day>15</day>
<month>09</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>20</day>
<month>11</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Rus&#x148;&#xe1;kov&#xe1; Tarage&#x13e;ov&#xe1;, Derd&#xe1;kov&#xe1;, Selyemov&#xe1;, Chvost&#xe1;&#x10d;, Mangov&#xe1;, Didyk, Ko&#x10d;i, Kolen&#x10d;&#xed;k, V&#xed;chov&#xe1;, Pe&#x165;ko, Stanko and Kazim&#xed;rov&#xe1;</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Rus&#x148;&#xe1;kov&#xe1; Tarage&#x13e;ov&#xe1;, Derd&#xe1;kov&#xe1;, Selyemov&#xe1;, Chvost&#xe1;&#x10d;, Mangov&#xe1;, Didyk, Ko&#x10d;i, Kolen&#x10d;&#xed;k, V&#xed;chov&#xe1;, Pe&#x165;ko, Stanko and Kazim&#xed;rov&#xe1;</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>In Europe<italic>, Borrelia burgdorferi</italic> sensu lato (s.l.), the causative agent of Lyme borreliosis is transmitted by the castor bean tick, <italic>Ixodes ricinus</italic>. In the last decades, global changes affect the spread of ticks and also their bionomics. The aim of this study was summarization of a large dataset obtained during 20 years of research.</p>
</sec>
<sec>
<title>Methods</title>
<p>The research was carried out in 1999-2019 at 16 localities in Slovakia that were continuously monitored. In total, 17,249 questing <italic>I. ricinus</italic> ticks were tested for the presence of <italic>B. burgdorferi</italic> s.l. </p>
</sec>
<sec>
<title>Results</title>
<p>The total prevalence of infected ticks was 18.8% (3,248/17,249), with 15.1% (1,557/10,302) infected nymphs and 24.3% (1,691/6,947) infected adults. Nine species of <italic>B. burgdorferi</italic> s.l. were identified. <italic>Borrelia afzelii</italic> (37.1%), <italic>B. garinii</italic>/<italic>bavariensis</italic> (24.7%), and <italic>B. valaisiana</italic> (15.4%) were the most frequent and were present at all study sites, followed by <italic>B. lusitaniae</italic> (12.6%), <italic>B. burgdorferi</italic> sensu stricto (4.1%) and <italic>B. spielmanii</italic> (1.6%). <italic>Borrelia bavariensis</italic> was confirmed only in four samples (0.1%), however, detection of this species has been performed only since 2017. <italic>Borrelia bissettii</italic> and <italic>B. kurtenbachii</italic> were both recorded in one case. The total prevalence differed significantly among four habitat types (urban, suburban, natural, agricultural). The highest infection prevalence was confirmed in natural habitat (22.0%), the lowest in urban habitat (13.2%). In addition, molecular analysis was carried out on part of the collected ticks previously morphologically identified as <italic>I. ricinus</italic>. The analysis did not confirm the occurrence of <italic>Ixodes inopinatus</italic> in Slovakia.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Long-term monitoring of the abundance and spread of ticks as well as the prevalence and genetic variability of tick-borne pathogens can reveal the impact of global climatic and socio-economic changes on different habitats, including natural foci of tick-borne pathogens.</p>
</sec>
</abstract>
<kwd-group>
<kwd>
<italic>Borrelia</italic>
</kwd>
<kwd>prevalence</kwd>
<kwd>species diversity</kwd>
<kwd>habitat</kwd>
<kwd>long-term trends</kwd>
</kwd-group>
<contract-num rid="cn001">APVV-22-0372</contract-num>
<contract-num rid="cn002">2/0137/21, 2/0004/22</contract-num>
<contract-sponsor id="cn001">Agent&#xfa;ra na Podporu V&#xfd;skumu a V&#xfd;voja<named-content content-type="fundref-id">10.13039/501100005357</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">Vedeck&#xe1; Grantov&#xe1; Agent&#xfa;ra M&#x160;VVa&#x160; SR a SAV<named-content content-type="fundref-id">10.13039/501100006109</named-content>
</contract-sponsor>
<counts>
<fig-count count="9"/>
<table-count count="4"/>
<equation-count count="0"/>
<ref-count count="67"/>
<page-count count="14"/>
<word-count count="6430"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Molecular Bacterial Pathogenesis</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>Ticks transmit a wider range of pathogenic microorganisms than any other arthropod group (<xref ref-type="bibr" rid="B8">Durden, 2006</xref>). In humans, the diseases caused by these agents include Lyme borreliosis (LB), spotted fever group rickettsioses, human granulocytic anaplasmosis, tick-borne encephalitis, babesiosis, and others. Many of these diseases have emerged (or re-emerged) within the past decades (e.g. LB, anaplasmosis, rickettsioses, neoehrlichiosis). New foci of tick-borne disease (TBD) can be formed due to climatic changes and spread of ticks to new areas in the north and higher altitudes (<xref ref-type="bibr" rid="B32">Lindgren et&#xa0;al., 2000</xref>; <xref ref-type="bibr" rid="B14">Gray et&#xa0;al., 2009</xref>; <xref ref-type="bibr" rid="B52">Rus&#x148;&#xe1;kov&#xe1; Tarage&#x13e;ov&#xe1; et&#xa0;al., 2016</xref>).</p>
<p>
<italic>Ixodes ricinus</italic> is the main vector of pathogenic microorganisms in Europe (<xref ref-type="bibr" rid="B49">Rizzoli et&#xa0;al., 2014</xref>), including <italic>Borrelia</italic> spirochaetes (<xref ref-type="bibr" rid="B31">Lindgren and Jaenson, 2006</xref>). Members of the <italic>Borrelia burgdorferi</italic> sensu lato (s.l.) complex are the causative agents of LB which is the most common TBD in areas of Eurasia with moderate climate (<xref ref-type="bibr" rid="B55">Stanek et&#xa0;al., 2012</xref>). This group comprises of more than 20 species transmitted by ticks from the <italic>Ixodes ricinus</italic> s.l. complex (<xref ref-type="bibr" rid="B34">Margos et&#xa0;al., 2019</xref>). <italic>Borrelia afzelii</italic>, <italic>Borrelia garinii</italic>, <italic>Borrelia bavariensis</italic>, <italic>Borrelia spielmanii</italic> and <italic>Borrelia burgdorferi</italic> sensu stricto (s.s.) are considered pathogenic for humans (<xref ref-type="bibr" rid="B55">Stanek et&#xa0;al., 2012</xref>). Genetic variability within the <italic>B. burgdorferi</italic> s.l. complex is associated with different clinical outcome in patients (<xref ref-type="bibr" rid="B65">van Dam et&#xa0;al., 1993</xref>) as well as with different reservoir hosts (<xref ref-type="bibr" rid="B26">Humair and Gern, 2000</xref>). Research on <italic>B. burgdorferi</italic> s.l. eco-epidemiology has a long history in Slovakia (rev. in <xref ref-type="bibr" rid="B56">Stanko et&#xa0;al., 2022</xref>). <italic>Borrelia</italic> prevalence in questing ticks was found to vary from 4.4% in northern Slovakia (<xref ref-type="bibr" rid="B44">Pangr&#xe1;cov&#xe1; et&#xa0;al., 2013</xref>) and up to 53.2% in eastern Slovakia (<xref ref-type="bibr" rid="B66">Venczel et&#xa0;al., 2016</xref>). The presence of nine species was confirmed, with <italic>B. afzelii</italic> and/or <italic>B. garinii</italic> as the most prevalent. Less frequent and rare species such as <italic>Borrelia valaisiana, B. burgdorferi</italic> sensu stricto (s.s.), <italic>B. spielmanii, B. bavariensis, B. bissettii</italic>, and <italic>B. kurtenbachii</italic> were reported as well (rev. in <xref ref-type="bibr" rid="B56">Stanko et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B29">Kazim&#xed;rov&#xe1; et&#xa0;al., 2023</xref>). The prevalence of <italic>Borrelia lusitaniae</italic> was found to be low in Central Europe (<xref ref-type="bibr" rid="B25">Hub&#xe1;lek and Halouzka, 1997</xref>; <xref ref-type="bibr" rid="B12">Gern et&#xa0;al., 1999</xref>), nevertheless, natural foci with dominance of this species were confirmed in some areas of Slovakia (<xref ref-type="bibr" rid="B52">Rus&#x148;&#xe1;kov&#xe1; Tarage&#x13e;ov&#xe1; et&#xa0;al., 2016</xref>).</p>
<p>In order to find out whether there are changes in <italic>Borrelia</italic> prevalence and species distribution over the years, long-term monitoring of the prevalence, occurrence and species distribution is necessary. The main aim of this study is the evaluation of changes in the <italic>B. burgdorferi</italic> s.l. prevalence and diversity of species of the <italic>B. burgdorferi</italic> s.l. complex in selected sites of Slovakia during the period from 1999 to 2019.</p>
<p>
<italic>Ixodes inopinatus</italic> described by <xref ref-type="bibr" rid="B10">Estrada-Pe&#xf1;a et&#xa0;al. (2014)</xref> was confirmed in dry areas of the Mediterranean region in Spain, Portugal, Morocco, Algeria and Tunisia. This tick species morphologically resembles <italic>I. ricinus</italic>. Its occurrence has been confirmed also outside the Mediterranean region (<xref ref-type="bibr" rid="B5">Chitimia-Dobler et&#xa0;al., 2018</xref>) and it is possible that in the past many individuals of <italic>I. inopinatus</italic> were mistakenly classified as <italic>I. ricinus</italic>. However, the recent study of <xref ref-type="bibr" rid="B50">Rollins et&#xa0;al. (2023)</xref> calls into question the occurrence of <italic>I. inopinatus</italic> in Central Europe.</p>
<p>
<xref ref-type="bibr" rid="B22">Hauck et&#xa0;al. (2019)</xref> confirmed the presence of <italic>Borrelia</italic> spp., <italic>Rickettsia</italic> spp. and <italic>Anaplasma phagocytophilum</italic> in <italic>I. inopinatus</italic>, while, compared to <italic>I. ricinus</italic>, a considerably higher prevalence of <italic>Borrelia</italic> was recorded in <italic>I. inopinatus</italic>. Molecular screening of selected ticks that were collected in Slovakia would clarify whether <italic>I. inopinatus</italic> also occurs there and participates, together with <italic>I. ricinus</italic>, in the maintenance and transmission of tick-borne pathogens.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Tick sampling and study sites</title>
<p>Questing ticks were collected by flagging the vegetation at 16 study sites in Slovakia during 1999-2019 (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>). Feeding ticks were collected from birds captured in Drienovec in 2019 (<xref ref-type="bibr" rid="B59">&#x160;ujanov&#xe1; et&#xa0;al., 2022</xref>). Chosen study locations represented different types of habitats: urban, suburban, natural and agricultural (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table S1</bold>
</xref>). The research was done in western Slovakia (WS): four study sites in Bratislava (the campus of the Slovak Academy of Sciences - SAS, &#x17d;elezn&#xe1; studni&#x10d;ka, Horsk&#xfd; park, Podunajsk&#xe9; Biskupice), Malacky, Z&#xe1;horsk&#xe1; Ves, Jursk&#xfd; &#x160;&#xfa;r, Vrbovce, F&#xfa;gelka, Tren&#x10d;&#xed;n and in eastern Slovakia (ES): Ko&#x161;ice, Rozhanovce, Z&#xe1;diel, Drienovec, Brzot&#xed;n. Study sites at Martinsk&#xe9; hole Mountains represent a region of northern Slovakia (NS).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Study sites in Slovakia with the type of habitat.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1496925-g001.tif"/>
</fig>
<p>Urban habitat is represented by three sites: Horsk&#xfd; park and the campus of the SAS in Bratislava, and the castle park in the centre of Malacky town. All these parks are fenced.</p>
<p>Suburban habitat is represented by five sites: &#x17d;elezn&#xe1; studni&#x10d;ka and Podunajsk&#xe9; Biskupice (both in Bratislava), Jursk&#xfd; &#x160;&#xfa;r nature reserve, Tren&#x10d;&#xed;n and Ko&#x161;ice. These sites are not fenced and pass into open country or forest.</p>
<p>Natural habitat is represented by F&#xfa;gelka, Martinsk&#xe9; hole, Drienovec, Z&#xe1;diel and Brzot&#xed;n.</p>
<p>Agricultural habitat is represented by Vrbovce, Z&#xe1;horsk&#xe1; Ves and Rozhanovce.</p>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Identification of ticks</title>
<p>Questing and several bird-feeding ticks were morphologically identified to species, life stages and sex using standard keys (<xref ref-type="bibr" rid="B40">Nosek and Sixl, 1972</xref>; <xref ref-type="bibr" rid="B54">Slov&#xe1;k, 2010</xref>). To confirm the identification of ticks and find out whether <italic>I. inopinatus</italic> (<xref ref-type="bibr" rid="B10">Estrada-Pe&#xf1;a et&#xa0;al., 2014</xref>) occurs in Slovakia, the mitochondrial 16S rRNA locus and nuclear gene TROSPA were amplified and sequenced. The sequences were compared via BLASTn (<xref ref-type="bibr" rid="B1">Altschul et&#xa0;al., 1990</xref>) searches to sequences available in GenBank (<xref ref-type="bibr" rid="B33">Mangold et&#xa0;al., 1998</xref>; <xref ref-type="bibr" rid="B41">Noureddine et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B39">Norte et&#xa0;al., 2021</xref>). To amplify each gene, published primers and protocols were used according to <xref ref-type="bibr" rid="B33">Mangold et&#xa0;al. (1998)</xref> for 16S rRNA and <xref ref-type="bibr" rid="B41">Noureddine et&#xa0;al. (2011)</xref> for TROSPA. Obtained sequences were compared with sequences for <italic>I. ricinus</italic> and <italic>I. inopinatus</italic> mentioned in the previous research (16S rRNA, GenBank PopSet: 309318023; TROSPA, GenBank PopSet; 309318631 and 309318389) (<xref ref-type="bibr" rid="B41">Noureddine et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B45">Poli et&#xa0;al., 2020</xref>).</p>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>Genomic DNA isolation and PCR detection of <italic>B. burgdorferi</italic> s.l.</title>
<p>DNA was isolated from individual ticks by using the alkaline hydrolysis method (<xref
ref-type="bibr" rid="B16">Guy and Stanek, 1991</xref>) and/or by using commercial kits: DNeasy Blood &amp; Tissue Kit (Qiagen, Germany) and/or Macherey-Nagel NucleoSpin<sup>&#xae;</sup>Tissue kit (D&#xfc;ren, Germany), following the manufacturer protocols. To confirm the presence of the tick DNA a 620-bp fragment of tick mitochondrial gene cytochrome <italic>b</italic> was amplified in randomly selected samples (<xref ref-type="bibr" rid="B2">Black and Roehrdanz, 1998</xref>) or total DNA was measured with a Nanodrop 2000c (Thermo Scientific, Wilmington, USA). Samples were stored at -20&#xb0;C. Isolated DNA was screened for the presence of <italic>B. burgdorgferi</italic> s.l. by several PCR methods as described in previous publications (<xref ref-type="bibr" rid="B7">Derd&#xe1;kov&#xe1; et&#xa0;al., 2003</xref>; <xref ref-type="bibr" rid="B19">Hanincov&#xe1; et&#xa0;al., 2003a</xref>, <xref ref-type="bibr" rid="B20">2003b</xref>; <xref ref-type="bibr" rid="B61">Taragel'ov&#xe1; et&#xa0;al., 2008</xref>; <xref ref-type="bibr" rid="B6">Chvost&#xe1;&#x10d; et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B64">Vaculov&#xe1; et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B37">Mtierov&#xe1; et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B29">Kazim&#xed;rov&#xe1; et&#xa0;al., 2023</xref>). A positive (DNA from <italic>Borrelia</italic>-positive tick that was previously sequenced) and a negative control (Nuclease-Free Water, Qiagen, Germany instead of DNA) were used in each PCR reaction. The PCR products from the conventional PCRs were electrophoresed in a 1.5% agarose gel stained with GoodView&#x2122; Nucleic Acid stain (SBS Genetech, Beijing, China) and visualised with a UV transilluminator. The list of used PCR assays is summarised in <xref ref-type="supplementary-material" rid="SM2">
<bold>Supplementary Table S2</bold>
</xref>. <italic>Borrelia</italic>-positive samples were further genotyped by RLB (reverse line blot) (<xref ref-type="bibr" rid="B48">Rijpkema et&#xa0;al., 1995</xref>; <xref ref-type="bibr" rid="B19">Hanincov&#xe1; et&#xa0;al., 2003a</xref>, <xref ref-type="bibr" rid="B20">2003b</xref>; <xref ref-type="bibr" rid="B61">Taragel'ov&#xe1; et&#xa0;al., 2008</xref>) or by RFLP (restriction fragment length polymorphism) (<xref ref-type="bibr" rid="B7">Derd&#xe1;kov&#xe1; et&#xa0;al., 2003</xref>; and/or sequencing (<xref ref-type="bibr" rid="B6">Chvost&#xe1;&#x10d; et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B64">Vaculov&#xe1; et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B29">Kazim&#xed;rov&#xe1; et&#xa0;al., 2023</xref>). Selected positive samples were further analysed using MLST (multilocus sequence typing) according to the protocol by <xref ref-type="bibr" rid="B35">Margos et&#xa0;al. (2008)</xref> and (<xref ref-type="bibr" rid="B37">Mtierov&#xe1; et&#xa0;al., 2020</xref>). Samples positive for <italic>B. garinii</italic> have been sequenced for the identification of <italic>B. bavariensis</italic> prevalence only since 2017.</p>
<p>Temporal changes in the prevalence and genetic variability were evaluated only at study sites that had been monitored for at least five years.</p>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>PCR product purification, Sanger sequencing</title>
<p>Purification of PCR products for Sanger sequencing was done by NucleoSpin Gel and PCR Clean-up (Machery-Nagel, D&#xfc;ren, Germany). The sequencing in both the forward and reverse direction was performed in Eurofins Genomics (Eurofins Genomics Germany GmbH, Ebersberg, Germany) and by SeqMe (SEQme s.r.o., Dob&#x159;&#xed;&#x161;, Czech Republic). The complementary strands of each sequenced product were manually assembled into consensus sequences. The sequences were compared with GenBank entries using the basic local alignment search tool algorithm (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/blast">www.ncbi.nlm.nih.gov/blast</ext-link>) and aligned with representative homologous sequences using the Clustal W implemented in the MEGA software version 11 (<xref ref-type="bibr" rid="B60">Tamura et&#xa0;al., 2021</xref>).</p>
</sec>
<sec id="s2_5">
<label>2.5</label>
<title>Statistical analysis</title>
<p>Within the monitored years, the collections were not uniform, therefore we statistically evaluated only multi-year collections at the same sites (5 and more collection years). Statistical differences in <italic>B. burgdorferi</italic> s.l. prevalence between study years and between four different habitat types were evaluated by t-test using updated PAST 3 system package (<xref ref-type="bibr" rid="B17">Hammer et&#xa0;al., 2001</xref>). Chi-square test was used to analyse the proportions of collected nymphs and adult ticks and the prevalence levels for significant independence. The level of significance was set at p &lt; 0.05. Ninety-five percent confidence intervals (95% CI) for each proportion were calculated using an online calculator (<xref ref-type="bibr" rid="B53">Sergeant, 2018</xref>) at the website <ext-link ext-link-type="uri" xlink:href="https://epitools.ausvet.com.au/ciproportion">https://epitools.ausvet.com.au/ciproportion</ext-link>. The program outputs include the estimated proportion plus upper and lower limits of the specified confidence interval, using Wilson Score interval method (<xref ref-type="bibr" rid="B3">Brown et&#xa0;al., 2001</xref>). Correlations between prevalence of <italic>B. burgdorferi</italic> s.l. species and habitat types were evaluated by Multivariate - Principal component analysis (PCA) using updated PAST 3 system package (<xref ref-type="bibr" rid="B17">Hammer et&#xa0;al., 2001</xref>).</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<label>3</label>
<title>Results</title>
<sec id="s3_1">
<label>3.1</label>
<title>Questing ticks</title>
<p>In total, 17,249 <italic>I. ricinus</italic> ticks, including 10,302 nymphs and 6,947 adults were analysed from all study sites.</p>
<p>Questing adult ticks were significantly more abundant than nymphs at two sites in Bratislava: Podunajsk&#xe9; Biskupice (&#x3c7;<sup>2</sup> = 30.70, p &lt; 0.05), &#x17d;elezn&#xe1; studni&#x10d;ka (&#x3c7;<sup>2</sup> = 31.42, p &lt; 0.05) and in Z&#xe1;horsk&#xe1; Ves (&#x3c7;<sup>2</sup> = 13.11, p &lt; 0.05) as well as at Martinsk&#xe9; hole (&#x3c7;<sup>2</sup> = 27.82, p &lt; 0.05) and in Ko&#x161;ice (&#x3c7;<sup>2</sup> = 17.47, p &lt; 0.05). On the contrary, nymphs were significantly more abundant at 10 sites: Vrbovce (&#x3c7;<sup>2</sup> = 30.92, p &lt; 0.05), Malacky (&#x3c7;<sup>2</sup> = 230.12, p &lt; 0.05), &#x160;&#xfa;r (&#x3c7;<sup>2</sup> = 6.45, p &lt; 0.05), F&#xfa;gelka (&#x3c7;<sup>2</sup> = 432.77, p &lt; 0.05), Bratislava &#x2013; SAS (&#x3c7;<sup>2</sup> = 435.62, p &lt; 0.05), Bratislava &#x2013; Horsk&#xfd; park (&#x3c7;<sup>2</sup> = 53.82, p &lt; 0.05), Tren&#x10d;&#xed;n (&#x3c7;<sup>2</sup> = 32.11, p &lt; 0.05), Rozhanovce (&#x3c7;<sup>2</sup> = 464.82, p &lt; 0.05), Brzot&#xed;n (&#x3c7;<sup>2</sup> = 12.46, p &lt; 0.05), Drienovec (&#x3c7;<sup>2</sup> = 190.75, p &lt; 0.05). At site Z&#xe1;diel the nymphs/adults ratio was balanced (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>).</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Prevalence of <italic>B. burgdorferi </italic>s.l. in <italic>Ixodes ricinus</italic> ticks at study sites in Slovakia.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="left">Type of habitat</th>
<th valign="middle" align="center">Study site</th>
<th valign="middle" align="center">No. of positive/tested adults (%)</th>
<th valign="middle" align="center">95% CI</th>
<th valign="middle" align="center">No. of positive/tested nymphs (%)</th>
<th valign="middle" align="center">95% CI</th>
<th valign="middle" align="center">No. of positive/tested total ticks (%)</th>
<th valign="middle" align="center">95% CI</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" rowspan="4" align="center">Urban</td>
<td valign="bottom" align="left">Bratislava &#x2013;<break/>Horsk&#xfd; park</td>
<td valign="bottom" align="center">23/110<break/>(20.9)</td>
<td valign="bottom" align="center">14.4-29.4</td>
<td valign="bottom" align="center">32/249<break/>(12.9)</td>
<td valign="bottom" align="center">9.3-17.6</td>
<td valign="bottom" align="center">55/359<break/>(15.3)</td>
<td valign="bottom" align="center">12.0-19.4</td>
</tr>
<tr>
<td valign="bottom" align="left">Bratislava &#x2013;<break/>SAS</td>
<td valign="bottom" align="center">38/531<break/>(7.2)</td>
<td valign="bottom" align="center">5.3-9.7</td>
<td valign="bottom" align="center">94/1463<break/>(6.4)</td>
<td valign="bottom" align="center">6.3-7.8</td>
<td valign="bottom" align="center">132/1994<break/>(6.7)</td>
<td valign="bottom" align="center">5.6-7.8</td>
</tr>
<tr>
<td valign="bottom" align="left">Malacky</td>
<td valign="bottom" align="center">171/682<break/>(25.1)</td>
<td valign="bottom" align="center">22.0-28.5</td>
<td valign="bottom" align="center">224/1369<break/>(16.4)</td>
<td valign="bottom" align="center">14.5-18.4</td>
<td valign="bottom" align="center">395/2051<break/>(19.3)</td>
<td valign="bottom" align="center">17.6-21.0</td>
</tr>
<tr>
<td valign="bottom" align="left">Total</td>
<td valign="bottom" align="center">232/1323 (17.5)</td>
<td valign="bottom" align="center">15.6-19.7</td>
<td valign="bottom" align="center">350/3081<break/>(11.4)</td>
<td valign="bottom" align="center">10.3-12.5</td>
<td valign="bottom" align="center">582/4404<break/>(13.2)</td>
<td valign="bottom" align="center">12.3-14.3</td>
</tr>
<tr>
<td valign="middle" rowspan="6" align="center">Suburban</td>
<td valign="bottom" align="left">Bratislava &#x2013;<break/>&#x17d;elezn&#xe1; studni&#x10d;ka</td>
<td valign="bottom" align="center">217/1286 (16.9)</td>
<td valign="bottom" align="center">14.9-19.0</td>
<td valign="bottom" align="center">94/1017<break/>(9.2)</td>
<td valign="bottom" align="center">7.6-11.2</td>
<td valign="bottom" align="center">311/2303<break/>(13.5)</td>
<td valign="bottom" align="center">12.2-15.0</td>
</tr>
<tr>
<td valign="bottom" align="left">Bratislava - Podunajsk&#xe9; Biskupice</td>
<td valign="bottom" align="center">76/236<break/>(32.2)</td>
<td valign="bottom" align="center">26.6-38.4</td>
<td valign="bottom" align="center">28/130<break/>(21.5)</td>
<td valign="bottom" align="center">15.3-29.4</td>
<td valign="bottom" align="center">104/366<break/>(28.4)</td>
<td valign="bottom" align="center">24.0-33.2</td>
</tr>
<tr>
<td valign="bottom" align="left">Jursk&#xfd; &#x160;&#xfa;r</td>
<td valign="bottom" align="center">84/258<break/>(32.6)</td>
<td valign="bottom" align="center">27.1-38.5</td>
<td valign="bottom" align="center">74/319<break/>(23.2)</td>
<td valign="bottom" align="center">18.9-28.1</td>
<td valign="bottom" align="center">158/577<break/>(27.4)</td>
<td valign="bottom" align="center">23.9-31.2</td>
</tr>
<tr>
<td valign="bottom" align="left">Ko&#x161;ice</td>
<td valign="bottom" align="center">239/892 (26.8)</td>
<td valign="bottom" align="center">24.0-29.8</td>
<td valign="bottom" align="center">123/724<break/>(17.0)</td>
<td valign="bottom" align="center">14.4-19.9</td>
<td valign="bottom" align="center">362/1616<break/>(22.4)</td>
<td valign="bottom" align="center">20.4-24.5</td>
</tr>
<tr>
<td valign="bottom" align="left">Tren&#x10d;&#xed;n</td>
<td valign="bottom" align="center">12/43<break/>(27.9)</td>
<td valign="bottom" align="center">16.8-42.7</td>
<td valign="bottom" align="center">28/114<break/>(24.6)</td>
<td valign="bottom" align="center">17.6-33.2</td>
<td valign="bottom" align="center">40/157<break/>(25.5)</td>
<td valign="bottom" align="center">19.3-32.8</td>
</tr>
<tr>
<td valign="bottom" align="left">Total</td>
<td valign="bottom" align="center">628/2715<break/>(23.1)</td>
<td valign="bottom" align="center">21.6-24.8</td>
<td valign="bottom" align="center">347/2304<break/>(15.1)</td>
<td valign="bottom" align="center">13.7-16.6</td>
<td valign="bottom" align="center">975/5019<break/>(19.4)</td>
<td valign="bottom" align="center">18.4-20.5</td>
</tr>
<tr>
<td valign="middle" rowspan="6" align="center">Natural</td>
<td valign="bottom" align="left">F&#xfa;gelka</td>
<td valign="bottom" align="center">83/632<break/>(13.1)</td>
<td valign="bottom" align="center">10.7-16.0</td>
<td valign="bottom" align="center">263/1619<break/>(16.2)</td>
<td valign="bottom" align="center">14.5-18.1</td>
<td valign="bottom" align="center">346/2251<break/>(15.4)</td>
<td valign="bottom" align="center">13.9-16.9</td>
</tr>
<tr>
<td valign="bottom" align="left">Martinsk&#xe9; hole</td>
<td valign="bottom" align="center">390/1057 (36.9)</td>
<td valign="bottom" align="center">34.0-39.9</td>
<td valign="bottom" align="center">148/828<break/>(17.9)</td>
<td valign="bottom" align="center">15.4-20.6</td>
<td valign="bottom" align="center">538/1885<break/>(28.5)</td>
<td valign="bottom" align="center">26.6-30.6</td>
</tr>
<tr>
<td valign="bottom" align="left">Drienovec</td>
<td valign="bottom" align="center">67/249<break/>(26.9)</td>
<td valign="bottom" align="center">21.8-32.7</td>
<td valign="bottom" align="center">169/667<break/>(25.3)</td>
<td valign="bottom" align="center">22.2-28.8</td>
<td valign="bottom" align="center">236/916<break/>(25.8)</td>
<td valign="bottom" align="center">23.0-28.7</td>
</tr>
<tr>
<td valign="bottom" align="left">Z&#xe1;diel</td>
<td valign="bottom" align="center">21/86<break/>(24.4)</td>
<td valign="bottom" align="center">16.6-34.5</td>
<td valign="bottom" align="center">10/88<break/>(11.4)</td>
<td valign="bottom" align="center">6.3-19.7</td>
<td valign="bottom" align="center">31/174<break/>(17.8)</td>
<td valign="bottom" align="center">12.8-24.2</td>
</tr>
<tr>
<td valign="bottom" align="left">Brzot&#xed;n</td>
<td valign="bottom" align="center">10/34<break/>(29.4)</td>
<td valign="bottom" align="center">16.8-46.2</td>
<td valign="bottom" align="center">14/70<break/>(20.0)</td>
<td valign="bottom" align="center">12.3-30.8</td>
<td valign="bottom" align="center">24/104<break/>(23.1)</td>
<td valign="bottom" align="center">16.0-32.1</td>
</tr>
<tr>
<td valign="bottom" align="left">Total</td>
<td valign="bottom" align="center">571/2058 (27.7)</td>
<td valign="bottom" align="center">25.6-29.7</td>
<td valign="bottom" align="center">604/3272<break/>(18.5)</td>
<td valign="bottom" align="center">17.2-19.8</td>
<td valign="bottom" align="center">1175/5330<break/>(22.1)</td>
<td valign="bottom" align="center">21.0-23.2</td>
</tr>
<tr>
<td valign="middle" rowspan="4" align="center">Agricultural</td>
<td valign="bottom" align="left">Z&#xe1;horsk&#xe1; Ves</td>
<td valign="bottom" align="center">208/456<break/>(45.6)</td>
<td valign="bottom" align="center">41.1-50.2</td>
<td valign="bottom" align="center">66/353<break/>(18.7)</td>
<td valign="bottom" align="center">15.0-23.1</td>
<td valign="bottom" align="center">274/809<break/>(33.9)</td>
<td valign="bottom" align="center">30.7-37.2</td>
</tr>
<tr>
<td valign="bottom" align="left">Vrbovce</td>
<td valign="bottom" align="center">9/109<break/>(8.3)</td>
<td valign="bottom" align="center">4.4-15.0</td>
<td valign="bottom" align="center">50/208<break/>(24.0)</td>
<td valign="bottom" align="center">18.7-30.3</td>
<td valign="bottom" align="center">59/317<break/>(18.6)</td>
<td valign="bottom" align="center">14.7-23.3</td>
</tr>
<tr>
<td valign="bottom" align="left">Rozhanovce</td>
<td valign="bottom" align="center">43/286<break/>(15.0)</td>
<td valign="bottom" align="center">11.4-19.6</td>
<td valign="bottom" align="center">140/1084<break/>(12.9)</td>
<td valign="bottom" align="center">11.1-15.0</td>
<td valign="bottom" align="center">183/1370<break/>(13.4)</td>
<td valign="bottom" align="center">11.7-15.3</td>
</tr>
<tr>
<td valign="bottom" align="left">Total</td>
<td valign="bottom" align="center">260/851<break/>(30.6)</td>
<td valign="bottom" align="center">27.6-33.7</td>
<td valign="bottom" align="center">256/1645<break/>(15.6)</td>
<td valign="bottom" align="center">13.9-17.4</td>
<td valign="bottom" align="center">516/2496<break/>(20.7)</td>
<td valign="bottom" align="center">19.1-22.3</td>
</tr>
<tr>
<td valign="bottom" colspan="2" align="left">&#x2003;Total</td>
<td valign="bottom" align="center">1691/6947 (24.3)</td>
<td valign="bottom" align="center">23.4-25.4</td>
<td valign="bottom" align="center">1557/10302<break/>(15.1)</td>
<td valign="bottom" align="center">14.4-15.8</td>
<td valign="bottom" align="center">3248/17249<break/>(18.8)</td>
<td valign="bottom" align="center">18.3-19.4</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>Molecular identification of ticks</title>
<p>Randomly selected samples of tick DNA collected at Bratislava - &#x17d;elezn&#xe1; studni&#x10d;ka, Malacky, Vrbovce, Martinsk&#xe9; hole, Drienovec and Ko&#x161;ice were sequenced (<xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>). Only samples with high quality sequences were included in the further analysis (n = 46). Sequenced samples from Drienovec (n = 16) represented ticks fed on birds: 3 ticks from <italic>Turdus merula</italic> (n = 2), 6 ticks from <italic>Turdus philomelos</italic> (n = 4), 3 ticks from <italic>Erithacus rubecula</italic> (n = 2), 1 tick from <italic>Fringilla coelebs</italic> (n = 1), 1 tick from <italic>Coccothraustes coccothraustes</italic> (n = 1), 1 tick from <italic>Garrulus glandarius</italic> (n = 1), 1 tick from <italic>Parus major</italic> (n = 1). Sequenced samples from other study sites were represented by ticks collected from vegetation. Morphological identification matched sequencing results, <italic>I. ricinus</italic> was confirmed in all tested samples. All our sequenced samples had 100% query coverage, E-value = 0, and 100% identity with more than one sample of <italic>Ixodes ricinus</italic> (KF197124.1 - Italy, KJ414457.1 &#x2013; Belgium, GU074645.1 &#x2013; France, OY973598.1) from the GenBank.</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>List of <italic>Ixodes</italic> ticks molecularly identified to species (16S, TROSPA).</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="bottom" align="center">Study site</th>
<th valign="bottom" align="center">Year of ticks collection</th>
<th valign="bottom" align="center">Tick developmental stage/sex</th>
<th valign="bottom" align="center">No. of sequenced samples</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="bottom" align="left">&#x17d;elezn&#xe1; studni&#x10d;ka</td>
<td valign="bottom" align="center">2017, 2018</td>
<td valign="bottom" align="center">5F</td>
<td valign="bottom" align="center">5</td>
</tr>
<tr>
<td valign="bottom" align="left">Malacky</td>
<td valign="bottom" align="center">2017, 2018</td>
<td valign="bottom" align="center">2N, 3F</td>
<td valign="bottom" align="center">5</td>
</tr>
<tr>
<td valign="bottom" align="left">Vrbovce</td>
<td valign="bottom" align="center">2017, 2018</td>
<td valign="bottom" align="center">2N, 1F, 2M</td>
<td valign="bottom" align="center">5</td>
</tr>
<tr>
<td valign="bottom" align="left">Martinsk&#xe9; hole</td>
<td valign="bottom" align="center">2016</td>
<td valign="bottom" align="center">7F, 3M</td>
<td valign="bottom" align="center">10</td>
</tr>
<tr>
<td valign="bottom" align="left">Drienovec</td>
<td valign="bottom" align="center">2019</td>
<td valign="bottom" align="center">5L,11N**</td>
<td valign="bottom" align="center">16</td>
</tr>
<tr>
<td valign="bottom" align="left">Ko&#x161;ice</td>
<td valign="bottom" align="center">2017, 2018</td>
<td valign="bottom" align="center">5N</td>
<td valign="bottom" align="center">5</td>
</tr>
<tr>
<td valign="bottom" align="left">Total</td>
<td valign="bottom" align="left">
</td>
<td valign="bottom" align="center">5L, 20N, 16F, 5M</td>
<td valign="bottom" align="center">46</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>L, larva; N, nymph; F, female; M, male; **bird-feeding ticks.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>Prevalence of <italic>B. burgdorferi</italic> s.l.</title>
<p>A total of 17,249 <italic>I. ricinus</italic> ticks, including 10,302 nymphs and 6,947 adults were tested for the presence of <italic>B. burgdorferi</italic> s.l. The total prevalence of infected ticks was 18.8% (3248/17249) (95% CI: 18.3-19.4), with 15.1% (1557/10302) (95% CI: 14.4-15.8) infected nymphs and 24.3% (1691/6947) (95% CI: 23.4-25.4) infected adults. The differences in total prevalence among nymphs and adult ticks were not significant (&#x3c7;<sup>2</sup> = 2.15, p = 0.14). The lowest infection prevalence was detected at site Bratislava &#x2013; SAS (6.6%, 95% CI: 5.6-7.8), the highest at site Z&#xe1;horsk&#xe1; Ves (33.9%, 95% CI: 30.7 &#x2013; 37.2) (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). Significantly higher infection prevalence in nymphs than adults was recorded at Vrbovce (&#x3c7;<sup>2</sup> = 7.63, p &lt; 0.05). On the contrary, significantly higher infection prevalence in adult ticks than in nymphs was found at three sites: Z&#xe1;horsk&#xe1; Ves (&#x3c7;<sup>2</sup> = 11.25, p &lt; 0.05), Martinsk&#xe9; hole (&#x3c7;<sup>2</sup> = 6.59, p &lt; 0.05) and Z&#xe1;diel (&#x3c7;<sup>2</sup> = 4.72, p &lt; 0.05). At the other sites no significant differences were recorded.</p>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>Species of <italic>B. burgdorferi</italic> s.l. identified in ticks</title>
<p>A total of 3,158 (97.2%) PCR-positive samples were successfully genotyped. Nine species of <italic>B. burgdorferi</italic> s.l. were identified (<xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>; <xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure S1</bold>
</xref>). <italic>Borrelia afzelii</italic> (37.1%), <italic>B. garinii</italic>/<italic>bavariensis</italic> (24.7%), <italic>B. valaisiana</italic> (15.4%) were the most frequent and were present at all study sites. <italic>Borrelia afzelii</italic> was the dominant species at ten sites (Bratislava: &#x17d;elezn&#xe1; studni&#x10d;ka, Horsk&#xfd; park, SAS and Podunajsk&#xe9; Biskupice, Z&#xe1;horsk&#xe1; Ves, Malacky, Vrbovce, Rozhanovce, Brzot&#xed;n, Drienovsk&#xe1; mokra&#x10f;). The highest proportion of ticks harbouring this species was detected in Malacky (19.2%). <italic>Borrelia garinii</italic>/<italic>bavariensis</italic> was dominant at sites F&#xfa;gelka (18.7%) and Ko&#x161;ice (18.0%) while <italic>B. valaisiana</italic> was the most frequent species at sites Z&#xe1;horsk&#xe1; Ves (13.0%) and Jursk&#xfd; &#x160;&#xfa;r (12.1%). <italic>Borrelia burgdorferi</italic> s.s. (4.1%) was found at majority of sites with the exception of Vrbovce, Jursk&#xfd; &#x160;&#xfa;r and Drienovsk&#xe1; mokra&#x10f;. This species was the most frequent in Ko&#x161;ice (31.3%). <italic>Borrelia spielmanii</italic> (1.6%) appeared sporadically at three sites in Bratislava, in Malacky, Jursk&#xfd; &#x160;&#xfa;r, F&#xfa;gelka and at three sites in Eastern Slovakia with the dominance in Bratislava SAS and Malacky (25.5% each). <italic>Borrelia lusitaniae</italic> (12.6%) was recorded at all sites with the exception of Brzot&#xed;n. This species considerably dominated in the Martinsk&#xe9; hole area (73.7%). We confirmed the presence of <italic>B. bavariensis</italic> only in four ticks: 2 nymphs and 1 male from Malacky (0.1%) and one female from F&#xfa;gelka (0.03%).</p>
<table-wrap id="T3" position="float">
<label>Table&#xa0;3</label>
<caption>
<p>Number of positive <italic>Ixodes ricinus</italic> ticks and prevalence of <italic>B. burgdorferi</italic> s.l. species at study sites in Slovakia.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" align="left">Species<break/>
<break/>
<break/>Study sites</th>
<th valign="bottom" align="left">
<italic>B.&#xa0;afzelii</italic>
</th>
<th valign="bottom" align="left">
<italic>B.&#xa0;garinii</italic>/<break/>
<italic>B.&#xa0;bavariensis</italic>
</th>
<th valign="bottom" align="left">
<italic>B.&#xa0;burgdorferi</italic>&#xa0;s.s.</th>
<th valign="bottom" align="left">
<italic>B.&#xa0;valaisiana</italic>
</th>
<th valign="bottom" align="left">
<italic>B.&#xa0;lusitaniae</italic>
</th>
<th valign="bottom" align="left">
<italic>B.&#xa0;spielmanii</italic>
</th>
<th valign="bottom" align="left">
<italic>B.&#xa0;bavariensis</italic>
</th>
<th valign="bottom" align="left">mixed&#xa0;infections*</th>
<th valign="bottom" align="center">Total</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="bottom" align="center">BA-&#x17d;S (%)</td>
<td valign="bottom" align="center">130 (43.9)</td>
<td valign="bottom" align="center">77 (26.0)</td>
<td valign="bottom" align="center">8 (2.7)</td>
<td valign="bottom" align="center">48 (16.2)</td>
<td valign="bottom" align="center">22 (7.4)</td>
<td valign="bottom" align="center">9 (3.0)</td>
<td valign="bottom" align="center">-</td>
<td valign="bottom" align="center">2 (0.7)</td>
<td valign="bottom" align="center">296</td>
</tr>
<tr>
<td valign="bottom" align="center">BA-HP (%)</td>
<td valign="bottom" align="center">18 (34.6)</td>
<td valign="bottom" align="center">17 (32.7)</td>
<td valign="bottom" align="center">4 (7.7)</td>
<td valign="bottom" align="center">10 (19.2)</td>
<td valign="bottom" align="center">1 (1.9)</td>
<td valign="bottom" align="center">2 (3.8)</td>
<td valign="bottom" align="center">-</td>
<td valign="bottom" align="center">0</td>
<td valign="bottom" align="center">52</td>
</tr>
<tr>
<td valign="bottom" align="center">BA-SAS (%)</td>
<td valign="bottom" align="center">40 (30.3)</td>
<td valign="bottom" align="center">32 (24.2)</td>
<td valign="bottom" align="center">10 (7.6)</td>
<td valign="bottom" align="center">23 (17.4)</td>
<td valign="bottom" align="center">13 (9.8)</td>
<td valign="bottom" align="center">13 (9.8)</td>
<td valign="bottom" align="center">-</td>
<td valign="bottom" align="center">1 (0.8)</td>
<td valign="bottom" align="center">132</td>
</tr>
<tr>
<td valign="bottom" align="center">BA-PB (%)</td>
<td valign="bottom" align="center">65 (62.5)</td>
<td valign="bottom" align="center">21 (20.2)</td>
<td valign="bottom" align="center">1 (1.0)</td>
<td valign="bottom" align="center">10 (9.6)</td>
<td valign="bottom" align="center">2 (1.9)</td>
<td valign="bottom" align="center">0</td>
<td valign="bottom" align="center">-</td>
<td valign="bottom" align="center">5 (4.8)</td>
<td valign="bottom" align="center">104</td>
</tr>
<tr>
<td valign="bottom" align="center">Z&#xe1;h. Ves (%)</td>
<td valign="bottom" align="center">128 (46.7)</td>
<td valign="bottom" align="center">30 (10.9)</td>
<td valign="bottom" align="center">8 (2.9)</td>
<td valign="bottom" align="center">63 (23.0)</td>
<td valign="bottom" align="center">25 (9.1)</td>
<td valign="bottom" align="center">0</td>
<td valign="bottom" align="center">-</td>
<td valign="bottom" align="center">20 (7.3)</td>
<td valign="bottom" align="center">274</td>
</tr>
<tr>
<td valign="bottom" align="center">Malacky (%)</td>
<td valign="bottom" align="center">225 (63.2)</td>
<td valign="bottom" align="center">64 (18.0)</td>
<td valign="bottom" align="center">10 (2.8)</td>
<td valign="bottom" align="center">38 (10.7)</td>
<td valign="bottom" align="center">3 (0.8)</td>
<td valign="bottom" align="center">13 (3.7)</td>
<td valign="bottom" align="center">3 (0.8)</td>
<td valign="bottom" align="center">19* (5.3)</td>
<td valign="bottom" align="center">375</td>
</tr>
<tr>
<td valign="bottom" align="center">Vrbovce (%)</td>
<td valign="bottom" align="center">29 (59.2)</td>
<td valign="bottom" align="center">8 (16.3)</td>
<td valign="bottom" align="center">0</td>
<td valign="bottom" align="center">6 (12.2)</td>
<td valign="bottom" align="center">2 (4.1)</td>
<td valign="bottom" align="center">0</td>
<td valign="bottom" align="center">-</td>
<td valign="bottom" align="center">4 (8.2)</td>
<td valign="bottom" align="center">49</td>
</tr>
<tr>
<td valign="bottom" align="center">Jursk&#xfd; &#x160;&#xfa;r (%)</td>
<td valign="bottom" align="center">13 (8.2)</td>
<td valign="bottom" align="center">66 (41.8)</td>
<td valign="bottom" align="center">0</td>
<td valign="bottom" align="center">59 (37.3)</td>
<td valign="bottom" align="center">1 (0.6)</td>
<td valign="bottom" align="center">1 (0.6)</td>
<td valign="bottom" align="center">-</td>
<td valign="bottom" align="center">18 (11.4)</td>
<td valign="bottom" align="center">158</td>
</tr>
<tr>
<td valign="bottom" align="center">F&#xfa;gelka (%)</td>
<td valign="bottom" align="center">120 (35.0)</td>
<td valign="bottom" align="center">146 (42.6)</td>
<td valign="bottom" align="center">9 (2.6)</td>
<td valign="bottom" align="center">44 (12.8)</td>
<td valign="bottom" align="center">14 (4.1)</td>
<td valign="bottom" align="center">2 (0.6)</td>
<td valign="bottom" align="center">1 (0.3)</td>
<td valign="bottom" align="center">7 (2.0)</td>
<td valign="bottom" align="center">343</td>
</tr>
<tr>
<td valign="bottom" align="center">Tren&#x10d;&#xed;n (%)</td>
<td valign="bottom" align="center">7 (17.5)</td>
<td valign="bottom" align="center">18 (45.0)</td>
<td valign="bottom" align="center">4 (10.0)</td>
<td valign="bottom" align="center">10 (25.0)</td>
<td valign="bottom" align="center">1 (2.5)</td>
<td valign="bottom" align="center">0</td>
<td valign="bottom" align="center">-</td>
<td valign="bottom" align="center">0</td>
<td valign="bottom" align="center">40</td>
</tr>
<tr>
<td valign="bottom" align="center">Mart. hole (%)</td>
<td valign="bottom" align="center">113 (21.5)</td>
<td valign="bottom" align="center">62 (11.8)</td>
<td valign="bottom" align="center">19 (3.6)</td>
<td valign="bottom" align="center">28 (5.3)</td>
<td valign="bottom" align="center">294 (55.9)</td>
<td valign="bottom" align="center">0</td>
<td valign="bottom" align="center">-</td>
<td valign="bottom" align="center">10 (1.9)</td>
<td valign="bottom" align="center">526</td>
</tr>
<tr>
<td valign="bottom" align="center">Ko&#x161;ice (%)</td>
<td valign="bottom" align="center">83 (24.4)</td>
<td valign="bottom" align="center">140 (41.2)</td>
<td valign="bottom" align="center">41 (12.1)</td>
<td valign="bottom" align="center">50 (14.7)</td>
<td valign="bottom" align="center">1 (0.3)</td>
<td valign="bottom" align="center">1 (0.3)</td>
<td valign="bottom" align="center">-</td>
<td valign="bottom" align="center">24 (7.1)</td>
<td valign="bottom" align="center">340</td>
</tr>
<tr>
<td valign="bottom" align="center">Rozhanovce (%)</td>
<td valign="bottom" align="center">62 (36.3)</td>
<td valign="bottom" align="center">40 (23.4)</td>
<td valign="bottom" align="center">14 (8.2)</td>
<td valign="bottom" align="center">37 (21.6)</td>
<td valign="bottom" align="center">13 (7.6)</td>
<td valign="bottom" align="center">5 (2.9)</td>
<td valign="bottom" align="center">-</td>
<td valign="bottom" align="center">9** (3.5)</td>
<td valign="bottom" align="center">180</td>
</tr>
<tr>
<td valign="bottom" align="center">Z&#xe1;diel (%)</td>
<td valign="bottom" align="center">4 (12.9)</td>
<td valign="bottom" align="center">2 (6.5)</td>
<td valign="bottom" align="center">2 (6.5)</td>
<td valign="bottom" align="center">14 (45.2)</td>
<td valign="bottom" align="center">2 (6.5)</td>
<td valign="bottom" align="center">5 (16.1)</td>
<td valign="bottom" align="center">-</td>
<td valign="bottom" align="center">2 (6.5)</td>
<td valign="bottom" align="center">31</td>
</tr>
<tr>
<td valign="bottom" align="center">Brzot&#xed;n (%)</td>
<td valign="bottom" align="center">10 (47.6)</td>
<td valign="bottom" align="center">6 (28.6)</td>
<td valign="bottom" align="center">1 (4.8)</td>
<td valign="bottom" align="center">4 (19.0)</td>
<td valign="bottom" align="center">0</td>
<td valign="bottom" align="center">0</td>
<td valign="bottom" align="center">-</td>
<td valign="bottom" align="center">
</td>
<td valign="bottom" align="center">21</td>
</tr>
<tr>
<td valign="bottom" align="center">Drienovec (%)</td>
<td valign="bottom" align="center">126 (53.4)</td>
<td valign="bottom" align="center">49 (20.8)</td>
<td valign="bottom" align="center">0</td>
<td valign="bottom" align="center">42 (17.8)</td>
<td valign="bottom" align="center">5 (2.1)</td>
<td valign="bottom" align="center">0</td>
<td valign="bottom" align="center">-</td>
<td valign="bottom" align="center">14 (5.9)</td>
<td valign="bottom" align="center">236</td>
</tr>
<tr>
<td valign="bottom" align="center">Total (%)</td>
<td valign="bottom" align="center">1173</td>
<td valign="bottom" align="center">779</td>
<td valign="bottom" align="center">131</td>
<td valign="bottom" align="center">486</td>
<td valign="bottom" align="center">399</td>
<td valign="bottom" align="center">51</td>
<td valign="bottom" align="center">4</td>
<td valign="bottom" align="center">135</td>
<td valign="bottom" align="center">3158</td>
</tr>
<tr>
<td valign="bottom" align="center">Prevalence</td>
<td valign="bottom" align="center">37.1%</td>
<td valign="bottom" align="center">24.7%</td>
<td valign="bottom" align="center">4.1%</td>
<td valign="bottom" align="center">15.4%</td>
<td valign="bottom" align="center">12.6%</td>
<td valign="bottom" align="center">1.6%</td>
<td valign="bottom" align="center">0.1%</td>
<td valign="bottom" align="center">4.3%</td>
<td valign="bottom" align="center">
</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>BA-PB, Bratislava - Podunajsk&#xe9; Biskupice; BA-SAS, Bratislava &#x2013; Slovak Academy of Sciences; BA-HP, Bratislava &#x2013; Horsk&#xfd; park; BA-&#x17d;S, Bratislava &#x2013; &#x17d;elezn&#xe1; studni&#x10d;ka. *one tick infected with <italic>B. bissettii</italic>; **one tick infected with <italic>B. kurtenbachii</italic>.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>Co-infections with two, three and/or four species were detected in 4.3% of infected ticks. Among mixed infections, <italic>B. garinii</italic> + <italic>B. valaisiana</italic> was the most frequent (56.3%) followed by <italic>B. afzelii</italic> mixed with <italic>B. valaisiana</italic> (10.4%) and <italic>B. garinii</italic> (8.9%). Prevalence of other species combinations ranged from 1.5 to 6.7%. <italic>Borrelia bissettii</italic> and <italic>Borrelia kurtenbachii</italic> (in mixed infection with <italic>B. burgdorferi</italic> s.s., <italic>B. garinii</italic> and <italic>B. valaisiana</italic>) were detected in one tick from Malacky and in one tick from Rozhanovce, respectively (<xref ref-type="bibr" rid="B19">Hanincov&#xe1; et&#xa0;al., 2003a</xref>; <xref ref-type="bibr" rid="B29">Kazim&#xed;rov&#xe1; et&#xa0;al., 2023</xref>). The proportions of eleven types of detected co-infections is shown in <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>
<italic>Borrelia burgdorferi</italic> s.l. species in mixed infections. ga - <italic>B. garinii</italic>, va - <italic>B. valaisiana</italic>, af - <italic>B. afzelii</italic>, ss - <italic>B. burgdorferi</italic> s.s., lus - <italic>B. lusitaniae</italic>, bis - <italic>B. bissettii</italic>, kurt - <italic>B. kurtenbachii</italic>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1496925-g002.tif"/>
</fig>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>Changes in the infection prevalence and diversity of <italic>B. burgdorferi</italic> s.l. species during the monitored years</title>
<sec id="s3_5_1">
<label>3.5.1</label>
<title>&#x17d;elezn&#xe1; studni&#x10d;ka (suburban habitat, six years monitored)</title>
<p>The total infection prevalence was 13.5% (95% CI: 12.2-15.0). The lowest prevalence was recorded in 2013 (8.1%, 95% CI: 6.5-11.3) and in 2017 tick positivity increased (26.1%, 95% CI: 19.0-34.6). Differences in the prevalence of infected ticks were significant between study years (t = 6.26, p &lt; 0.05). <italic>Borrelia afzelii</italic> predominated in all studied years except for 2013 when <italic>B. valaisiana</italic> and <italic>B. garinii</italic>/<italic>B. bavariensis</italic> dominated. <italic>Borrelia lusitaniae</italic> was recorded during three study years (2011, 2012, 2013), <italic>B. burgdorferi</italic> s.s. in 2012, 2013 and 2019 (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Total infection prevalence and representation of <italic>B. burgdorferi</italic> s.l. species in Bratislava - &#x17d;elezn&#xe1; studni&#x10d;ka.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1496925-g003.tif"/>
</fig>
</sec>
<sec id="s3_5_2">
<label>3.5.2</label>
<title>Malacky (urban park, nine years monitored)</title>
<p>The total infection prevalence was 19.3% (95% CI: 17.6 &#x2013; 21.0), whereas differences in the prevalence of infected ticks were significant between study years (t = 6.41, p &lt; 0.05). The lowest prevalence of <italic>Borrelia</italic>-positive ticks was recorded in 2004 (5.1%, 95% CI: 3.6-7.1). <italic>Borrelia afzelii</italic> was dominant in all study years. <italic>Borrelia garinii</italic>/<italic>B. bavariensis</italic> was the second most frequent species during the years 1999, 2008, 2017, and 2019. <italic>Borrelia valaisiana</italic> had a higher representation only in 2001-2002 and 2004. <italic>Borrelia lusitaniae</italic> was detected only in samples collected in 2007. <italic>Borrelia burgdorferi</italic> s.s. and <italic>B. spielmanii</italic> were detected in a low percentage in several years. At this site, <italic>B. bavariensis</italic> was confirmed in three ticks (2017, 2018, 2019) (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref>).</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Total infection prevalence and representation of <italic>B. burgdorferi</italic> s.l. species in Malacky.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1496925-g004.tif"/>
</fig>
</sec>
<sec id="s3_5_3">
<label>3.5.3</label>
<title>Martinsk&#xe9; hole (natural habitat, 11 years monitored)</title>
<p>Prevalence of infected ticks fluctuated between study years (14.7%, 95% CI: 9.9-21.2; 46.1%, 95% CI: 38.9-53.4). The total infection prevalence was 28.5% (95% CI: 26.6-30.6). Differences in the prevalence of infected ticks were significant between study years (t = 8.56, p &lt; 0.05). <italic>Borrelia lusitaniae</italic> clearly dominated in six years (2004, 2006-2007, 2009, 2010-2011). From 2013 the proportion of ticks infected with this species gradually decreased. <italic>Borrelia burgdorferi</italic> s.s. was detected in a small number of ticks during the monitored period with the exception of the last two years. <italic>Borrelia garinii</italic>/<italic>B. bavariensis</italic> predominated in 2017-2019. <italic>Borrelia valaisiana</italic> was recorded in a low percentage during all study years with the exception of 2008 (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5</bold>
</xref>).</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Total infection prevalence and representation of <italic>B. burgdorferi</italic> s.l. species in Martinsk&#xe9; hole.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1496925-g005.tif"/>
</fig>
</sec>
<sec id="s3_5_4">
<label>3.5.4</label>
<title>Drienovsk&#xe1; mokra&#x10f; (natural habitat, five years monitored)</title>
<p>The total infection prevalence was 25.8% (95% CI: 23.0-28.7). Differences in the prevalence of infected ticks were not significant between the study years (t = 14.63, p &lt; 0.05). <italic>Borrelia afzelii</italic> was the dominant species in four years (2013, 2017-2019), followed by <italic>B. garinii</italic>/<italic>B. bavariensis</italic> and <italic>B. valaisiana</italic> which were dominant in 2002. <italic>Borrelia lusitaniae</italic> was found only in 2019 (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6</bold>
</xref>).</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Total infection prevalence and representation of <italic>B. burgdorferi</italic> s.l. species in Drienovsk&#xe1; mokra&#x10f;.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1496925-g006.tif"/>
</fig>
</sec>
<sec id="s3_5_5">
<label>3.5.5</label>
<title>Rozhanovce (agricultural habitat, six years monitored)</title>
<p>The total infection prevalence was 13.4% (95% CI: 11.7-15.3). Differences in the prevalence of infected ticks were significant between study years (t = 5.17, p &lt; 0.05). The most frequent species were <italic>B. afzelii</italic> (2007, 2008, 2011, 2012), <italic>B. garinii</italic>/<italic>B. bavariensis</italic> (predominant in 2013) and <italic>B. valaisiana</italic> (2007). <italic>Borrelia burgdorferi</italic> s.s. was detected in 2007, 2011, 2012 (with evident increase) and 2013 (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7</bold>
</xref>).</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>Total infection prevalence and representation of <italic>B. burgdorferi</italic> s.l. species in Rozhanovce.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1496925-g007.tif"/>
</fig>
</sec>
<sec id="s3_5_6">
<label>3.5.6</label>
<title>Ko&#x161;ice (suburban habitat, nine years monitored)</title>
<p>Total infection prevalence was 22.4% (95% CI: 20.4-24.5). Differences in the prevalence of infected ticks were significant between study years (t = 7.51, p &lt; 0.05). The lowest proportion of <italic>Borrelia</italic>-positive ticks was recorded in 2003 (13.1%, 95% CI: 9.3-18.3). From this year the infection prevalence was increasing up to 37.2% (95% CI: 28.8-46.4) in 2018. In the first studied year <italic>B. burgdorferi</italic> s.s. predominated (31.7%) and <italic>B. garinii</italic>/<italic>B. bavariensis</italic> was the most frequent in 2003, 2004, 2005 and 2017. <italic>Borrelia afzelii</italic> dominated in 2013 and 2018. <italic>Borrelia valaisiana</italic> was recorded in all years with the exception of 2003 and 2004 (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8</bold>
</xref>).</p>
<fig id="f8" position="float">
<label>Figure&#xa0;8</label>
<caption>
<p>Total infection prevalence an representation of <italic>B. burgdorferi</italic> s.l. species in Ko&#x161;ice.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1496925-g008.tif"/>
</fig>
</sec>
</sec>
<sec id="s3_6">
<label>3.6</label>
<title>Prevalence of <italic>Borrelia burgdorferi</italic> s.l. in ticks from four habitat types</title>
<p>The total prevalence differed significantly among four habitat types (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>) (t = 9.66, p &lt; 0.05). The highest prevalence was confirmed in the natural habitat (22.0%), the lowest in the urban habitat (13.2%).</p>
<p>
<italic>Borrelia afzelii</italic> predominated in all habitats, but had the highest affinity to urban and agricultural habitats. <italic>Borrelia valaisiana</italic> and <italic>B. garinii</italic>/<italic>B. bavariensis</italic> were the most frequent species (33.0%) at suburban sites, which was also confirmed by PCA analysis (<xref ref-type="table" rid="T4">
<bold>Table&#xa0;4</bold>
</xref>; <xref ref-type="fig" rid="f9">
<bold>Figure&#xa0;9</bold>
</xref>). <italic>Borrelia lusitaniae</italic> was positively associated with the natural habitat. However, it is not possible to draw definitive conclusions based on the PCA analysis in case of <italic>B. burgdorferi</italic> s.s. and <italic>B. spielmanii</italic>. To confirm the correlation, it is necessary to obtain more samples of both agents.</p>
<table-wrap id="T4" position="float">
<label>Table&#xa0;4</label>
<caption>
<p>Number of positive <italic>Ixodes ricinus</italic> ticks and prevalence of <italic>B. burgdorferi</italic> s.l. species in urban/suburban/natural/agricultural habitats.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="bottom" align="left">Habitat</th>
<th valign="bottom" align="center">No. of positive/tested ticks<break/>(%)</th>
<th valign="bottom" align="center">
<italic>B.&#xa0;afzelii</italic>&#xa0;(%)</th>
<th valign="bottom" align="center">
<italic>B.&#xa0;garinii/</italic>
<break/>
<italic>B.&#xa0;bavariensis</italic>&#xa0;(%)</th>
<th valign="bottom" align="center">
<italic>B.&#xa0;valaisiana</italic>&#xa0;(%)</th>
<th valign="bottom" align="center">
<italic>B.&#xa0;lusitaniae</italic>&#xa0;(%)</th>
<th valign="bottom" align="center">
<italic>B.&#xa0;spielmanii</italic>&#xa0;(%)</th>
<th valign="bottom" align="center">
<italic>B.&#xa0;burgdorferi</italic>&#xa0;s.s.&#xa0;(%)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="bottom" align="left">Urban</td>
<td valign="bottom" align="center">582/4404<break/>(13.2)</td>
<td valign="bottom" align="center">283<break/>(48.6)</td>
<td valign="bottom" align="center">113<break/>(19.4)</td>
<td valign="bottom" align="center">71<break/>(12.2)</td>
<td valign="bottom" align="center">17<break/>(2.9)</td>
<td valign="bottom" align="center">28<break/>(4.8)</td>
<td valign="bottom" align="center">24<break/>(4.1)</td>
</tr>
<tr>
<td valign="bottom" align="left">Suburban</td>
<td valign="bottom" align="center">975/5019<break/>(19.4)</td>
<td valign="bottom" align="center">298<break/>(30.6)</td>
<td valign="bottom" align="center">322<break/>(33.0)</td>
<td valign="bottom" align="center">177<break/>(18.2)</td>
<td valign="bottom" align="center">27<break/>(2.8)</td>
<td valign="bottom" align="center">11<break/>(1.1)</td>
<td valign="bottom" align="center">54<break/>(5.5)</td>
</tr>
<tr>
<td valign="bottom" align="left">Natural</td>
<td valign="bottom" align="center">1175/5330<break/>(22.0)</td>
<td valign="bottom" align="center">343<break/>(29.2)</td>
<td valign="bottom" align="center">266<break/>(22.6)</td>
<td valign="bottom" align="center">132<break/>(11.2)</td>
<td valign="bottom" align="center">315<break/>(26.8)</td>
<td valign="bottom" align="center">7<break/>(0.6)</td>
<td valign="bottom" align="center">31<break/>(2.6)</td>
</tr>
<tr>
<td valign="bottom" align="left">Agricultural</td>
<td valign="bottom" align="center">516/2496<break/>(20.7)</td>
<td valign="bottom" align="center">219<break/>(42.4)</td>
<td valign="bottom" align="center">78<break/>(15.1)</td>
<td valign="bottom" align="center">106<break/>(20.5)</td>
<td valign="bottom" align="center">40<break/>(7.8)</td>
<td valign="bottom" align="center">5<break/>(1.0)</td>
<td valign="bottom" align="center">22<break/>(4.3)</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="f9" position="float">
<label>Figure&#xa0;9</label>
<caption>
<p>Correlations between prevalence of <italic>B. burgdorferi</italic> s.l. species and habitat types.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-14-1496925-g009.tif"/>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<sec id="s4_1">
<label>4.1</label>
<title>
<italic>Ixodes ricinus/Ixodes inopinatus</italic>
</title>
<p>Some studies indicate the presence of <italic>I. inopinatus</italic> ticks not only in dry Mediterranean regions, but also at sites in Central Europe (CE) (<xref ref-type="bibr" rid="B5">Chitimia-Dobler et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B62">Toma et&#xa0;al., 2021</xref>). Its occurrence was recorded in several regions of Germany (<xref ref-type="bibr" rid="B4">Chitimia-Dobler et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B22">Hauck et&#xa0;al., 2019</xref>), sympatric occurrence with <italic>I. ricinus</italic> in Romania, in western Austria and southeastern Germany (<xref ref-type="bibr" rid="B5">Chitimia-Dobler et&#xa0;al., 2018</xref>). Natural hosts include foxes, sheep and lizards (<xref ref-type="bibr" rid="B10">Estrada-Pe&#xf1;a et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B5">Chitimia-Dobler et&#xa0;al., 2018</xref>). The species was recently recorded on migratory birds (<xref ref-type="bibr" rid="B62">Toma et&#xa0;al., 2021</xref>). On the other hand, the situation with regards to the presence of this tick species in CE is complicated (<xref ref-type="bibr" rid="B28">Kahl and Gray, 2023</xref>) and some studies suggest that it does not occur in CE (<xref ref-type="bibr" rid="B50">Rollins et&#xa0;al., 2023</xref>). Published data about <italic>I. inopinatus</italic> described by <xref ref-type="bibr" rid="B10">Estrada-Pe&#xf1;a et&#xa0;al. (2014)</xref> raise the question of whether this species also occurs in Slovakia. Based on published data, we sequenced randomly selected samples of ticks that were morphologically determined as <italic>I. ricinus</italic>. Our preliminary analyses have not confirmed the presence of <italic>I. inopinatus</italic> in Slovakia.</p>
</sec>
<sec id="s4_2">
<label>4.2</label>
<title>
<italic>Borrelia burgdorferi</italic> s.l.</title>
<p>
<italic>Borrelia burgdorferi</italic> s.l. complex is the subject of many epidemiological studies in Europe (<xref ref-type="bibr" rid="B47">Rauter and Hartung, 2005</xref>; <xref ref-type="bibr" rid="B58">Strnad et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B9">Estrada-Pe&#xf1;a et&#xa0;al., 2018</xref>). Global warming and climate change in Central Europe (CE) has an impact on the geographic distribution and seasonal activity of ticks and pathogens they carry as well as on the occurrence and population density of their hosts (<xref ref-type="bibr" rid="B32">Lindgren et&#xa0;al., 2000</xref>; <xref ref-type="bibr" rid="B42">Nuttall, 2022</xref>).</p>
<p>Long-term studies on the prevalence of <italic>B. burgdorferi</italic> s.l. are rare although monitoring of changes in the prevalence and species diversity at the same sites can provide precious information on the impact of global changes on ticks and tick-borne pathogens. In the present study, we summarised data on the infection prevalence and distribution of species of the <italic>B. burgdorferi</italic> s.l. complex in questing <italic>I. ricinus</italic> ticks from 16 study sites in Slovakia and from over 20 years (1999-2019). The large package of data shows considerable spatial variability within the <italic>B. burgdorferi</italic> s.l. complex even in such a small geographic area as Slovakia. In addition, marked temporal differences in the prevalence of infected ticks were observed at the same localities. These results are consistent with other European studies on spatial and temporal changes in <italic>Borrelia</italic> prevalence (e.g. <xref ref-type="bibr" rid="B24">H&#xf6;nig et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B43">Okeyo et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B21">Hartemink et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B36">Medlock et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B13">Glass et&#xa0;al., 2023</xref>).</p>
<p>The abundance of <italic>I. ricinus</italic> is influenced by many factors and varies depending on the month/time of collection, as well as on changes that occur at individual sites over the years (for example, clearing of dense undergrowth in city parks, mowing of grassy areas etc.). Usually, nymphs are spread more uniformly than adult ticks and larvae (<xref ref-type="bibr" rid="B15">Gray et&#xa0;al., 2021</xref>). The relative abundance of questing <italic>I. ricinus</italic> nymphs in a three-year study from five selected central European countries was found to be associated with climatic conditions, but mainly with the Normalized Difference Vegetation Index, and did not significantly depend on land use categories (<xref ref-type="bibr" rid="B51">Ros&#xe0; et&#xa0;al., 2018</xref>). In Slovakia, the highest density of nymphs was found in green urban sites, whereas by summarizing data from all studied countries and habitat types (urban, suburban, natural, agricultural), density of nymphs was highest in the natural habitats (<xref ref-type="bibr" rid="B51">Ros&#xe0; et&#xa0;al., 2018</xref>). In our analysed datasets, nymphs were more abundant at ten study sites whereas adult ticks prevailed at five study sites. We recorded a higher overall infection prevalence of <italic>B. burgdorferi</italic> s.l. (18.8%) compared to the meta-analyses for Central Europe: 13.7% (<xref ref-type="bibr" rid="B47">Rauter and Hartung, 2005</xref>) and 12.3% (<xref ref-type="bibr" rid="B58">Strnad et&#xa0;al., 2017</xref>). The prevalence of <italic>Borrelia</italic>-infected nymphs (15.1%) in Slovakia was higher than 10.1% and 11.8% in the datasets from 1984-2003 (<xref ref-type="bibr" rid="B47">Rauter and Hartung, 2005</xref>) and from 2010-2016 (<xref ref-type="bibr" rid="B58">Strnad et&#xa0;al., 2017</xref>), respectively. The situation was similar for adult ticks with 24.3% positive ticks in 1999-2019 (our study) in contrast to previous studies - 18.6% (<xref ref-type="bibr" rid="B47">Rauter and Hartung, 2005</xref>) and 14.9% (<xref ref-type="bibr" rid="B58">Strnad et&#xa0;al., 2017</xref>). In contrast, the overall <italic>Borrelia</italic> prevalence in nymphs based on data from Slovakia, Germany and Italy for 2011-2013 was 19.3% (<xref ref-type="bibr" rid="B51">Ros&#xe0; et&#xa0;al., 2018</xref>).</p>
<p>In our study, the lowest infection prevalence was recorded in urban areas (13.2%) while in a long-term study from the city of Hanover (Germany) the prevalence of infected ticks was as high as 25.5% (<xref ref-type="bibr" rid="B13">Glass et&#xa0;al., 2023</xref>). In comparison with urban sites of Slovakia, higher <italic>Borrelia</italic> prevalence was recorded in suburban, natural and agricultural sites which have more diverse vertebrate hosts composition (<xref ref-type="bibr" rid="B49">Rizzoli et&#xa0;al., 2014</xref>; <xref ref-type="bibr" rid="B29">Kazim&#xed;rov&#xe1; et&#xa0;al., 2023</xref>). Spatial and temporal changes in the borrelial prevalence even within small geographical areas were reported from Slovakia, e.g., by <xref ref-type="bibr" rid="B44">Pangr&#xe1;cov&#xe1; et&#xa0;al. (2013)</xref> and <xref ref-type="bibr" rid="B29">Kazim&#xed;rov&#xe1; et&#xa0;al. (2023)</xref>. Depending on the location and habitat type, prevalence of infected ticks ranged from 1.0% to 27.8% (nymphs) and from 0% to 49.4% (adults). Total prevalence was found to range between 0% and 38.3% in urban/suburban sites, between 8.0% and 29.4% in natural sites and between 32.3% and 38.1% in agricultural sites and ecotones (see <xref ref-type="bibr" rid="B29">Kazim&#xed;rov&#xe1; et&#xa0;al., 2023</xref>).</p>
<p>The distribution of <italic>B. burgdorferi</italic> s.l. species in a site depends on the presence of appropriate reservoir hosts (<xref ref-type="bibr" rid="B67">Wolcott et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B57">Steinbrink et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B11">Estrada-Pe&#xf1;a et&#xa0;al., 2024</xref>). In total, nine species were identified in our study. <italic>Borrelia afzelii</italic>, <italic>B. garinii</italic>/<italic>bavariensis</italic> and <italic>B. valaisiana</italic> were the most frequent and were confirmed at all study sites. These results are consistent with data from other European studies (<xref ref-type="bibr" rid="B58">Strnad et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B38">Mysterud et&#xa0;al., 2019</xref>). In the suburban habitat, bird-associated species (<italic>B. garinii</italic> and <italic>B. valaisiana</italic>) prevailed, which may be related to the high number of songbirds in urban forest parks. <italic>Borrelia lusitaniae</italic> was confirmed in 12.8% positive samples from Slovakia, which is a higher proportion than 7% in the study of <xref ref-type="bibr" rid="B58">Strnad et&#xa0;al. (2017)</xref>. This was caused by a high proportion of <italic>B. lusitaniae</italic>-positive ticks (73.7%) from a natural focus in a mountain region in Slovakia, Martinsk&#xe9; hole Mts., that is not typical of Central Europe (<xref ref-type="bibr" rid="B52">Rus&#x148;&#xe1;kov&#xe1; Tarage&#x13e;ov&#xe1; et&#xa0;al., 2016</xref>). According to our results, this species has an affinity to the natural habitat, but the results are skewed by high number of <italic>B. lusitaniae</italic>-positive ticks from one study site only. By our previous methodology, identification of <italic>B. bavariensis</italic> was not possible, but we assume that confirmed infections with <italic>B. garinii</italic> might have included this species. The presence of <italic>B. bavariensis</italic> was confirmed in Slovakia by <xref ref-type="bibr" rid="B18">Ham&#x161;&#xed;kov&#xe1; et&#xa0;al. (2017)</xref> and in a former study as the <italic>B. garinii</italic> ospA serotype 4 (<xref ref-type="bibr" rid="B30">Len&#x10d;&#xe1;kov&#xe1; et&#xa0;al., 2006</xref>). The rare species <italic>B. bissettii</italic> and <italic>B. kurtenbachii</italic> have been detected in Slovakia only once, and in coinfections with other <italic>Borrelia</italic> species (<xref ref-type="bibr" rid="B20">Hanincov&#xe1; et&#xa0;al., 2003b</xref>; <xref ref-type="bibr" rid="B29">Kazim&#xed;rov&#xe1; et&#xa0;al., 2023</xref>).</p>
<p>Global changes are affecting all components of the natural foci of tick-borne diseases (<xref ref-type="bibr" rid="B14">Gray et&#xa0;al., 2009</xref>). Changes in the diversity of <italic>Borrelia</italic> species at the monitored sites in Slovakia were probably due to the influence of several factors:</p>
<list list-type="alpha-lower">
<list-item>
<p>spectrum and/or abundance of competent reservoir hosts for <italic>B. burgdorferi</italic> s.l.;</p>
</list-item>
<list-item>
<p>changes in the environment (natural and/or due to human activities);</p>
</list-item>
<list-item>
<p>various methodologies for the detection of <italic>B. burgdorferi</italic> s.l.;</p>
</list-item>
<list-item>
<p>unequal numbers of collected ticks in individual years and study sites.</p>
</list-item>
</list>
<p>As <italic>B. afzelii</italic> is associated with rodents, increasing/decreasing of the prevalence of this species may be driven by natural fluctuations in rodent population densities (<xref ref-type="bibr" rid="B13">Glass et&#xa0;al., 2023</xref>) as well as by changes in the species composition of the rodent communities. For example, high population densities of the common vole (<italic>Microtus arvalis</italic>), the major reservoir host for <italic>B. afzelii</italic> (<xref ref-type="bibr" rid="B46">Radzijevskaja et&#xa0;al., 2013</xref>), were registered Europe-wide (<xref ref-type="bibr" rid="B27">Jacob et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B23">Heroldov&#xe1; et&#xa0;al., 2021</xref>), and the striped field mouse (<italic>Apodemus agrarius</italic>) is currently expanding its range (<xref ref-type="bibr" rid="B63">Tulis et&#xa0;al., 2023</xref>). In years with low population densities of rodents, song birds being reservoirs of <italic>B. garinii</italic> and <italic>B. valaisiana</italic> may become the major feeding hosts and sources of infection for <italic>I. ricinus</italic>, especially in urban and suburban areas (<xref ref-type="bibr" rid="B49">Rizzoli et&#xa0;al., 2014</xref>). <italic>Borrelia lusitaniae</italic> dominated at Martinsk&#xe9; hole until 2013, but since then its prevalence has been decreasing. At this location, a large area of the forest was destroyed, so the composition of tick hosts has probably changed.</p>
</sec>
</sec>
<sec id="s5" sec-type="conclusions">
<label>5</label>
<title>Conclusions</title>
<p>The analysis of a large dataset of <italic>B. burgdorferi</italic> s.l. infections in questing <italic>I. ricinus</italic> nymphs and adults collected during over 20 years from a number of sites representing different habitat types of Slovakia revealed (1) the presence of infected ticks in all explored sites, (2) spatial and temporal differences in the prevalence of infections and in the diversity of <italic>Borrelia</italic> species. Nine species were found to occur, with <italic>B. afzelii</italic> and <italic>B. garinii</italic> prevailing. Presence of human-pathogenic <italic>Borrelia</italic> species was confirmed in all studied sites. Depending on the site, these comprised <italic>B. afzelii</italic> and <italic>B. garinii, B. burgdorferi</italic> s.s, <italic>B. bavariensis</italic> and <italic>B. spielmanii.</italic> Urban/suburban green areas and parks have been identified as foci for circulation of pathogenic <italic>Borrelia</italic> species and represent areas with high epidemiological risk. Long-term monitoring of the presence and prevalence of <italic>Borrelia</italic> infections in ticks is needed to unravel new foci of the pathogens and confirm the maintenance of existing foci in a changing environment.</p>
</sec>
</body>
<back>
<sec id="s6" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Material</bold>
</xref>. Further data are publicly available and can be found here: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.6084/m9.figshare.27967431.v1">https://doi.org/10.6084/m9.figshare.27967431.v1</ext-link>. Further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s7" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The manuscript presents research on animals that do not require ethical approval for their study.</p>
</sec>
<sec id="s8" sec-type="author-contributions">
<title>Author contributions</title>
<p>VR: Conceptualization, Data curation, Funding acquisition, Investigation, Methodology, Project administration, Resources, Validation, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing. MD: Conceptualization, Data curation, Funding acquisition, Investigation, Methodology, Supervision, Validation, Writing &#x2013; review &amp; editing. DS: Funding acquisition, Investigation, Methodology, Validation, Writing &#x2013; review &amp; editing. MC: Formal analysis, Investigation, Methodology, Writing &#x2013; review &amp; editing. BM: Formal Analysis, Investigation, Methodology, Visualization, Writing &#x2013; review &amp; editing. YD: Investigation, Methodology, Writing &#x2013; review &amp; editing. JK: Investigation, Methodology, Writing &#x2013; review &amp; editing. SK: Methodology, Writing &#x2013; review &amp; editing. BV: Writing &#x2013; review &amp; editing. BP: Methodology, Writing &#x2013; review &amp; editing. MS: Methodology, Writing &#x2013; review &amp; editing. MK: Conceptualization, Funding acquisition, Methodology, Resources, Validation, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing.</p>
</sec>
<sec id="s9" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This study was financially supported by the Scientific Grant Agency of Ministry of Education and SAS, by the projects VEGA no. 2/0137/21, no. 2/0004/22 and Slovak Research and Development Agency of the Ministry of Education, Science, Research and Sport of the Slovak Republic APVV-22-0372.</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>We thank Kl&#xe1;ra Hanincov&#xe1;, Tatiana Ko&#x161;&#x165;&#xe1;lov&#xe1;, Lenka Mahr&#xed;kov&#xe1;, Elena Ondriskov&#xe1;, Ivana C&#xed;glerov&#xe1;, Katar&#xed;na Cabadajov&#xe1;, Zuzana &#x10c;u&#x17e;iov&#xe1;, Tatiana Miku&#x161;ov&#xe1;, Jasna Kraljik, Zuzana Ham&#x161;&#xed;kov&#xe1;, Lucia Bla&#x148;arov&#xe1;, Ren&#xe1;ta Ivanov&#xe1;, and Radovan V&#xe1;clav, for the tick collections and laboratory work.</p>
</ack>
<sec id="s10" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s11" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s12" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fcimb.2024.1496925/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fcimb.2024.1496925/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.pdf" id="SF1" mimetype="application/pdf"/>
<supplementary-material xlink:href="Supplementaryfile1.pdf" id="SM1" mimetype="application/pdf"/>
<supplementary-material xlink:href="Supplementaryfile2.pdf" id="SM2" mimetype="application/pdf"/>
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