Globally, vector borne diseases cause more than a million deaths each year and more than a billion infections in humans. Ticks are of big medicinal importance since they can transmit pathogens that can cause serious infections. Some recently discovered pathogens that can cause infections in humans are Anaplasma phagocytophilum (A. phagocytophilum) that can cause human granulocytic anaplasmosis (HGA) and Candidatus Neoehrlichia mikurensis (N. mikurensis) that can cause Neoehrlichiosis. It is still widely unknown how prevalent these pathogens are, if ticks can be infected with both of these pathogens and if these pathogens can be transovarially transmitted from adult female to egg and larvae. This study aims to screen for these pathogens in collected ticks from southern Sweden and to detect eventual co-infections and transovarial transmission. A real-time qPCR assay targeting the 16S rRNA gene of N. mikurensis and other Anaplasmataceae was applied on 1356 Ixodes ricinus (I. ricinus) ticks collected from 5 sites in southern Sweden. Positive samples were subjected to Sanger sequencing. A. phagocytophilum occurred in 4.64 % of the ticks, N. mikurensis occurred in 1.33 % of the ticks and also Rickettsia was found to occur in 6.27 % of the ticks. No co-infection was detected. Some samples of tick larvae showed positive results after qPCR, indicating transovarial transmission, but none of the sequences were readable.

Organisms are continuously exposed to heterogeneous micro- and macro-parasitic species, hence simultaneous infections often occur in wild and farm environments. This joint project aimed to develop a co-infection model between chronic and acute infections, evaluating their impact on the fish immune system. Proliferative Kidney Disease was studied on farmed rainbow and brown trout during natural seasonal outbreaks, using a parasite gene (Tetracapsuloides bryosalmonae RPL18) as a proxy for assessment of parasite burden. In hosts with elevated susceptibility PKD pathogenesis was shaped by an anti-inflammatory phenotype, a profound B cell/antibody response and dysregulated TH cell-like activity. Pathogen-free brown trout were exposed to Viral Haemorrhagic Septicaemia Virus (comparatively using European VHSV-Ia and North American VHSV-IVb strains) or to the bacterium Yersinia ruckeri. This European native species was highly resistant to the VHSV-IVb strain, which was undetectable in internal organs despite raising a strong antiviral and mucosal immune response. Following VHS and Yersiniosis infection, haemo-lymphopoietic organs were screened by RT-qPCR to assess the specific pathogen burdens and characterise the immune responses elicited. Transcription patterns were analysed for Interferons, CXC chemokines, SOCS (potential disease resistance biomarkers) and genes of the PACAP system. Lastly, PKD-infected brown trout were co-infected with VHSV-Ia, resulting in typical lesions while showing reduced and delayed mortality. PKD+/VHS+ fish were identified by RT-qPCR and histopathology screening. Pro-inflammatory and antimicrobial peptide genes were modulated following virus co-infection when compared to fish with single infection, with an earlier activation of cellular and humoral responses, and a stronger up-regulation of TH1 and antiviral genes. Oligonucleotide microarrays were used to assess the broader immune gene transcription modulation between single- and co-infected fish. Overall, the results suggest that the immune response of brown trout might be enhanced during the PKD/VHS co-infection.

Made available in DSpace on 2014-12-17T14:10:27Z (GMT). No. of bitstreams: 1 DiegoBSL_DISSERT.pdf: 829804 bytes, checksum: e8513b1969770df1630ff406301f2cb9 (MD5) Previous issue date: 2012-04-09 / This study assessed the level of knowledge, attitude and practice of Pap smear and human papillomavirus (HPV), in addition to analyzing the prevalence of genital HPV infection, Herpes Simplex Type 2 (HSV-2) and Chlamydia trachomatis in teenagers. The study consisted of two approaches, one based only on interviews conducted with adolescents enrolled in public schools or in public health facilities in the city of Natal. The other approach involved only a group of 132 adolescents enrolled among those admitted to two health units in Natal-RN. This second group of participants two specimens were collected for laboratory analysis: one was directed to prepare the blade for the Pap test, and other processed for DNA extraction for molecular analysis, focusing on the detection of HPV, HSV-2 and C . trachomatis. The presence of DNA of the three pathogens was investigated by the technique of polymerase chain reaction (PCR). The presence of each of the three pathogens was analyzed in terms of socio-demographic characteristics, as well as sexual and reproductive activity to identify risk factors for infection and development of lesions of the uterine cervix. The results show that the adolescents in this study had levels of knowledge and attitude very low, both in relation to cytology to HPV as though they have made a reasonable percentage of adequate practice exam and prevention of HPV infection. The overall prevalence of HPV infection was 54.5% and 48.2% in adolescents with normal cytology and 86.4% in those with abnormal cytology. We observed a higher proportion of cases of infection in the age group of 18 to 21. The prevalence of HPV infection was slightly higher among pregnant teenagers. The overall prevalence of HSV-2 infection was 13.6% and 11.8% in women with normal cytology and 22.7% in those with abnormal cytology. A higher proportion of cases of infection was found in the age group from 14 to 17, with a slightly higher prevalence among pregnant women. The C. trachomatis was found with an overall prevalence of 19.7% and 21.8% in adolescents with normal cytology and 9.1% in those with abnormal cytology. The prevailing rate was highest in the age group 18 to 21 years and in nonpregnant / O presente estudo avaliou o grau de conhecimento, atitude e pr?tica do exame de Papanicolaou e do v?rus do papiloma humano (HPV), al?m de analisar a preval?ncia da infec??o genital por HPV, Herpes Simples tipo 2 (HSV-2) e Chlamydia trachomatis em adolescentes. O estudo constou de duas abordagens, uma baseada apenas em entrevistadas realizadas com adolescentes recrutadas em escolas p?blicas ou em unidades de sa?de p?blica da cidade do Natal. A outra abordagem envolveu apenas um grupo de 132 adolescentes arroladas entre aquelas atendidas em duas unidades de sa?de de Natal-RN. Das participantes deste segundo grupo foram coletados dois esp?cimes para an?lise laboratorial: um foi destinado ? prepara??o de l?mina para o exame citol?gico de Papanicolaou, e outro processado para extra??o de DNA para an?lise molecular, visando ? detec??o de HPV, HSV-2 e da C. trachomatis. A presen?a do DNA dos tr?s pat?genos foi pesquisada por meio da t?cnica da rea??o em cadeia da polimerase (PCR). A presen?a de cada um dos tr?s pat?genos foi analisada em fun??o das caracter?sticas s?cio-demogr?ficas, bem com da atividade sexual e reprodutiva visando identificar fatores de risco para a infec??o e o desenvolvimento de les?es da c?rvice uterina. Os resultados mostram que as adolescentes deste estudo apresentaram graus de conhecimento e de atitude muito baixos, tanto em rela??o ao exame citol?gico quanto ao HPV, embora tenham apresentado um percentual razo?vel de pr?tica adequada do exame e da preven??o da infec??o pelo HPV. A preval?ncia global da infec??o pelo HPV foi de 54,5%, sendo 48,2% nas adolescentes com citologia normal e 86,4% naquelas com citologia alterada. Foi observada uma maior propor??o de casos da infec??o na faixa et?ria dos 18 aos 21. A preval?ncia da infec??o pelo HPV foi ligeiramente maior entre as adolescentes gr?vidas. A preval?ncia global da infec??o pelo HSV-2 foi de 13,6%, sendo 11,8% nas mulheres com citologia normal e 22,7% naquelas com citologia alterada. Uma maior propor??o de casos da infec??o foi encontrada na faixa et?ria dos 14 aos 17, sendo a preval?ncia ligeiramente maior entre as gr?vidas. A C. trachomatis foi encontrada com uma preval?ncia global de 19,7%, sendo 21,8% nas adolescentes com citologia normal e 9,1% naquelas com citologia alterada. A taxa de prevalecia foi maior na faixa et?ria dos 18 aos 21 anos e nas n?o gr?vidas

Les infections respiratoires et plus particulièrement la pneumonie représentent la première cause de mortalité infantile dans le monde. L’essor des technologies de diagnostic moléculaire a permis de mettre en évidence une étiologie très hétérogène des infections respiratoires ainsi qu’un taux élevé de co-infection virale et bactérienne dont l’impact clinique reste difficile à évaluer. La recherche translationnelle menée au cours de ce projet de thèse avait pour objectif de décrire l’étiologie des infections respiratoires ainsi que l’impact des co-infections sur la modulation de la réponse immunitaire innée. Nous avons développé un modèle d’étude in-vitro d’infection successive de cellules présentatrice d’antigènes (CPA) humaines par le virus Influenza (IAV) et Streptococcus pneumoniae (SP) et étudié la modulation de la réponse inflammatoire. Les résultats obtenus démontrent que la co-infection des CPA par ces deux pathogènes majeurs de la pneumonie impacte fortement sur leur viabilité et induit une dérégulation importante de la réponse inflammatoire. Au cours de la co-infection, la chémokine pro-inflammatoire IP-10 est exprimée de manière synergique suggérant un rôle jusqu’à présent non décrit de cette chémokine dans la pathogénèse de la pneumonie. Nous avons également démontré que les micro-ARNs (dont le miR-200a-3p) participent activement à la régulation de la réponse inflammatoire, en ciblant des régulateurs de la voie de signalisation JAK-STAT (SOCS-6) et indirectement la voie de synthèse d’IP-10. Récemment, nous avons évalué la réponse inflammatoire d’enfants âgés de moins de 5 ans hospitalisés pour une pneumonie, en partenariat avec les équipes médicales et scientifiques du Paraguay via le réseau GABRIEL. Ce volet d’étude confirme 1) une étiologie variée de la pneumonie chez l’enfant et 2) un taux d’IP-10 sérique significativement plus élevé chez les enfants co-infectés et présentant une pneumonie très sévère. / Respiratory infections, especially pneumonia are the leading cause of death among children under 5 years-old worldwide. Advances in molecular diagnostic have highlighted heterogeneous etiologies of respiratory infections with a high proportion of viral and bacterial co-infections whose clinical impact remain difficult to assess. The translational research conducted during this thesis aimed to describe the etiology of respiratory infections and the impact of viral and bacterial co-infections on the innate immunity.We have developed an in-vitro study model of sequential infection of antigen presenting cells (APC) by the human influenza virus and Streptococcus pneumoniae and studied the modulation of the inflammatory response. The results show that APC co-infection by those two major pathogens of pneumonia strongly impacts cells viability and induces a significant deregulation of the inflammatory response. During co-infection, pro-inflammatory chemokine IP-10 is synergistically expressed suggesting a role so far undescribed for this chemokine in the pathogenesis of pneumonia. We also demonstrated that micro-RNAs (including miR-200a-3p) actively participate in the regulation of the inflammatory response by targeting the signaling pathway regulators JAK-STAT (SOCS-6) and indirectly IP-10 signalling pathway.Recently, we evaluated the inflammatory response of children aged under 5 hospitalized for pneumonia, in partnership with medical and scientific teams of Paraguay involved in the GABRIEL network. This study confirmed 1) a varied etiology of childhood pneumonia and 2) a significant elevated IP-10 serum level among children with very severe pneumonia caused by mixed viral and bacterial co-infections.

The spotted fever rickettsia, Rickettsia helvetica, is an endemic tick-borne bacteria in Sweden. It causes infections in humans, manifested as aneruptive fever, headache, arthralgia and myalgia, and sometimes an inoculation eschar or a rash. There have also been two known cases of human infections with R. felis in Sweden. The present thesis starts by investigating dispersal of ticks and Rickettsia spp. by migrating birds flying from Africa to Europe. Almost 15,000 birds were searched and 734 ticks collected, mainly of the species Hyalomma marginatum complex. Almost half (48%) of the ticks were infected with Rickettsia spp., 96% of which was R. aeschlimannii, the remaining R. africae and undefined species. The next study focused on questing ticks over a large area in Sweden and determining the prevalence of Rickettsia spp., Anaplasma spp. and Coxiella burnetii. Rickettsia spp. was found in 9.5-9.6% of the ticks and A. phagocytophilum in 0.7%; no C. burnetii was found. The last three papers in the thesis focused on the clinical presentation of rickettsiosis, the symptoms associated with the infection in general and particularly in patients with neurological complications. A tick-exposed population in Sweden was investigated to gain a better understanding of symptoms due to rickettsioses, also in relation to co-infections with other tick-borne bacteria. Based on symptoms, it was not possible to distinguish what pathogen caused the infections. Most patients had erythema migrans, some had serological reactions to Rickettsia spp., Borrelia spp. or co-infections by Rickettsia spp., Borrelia spp. and/or Anaplasma spp. In the fourth and fifth papers, we found associations between antibodies against Rickettsia spp. and sudden deafness (in 10-24% of patients) and facial nerve paralysis (in 8.3-25% of patients). In three patients R. felis was detected in the cerebrospinal fluids.    Briefly, the thesis helps to clarify our knowledge about tick dispersal, shows a narrower prevalence estimate of Rickettsia spp. in Swedish ticks, and illuminates symptoms of rickettsioses and co-infections with other tick-borne infections. It also shows that presence of erythema migrans may be explained by more than Lyme disease and indicates a possible association between rickettsiosis and sudden deafness and facial nerve paralysis.

This thesis is concerned with plants, chronic illness and medicine in Oku, Northwest Region, Cameroon. I focus on patient strategies to obtain effective medical outcomes, and on how such outcomes may be obtained through seeking traditional medicine in Oku. I argue that biomedical notions of efficacy do not appropriately represent the central and diverse roles that plants play in traditional medicine nor do they correctly represent how people in Oku evaluate the efficacy of plant-based traditional medicine. I argue instead that efficacy must be understood in terms of the emic concept of power. This power is understood to be located in the Oku landscape, which is still uniquely forested and said to embody powerful ancestral spirits. With plants as the primary tangible material of power, and traditional doctors in Oku as those who claim exclusive rights to manipulate and disperse such power, I discuss traditional medicine in Oku as a system wherein power from the natural landscape is drawn upon to challenge harmful powers feared to derive from the social arena. Using the pragmatic and phenomenological approaches, I show how patients evaluate the efficacy of a medical treatment based on their bodily experiences, and how their actions, as revealed in their therapeutic trajectories, reveal their satisfaction or dissatisfaction with a given diagnosis and/or therapy. I discuss how enduring illness generates and exacerbates bodily, treatment-outcome, social, and psychological uncertainties. In this context, effective outcomes can be understood as those which address and limit these uncertainties and anxieties while offering ways to imagine hopeful prognoses. This thesis then outlines the major sources of uncertainty, people’s responses to such uncertainties, and what people might achieve in terms of limiting uncertainties by seeking traditional medicine in Oku.

No description available.

MSc (Microbiology) / Department of Microbiology

Le Canada est l’un des plus grands pays exportateurs de porc du monde et le Québec à lui seul compte pour 6% de ce commerce mondial. Pour conserver sa compétitivité et l’excellence de ses produits, une connaissance approfondie des agents infectieux circulant au sein des troupeaux est primordiale. Plusieurs pathogènes sont peu étudiés et pourtant retrouvés chez les porcs à travers la planète. Cette étude avait pour but l’évaluation de la prévalence des astrovirus porcins, calicivirus, kobuvirus porcin, rotavirus, torque teno sus virus ainsi que le virus de l’hépatite E lors du suivi de porcelets dans un réseau de production porcine, de la maternité jusqu’en fin d’engraissement. Nous voulions brosser un portrait de l’excrétion de ces virus à travers les différentes étapes de production des animaux. L’échantillonnage de porcelets sains et en diarrhée en pré-sevrage a permis de déterminer lesquelles de ces infections virales constituaient des facteurs de risque pour la diarrhée à ce stade de production. Le virome intestinal, la partie virale du microbiome, a également été caractérisé permettant de connaître la diversité des virus entériques porcins aux différentes étapes de production, ainsi qu’entre les porcelets sains et en diarrhée. De plus, la dissémination du virus de l’hépatite E dans l’environnement ainsi que les sources probables de contamination ont été décrites à l’aide d’échantillons provenant des environnements intérieurs et extérieurs de fermes d’engraissement, de la cour d’un abattoir et de transporteurs d’animaux. Les résultats obtenus ont permis de décrire les dynamiques temporelles d’excrétion de ces virus entériques porcins en fonction des stades de production des porcs, démontrant une différence dans l’excrétion de ces virus en fonction de l’âge. Les calicivirus, ainsi que les astrovirus porcins groupes 3 et 5 étaient des facteurs de risque de diarrhée en maternité. Pour la première fois au Canada, la détection et la caractérisation des souches du kobuvirus porcin ont été réalisées, permettant de mieux comprendre leur diversité et leur persistance à travers les stades de production. La diversité du virome entérique porcin a été analysée avec la plateforme de séquençage MiSeq et cette diversité était différente entre les porcelets sains et en diarrhée, ainsi qu’entre les stades de production. Cependant, les traitements enzymatiques utilisés pour le prétraitement des échantillons fécaux ne permettaient pas le séquençage de certains virus à ARN simple-brin. Des souches similaires du virus de l’hépatite E étaient présentes dans l’environnement des fermes, ainsi qu’aux endroits communs à forte circulation des intervenants du réseau. Les activités dans la cour de l’abattoir pourraient donc être impliquées dans la dissémination de ce virus. Cette étude a permis de mieux connaitre la prévalence et la distribution des virus entériques infectant les porcs. De plus, certains des virus entériques étudiés ont été reconnus comme facteurs de risque de la diarrhée en co-infections et devront être étudiés en détail pour comprendre leurs mécanismes en relation avec la diarrhée néonatale. Des interventions plus spécifiques lors d’éclosion de diarrhées porcines, dont l’étiologie est inconnue, pourront donc être réalisées, ainsi que l’élaboration de mesures de biosécurité plus adaptées en fonction du stade de production des porcs. / Canada is a major pork exporter around the world and the province of Quebec alone accounts for 6% of this trade. To maintain the province’s competitiveness and the excellence of its products, a comprehensive understanding of the infectious agents circulating in herds is essential. Several pathogens have been intensively studied, while others have yet to be investigated even though they have been reported in pigs all around the world. This study evaluated the prevalence of porcine astroviruses, calicivirus, porcine kobuvirus, rotavirus, torque teno sus virus and hepatitis E virus, monitored in a pig production network, from the nursing farms to the end of the fattening farms to portray the excretion patterns of these viruses through the different life stages of pigs. The sampling of healthy piglets alongside piglets with diarrhea in the nursing farms allowed to determine which viruses, or co-infections of viruses were factors of diarrhea at this life stage. The intestinal virome, the viral part of the microbiome, was characterized and viral diversity of porcine enteric viruses at different life stages, as well as between healthy and diarrheic piglets were evaluated. Moreover, the dissemination of the hepatitis E virus in the farm environment, as well as the possible sources of contamination were described, from the indoor and outdoor environment of fattening farms, the slaughterhouse yard and animal transporters. The results obtained in this study described the temporal excretion dynamics of these porcine enteric viruses according to the life stages of the pigs, demonstrating the difference in the excretion of the studied viruses according to the life stage. The calicivirus, as well as the porcine astrovirus groups 3 and 5 were found to be risk factors for diarrhea in the nursing farms. For the first time in Canada, the detection and characterization of porcine kobuvirus strains were evaluated and provided a better understanding of their diversity and the persistence of these strains in the network. The porcine enteric virome diversity was analyzed on a MiSeq sequencing platform and this diversity was different between healthy and diarrheic piglets, as well as between the different life stages. However, the different enzymatic treatments used as pretreatments for fecal samples altered the ability to detect certain single-stranded RNA viruses. Similar strains of the hepatitis E virus were present in the indoor and outdoor environment of the fattening farms, as well as in common places of high circulation from the various stakeholders in the pig production network. The activities in the slaughterhouse yard could therefore be involved in the spread of this virus. This study shed light on enteric viruses infecting pigs. In addition, some of the infections from enteric viruses studied were risk factors for diarrhea in co-infections and will need to be studied in more details to understand their mechanisms, in relation to neonatal diarrhea. More specific interventions during outbreaks of porcine diarrhea of unknown etiology could be carried out, as well as the development of more adapted biosecurity measures according to the life stage of the pigs.

Einleitung: Das West Nil-Virus (WNV) und das Usutu-Virus (USUV) zirkulieren seit vielen Jahren in Europa und sind auch in Deutschland endemisch geworden. Beide Viren können schwere Erkrankungen in Vögeln auslösen. Zudem kann insbesondere WNV auch zu schweren neurologischen Erkrankungen bei Menschen und Pferden führen, und unentdeckte WNV-Infektionen sind ein Risiko für die Sicherheit von Blutspenden. WNV und USUV werden von Stechmücken als biologische Vektoren übertragen, wobei sich verschiedene Mückenspezies in ihrer Vektorkompetenz unterscheiden können. Die Kenntnis über die Vektorkompetenz von Mückenspezies ist essentiell für die effiziente Überwachung und Bekämpfung dieser Viren. Weitgehend unbekannt ist jedoch, welche Auswirkungen Ko-Infektionen mit WNV und USUV auf die Vektorkompetenz von Stechmücken haben. Ziele der Untersuchungen: Ziel der ersten Studie war es, die Vektorkompetenz der bislang wenig untersuchten Mückenspezies Aedes punctor für WNV zu bestimmen. Mit der zweiten Studie sollten Mono- und simultane Ko-Infektionen mit WNV und USUV in verschiedenen Stechmückenarten (Culex pipiens Biotyp pipiens, Culex pipiens Biotyp molestus, Aedes vexans) durchgeführt werden, um die Auswirkungen von Ko-Infektionen auf die Übertragung beider Viren zu bestimmen. Tiere, Material und Methoden: Die für die Versuche verwendeten Stechmücken wurden entweder in Deutschland gesammelt oder stammten aus den Laborkolonien am Friedrich-Loeffler-Institut. Die Infektionen erfolgten oral über Blut, welches ein oder beide Viren enthielt und über Wattestäbchen angeboten wurde. Blutgesogene Weibchen wurden über einen definierten Zeitraum unter definierten Umweltbedingungen inkubiert. Nach Ablauf der Inkubationszeit wurden die noch lebenden Tiere durch das Entfernen der Beine und Flügel immobilisiert, um die Gewinnung von Speichel zu ermöglichen. Ein Teil der Speichelprobe wurde auf eine Zellkultur gegeben, um infektiöse Viruspartikel nachzuweisen. Zur Bestimmung der Infektion, Dissemination und potenzieller Übertragung wurden die Körper, die Beine und Flügel, die Speichelproben sowie der Überstand der Zellkultur mit einer quantitativen Reverse-Transkriptase-Polymerase-Kettenreaktion (RT-qPCR) auf virale RNA untersucht. Im Falle der Ko-Infektionsstudie wurden zeitgleich Mono-Infektionen durchgeführt und die Ergebnisse verglichen, um potenzielle Veränderungen in Empfänglichkeit oder Übertragung feststellen zu können. Ergebnisse: In der ersten Studie zeigte sich, dass Ae. punctor nicht vektorkompetent für WNV ist. Von insgesamt 155 untersuchten Weibchen waren nur 7 Tiere mit WNV infiziert. In den Speichelproben wurden weder infektiöse Viruspartikel noch virale RNA nachgewiesen. In der zweiten Studie konnte gezeigt werden, dass sowohl Cx. pipiens Biotyp pipiens als auch Cx. pipiens Biotyp molestus effektive Vektoren für WNV und USUV sein können. Im Gegensatz dazu waren Ae. vexans Weibchen nicht empfänglich für eine Infektion durch WNV oder USUV. In den Ko-Infektionen zeigte sich, dass die Empfänglichkeit für USUV in Cx. pipiens Biotyp pipiens verringert und in Ae. vexans erhöht war. In Cx. pipiens Biotyp molestus waren hingegen keine Unterschiede zwischen Mono- und Ko-infektionen festzustellen. Bei Cx. pipiens Biotyp molestus wurden infektiöse Partikel beider Viren in Speichelproben gefunden, was auf eine potenzielle Ko-Übertragung hindeutet. Schlussfolgerung: Aufgrund der Ergebnisse kann davon ausgegangen werden, dass Ae. punctor und Ae. vexans derzeit keine Rolle bei der Übertragung von WNV oder USUV spielen und daher vorerst bei Überwachungsprogrammen in Deutschland nicht berücksichtigt werden müssen. Für Cx. pipiens Mücken konnte hingegen die Rolle als Hauptvektoren für WNV und USUV durch Infektionsstudien bestätigt werden. Es konnte zudem gezeigt werden, dass die Interaktion zwischen WNV und USUV in der Stechmücke speziesabhängig variiert. Aufgrund dessen ist eine Untersuchung von Ko-Infektionen in weiteren potenziellen Vektorspezies notwendig, um ein besseres Verständnis der Interaktionen zu bekommen. Die Studie zeigt auch, dass unter Umständen auch nicht vektorkompetente Spezies durch eine Ko-Infektion eine Rolle in der Übertragung der Viren spielen könnten. In Gebieten, in denen WNV und USUV sympatrisch zirkulieren, sollte diese Erkenntnis in den Überwachungs- und Bekämpfungsstrategien berücksichtigt werden. Eine potenzielle Ko-Übertragung beider Viren wurde zwar beobachtet, trat innerhalb dieser Studie aber selten auf und scheint daher eher eine geringe Rolle spielen. / Introduction: West Nile virus (WNV) and Usutu virus (USUV) have been circulating in Europe for many years and have also become endemic in Germany. Both viruses can cause severe diseases in birds. In addition, WNV in particular can also lead to severe neurological diseases in humans and horses, and undetected WNV infections pose a risk to the safety of blood donations. Both WNV and USUV are transmitted by mosquitoes as biological vectors, whereby different mosquito species can differ in their vector competence. Knowledge of the vector competence of various mosquito species is essential for efficient surveillance and control of these viruses. What is largely unknown, however, is the impact of co-infections with WNV and USUV on the vector competence of mosquitoes. Objective: The aim of the first study was to determine the vector competence of the mosquito species Aedes punctor for WNV, which has so far been little studied. The second study aimed to perform mono- and simultaneous co-infections with WNV and USUV in different mosquito species (Culex pipiens biotype pipiens, Culex pipiens biotype molestus, Aedes vexans) in order to determine the impact of co-infections on the transmission of both viruses. Animals, material and methods: The mosquitoes used for the experiments were either collected in Germany or were taken from the laboratory colonies at the Friedrich-Loeffler-Institute. Mosquitoes were orally infected via a blood that contained one or both viruses using cotton sticks. Engorged females were incubated over a defined period of time under defined environmental conditions. At the end of the incubation period, surviving animals were immobilized by removing the legs and wings, and saliva was obtained. Part of each saliva sample was placed on cell culture to detect infectious virus particles. To determine infection, dissemination and potential transmission, the bodies, legs and wings, saliva samples and supernatant of the cell culture were analyzed for viral RNA by a quantitative reverse transcriptase polymerase chain reaction (RT-qPCR). During the co-infection study, mono-infections were carried out at the same time as the co-infections and results were compared in order to be able to determine potential changes in susceptibility or transmission. Results: In the first study, Ae. punctor showed to be not susceptible for WNV. Of a total of 155 females examined, only 7 females were found infected. Neither infectious viral particles nor viral RNA was found in saliva samples. In the second study it could be shown that Cx. pipiens biotype pipiens as well as Cx. pipiens biotype molestus can be effective vectors for WNV and USUV. In contrast, Ae. vexans was not susceptible to an infection with WNV or USUV. In Co-infections, it was shown that the susceptibility to USUV was reduced in Cx. pipiens biotype pipiens and increased in Ae. vexans. In Cx. pipiens biotype molestus, however, no differences were found between mono- and co-infections. In Cx. pipiens biotype molestus mosquitoes, infectious particles of both viruses were found in saliva samples, indicating a potential co-transmission by this species. Conclusion: Based on the results, it can be assumed that Ae. punctor and Ae. vexans do not play a role in WNV and USUV transmission and therefore currently do not need to be included in a surveillance in Germany. In contrast, the role of Cx. pipiens mosquitoes as main vectors for WNV and USUV could be confirmed by infection studies. It could also be shown that the interaction between WNV and USUV in the mosquito vector varies and is species dependent. Therefore, an investigation of co-infections in various potential vector species and even different populations is essential to get a better understanding of the interactions between both viruses within the mosquito. The study also showed that, under certain circumstances, non-vector-competent species might also play a role in the transmission of the viruses in the event of a co-infection. Thus, in areas where WNV and USUV are both endemic, surveillance and control programs should take this knowledge into account. Potential co-transmission of both viruses was observed, but was rare in this study and therefore seems to play a rather minor role.