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Research Interests
Na Zhao has a total of 62 co-authors. Here are the top co-authors by number of shared publications:
- Tian Qin
National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
9 shared publications - Zhongqiu Teng
National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
7 shared publications - Haijian Zhou
National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
4 shared publications - Jia He
National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
4 shared publications - Zhujun Shao
National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention & Chinese Academy of Preventive Medicine, Beijing, China
4 shared publications - Hong-Yu Ren
State Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, 102206, China
3 shared publications
Latest Publications
- Open Access
- 5 February 2026
- Published by Elsevier in Ticks and Tick-borne Diseases
- Vol. 17 (2) , 102611
Identification of Rickettsia conorii Indian tick typhus strain in a Patient and an Attached Rhipicephalus turanicus Tick in Xinjiang, China
- 5 February 2026
- Published by Elsevier in Ticks and Tick-borne Diseases
- Vol. 17 (2) , 102611
Open AccessIdentification of Rickettsia conorii Indian tick typhus strain in a Patient and an Attached Rhipicephalus turanicus Tick in Xinjiang, China
- Open Access
Molecular Characterization of Tick-Borne Pathogens in Jiangxi Province: A High Prevalence of Rickettsia, Anaplasma and Ehrlichia in Rhipicephalus microplus in Cattle from Ganzhou City, China
Rickettsia, Anaplasma, and Ehrlichia species are emerging tick-borne pathogens that cause zoonotic diseases, including rickettsiosis, anaplasmosis, and ehrlichiosis in both human and animal populations. This study aimed to investigate the prevalence of these pathogens in cattle-associated ticks from Ganzhou City, Jiangxi Province, China. Through molecular characterization using multilocus sequence analysis (16S rRNA, gltA, groEL, and ompA genes), we analyzed 392 Rhipicephalus microplus ticks collected from March to September in 2022. The PCR results showed that eight Rickettsiales bacteria were detected, including two species of Rickettsia (51/392, 13.0%), four species of Anaplasma (52/392, 13.3%), and two species of Ehrlichia (70/392, 17.9%). Notably, the circulation of multiple pathogen species within R. microplus populations demonstrates significant microbial diversity in this region. Further consideration and investigation should be given to the possible occurrence of rickettsiosis, ehrlichiosis, and anaplasmosis in humans and domestic animals. Our study provides critical baseline data for developing targeted surveillance strategies and informing public health interventions against tick-borne diseases in southeastern China.
Open AccessMolecular Characterization of Tick-Borne Pathogens in Jiangxi Province: A High Prevalence of Rickettsia, Anaplasma and Ehrlichia in Rhipicephalus microplus in Cattle from Ganzhou City, China
Rickettsia, Anaplasma, and Ehrlichia species are emerging tick-borne pathogens that cause zoonotic diseases, including rickettsiosis, anaplasmosis, and ehrlichiosis in both human and animal populations. This study aimed to investigate the prevalence of these pathogens in cattle-associated ticks from Ganzhou City, Jiangxi Province, China. Through molecular characterization using multilocus sequence analysis (16S rRNA, gltA, groEL, and ompA genes), we analyzed 392 Rhipicephalus microplus ticks collected from March to September in 2022. The PCR results showed that eight Rickettsiales bacteria were detected, including two species of Rickettsia (51/392, 13.0%), four species of Anaplasma (52/392, 13.3%), and two species of Ehrlichia (70/392, 17.9%). Notably, the circulation of multiple pathogen species within R. microplus populations demonstrates significant microbial diversity in this region. Further consideration and investigation should be given to the possible occurrence of rickettsiosis, ehrlichiosis, and anaplasmosis in humans and domestic animals. Our study provides critical baseline data for developing targeted surveillance strategies and informing public health interventions against tick-borne diseases in southeastern China.
- Open Access
- 19 June 2025
- Published by MDPI AG in Preprints.org
Molecular Epidemiology of Tick-Borne Pathogens in Jiangxi Province: A High Prevalence of Rickettsia, Anaplasma and Ehrlichia in Rhipicephalus microplus from Cattle in Ganzhou City, China
Rickettsia, Anaplasma, and Ehrlichia species are emerging tick-borne pathogens that cause zoonotic diseases including rickettsiosis, anaplasmosis, and ehrlichiosis in both human and animal populations. This study aimed to investigate the prevalence of these pathogens in cattle-associated ticks from Ganzhou City, Jiangxi Province, China. Through molecular characterization using multilocus sequence analysis (16S rRNA, gltA, groEL, and ompA genes), we analyzed 392 Rhipicephalus microplus ticks collected from 2022 to 2023. The PCR results showed that 8 pathogens were detected, including 2 species of Rickettsia (51/392, 13.0%), 4 species of Anaplasma (52/392, 13.3%), and 2 species of Ehrlichia (70/392, 17.9%). Notably, the circulation of multiple pathogen species within R. microplus populations demonstrates significant microbial diversity in this region. Further consideration and investigation should be given to the possible occurrence of rickettsiosis, ehrlichiosis and anaplasmosis in humans and domestic animals. Our study provides critical baseline data for developing targeted surveillance strategies and informs public health interventions against tick-borne diseases in southeastern China.
- 19 June 2025
- Published by MDPI AG in Preprints.org
Open AccessMolecular Epidemiology of Tick-Borne Pathogens in Jiangxi Province: A High Prevalence of Rickettsia, Anaplasma and Ehrlichia in Rhipicephalus microplus from Cattle in Ganzhou City, China
Rickettsia, Anaplasma, and Ehrlichia species are emerging tick-borne pathogens that cause zoonotic diseases including rickettsiosis, anaplasmosis, and ehrlichiosis in both human and animal populations. This study aimed to investigate the prevalence of these pathogens in cattle-associated ticks from Ganzhou City, Jiangxi Province, China. Through molecular characterization using multilocus sequence analysis (16S rRNA, gltA, groEL, and ompA genes), we analyzed 392 Rhipicephalus microplus ticks collected from 2022 to 2023. The PCR results showed that 8 pathogens were detected, including 2 species of Rickettsia (51/392, 13.0%), 4 species of Anaplasma (52/392, 13.3%), and 2 species of Ehrlichia (70/392, 17.9%). Notably, the circulation of multiple pathogen species within R. microplus populations demonstrates significant microbial diversity in this region. Further consideration and investigation should be given to the possible occurrence of rickettsiosis, ehrlichiosis and anaplasmosis in humans and domestic animals. Our study provides critical baseline data for developing targeted surveillance strategies and informs public health interventions against tick-borne diseases in southeastern China.
- Open Access
- 23 December 2024
- Published by Elsevier in Journal of Infection
- Vol. 90 (2) , 106387
The increasing prevalence of Japanese spotted fever in China: A dominant rickettsial threat
- 23 December 2024
- Published by Elsevier in Journal of Infection
- Vol. 90 (2) , 106387
Open AccessThe increasing prevalence of Japanese spotted fever in China: A dominant rickettsial threat
- Open Access
Molecular Epidemiology of Ticks and Tick-Borne Pathogens in the Ta-Pa Mountain Area of Chongqing, China
To validate the prevalence and biodiversity of ticks and tick-borne pathogens in Chongqing, a total of 601 ticks were collected from dogs, cattle, and goats within the Ta-pa Mountain range in Chongqing, China. Five distinct tick species were identified, including Ixodes ovatus (1.66%, 10/601), I. acutitarsus (0.50%, 3/601), Haemaphysalis flava (10.32%, 62/601), Ha. hystricis (9.82%, 59/601), and Ha. longicornis (77.70%, 467/601). A suit of semi-nest PCR and nest PCR primers were custom-synthesized for the detection of tick-borne pathogens. The analysis yielded positive results for 7.15% Rickettsia (Candidatus R. principis, R. japonica, and R. raoultii), 3.49% Anaplasma (A. bovis and A. capra), 1.16% Ehrlichia, 1.83% Coxiella burnetii, and 3.49% protozoa (Theileria. capreoli, T. orientalis, T. luwenshuni, and Babesia sp.) in ticks. Notably, Ca. R. principis was identified for the first time in I. ovatus and Ha. longicornis. These findings underscore the significant prevalence and diversity of ticks and their associated pathogens within the Chongqing Ta-pa Mountain region. This study accordingly provides an extensive dataset that contributes to the epidemiological understanding and disease prevention strategies for tick-borne illnesses in the local area.
Open AccessMolecular Epidemiology of Ticks and Tick-Borne Pathogens in the Ta-Pa Mountain Area of Chongqing, China
To validate the prevalence and biodiversity of ticks and tick-borne pathogens in Chongqing, a total of 601 ticks were collected from dogs, cattle, and goats within the Ta-pa Mountain range in Chongqing, China. Five distinct tick species were identified, including Ixodes ovatus (1.66%, 10/601), I. acutitarsus (0.50%, 3/601), Haemaphysalis flava (10.32%, 62/601), Ha. hystricis (9.82%, 59/601), and Ha. longicornis (77.70%, 467/601). A suit of semi-nest PCR and nest PCR primers were custom-synthesized for the detection of tick-borne pathogens. The analysis yielded positive results for 7.15% Rickettsia (Candidatus R. principis, R. japonica, and R. raoultii), 3.49% Anaplasma (A. bovis and A. capra), 1.16% Ehrlichia, 1.83% Coxiella burnetii, and 3.49% protozoa (Theileria. capreoli, T. orientalis, T. luwenshuni, and Babesia sp.) in ticks. Notably, Ca. R. principis was identified for the first time in I. ovatus and Ha. longicornis. These findings underscore the significant prevalence and diversity of ticks and their associated pathogens within the Chongqing Ta-pa Mountain region. This study accordingly provides an extensive dataset that contributes to the epidemiological understanding and disease prevention strategies for tick-borne illnesses in the local area.
- Open Access
- 8 March 2024
- Published by Elsevier in Journal of Infection
- Vol. 88 (4) , 106136
Emergence of Astrakhan rickettsial fever in China
- 8 March 2024
- Published by Elsevier in Journal of Infection
- Vol. 88 (4) , 106136
Open AccessEmergence of Astrakhan rickettsial fever in China
- Open Access
Molecular Detection of Tick-Borne Bacterial and Protozoan Pathogens in Haemaphysalis longicornis (Acari: Ixodidae) Ticks from Free-Ranging Domestic Sheep in Hebei Province, China
Ticks and tick-borne pathogens significantly threaten human and animal health worldwide. Haemaphysalis longicornis is one of the dominant tick species in East Asia, including China. In the present study, 646 Ha. longicornis ticks were collected from free-ranging domestic sheep in the southern region of Hebei Province, China. Tick-borne pathogens of zoonotic and veterinary importance (i.e., Rickettsia, Anaplasma, Ehrlichia, Borrelia, Theileria, and Hepatozoon spp.) were detected in the ticks using PCR assays and sequence analysis. The prevalence rates of these pathogens were 5.1% (33/646), 15.9% (103/646), 1.2% (8/646), 17.0% (110/646), 0.15% (1/646), and 0.15% (1/646), respectively. For Rickettsia spp., R. japonica (n = 13), R. raoultii (n = 6), and Candidatus R. jingxinensis (n = 14) were detected for the first time in the province, while several Anaplasma spp. were also detected in the ticks, including A. bovis (n = 52), A. ovis (n = 31), A. phagocytophilum (n = 10), and A. capra (n = 10). A putative novel Ehrlichia spp. was also found with a prevalence of 1.2% in the area. The present study provides important data for effectively controlling ticks and tick-borne diseases in the Hebei Province region of China.
Open AccessMolecular Detection of Tick-Borne Bacterial and Protozoan Pathogens in Haemaphysalis longicornis (Acari: Ixodidae) Ticks from Free-Ranging Domestic Sheep in Hebei Province, China
Ticks and tick-borne pathogens significantly threaten human and animal health worldwide. Haemaphysalis longicornis is one of the dominant tick species in East Asia, including China. In the present study, 646 Ha. longicornis ticks were collected from free-ranging domestic sheep in the southern region of Hebei Province, China. Tick-borne pathogens of zoonotic and veterinary importance (i.e., Rickettsia, Anaplasma, Ehrlichia, Borrelia, Theileria, and Hepatozoon spp.) were detected in the ticks using PCR assays and sequence analysis. The prevalence rates of these pathogens were 5.1% (33/646), 15.9% (103/646), 1.2% (8/646), 17.0% (110/646), 0.15% (1/646), and 0.15% (1/646), respectively. For Rickettsia spp., R. japonica (n = 13), R. raoultii (n = 6), and Candidatus R. jingxinensis (n = 14) were detected for the first time in the province, while several Anaplasma spp. were also detected in the ticks, including A. bovis (n = 52), A. ovis (n = 31), A. phagocytophilum (n = 10), and A. capra (n = 10). A putative novel Ehrlichia spp. was also found with a prevalence of 1.2% in the area. The present study provides important data for effectively controlling ticks and tick-borne diseases in the Hebei Province region of China.
- Open Access
Genotypic and Phenotypic Characteristics of Moraxella catarrhalis from Patients and Healthy Asymptomatic Participants among Preschool Children
(1) Background: M. catarrhalis can ascend into the middle ear, where it is a prevalent causative agent of otitis media in children, or enter the lower respiratory tract, where it is associated with community-acquired pneumonia (CAP). In this study, we aimed to provide an overview of the prevalence of M. catarrhalis in preschool children. (2) Methods: M. catarrhalis strains were isolated from samples. All isolates were characterized in terms of serotypes (STs), virulence genes, multilocus sequence type, and antibiotic susceptibility. (3) Results: The percentages of strains expressing lipooligosaccharides (LOSs), serotype A, B, C, or unknown were 67.61%, 15.71%, 4.28%, and 12.38%, respectively. Among the strains, 185 (88.10%) carried ompB2, 207 (98.57%) carried ompE, and 151 (71.90%) carried ompCD. The most frequently identified STs were ST449 (n = 13), ST64 (n = 11), and ST215 (n = 10). The resistance rates to the antibiotics cefuroxime, azithromycin, and erythromycin were 43.33%, 28.10%, and 39.05%, respectively. (4) Conclusions: High prevalence of some-specific ST types and high rates of antibiotic resistance indicate the necessity for an increased vigilance of resistant strains, a rational use of antibiotics in preschool children, and most importantly, the surveillance of healthy asymptomatic participants preschool children with M. catarrhalis. Our findings provide a platform for the development of novel M. catarrhalis vaccines.
Open AccessGenotypic and Phenotypic Characteristics of Moraxella catarrhalis from Patients and Healthy Asymptomatic Participants among Preschool Children
(1) Background: M. catarrhalis can ascend into the middle ear, where it is a prevalent causative agent of otitis media in children, or enter the lower respiratory tract, where it is associated with community-acquired pneumonia (CAP). In this study, we aimed to provide an overview of the prevalence of M. catarrhalis in preschool children. (2) Methods: M. catarrhalis strains were isolated from samples. All isolates were characterized in terms of serotypes (STs), virulence genes, multilocus sequence type, and antibiotic susceptibility. (3) Results: The percentages of strains expressing lipooligosaccharides (LOSs), serotype A, B, C, or unknown were 67.61%, 15.71%, 4.28%, and 12.38%, respectively. Among the strains, 185 (88.10%) carried ompB2, 207 (98.57%) carried ompE, and 151 (71.90%) carried ompCD. The most frequently identified STs were ST449 (n = 13), ST64 (n = 11), and ST215 (n = 10). The resistance rates to the antibiotics cefuroxime, azithromycin, and erythromycin were 43.33%, 28.10%, and 39.05%, respectively. (4) Conclusions: High prevalence of some-specific ST types and high rates of antibiotic resistance indicate the necessity for an increased vigilance of resistant strains, a rational use of antibiotics in preschool children, and most importantly, the surveillance of healthy asymptomatic participants preschool children with M. catarrhalis. Our findings provide a platform for the development of novel M. catarrhalis vaccines.
- Open Access
- 21 September 2021
- Published by Springer Nature in Research Square
Distribution and Transmission Patterns of Respiratory Tract Bacterial Species Among Individuals in Close Contact
Background: Outbreaks of respiratory diseases tend to occur in individuals who live in communities, such as students, factory workers, troops, and prisons, because they are in close contact with each other. However, little is known about the transmission mode of nasopharyngeal microbiota in healthy people living in clusters. Therefore, the aim of this study is to explore the distribution of transmission patterns of respiratory tract flora in individuals who have close contact over time to provide a basis for the prevention and control of respiratory diseases. Result: Thirty-six freshmen in Peking University Medical School volunteered for this study. Throat swab samples were collected on the first day of enrollment and on the 15th, 30th, and 60th day of living together. Streptococcaceae , Bacillaceae , and Neisseriaceae were the most abundant bacterial groups in the cohort. The bacterial community was found to change with time, and the similarity in bacterial community between dormitory members also changed with time. When the dormitory members had lived together for 15 days, the bacterial community had the highest similarity, but it declined thereafter. However, on the 60th day, it was still higher than the similarity on the first day (before they started living together). The transmission patterns of respiratory tract bacteria were spreading with colonization, spreading without colonization, and non-spreading. The bacteria that spread and colonized easily mainly belonged to core genuses (It was defined as that detected in more than 90% of the samples). Bacteria that could spread easily but did not colonize mainly belonged to soft-core genuses (It was defined as that detected in 10%–90% of the samples). The non-spreading bacteria mainly belonged to rare genuses (It was defined as that found in less than 10% of the samples). Conclusions: These findings indicate that it is important to monitor the incidence and spread of bacteria belonging to the core genuses in order to prevent the spread of bacterial respiratory pathogens.
- 21 September 2021
- Published by Springer Nature in Research Square
Open AccessDistribution and Transmission Patterns of Respiratory Tract Bacterial Species Among Individuals in Close Contact
Background: Outbreaks of respiratory diseases tend to occur in individuals who live in communities, such as students, factory workers, troops, and prisons, because they are in close contact with each other. However, little is known about the transmission mode of nasopharyngeal microbiota in healthy people living in clusters. Therefore, the aim of this study is to explore the distribution of transmission patterns of respiratory tract flora in individuals who have close contact over time to provide a basis for the prevention and control of respiratory diseases. Result: Thirty-six freshmen in Peking University Medical School volunteered for this study. Throat swab samples were collected on the first day of enrollment and on the 15th, 30th, and 60th day of living together. Streptococcaceae , Bacillaceae , and Neisseriaceae were the most abundant bacterial groups in the cohort. The bacterial community was found to change with time, and the similarity in bacterial community between dormitory members also changed with time. When the dormitory members had lived together for 15 days, the bacterial community had the highest similarity, but it declined thereafter. However, on the 60th day, it was still higher than the similarity on the first day (before they started living together). The transmission patterns of respiratory tract bacteria were spreading with colonization, spreading without colonization, and non-spreading. The bacteria that spread and colonized easily mainly belonged to core genuses (It was defined as that detected in more than 90% of the samples). Bacteria that could spread easily but did not colonize mainly belonged to soft-core genuses (It was defined as that detected in 10%–90% of the samples). The non-spreading bacteria mainly belonged to rare genuses (It was defined as that found in less than 10% of the samples). Conclusions: These findings indicate that it is important to monitor the incidence and spread of bacteria belonging to the core genuses in order to prevent the spread of bacterial respiratory pathogens.
- 1 July 2013
- Vol. 47 (7) , 637-40
[Three quantitative methods to continuously monitor Legionella in spring water].
To compare the detection effect of Legionella pollution in spring water by three methods, namely traditional plating method, fluorescent quantitation PCR method and ethidium monoazide (EMA) fluorescent quantitation PCR method. Every month (except May), we collected 11 water samples from the 5 selected hot spring pools in one hot spring resort in Beijing in 2011. A total of 121 water samples were collected, and then were detected by the above three methods qualitatively and quantitatively. In our study, the Legionella pollution rate was separately 74.4% (90/121), 100.0% (121/121) and 100.0% (121/121) by the above three methods. The quantitative value of Legionella in the 121 water samples detected by the three methods were around 0.10-216.00 colony-forming units (CFU)/ml, 1.47-1557.75 gene units (GU)/ml and 0.20-301.69 GU/ml, respectively. The median (25th and 75th percentiles) was 75.30 (32.51-192.10) GU/ml, 36.46 (16.08-91.21) GU/ml and 5.30 (0.00-33.70) CFU/ml, respectively. The difference in the quantitative value of Legionella detected by the three methods showed statistical significance (χ(2) = 187.900, P < 0.01). The quantitative value of Legionella detected by fluorescent quantitation PCR method was the highest, followed by the value Legionella detected by EMA-fluorescent quantitation PCR method and traditional plating method. The sensitivity of the PCR methods was higher than traditional plating method, in detecting Legionella pollution in spring water, especially the EMA- fluorescent quantitation PCR method, which was more suitable for detecting Legionella in water.
- 1 July 2013
- Vol. 47 (7) , 637-40
[Three quantitative methods to continuously monitor Legionella in spring water].
To compare the detection effect of Legionella pollution in spring water by three methods, namely traditional plating method, fluorescent quantitation PCR method and ethidium monoazide (EMA) fluorescent quantitation PCR method. Every month (except May), we collected 11 water samples from the 5 selected hot spring pools in one hot spring resort in Beijing in 2011. A total of 121 water samples were collected, and then were detected by the above three methods qualitatively and quantitatively. In our study, the Legionella pollution rate was separately 74.4% (90/121), 100.0% (121/121) and 100.0% (121/121) by the above three methods. The quantitative value of Legionella in the 121 water samples detected by the three methods were around 0.10-216.00 colony-forming units (CFU)/ml, 1.47-1557.75 gene units (GU)/ml and 0.20-301.69 GU/ml, respectively. The median (25th and 75th percentiles) was 75.30 (32.51-192.10) GU/ml, 36.46 (16.08-91.21) GU/ml and 5.30 (0.00-33.70) CFU/ml, respectively. The difference in the quantitative value of Legionella detected by the three methods showed statistical significance (χ(2) = 187.900, P < 0.01). The quantitative value of Legionella detected by fluorescent quantitation PCR method was the highest, followed by the value Legionella detected by EMA-fluorescent quantitation PCR method and traditional plating method. The sensitivity of the PCR methods was higher than traditional plating method, in detecting Legionella pollution in spring water, especially the EMA- fluorescent quantitation PCR method, which was more suitable for detecting Legionella in water.