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Molecular epidemiological study on ticks and tick-borne protozoan parasites (Apicomplexa: Cytauxzoon and Hepatozoon spp.) from wild cats (Felis silvestris), Mustelidae and red squirrels (Sciurus vulgaris) in central Europe, Hungary



Among live wild mammals adapted to urban and peri-urban habitats in Europe, members of the families Felidae, Mustelidae and Sciuridae deserve special attention as pathogen reservoirs because all of these families include members that are kept as pets. We report here the results of our study on two important groups of tick-borne protozoan parasites in ticks and tissues of wild cats, mustelids and red squirrels.


DNA was extracted from the tissues of carnivores (wild cats, mustelids; n = 16) and red squirrels (n = 4), as well as from ixodid ticks (n = 89) collected from these hosts. These DNA extracts were screened for piroplasms and Hepatozoon spp. using conventional PCR analysis and sequencing. In addition, 53 pooled samples of 259 questing Haemaphysalis concinna ticks were evaluated for the presence of Hepatozoon DNA, followed by phylogenetic analyses.


One wild cat was found to be coinfected with Cytauxzoon europaeus and a new genotype of Hepatozoon felis, and two additional wild cats were infected with H. felis from a different phylogenetic group. In mustelids, Hepatozoon martis and two further Hepatozoon genotypes were detected. The latter clustered separately, close to others reported from eastern Asia. In addition, Hepatozoon sciuri was detected in red squirrels. Morphologic and molecular analyses verified eight tick species. One wild cat was infected with a H. felis genotype that was significantly different from that in Ixodes ricinus females infesting this cat. Only three pools of questing H. concinna nymphs tested positive for Hepatozoon, one of which contained H. martis.


This study provides the first evidence of the occurrence of any Cytauxzoon species and of three Hepatozoon species in Hungary. In addition to H. martis, two further mustelid-associated Hepatozoon genotypes were detected, one of which was new in terms of phylogenetic and broader geographical contexts. This may be the first indication that H. felis genotypes from both of its phylogenetic groups occur in Europe. This also appears to be the first evidence of H. felis and C. europaeus coinfection in felids in Europe, and of autochthonous H. felis infection in wild cats north of the Mediterranean Basin. New tick–host associations were also observed in this study. Based on the results, H. felis and H. martis might survive transstadially in I. ricinus and H. concinna, respectively.

Graphical Abstract


Ticks (Acari: Ixodidae) are frequently regarded as the most important transmitters of vector-borne pathogens in Europe [1, 2]. Among tick-borne pathogens, the vast majority of protozoan parasites belong to the phylum Apicomplexa. This phylum includes two categories of (mostly) tick-borne protozoa of major veterinary importance: the genus Hepatozoon and three genera of piroplasms (Babesia, Theileria and Cytauxzoon). Tick-borne species in these categories use ticks as biological vectors in different ways. Piroplasms are able to infect vertebrate hosts via tick saliva during a tick-bite. In contrast, Hepatozoon species do not reach the salivary gland of ticks during their development and, therefore, infection of a vertebrate host with tick-borne Hepatozoon species takes place via oral uptake of infected ticks [3].

In the context of the epidemiology of tick-borne diseases, wild animals are considered to be important reservoirs, from which livestock and pet animals can be infected via ticks shared by these hosts at different stages of the tick life-cycle [4]. This scenario is promoted by the growing interface between urban and natural habitats [5]. From the point of view of mammals that occur in urban/synanthropic environments, with the exception of bats, carnivores and rodents may pose the highest risk of introducing ticks and tick-borne pathogens into human settlements and areas of animal-keeping facilities.

Among European carnivores, members of the family Mustelidae frequently live in urban or peri-urban areas or utilize agricultural landscapes [6]. Their populations are also increasing in several European countries [7, 8]. Importantly, mustelids are frequently kept in captivity as household pets [9] and may become tick-infested when they are walked, increasing the significance of knowledge on their tick-borne pathogens. Another important carnivore that is associated with rural and peri-urban habitats is the European wild cat (Felis silvestris), which is the most common wild felid species in Europe [10]. There is evidence that F. silvestris populations are hybridizing with domestic cats [10], reflecting interactions between wild and domestic feline hosts and implying that there are opportunities for ticks and tick-borne pathogens to cross between them.

Considering rodents living in parks and gardens in Europe, urban environments can support higher population densities of red squirrels (Sciurus vulgaris) than rural areas [11]. At the same time, several countries face the problem of invasive grey squirrels (Sciurus carolinensis), against which red squirrel populations should be protected [12]. Thus, knowledge on ticks and tick-borne pathogens affecting red squirrels is an important concern from the point of view of both issues, i.e. urbanization and biodiversity conservation efforts.

In light of the above, it is not surprising that during the past few years increasing attention has been paid to tick-borne protozoan parasites of felids, mustelids and red squirrels in Europe. With respect to piroplasms infecting feline hosts, it has recently been established that three different Cytauxzoon species exist in wild and domestic cats on the European continent. Accordingly, Cytauxzoon europaeus, C. banethi and C. otrantorum have been described as new species from samples collected in Germany, Czech Republic, Croatia and Bosnia and Herzegovina [13].

Among the Hepatozoon species occurring in wild and domestic cats as typical hosts, Hepatozoon felis appears to be the geographically most widespread [14]. In Europe, up to now, autochthonous infections with this species have almost exclusively been restricted to southern countries [15]. Hepatozoon silvestris, another Hepatozoon species affecting felids, has recently been described in wild cats from Bosnia and Herzegovina [16], and it was subsequently reported in Italy and the UK. This new species was also identified as the cause of a fatal infection in a domestic cat in Switzerland [17]. In addition, a new Hepatozoon species, H. martis, was discovered in martens (Mustelidae) in Croatia and Bosnia and Herzegovina [18], and also reported from badgers in Spain [19]. Last but not least, although H. sciuri is long known to occur in some European countries (e.g. the UK, Italy [20]), its molecular properties have been assessed in a large-scale survey only very recently [21].

Since the above surveys focused on southern Europe and involved eastern, western or central European countries only occasionally, but not Hungary, the present study was initiated to compensate for the current lack of molecular-phylogenetic data on Hepatozoon species and piroplasms in tissues of wild cats, mustelids and squirrels in Hungary (also including a canid, the raccoon dog which has not been hitherto analyzed for ticks and tick-borne protozoa in this country and is known to share its habitats with Mustelidae [22]). It was also within the scope of this work to analyze tick infestation of these animals. In addition, Hepatozoon DNA was screened in a large set of Haemaphysalis concinna ticks collected from the vegetation in 2007 on account of the suspected (or potential) vector role of this and closely related tick species in the transmission of Hepatozoon species, as previously proposed based on data from Hungary [23], Austria [18] and Japan [24].


For this study, 20 mammals were sampled, including 15 wild carnivores (representatives of six species) and four red squirrels (Table 1) which were found dead between 2015 and 2021, almost exclusively in Aggtelek National Park and its surroundings (northeastern Hungary). In addition, an EDTA-anticoagulated blood sample was collected from a tick-infested wolverine at the Budapest Zoo during regular veterinary care. The fur coat of each sampled animal was carefully checked for the presence of ticks, which were collected into vials containing 96% ethanol and stored until analysis. Tick species were identified according to standard keys [25,26,27]. In addition, pooled samples of 259 questing H. concinna ticks (88 males, 48 females, 52 larvae and 71 nymphs analyzed in 29, 16, 1 and 7 pools, respectively) from a previous, countrywide survey [28] were also evaluated for Hepatozoon DNA.

Table 1 Data of sample collection and results of molecular analyses of carnivores and on-host ticks

DNA extraction and PCR methods

For DNA extraction from tissues, samples were taken from the middle of organs to exclude surface contamination, using a sterile scalpel blade or scissors. All tissues were kept frozen at − 20 °C until processing. The DNA was extracted individually from 200 μl of collected blood or approximately 10 mg of spleen or 100 mg liver using the QIAamp DNA Mini Kit (Qiagen, Hilden Germany) according to the manufacturer’s tissue protocol, including extraction control (180 μl tissue lysis buffer processed in each group of samples) to monitor cross-contamination. In addition, DNA was extracted from ticks, with the protocol including an overnight digestion at 56 °C in tissue lysis buffer containing proteinase-K.

Primers and cycling conditions of the PCR analyses are summarized in Additional file 1: Table S1. In the conventional PCR used to detect piroplasms (including Cytauxzoon spp.), 5 µl of extracted DNA was added to 20 µl of reaction mixture containing 1.0 U HotStar Taq Plus DNA Polymerase (5 U/µl) (Qiagen), 0.5 µl dNTP Mix (10 mM), 0.5 µl of each primer (50 µM), 2.5 µl of 10× Coral Load PCR buffer (15 mM MgCl2 included) and 15.8 µl distilled water. In the PCR amplifying a fragment of the 18S rRNA gene of Hepatozoon spp. (approx. 650 bp), the protocol was modified by using 0.2 µl of each primer (50 µM), 1 µl extra MgCl2 (to a total of 25 mM) and 17.9 µl distilled water.

Sequence-verified positive controls were included in all PCR analyses: (i) in the 18S rRNA PCR for piroplasms, Babesia canis DNA (dog/In7); (ii) in the 18S rRNA PCR for Hepatozoon spp., Hepatozoon canis DNA (dog/Dima48); (iii) in the Cytauxzoon-specific PCRs amplifying part of the cytochrome c oxidase subunit I (cox1) and cytochrome b (cytb) genes, Cytauxzoon sp. DNA (from this study).

Sequencing and phylogenetic analyses

Purification and sequencing of the PCR products were performed by Biomi Ltd. (Gödöllő, Hungary). The newly generated sequences were submitted to GenBank under accession numbers OL409181 (for the shorter 18S rRNA sequence of Cytauxzoon); OL960183-OL960187, OM422754-OM422755 (for the shorter 18S rRNA gene sequences of Hepatozoon spp.; OM256565, OM283285 and OM421666 (for the longer sequences [18S rRNA, cox1, cytb genes] of Cytauxzoon, respectively); OM256566-OM256569 and OM422756 (for the long 18S rRNA gene fragment of Hepatozoon spp.); OM200350 (for the cox1 gene of Ixodes hexagonus); and OM200035-OM200066 for the 16S rRNA gene sequences of tick species (Table 1; Additional file 2: Table S2).

Sequences were aligned and compared to reference GenBank sequences by nucleotide BLASTn program ( All sequences retrieved from GenBank and included in the phylogenetic analysis had 98–100% coverage with sequences from this study. In the main phylogenetic analysis, including all Hepatozoon spp. and genotypes from this study, only the shorter 18S rRNA sequences could be used because for several closely related species/genotypes the longer 18S rRNA sequences generated here had no corresponding sequences (with similar length) in GenBank. This dataset was resampled 1000 times to generate bootstrap values. Phylogenetic analysis was conducted by using the maximum-likelihood method, and Tamura 3-parameter or Jukes-Cantor model according to the best-fit selection with the program MEGA 7.0 [29].


Molecular and phylogenetic analyses of piroplasms and Hepatozoon spp. in host tissues

Only one host individual, a wild cat (F. silvestris) was positive in the PCR analysis aimed at detecting piroplasms. Sequencing of the shorter and longer 18S rRNA gene fragments revealed the presence of a Cytauxzoon sp. in this animal, with 100% (1227/1227 bp) identity to several sequences available in GenBank from domestic cats in Switzerland (MF503141-MF503146, KU306941-KU306948). The long fragment of the cox1 gene of this haplotype had 100% (1524/1524 bp) sequence identity with only two GenBank sequences, one (MT916269) from Luxembourg and another (MT916265) from Germany. The species was determined to be Cytauxzoon europaeus, based on its 99.9% (1358/1360 bp) cox1 and 100% (1220/1220 bp) cytb sequence identities with those from the type material of this species (MT916240 and MT916191, respectively).

Twelve samples were positive in the PCR analysis aimed at detecting Hepatozoon species. The rate of PCR positivity was 75% (3/4) among wild cats, 66.7% (2/3) among beech martens, 100% (4/4) among European pine martens, 50% (1/2) among least weasels and 50% (2/4) among red squirrels (Table 1). Sequencing of the shorter and, whenever possible, the longer 18S rRNA gene fragments indicated the presence of the species described as follows.

Hepatozoon felis was identified in three wild cats, including the animal with C. europaeus infection (Table 1). The more frequent genotype of this species (i.e. detected in 2 wild cats [OL960187] and in 2 Ixodes ricinus females [OM422754] collected from the third wild cat) had the highest—but only 99.2% (1627/1640 bp)—sequence identity of its long 18S rRNA gene fragment with that of an isolate reported from domestic cat in Spain (AY628681). The phylogenetic tree based on the 650-bp 18S rRNA gene fragment showed that this genotype clustered in the clade of “genogroup I”, separately from other isolates of which corresponding sequences were available in GenBank (Fig. 1). Within “genogroup I”, based on the longer 18S RNA gene fragment (OM256568), its separation from the clade of the Spanish isolate (AY628681) received high (92%) support (Additional file 3: Figure S1). Importantly, however, from the third wild cat that was coinfected with C. europaeus, another H. felis genotype was amplified and sequenced (OM422756), showing only 98.2% (1625/1654 bp) 18S rRNA sequence identity to that from domestic cat in Spain (AY628681). Phylogenetically, this second H. felis genotype clustered in the clade of “genogroup II” (Fig. 1). Based on its longer 18S RNA gene fragment, its separation from H. silvestris (KX757032) received low (43%) support (Additional file 3: Figure S1).

Fig. 1
figure 1

Phylogenetic tree of Hepatozoon species and genotypes, constructed with the maximum likelihood method and the Jukes-Cantor model in MEGA 7.0. In each row, after the species or genus name, the isolation source, the country of origin and GenBank accession number are shown. Sequences obtained in this study are indicated in red font and bold accession numbers. The analysis involved 48 nucleotide sequences and 1000 bootstrap replications. There were a total of 586 positions in the final dataset. The scale bar indicates the number of substitutions per site

Hepatozoon martis was identified in three European pine martens (Martes martes) and in one beech marten (Martes foina) (Table 1). All sequences (OM256566, OM256567) were identical with each other, showing 100% (1652/1652 bp) identity in the 18S rRNA gene to an isolate reported from Croatia (MG136688). Their phylogenetic clustering confirmed this identity (Fig. 1; Additional file 3: Figure S1).

Two further Hepatozoon sp. genotypes were detected in mustelids, which clustered separately from H. martis (Fig. 1). One of these (OL960185) originated from a least weasel (Mustela nivalis) (Table 1) and had 100% (607/607 bp) sequence identity with two sequences deposited in GenBank: from two tick species (Haemaphysalis parva and Dermacentor marginatus) collected in Turkey (MK918614 and OM066227, respectively). The second Hepatozoon variant detected in both the European pine marten (OL960184) and beech marten (OL960188) in Hungary was a new genotype, showing up to 98.8% (601/608 bp) 18S rRNA sequence identity to those from an unreported tick species in China (KX870924- KX870925) and from a Japanese marten (Martes melampus) in Japan (FJ595132). The longer 18S rRNA sequence of this genotype was successfully amplified and had only 98.4% (1631/1658 bp) identity with that of Hepatozoon sp. European pine marten 1 (EF222257). The phylogenetic analysis of this longer sequence revealed separate clustering from both H. martis and Hepatozoon sp. European pine marten 1, with moderate (89%) bootstrap support (Additional file 3: Figure S1).

In addition, the shorter 18S rRNA gene sequence of H. sciuri was successfully amplified from two red squirrels (Sciurus vulgaris). This genotype had 100% (599/599 bp) sequence identity to several conspecific isolates, reported from the Czech Republic (MN104640), the Netherlands (MH656732) and Spain (EF222259).

It is noteworthy that PCR positivity was not always in agreement between DNA extracts of the spleen and liver from the same host individual. In the great majority of cases, spleen and liver DNA extracts showed parallel positivity or negativity for piroplasms and/or Hepatozoon sp. However, from a wild cat and a beech marten only the liver DNA extract tested positive in the PCR analysis for Hepatozoon spp., whereas from a least weasel and two red squirrels only the spleen DNA extract had a positive PCR result for Hepatozoon spp.

All three carnivore species which were represented by single individuals (Table 1), the wolverine (Gulo gulo), the Eurasian otter (Lutra lutra) and the common raccoon dog (Nyctereutes procyonoides) had PCR-negative results for piroplasms and Hepatozoon spp.

Morphologic and molecular analyses of ticks

Thirteen animals (out of 20) were infested with ticks. Morphologic and molecular analyses of 89 ticks verified the presence of I. ricinus and I. kaiseri on wild cats; I. ricinus, H. concinna, Dermacentor marginatus and D. reticulatus on European pine martens; I. ricinus and I. acuminatus on least weasels; I. hexagonus on wolverine; I. canisuga on Eurasian otter; I. ricinus and H. concinna on raccoon dog, as well as I. ricinus and D. marginatus on red squirrels (Table 1). None of the beech martens were infested with ticks. In the study material, I. kaiseri, I. canisuga and Dermacentor species were represented only by larvae, H. concinna by both larvae and nymphs, I. hexagonus and I. acuminatus only by females, whereas I. ricinus were represented by all developmental stages and both sexes (Table 1).

The cox1 or 16S rRNA haplotypes of these ticks were either identical or differed by 1–3 bp from specimens already reported in a closer or more distant geographical context, as reflected by GenBank data. This haplotype analysis reflected that while new (not yet reported) 16S rRNA sequences of I. ricinus, I. acuminatus and D. marginatus were also obtained, the majority of haplotypes of Ixodes species found in this study had already been reported in Europe, whereas those of the two Dermacentor species had only been reported in Central Asia (Additional file 2: Table S2). Interestingly, the haplotype of two ticks morphologically identified as I. ricinus was 100% identical in its 16S rRNA sequence with that of I. inopinatus from Algeria (Additional file 2: Table S2).

Molecular analyses of engorged ticks showed that all, some or none of the ticks had PCR-positive results when collected from the same PCR-positive host (Table 1). In the great majority of cases, sequencing yielded the same Cytauxzoon or Hepatozoon species and genotype in the host tissues and in the tick removed from that host, except for the wild cat coinfected with C. europaeus and H. felis as described above (Fig. 1). At the same time, ticks from hosts with PCR-negative results always had PCR-negative results (Table 1).

In addition, pooled DNA extracts of 259 questing males, females, nymphs and larvae of H. concinna were also tested for the presence of hepatozoon DNA. Only three samples had PCR-positive results, one of which yielded a product that could be sequenced. This sequence showed 100% (1652/1652 bp) 18S rRNA gene sequence identity with the H. martis isolate demonstrated above from beech marten and European pine marten, as well as with the one reported from Croatia (MG136688). Each of these PCR-positive pools were prepared from H. concinna nymphs, including ticks collected in north-northeastern Hungary where the majority of host samples in this study originated.


This study provides the first evidence for the occurrence of any Cytauxzoon species and of three Hepatozoon species (H. sciuri, H. felis, H. martis) in Hungary, as well as for the occurrence of latter species in central Europe. Two further mustelid-associated Hepatozoon genotypes were also detected, one of which was new and closely related to isolates reported so far only in Eastern Asia but not yet in Europe. In addition, the two H. felis genotypes found in wild cats in Hungary are new in the phylogenetic context. To the best of our knowledge, this is also the first report of H. felis and C. europaeus coinfection in any felid in Europe (where this was evaluated, no coinfection was found [30]).

Cytauxzoon europaeus, which was identified in a wild cat in the present study, appears to be the most widespread species of its genus in Europe, reported so far in Germany, the Czech Republic, Luxembourg, Bosnia and Herzegovina, Italy, Switzerland and France [14, 31]. While the clinical signs of infection in wild cats, if any, remain to be explored (taking into account that all studies conducted so far used postmortem sampling), domestic cats most often do not show relevant symptoms (e.g. anemia) and remain clinically unaffected [31]. This is in contrast to what is known of C. felis in North America [32]. Another major difference in this intercontinental comparison is that while the tick vectors of C. felis are known [32], this is not true for any of the European Cytauxzoon species. In this study, one of the two I. ricinus females that were collected from the Cytauxzoon-infected wild cat showed PCR positivity, and sequencing verified the presence of Cytauxzoon DNA in this tick. It cannot be ascertained if this is a consequence of taking up piroplasms with the blood meal from the infected cat, or whether this tick may have been the source of infection for its feline host. Nevertheless, as already suggested [33], I. ricinus is a likely candidate for a biological vector in the case of Cytauxzoon species in Europe.

Among the wild cats included in the present study, the rate of infection was higher with H. felis (3 of 4 cats found to be infected) than with C. europaeus. Autochthonous infections of domestic cats with H. felis have mostly been reported from Mediterranean region of Europe, including Portugal, Spain, France, Italy, Greece and Cyprus [16]. More recently, an isolated case of clinical infection has also been reported in a domestic cat from eastern Austria, the country neighboring western Hungary [34], and imported cases have also been reported in Germany [16]. Nevertheless, to the best of our knowledge, we report here the first case of autochthonous H. felis infection in wild cats north of the Mediterranean Basin (previously reported in Bosnia and Herzegovina [10]).

Importantly, the molecular and phylogenetic analyses indicated that two remarkably different genotypes of H. felis are present in wild cats in Hungary, clustering within both genogroups “I” and “II”. The first of these (in “genogroup I”) is also remarkably different from other previously reported genotypes of its clade, i.e. from H. felis reported from domestic cats (Spain) or Pantherinae (India) and ticks (Rhipicephalus sanguineus: Thailand, Turkey). Therefore, the findings of the present study add to the genetic diversity of H. felis, as reported previously [15], and warrant further investigations on its taxonomic status and heterogeneity.

The detection of H. martis in Hungary in two mustelid species, namely the European pine marten and the beech marten from which it has recently been described (in Bosnia and Herzegovina, as well as in Croatia [18]), is not surprising. However, both of these Balkan countries lie south of Hungary, and thus their mustelid populations are probably well-separated from those in northeastern Hungary sampled in the present study. Since the occurrence of H. martis has been reported from south European countries (including Spain [19]) and a sequence is also available in GenBank from Western Europe (MH656728: the Netherlands), the present finding in central Europe adds to the known geographical distribution of this recently described species.

Regarding the two other Hepatozoon genotypes detected in three mustelids in Hungary, the Hepatozoon sp. from the least weasel showed close molecular and phylogenetic properties to an isolate from host-seeking H. parva tick collected in Turkey [35]. In Hungary, H. parva has also been reported, but only in the southern part of the country [36]. To the best of our knowledge, this is the first report of this or a similar genotype in Europe. In addition, a new Hepatozoon genotype was detected in the known hosts of H. martis (i.e. the European pine marten and the beech marten) which showed a significant 18S rRNA sequence divergence from H. martis and clustered separately from this species. The two genotypes most closely related to this variant were reported in Asia, most importantly in Japanese martens where the infection was associated with granulomatous myocarditis [37]. To the best of our knowledge, this is the first report of this genotype or any other from its phylogenetic group (Fig. 1) in Europe.

In agreement with the overall genetic similarity of H. sciuri and the monophyletic clade formed by its sequences from different European countries [21], the 18S rRNA gene sequences of this species from Hungary were also identical with each other and with those of this parasite from the Czech Republic, the Netherlands and Spain. It was also reported that PCR-positivity for H. sciuri occurred significantly more often for spleen DNA extracts than for liver samples [21]. Consistent with this finding, in both PCR-positive squirrels in our study, only the spleen (but not the liver) was PCR-positive for H. sciuri. Although H. sciuri is known to infect both of these organs belonging to the haemolymphatic system [20], there still might be differences in the tissue tropism and frequency of Hepatozoon developmental stages, and the spleen may harbor more infected white blood cells. In line with this, the rate of positivity was found to be higher in spleen samples than in liver samples among Cytauxzoon-infected wild cats [33]. However, in the present study, in a wild cat and a beech marten, the liver DNA extract was PCR-positive for Hepatozoon DNA, but not the spleen, highlighting the importance to evaluate both organs simultaneously if possible (and also the myocardium if the expected Hepatozoon species has muscle affinity).

The new tick-host associations observed in this study include Dermacentor species on European pine marten, H. concinna on European pine marten and least weasel and I. hexagonus on the wolverine; however, the infestation of most of the mustelid species examined here (and indigenous in Hungary) with I. ricinus and of the least weasel with I. acuminatus have already been reported [38]. Ixodes kaiseri is known to infest wild cats, as reported in the Caucasus region [39] and in the present study, and I. canisuga was reported from Eurasian otter in Germany [40], similar to our report in Hungary in the present study. Nevertheless, these are the first records of these tick-host associations in Europe and Hungary, respectively [36]. To the best of our knowledge, the presence of D. marginatus is also new on red squirrels, both in Hungary and in a broader geographical context. Since mustelids and squirrels have a comparable preference to use enclosures (burrows or tree holes), they frequently harbor tick species or stages that are endophilic [38, 41], in particular, species of the subgenus Pholeoixodes (as exemplified by I. kaiseri, I. hexagonus and I. canisuga), I. acuminatus and Dermacentor larvae, as supported by findings of the present study.

The results of this study on the presence of protozoan DNA in ticks should be interpreted carefully. It is evident that in the great majority of cases the reason for finding the same Hepatozoon species/genotype in a host and its tick(s) is that these were probably ingested with the blood meal, and this scenario does not indicate a vector role. However, the situation is different in the case of the wild cat that was infected with a specific H. felis genotype, but from which two engorged female I. ricinus ticks were collected with a significantly different H. felis genotype. This finding raises the possibility that the latter genotype of H. felis may be transmitted transstadially from the nymphal to the adult stage in I. ricinus. However, an experimental transmission study is required to ultimately confirm this possibility. The complete life-cycle and the tick vector of H. felis are still unknown [34], but this protozoan parasite has already been reported from I. ricinus [42]. In line with this finding, during our study, both I. ricinus females collected from the infected wild cat contained the DNA of H. felis. On the other hand, the I. kaiseri larva removed from another infected wild cat was PCR-negative for H. felis DNA.

Among the four H. martis-infected mustelids only one was infected with ticks. Interestingly, all I. ricinus specimens (including 1 male, 5 females and 1 larva) collected from the PCR-positive host contained the DNA of H. martis, unlike in the case of any other Hepatozoon-infected host in the present study. The Hepatozoon genotype closely related to H. martis was detected in two tick species collected from its host, the least weasel, i.e. I. acuminatus and H. concinna, with a low rate of PCR-positivity. On the other hand, the DNA of the Hepatozoon genotype more distantly related to H. martis was detectable in all four tick species collected from their host, a European pine marten (Table 1).

These data do not specify potential vectors of the detected Hepatozoon spp., but they do indicate which tick species infest relevant hosts and have access to Hepatozoon gamonts in the study region, and the biological vectors are probably among them. On the contrary, ticks that are not vectors of Hepatozoon species may soon digest protozoan DNA together with the blood meal; therefore, negative PCR test results for all engorged larvae or nymphs of a tick species from a PCR-positive host may indicate that the tick species is not a suitable vector. This is well exemplified by our finding that all 21 ticks collected from the H. sciuri-infected squirrels had negative PCR test results. In line with this, as already suggested, the biological vectors of H. sciuri are most likely not ticks but other arthropods, probably fleas [43, 44].

Last but not least, the DNA of H. martis was demonstrated here retrospectively from a pool of questing H. concinna nymphs collected in 2007 [28]. The corresponding sequence was identical with that of H. martis from two host species examined in this study in Hungary, suggesting that this tick species is a carrier (possibly a vector) of H. martis. This is in line with the proposed role of Haemaphysalis ticks in the transmission of certain Hepatozoon species [23, 24]. In particular, the possibility that H. concinna may play a vector role in the transmission of H. martis has already been mentioned in the context of unpublished previous data [10], and this is confirmed by the present results. It is noteworthy that only nymphs were found to be PCR-positive from a large set of various tick stages, indicating that in the case of transstadial transmission characteristic of Hepatozoon spp. [3], these may have acquired H. martis in the larval stage. This possibility is further supported by observations that typically larvae and nymphs, but not adults, of H. concinna use mustelids as hosts (Table 1; [36]). However, ultimately only transmission studies can confirm the biological vector role of H. concinna in the epidemiology of H. martis.


This study provides the first evidence of the occurrence of any Cytauxzoon species and of three Hepatozoon species (H. sciuri, H. felis, H. martis) in Hungary. Two further mustelid-associated Hepatozoon genotypes were also detected, one of them new both in phylogenetic and broader geographical contexts. To the best of our knowledge, this is the first indication that H. felis genotypes from both of its known phylogenetic groups occur in Europe. This also appears to be the first evidence of H. felis and C. europaeus coinfection in any felid in Europe, and autochthonous H. felis-infection was diagnosed for the first time in wild cats north of the Mediterranean Basin. New tick-host associations observed in this study include Dermacentor species on European pine marten, H. concinna on European pine marten and least weasel and I. hexagonus on the wolverine. Our finding of two significantly different genotypes of H. felis in a wild cat and its I. ricinus ticks suggests that the latter genotype was not acquired with the tick blood-meal, i.e. it might be able to survive transstadially from the nymphal to the adult stage in this tick species. In addition, the presence of H. martis DNA exclusively in questing nymph(s) of H. concinna raises the possibility that larvae acquired this protozoan parasite and that nymphs might be able to cause infection of another mustelid host if ingested (e.g. during grooming).

Availability of data and materials

The sequences obtained and/or analyzed during the current study are deposited in GenBank (18S rRNA gene of Cytauxzoon and Hepatozoon spp.: OL409181, OL960183-OL960187, OM422754-OM422755, OM256565-OM256569 and OM422756; cox1 and cytb genes of Cytauxzoon: OM283285 and OM421666, respectively; cox1 gene of Ixodes hexagonus: OM200350 and 16S rRNA gene sequences of tick species: OM200035-OM200066). All other relevant data are included in the manuscript and the references or are available upon request by the corresponding author.



Cytochrome c oxidase subunit I gene

cytb :

Cytochrome b gene


Ribosomal RNA


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The authors thank the participation of Martin Horváth in dissection and sample collection.


Open access funding provided by University of Veterinary Medicine. This study was funded by Project no. TKP2020-NKA-01 implemented with the support provided from the National Research, Development and Innovation Fund of Hungary, financed under the “Tématerületi Kiválósági Program 2020” (2020-4.1.1-TKP2020) funding scheme. SH, NT, SDA, SS and BTS were supported by OTKA K-132794 of the National Research, Development and Innovation Office.

Author information

Authors and Affiliations



SH: Conceptualization, study design, tick identification, tick DNA extraction and manuscript writing. SAB: Sample collection and data curation. NT: PCR tests and sequencing. JK: Phylogenetic analyses. SS: Dissection, sample collection. ES: Sample collection. ADS and YW: Conceptualization, study design. BTS: Dissection, sample collection, tissue DNA extraction, phylogenetic tree editing and manuscript writing. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Sándor Hornok.

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Ethics approval and consent to participate

All animals from which samples were collected during this study died due to natural causes or were found as roadkill. Utilization of cadavers for scientific purposes was in accordance with the government decree 71/2015. [III.30.]. No vertebrate animals were caught or restrained for sample collection therefore no ethical permission was needed.

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Supplementary Information

Additional file 1: Table S1.

Primers and cycle conditions of conventional PCRs used in this study.

Additional file 2: Table S2.

Location of sample collection and sample codes in the same vertical order as in Table 1. Accession numbers refer to sequences of the 16S rRNA gene of Ixodidae in GenBank (except for Ixodes hexagonus from Gulo gulo, of which part of the cox1 gene was sequenced).

Additional file 3: Figure S1.

Phylogenetic tree made with the maximum likelihood method and Tamura 3-parameter model in MEGA 7.0, based on longer 18S rRNA gene sequences of Hepatozoon species and genotypes. In each row, after the species or genus name, the isolation source, the country of origin and GenBank accession number are shown. Sequences obtained in this study are indicated by red fonts and bold accession numbers. The analysis involved 13 nucleotide sequences and 1000 bootstrap replications. There were a total of 1636 positions in the final dataset. The scale-bar indicates the number of substitutions per site.

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Hornok, S., Boldogh, S.A., Takács, N. et al. Molecular epidemiological study on ticks and tick-borne protozoan parasites (Apicomplexa: Cytauxzoon and Hepatozoon spp.) from wild cats (Felis silvestris), Mustelidae and red squirrels (Sciurus vulgaris) in central Europe, Hungary. Parasites Vectors 15, 174 (2022).

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