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      Unravelling the cellular and molecular pathogenesis of bovine babesiosis: is the sky the limit?

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          Highlights

          • Defining vulnerabilities in the life-cycle of Babesia parasites may lead to designing new control measures for babesiosis.

          • Poorly understood interactions between Babesia parasites and their hosts can be effectively addressed with new technologies.

          • Effective control of babesiosis will require additional extensive integrative research strategies.

          Abstract

          The global impact of bovine babesiosis caused by the tick-borne apicomplexan parasites Babesia bovis, Babesia bigemina and Babesia divergens is vastly underappreciated. These parasites invade and multiply asexually in bovine red blood cells (RBCs), undergo sexual reproduction in their tick vectors ( Rhipicephalus spp. for B. bovis and B. bigemina, and Ixodes ricinus for B. divergens) and have a trans-ovarial mode of transmission. Babesia parasites can cause acute and persistent infections to adult naïve cattle that can occur without evident clinical signs, but infections caused by B. bovis are associated with more severe disease and increased mortality, and are considered to be the most virulent agent of bovine babesiosis. In addition, babesiosis caused by B. divergens has an important zoonotic potential. The disease caused by B. bovis and B. bigemina can be controlled, at least in part, using therapeutic agents or vaccines comprising live-attenuated parasites, but these methods are limited in terms of their safety, ease of deployability and long-term efficacy, and improved control measures are urgently needed. In addition, expansion of tick habitats due to climate change and other rapidly changing environmental factors complicate efficient control of these parasites. While the ability to cause persistent infections facilitates transmission and persistence of the parasite in endemic regions, it also highlights their capacity to evade the host immune responses. Currently, the mechanisms of immune responses used by infected bovines to survive acute and chronic infections remain poorly understood, warranting further research. Similarly, molecular details on the processes leading to sexual reproduction and the development of tick-stage parasites are lacking, and such tick-specific molecules can be targets for control using alternative transmission blocking vaccines. In this review, we identify and examine key phases in the life-cycle of Babesia parasites, including dependence on a tick vector for transmission, sexual reproduction of the parasite in the midgut of the tick, parasite-dependent invasion and egression of bovine RBCs, the role of the spleen in the clearance of infected RBCs (IRBCs), and age-related disease resistance in cattle, as opportunities for developing improved control measures. The availability of integrated novel research approaches including “omics” (such as genomics, transcriptomics, and proteomics), gene modification, cytoadhesion assays, RBC invasion assays and methods for in vitro induction of sexual-stage parasites will accelerate our understanding of parasite vulnerabilities. Further, producing new knowledge on these vulnerabilities, as well as taking full advantage of existing knowledge, by filling important research gaps should result in the development of next-generation vaccines to control acute disease and parasite transmission. Creative and effective use of current and future technical and computational resources are needed, in the face of the numerous challenges imposed by these highly evolved parasites, for improving the control of this disease. Overall, bovine babesiosis is recognised as a global disease that imposes a serious burden on livestock production and human livelihood, but it largely remains a poorly controlled disease in many areas of the world. Recently, important progress has been made in our understanding of the basic biology and host-parasite interactions of Babesia parasites, yet a good deal of basic and translational research is still needed to achieve effective control of this important disease and to improve animal and human health.

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          Most cited references123

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          Mitochondrial evolution.

          The serial endosymbiosis theory is a favored model for explaining the origin of mitochondria, a defining event in the evolution of eukaryotic cells. As usually described, this theory posits that mitochondria are the direct descendants of a bacterial endosymbiont that became established at an early stage in a nucleus-containing (but amitochondriate) host cell. Gene sequence data strongly support a monophyletic origin of the mitochondrion from a eubacterial ancestor shared with a subgroup of the alpha-Proteobacteria. However, recent studies of unicellular eukaryotes (protists), some of them little known, have provided insights that challenge the traditional serial endosymbiosis-based view of how the eukaryotic cell and its mitochondrion came to be. These data indicate that the mitochondrion arose in a common ancestor of all extant eukaryotes and raise the possibility that this organelle originated at essentially the same time as the nuclear component of the eukaryotic cell rather than in a separate, subsequent event.
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            Range Expansion of Tick Disease Vectors in North America: Implications for Spread of Tick-Borne Disease

            Ticks are the major vectors of most disease-causing agents to humans, companion animals and wildlife. Moreover, ticks transmit a greater variety of pathogenic agents than any other blood-feeding arthropod. Ticks have been expanding their geographic ranges in recent decades largely due to climate change. Furthermore, tick populations in many areas of their past and even newly established localities have increased in abundance. These dynamic changes present new and increasing severe public health threats to humans, livestock and companion animals in areas where they were previously unknown or were considered to be of minor importance. Here in this review, the geographic status of four representative tick species are discussed in relation to these public health concerns, namely, the American dog tick, Dermacentor variabilis, the lone star tick, Amblyomma americanum, the Gulf Coast Tick, Amblyomma maculatum and the black-legged tick, Ixodes scapularis. Both biotic and abiotic factors that may influence future range expansion and successful colony formation in new habitats are discussed.
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              Genome Sequence of Babesia bovis and Comparative Analysis of Apicomplexan Hemoprotozoa

              Introduction Babesiosis is a tick-borne, hemoprotozoan disease enzootic in ruminants in most sub-temperate and tropical areas of the world (reviewed in [1]). It is recognized as an emerging zoonotic disease of humans, particularly in immunocompromised individuals [2], and is of historical significance as the first protozoan agent recognized to be arthropod transmitted [3]. With no widely available vaccine and a nearly global distribution, babesiosis is one of the most important arthropod-transmitted diseases of cattle, with over half of the world's cattle population at risk [4]. Live attenuated vaccines are used for the control of babesiosis in many parts of the world, but rely on region-specific attenuated strains for which vaccine breakthrough is not uncommon (reviewed in [5]). Due to the blood-based production of these attenuated vaccines and the possibility of reversion to virulence with tick passage, they are not licensed in the US. The consequences of a disease outbreak in a naïve cattle population with no available vaccine would be catastrophic. Babesia, the causative agent of babesiosis, is in the order Piroplasmida within the phylum Apicomplexa [6]. Similar to other members of this phylum, such as the phylogenetically closely positioned Theileria and its distant cousin, Plasmodium, Babesia undergoes a complex life cycle that involves both vector and mammalian hosts. In contrast to Plasmodium, for which Anopheles mosquitoes vector transmission, Theileria and Babesia are transmitted via tick vectors. For all three hemoprotozoans, sporozoites are injected into the blood stream of the mammalian host and it is at this stage where the life cycle of Babesia differs from that of Theileria and Plasmodium. For Theileria, infection leads first to lymphocytic stages followed after schizogony by intraerythrocytic development [7]. In plasmodial infection, the sporozoite first infects hepatocytes in which the stage infecting the erythrocytes is produced. In contrast, babesial infection with sporozoites leads directly to infection of erythrocytes. Once inside an erythrocyte, both Theileria and Babesia are found in the cytoplasm while Plasmodium resides in a parasitophorous vacuole. In spite of the differences in the mammalian cell types that the parasites invade, the hallmarks of a B. bovis–induced clinical syndrome in cattle, including severe anemia, capillary sequestration of infected erythrocytes, abortion, and a neurologic syndrome, are remarkably similar to human malaria caused by Plasmodium falciparum [8,9]. Whether the mechanisms leading to these clinical features are unique or are shared between these two related hemoprotozoans is unknown. Complete apicomplexan genome sequences for T. parva, T. annulata, and P. falciparum have been reported [7,10,11]. Comparisons of these genomes revealed that only approximately 30%–38% of the predicted proteins could be assigned a function, suggesting that the majority of the proteins for these organisms are novel [10,11]. Data from the genome sequences demonstrate many differences between Plasmodium and Theileria, such as the number of rRNA units and their developmental regulation, the lack of key enzymes in certain metabolic pathways, lengths of intergenic regions, gene density, and intron distribution. The genome sequence of the virulent, tick-transmissible Texas T2Bo isolate of B. bovis, reported here, will allow for an even more comprehensive, genome-wide comparison of this triad of important vector-borne apicomplexan hemoprotozoa, and can be used to identify genes that play common and species-specific roles in apicomplexan biology. Furthermore, insight from such comparisons may improve our ability to design potential prophylactic and therapeutic drug targets. Results/Discussion Genome Structure and Sequence Assembly of whole genome shotgun sequence data of the Texas T2Bo isolate of B. bovis indicates that the parasite contains four chromosomes, confirming previous results from pulse field gel electrophoresis [12,13]. Chromosome 1, the smallest of the four chromosomes, contains a large physical gap flanked by two large contigs (821,816 bp and 285,379 bp in length). The gap is estimated to be 150 kbp by pulse field gel electrophoresis (unpublished data) and contains five contigs that vary in size from 12 kbp to 28 kbp, with the order of the contigs in the gap unknown. Chromosomes 2 and 3 were fully sequenced and are 1,729,419 and 2,593,321 bp in length, respectively. Chromosome 4 contains an assembly gap that has not been unambiguously resolved; a 1,149 bp contig separates two contigs of 827,912 bp and 1,794,700 bp. Thus, the nuclear genome of B. bovis consists of four chromosomes of 2.62, 2.59, 1.73, and ∼1.25 Mbp in length. At 8.2 Mbp in size, the genome of B. bovis is similar in size to that of T. parva (8.3 Mbp) [10] and T. annulata (8.35 Mbp) [7], the smallest apicomplexan genomes sequenced to date (Table 1). Table 1 Genome Characteristics of B. bovis, T. parva, and P. falciparum Each B. bovis chromosome contains an A+T-rich region ∼3 kbp in length presumed to be the centromere (Figure 1) based on features similar to those described for the putative centromere on P. falciparum chromosome 3 [14]. Three of the chromosomes are acrocentric, while chromosome 4 is submetacentric. The organization of telomeres and sub-telomeric regions resembles that seen in Theileria [7,10], as protein coding genes are found within 2–3 kbp of the end of CCCTA3–4 telomeric repeat sequences. The B. bovis genome contains three rRNA operons, two on chromosome 3 and one on chromosome 4, and 44 tRNA genes distributed across all four chromosomes. A total of 3,671 nuclear protein coding genes are predicted in the B. bovis assembled sequence data. In addition to the nuclear genome, the parasite contains two A+T-rich extra-chromosomal genomes: a circular 33 kbp apicoplast genome and a linear ∼6 kbp mitochondrial genome (Table 1), described below. Figure 1 Representation of B. bovis Centromeres, ves1, and smorf Genes Each chromosome is represented by a black line, with the chromosome number shown on the left. Centromeres are depicted as black dots. ves1 loci are depicted as colored boxes, and the number of ves1 and smorf genes in each locus is shown above or below the colored boxes, respectively. Red and blue boxes indicate the presence of at least one ves1α/ves1β or ves1α/ves1α pair, respectively, within the cluster. Metabolic Potential and Membrane Transporters A series of in silico metabolic pathways for B. bovis were reconstructed from 248 proteins assigned an EC number, including glycolysis, the tricarboxylic acid cycle and oxidative phosphorylation, de novo pyrimidine biosynthesis, glycerolipid and glycerophospholipid metabolism, the pentose phosphate pathway, and nucleotide interconversion (Figure 2). Notably, a number of major pathways appear to be lacking in the parasite, including gluconeogenesis, shikimic acid synthesis, fatty acid oxidation, the urea cycle, purine base salvage and folate, polyamine, type II fatty acid, and de novo purine, heme, and amino acid biosyntheses. Although heme biosynthesis activity present in P. falciparum is predicted to be absent in B. bovis, it does encode delta-aminolevulinic acid dehydratase (BBOV_II001120), which catalyzes the second step in heme biosynthesis. Figure 2 Comparison of Major Metabolic Pathways in B. bovis, T. parva, and P. falciparum Solid arrows indicate single step enzymatic reactions, dashed lines indicate multi-step reactions, and dotted lines indicate incomplete or unknown pathways. Inhibitory drugs are indicated with red arrows. Glucose is assumed to be the major carbon and energy source. Non-functional pathways in P. falciparum, T. parva, and B. bovis are shown in boxes with a red X. Pathways denoted with blue text are present in P. falciparum, T. parva, and B. bovis. Pathways denoted with green text are present in P. falciparum and T. parva but not in B. bovis, and pathways denoted with red text are exclusively found in P. falciparum. The predicted metabolic profile of B. bovis is more similar to that of Theileria [7,10] than to that of P. falciparum [11]. Like Theileria, B. bovis does not appear to encode pyruvate dehydrogenase. Thus, there is no classical link between glycolysis and the tricarboxylic acid cycle. Interestingly, massively parallel signature sequencing has demonstrated that lactate dehydrogenase is the third most highly transcribed gene in T. parva schizonts [15], suggesting that in these organisms lactate may be the primary end product of glycolysis. This could be true for B. bovis as well. The enzymes adenine phosphoribosyltransferase and hypoxanthine-guanine phosphoribosyl-transferase (HGPRT) involved in salvage of purine bases appear to be lacking in B. bovis. HGPRT is present in P. falciparum (PF10_0121) [11], but absent from T. parva and T. annulata. Interestingly, although the purine salvage pathway is incomplete, B. bovis may be able to salvage purine nucleosides [16]. A recent analysis of B. bovis expressed sequence tags (ESTs) identified two adenosine kinases [17], a finding corroborated by the genome sequence data, which also revealed the presence of adenosine deaminase. These enzymes are absent in T. parva, while P. falciparum encodes adenosine deaminase. While we cannot exclude that HGPRT is present in the chromosome 1 gap, the apparent absence of HGPRT in B. bovis is in contrast to previous studies demonstrating the incorporation of radio-labeled hypoxanthine in parasite erythrocyte cultures [16,18]. Although several enzymes involved in purine salvage are present, there appears to be no direct path to the production of inosine monophosphate, and it is possible that the necessary enzymes are present but are not similar to known enzymes. Unlike P. falciparum and the Theileria spp., B. bovis does not appear to encode dihydrofolate synthase, which converts dihydropteroate to dihydrofolate. However, this deficiency could be compensated through importation via a folate/biopterin transporter (BBOV_IV002460) and increased dihydrofolate reductase–thymidylate synthase (DHFR-TS) activity. Consistent with a previous study using the Israel strain of B. bovis [19], the T2Bo DHFR-TS contains three of the four amino acid substitutions found in a mutant P. falciparum DHFR-TS with strong resistance to pyrimethamine, a DHFR inhibitor. An additional single point mutation is linked with the ability of B. bovis to develop strong resistance to pyrimethamine [19]. Babesia bovis has the smallest number of predicted membrane transporters [20] among the sequenced apicomplexan species (Table S1), but encodes more members of some families (for example, glucose-6-phosphate/phosphate and phosphate/phosphoenolpyruvate translocators, members of the drug/metabolite transporter superfamily). It encodes fewer members of the ABC efflux protein family than T. parva but has more transporters for inorganic cations, including a cation diffusion facilitator family protein that is absent in T. parva and other apicomplexans. Both B. bovis and T. parva lack aquaporins, the calcium:cation antiporters, and amino acid permeases that are present in the genome of P. falciparum. Orthologs of the different types of amino acid transporters cannot be identified in B. bovis, including the dicarboxylate/amino acid:cation (Na+ or H+) symporter family amino acid:cation symporter that is present in T. parva [10]. The Apicoplast Most members of the phylum Apicomplexa harbor a semi-autonomous plastid-like organelle termed the apicoplast, which was derived via a secondary endosymbiotic event [21]. The B. bovis apicoplast genome is 33 kbp and unidirectionally encodes 32 putative protein coding genes, a complete set of tRNA genes (25), and a small and large subunit rRNA gene (Figure S1). The B. bovis apicoplast genome displays similarities in size, gene content, and order to those of Eimeria tenella, P. falciparum, T. parva, and Toxoplasma gondii (Table S2; [22–24]). As observed with other apicoplast genomes, the B. bovis apicoplast genome is extremely A+T rich (78.2%), in contrast to the nuclear genome (58.2%). In addition to the apicoplast genome encoded proteins, it has been demonstrated in P. falciparum that proteins encoded by nuclear genes are imported into the apicoplast (reviewed in [25]) to carry out a variety of metabolic processes, including heme biosynthesis [26], fatty acid biosynthesis [27], and isoprenoid precursor synthesis via the methylerythrose phosphate pathway [28]. Nuclear encoded proteins targeted to the apicoplast of P. falciparum have a bipartite targeting sequence consisting of a signal peptide that directs the protein to the secretory pathway and an apicoplast transit peptide that redirects the protein from the default secretory pathway into the lumen of the apicoplast [29,30]. Analysis of the metabolic functions ascribed to the apicoplast in P. falciparum reveals that only the enzymes for isoprenoid biosynthesis are found in B. bovis. To detect additional apicoplast-targeted proteins, PlasmoAP, a program developed to predict apicoplast targeting for P. falciparum [31], was used and revealed only 14 additional candidate proteins. This result is, perhaps, not unexpected, as the program was trained with P. falciparum sequences and likely works well only for P. falciparum because of skewed codon usage resulting from the low G+C content of P. falciparum. A third approach included visual inspection of BLAST search outputs of the entire B. bovis proteome against the nr database (National Center for Biotechnology Information) for potential amino-terminal extensions. This search resulted in 25 potential apicoplast-targeted sequences that had non-apicomplexan homologs with significant E values and bona fide amino terminal extensions. In total, 47 proteins (the eight involved in the methylerythrose phosphate pathway, 14 SignalP sequences identified with PlasmoAP, and 25 proteins identified through BLAST and visual inspection for amino terminal extentions) are predicted to be targeted to the B. bovis apicoplast (Table S3), by far the fewest of any organism for which this type of analysis has been done. P. falciparum and T. parva are predicted to have 466 and 345 apicoplast-targeted proteins, respectively [10,32]. The paucity of proteins predicted to be targeted to the B. bovis apicoplast may partially reflect the biology of the organism, with fewer functions attributed to the B. bovis apicoplast compared to P. falciparum, but is more likely a reflection of the lack of appropriate prediction algorithms. The apicoplast has been an attractive target for development of parasiticidal drug therapies as the biosynthetic pathways represented therein are of cyanobacterial origin and differ substantially from corresponding pathways in the mammalian host [21,33]. A recent study of the apicomplexan T. gondii demonstrated that fatty acid synthesis in the apicoplast is necessary for apicoplast biogenesis and maintenance, and indicates that this pathway would be an ideal target for drug design [34]. Thus, the reduced metabolic potential of B. bovis has important ramifications for drug design, suggesting that drugs targeting fatty acid synthesis would not be effective against babesiosis due to the absence of this pathway. The Mitochondrion B. bovis contains a 6 kbp linear mitochondrial genome (Figure S2). It encodes three putative protein coding genes, including cytochrome c oxidase subunit I, III, and cytochrome b. These are membrane-bound proteins that form part of the enzyme complexes involved in the mitochondrial respiratory chain. Cytochrome b and c subunit III are encoded on the same strand, while cytochrome c subunit I is encoded on the opposite strand. This coding arrangement is identical to that of Theileria spp. but different from that of P. falciparum [7,11,35]. Each of the encoded proteins employs the universal ATG as the start codon, in contrast to the T. parva cytochrome c subunit I, which has an AGT start codon [35]. In addition to the three protein coding genes, the B. bovis mitochondrial genome includes at least five partial rRNA gene sequences ranging in size from 34 to 301 bp. All five rRNA sequences are homologous to parts of the large ribosomal subunit of rRNA. They are encoded on both strands of the mitochondrial genome with rRNA 1 and 5 on the same strand and 2, 3, and 4 on the opposite strand. A terminal inverted repeat was identified from position 11–180 and 6005–5836. Protein Families The B. bovis proteome was used to construct protein families using Tribe-MCL, a sequence similarity matrix-based Markov clustering method, and a method based on a combination of hidden Markov model domain composition and sequence similarity [36]. In addition to housekeeping gene families found in most eukaryotes, the pathogen contains only two large gene families. One of these families, encoding the variant erythrocyte surface antigen (VESA), has been previously defined [37]. The second, which we have termed SmORF (small open reading frame), is novel. Smaller notable families encode a 225 kD protein, known as spherical body protein 2 (SBP2) [38], and the variable merozoite surface antigen (VMSA) family [39]. VESA1. VESA1 is a large (>300 kD), heterodimeric protein composed of VESA1a and VESA1b that is synthesized by B. bovis and subsequently exported to the surface of the host erythrocyte [40]. VESA1 undergoes rapid antigenic variation and has been implicated in host immune evasion and cytoadhesion, both of which would be expected to play a vital role in persistence and pathogenesis [41,42]. VESA1 is thought to be the functional homolog of PfEMP1, encoded by the var gene family, in P. falciparum [43]. The ves1 genes comprise the largest family in the B. bovis genome. While sequence identity and the presence of similar secondary amino acid structures make it clear that these genes belong to the same family, two distinct types exist (ves1α and ves1β, encoding VESA1a and VESA1b, respectively) that possess highly variable regions of sequence composition, length, and gene architecture (Figure 3). Genomic analysis predicts 119 ves1 genes in the available sequence (72α, 43β, and four unclassified; Table S4). However, there is a gradient of increasing concentration of ves1 genes in the sequence immediately adjacent to the physical gap on chromosome 1, and the contigs that appear to reside in the gap contain ves1-like sequences, indicating that additional ves1 genes reside in the gap. An estimated gap size of 150 kbp would limit the number of genes within the missing sequence to less than 40, resulting in a total of approximately 150 ves1 genes, far fewer than previously predicted [37]. All but three members of the ves1 family are found in clusters of two or more genes, with individual clusters separated by a few kilobases to nearly one megabase. Interestingly, ves1 genes are distributed throughout all four chromosomes (Figure 1), in contrast to the observation that genes involved in antigenic variation, immune evasion, and sequestration, including P. falciparum var genes, are only occasionally found internally and are predominately telomerically located [11,44]. While ves1 genes are also found near telomeres and centromeres, 89 genes (75%) are located distal to these chromosomal structures. Figure 3 Diagram of a Locus Containing the ves1α, ves1β, and smorf Genes The genome backbone is a gray line, ves1α exons are blue, ves1β exons are red, and the SmORF exon is yellow. Introns are shown as blank boxes through which the genome backbone is seen. The systematic gene name for each gene is shown. Transmembrane helices (black bars), coiled-coil domains (green boxes), variant domains with conserved sequences 1 and 2 (pink boxes), and the SmORF signal peptide (orange box) are indicated. Arrows represent the positions of the primers for each of the cDNA experiments. The experiment number is indicated to the right of the primer sets, with experiment 1 targeting specific genes, experiment 2 sets of genes, and experiment 3 the published LAT. Transcription of ves1 genes has been hypothesized to occur at a “locus for active transcription” (LAT), described as a divergently oriented pairing of ves1α and ves1β genes [37]. This large locus encompasses nearly 13 kbp and includes ves1α and ves1β (each >4 kbp), a short intergenic region ( 91% sequence identity in pairwise comparisons while the ves1β cDNAs displayed a bimodal distribution, with 46% having >91% sequence identity and 50% having only 56%–70% sequence identity. The RNA used for these experiments was obtained from B. bovis T2Bo culture more than two years following isolation of the genomic DNA used to construct the libraries used for sequencing, possibly accounting for some of the sequence diversity, i.e., due to changes in the population represented in the culture at the time of sampling. However, although variation over time may account for some of the differences between the cDNA and genomic sequences, the number of unique sequences obtained from a single time point exceeds the number of predicted expression sites for ves1 genes. Consistent with this finding, numerous ves1 genes were also represented in EST data [17]. Var gene expression, while “leaky” in the ring stages of P. falciparum, appears to be restricted to a single, or very few, alleles in individual parasite populations in vivo [46,47]. However, multiple var transcripts, although far fewer than for B. bovis, have been detected when the organism is cultured in vitro [48]. One possible explanation for the large number of different ves1 cDNA transcripts may be that, similar to the var genes, ves1 genes are removed from in vivo transcriptional controls and/or phenotypic selection when the organism is grown in vitro. While in vivo analysis of ves1 transcription remains to be performed, the number of diverse transcripts is interesting, and may suggest more widespread transcription and alternative post-transcriptional control mechanisms than observed in other hemoprotozoa. SmORFs. Found associated with the ves1 genes across all four chromosomes are members of the second largest protein family (SmORFs) in the B. bovis genome (Figures 1 and 2). These “small open reading frames” (so named due to their association with, but smaller size than the ves1 genes) include 44 genes with lengths ranging from 381 to 1,377 nucleotides with no significant sequence identity to any protein or gene sequence in available databases. When compared to VESA proteins, a higher degree of sequence conservation (∼50% amino acid identity for most pairwise comparisons, with a range from 28%–95%) is found among SmORF paralogs, and 42/44 members consist of a single exon. Additionally, 43 family members are predicted to have a signal peptide, and all 44 are predicted by TMHMM [49] to exist extracellularly. Alignment of the SmORF sequences reveals four blocks of conserved sequence interrupted by linking sequence present in only one or a few of the SmORF paralogs (Figure S4). These long linking sequences interspersed between the blocks of identity in a few proteins account for the increased peptide length for the longer members of the family. Results from experiments designed to detect smorf transcripts were similar to that for ves1: two of five cloned products matched the predicted genome sequence while the remaining clones differed. The prevalence of canonical signal peptides among SmORFs, and their uniform association with ves1 clusters, tempts speculation that these proteins may play a functional role in VESA1 biology, or may, themselves, contribute to antigenic variation and immune evasion, or both. However, elucidation of the function of these proteins awaits biochemical and immunological analysis. SBP2 family. The spherical body is an apical organelle thought to be analogous to dense granules in other apicomplexan organisms [50]. SBP2 (also known as BvVa1) is a 225 kD immunostimulatory protein from the spherical body that is released into the host erythrocyte upon invasion and localizes to the cytoplasmic side of the erythrocyte membrane [38,51–53]. The original study noted that there were multiple copies of the 5′ end of the gene, while the 3′ end appeared to be single copy [51]. Consistent with this study, the genome sequence reveals that there are 12 truncated copies of the SBP2 gene corresponding to the 5′ end of the full-length gene, and one full-length copy. The full-length gene and one truncated gene are on chromosome 4, with all remaining truncated copies on chromosome 3. The truncated genes on chromosome 3 occur in three clusters of two, four, and five genes. The genes occurring in the 2- and 5-gene clusters are interspersed with another set of highly conserved (88%–100%) gene repeats (BBOV_III005620, BBOV_III006470, BBOV_III006490, BBOV_III006510, and BBOV_III006530) that have no homologs in the public databases. The 12 truncated SBP2 genes have sequence identities ranging from 27%–99% in pairwise comparisons, with the greatest identity in the first 30 amino acids. Previous analysis of EST sequences indicates that more than one of these truncated genes are transcribed [17]. VMSA. The variable merozoite surface antigen genes encode a family of immunostimulatory proteins that are a target of invasion blocking antibodies [39,54,55]. As in related Mexico strains of B. bovis [56], the T2Bo genome contains five vmsa genes, including msa1 and four copies of msa2. The VMSA genes reside on chromosome 1, with the four msa2 copies arranged tandemly in a head-to-tail fashion, and msa1 residing ∼5 kbp upstream from the msa2 genes. Interestingly, the VMSAs do not have homologs in Theileria spp. or P. falciparum. Comparative Analyses of Hemoprotozoan Proteomes Clusters of orthologous groups. Similarity clustering using the predicted proteomes of B. bovis, T. parva, and P. falciparum created 1,945 three-way clusters of orthologous groups (COGs) (Figure S5; Table S5). As expected from phylogenetic studies, the B. bovis proteome is more closely related to that of T. parva. Approximately half of the remaining B. bovis proteins not included in the three-way COGs fell into two-way COGs with proteins from T. parva, while B. bovis and P. falciparum shared only 111 two-way COGs. Remaining after cluster analysis were 706, 1,107, and 3,309 unique genes for B. bovis, T. parva, and P. falciparum, respectively (Tables S6–S8). Since P. falciparum, T. parva, and B. bovis all have complex life cycles that involve arthropod vector and mammalian host stages, Jaccard-filtered COG (Jf-COG) data were used to search for B. bovis orthologs of proteins that have been characterized in T. parva and P. falciparum as targets of protective immune responses, as well as those that play a role in stage-specific parasite biology. Many genes exclusively expressed in sexual stages of P. falciparum (for example PfCDPK3, PfLAMMER, and Pfs230) do not share Jf-COGs with T. parva or B. bovis, a difference potentially associated with the different vector (mosquito versus tick) that transmits Plasmodium. Likewise, P. falciparum sporozoite genes that are expressed initially in the mosquito, such as Pfs 25/28, exported protein 2, circumsporozoite protein, circumsporozoite protein/thrombospondin-related anonymous protein-related protein, and sporozoite microneme protein essential for cell traversal 1 and 2, also do not cluster with T. parva or B. bovis proteins. Since B. bovis does not have a pre-erythrocytic liver stage, as expected, orthologs of P. falciparum liver stage proteins such as PfLSA 1–3 are not detected. P. falciparum erythrocytic stage proteins such as the PfMSPs were not detected in B. bovis, nor were plasmodial rhoptry and rhoptry-associated proteins (RAPs). However, BbRAP-1a (BBOV_IV009860 and BBOV_IV009870) forms a Jf-COG with its T. parva (TP01_0701) and T. annulata (TA05760) orthologs. Interestingly, B. bovis encodes a protein (RRA; BBOV_IV010280) most similar to RAP-1b, previously described only in B. bigemina [57]. Noteworthy P. falciparum genes that have Jf-COGs with B. bovis are thrombospondin-related anonymous protein (TRAP), p36 protein, Pf12, Sir2, PfATP6, and P0. PfTRAP is expressed exclusively in sporozoites, while BbTRAP is expressed in both sporozoite and blood stages [58]. A plasmodial surface membrane protein, p36 is a member of the p45/48 sporozoite protein family. It participates in liver stage parasite development, and immunization with Pfp36 knockout parasites results in protective immunity against subsequent challenge with wild-type sporozoites, identifying p36 as a potential knockout gene for development of attenuated vaccines [59]. Pf12 is a merozoite surface protein that is recognized strongly by antibodies of naturally infected individuals [60]. An ortholog of the Sir2 protein, involved in P. falciparum var gene silencing [61], is present in B. bovis (BBOV_I003070), forming a Jf-COG with orthologs in P. falciparum (PF13_0152), T. parva (TP01_0527), and Cryptosporidium parvum (cgd7_2030), but is apparently absent from T. annulata. An ortholog of PfATP6, the gene thought to be the target of the drug artemisinin used to treat drug-resistant malaria, is found in B. bovis (BBOV_II005700) [62]. Finally, BBOV_IV004540 forms a Jf-COG with P0 from P. falciparum (PF11_0313), T. parva (TP01_0294), and T. annulata (TA21355). P0 is a ribosomal phosphoprotein with immunoprotective properties [63]. Immunostimulatory proteins that form Jf-COGs with B. bovis include a T. parva protein annotated as polymorphic immunodominant protein (PIM) (TP04_0051). This polymorphic immunodominant protein is the target of sporozoite neutralizing antibodies [64], and falls into a Jf-COG with B. bovis protein BBOV_II005100, T. annulata protein TA17315, known as TaSP [65], and P. falciparum protein PF14_0369. However, the orthologs are half the length of the T. parva protein and do not contain a Q/E-rich central repeat domain that is characteristic of PIM. Of six additional antigens from T. parva (TP01_0056, TP02_0849, TP02_0767, TP02_0244, TP02_0140, TP03_0210) that are the targets of parasite-specific bovine MHC class I–restricted CD8+ cytotoxic T cells [66], four have orthologs in B. bovis (BBOV_IV000410, BBOV_IV006970, BBOV_III011550, BBOV_III004230, BBOV_III010070) and P. falciparum (PFC0350c, PF13_0125, MAL7P1.14, PF11_0447, PF14_0417, PF07_0029). BBOV_IV000410, one of the genes not found in P. falciparum, encodes a signal peptide-containing protein whose T. annulata homolog is targeted to the membrane [67]. B. bovis ACS-1 (BBOV_III010400) has been shown to stimulate CD4+ T lymphocyte responses in immune cattle [68], and forms a Jf-COG with T. parva (TP02_0107) and P. falciparum (PFL1880w) proteins. The B. bovis apical membrane antigen 1 (AMA-1; BBOV_IV011230) [69] is a micronemal protein that forms a Jf-COG with P. falciparum (PF11_0344), T. parva (TP01_0650), and T. annulata (TA02980) and has additional homologs with other apicomplexans. The B. bovis AMA-1 gene is located on chromosome 4 and is part of a syntenic cluster of four genes present across the P. falciparum, T. parva, and T. annulata genomes. A unique aspect of T. parva and T. annulata is the ability of the schizont stage of these parasites to transform the leukocytes they reside in to a cancer-like phenotype [70]. This reversible change is dependent on the presence of viable parasites. Although a number of Theileria molecules that could interfere with host cell signaling pathways controlling cell proliferation and apoptosis have been mined from the genome sequence of both pathogens, no single molecule in either parasite could be linked with the phenotype. In general, both parasites encode the same repertoire of candidate proteins, suggesting that subtle differences account for the observation that T. parva transforms T and B cells while T. annulata transforms B cells and macrophages. As anticipated, the expansion in the number of genes coding for choline kinase in T. parva and T. annulata, which may contribute to increased lipid metabolism in transformed cells, is not present in B. bovis, which encodes a single copy of this gene. In an effort to further refine a list of candidate transformation-associated genes for T. parva, we analyzed a list of 1,107 T. parva proteins that do not fall into a Jf-COG with proteins from P. falciparum or B. bovis (Table S7). There are 262 proteins predicted to contain a signal peptide or signal anchor and are not predicted to be targeted to the apicoplast. Cross-referencing this list with transcriptional data derived from oligonucleotide based microarrays comparing T. parva schizonts and sporozoites reveals that 35 genes in the list are highly expressed in schizonts. These include two members of the TashAT gene family previously implicated in T. annulata transformation [71], and one member of a telomeric gene family [7]. It is notable that the remaining genes are all annotated as hypothetical proteins, emphasizing the need for a concerted effort to study the role of these novel proteins. Syntenic analyses. It is possible that due to evolutionary pressure, functional B. bovis homologs of T. parva and P. falciparum proteins may have diverged in sequence to the point they are no longer recognizable at the level of the primary amino acid sequence. For this reason, we examined the conservation of gene order in syntenic blocks between the pathogens. Syntenic blocks were defined as a pair of genes that belong to the same Jf-COG, where members of the pair belong to the reference and query sequence [10]. Even by this method, we were unable to identify obvious homologs for many P. falciparum proteins involved in stage-specific biology or host immunity. However, in T. parva, the regions flanking a gene encoding an abundant sporozoite surface antigen, p67, a primary target of parasite neutralizing antibodies [72], form a highly conserved syntenic block with B. bovis and T. annulata (Figure S6). Sporozoite antigen 1 (SPAG-1), the positional homolog of p67 in T. annulata, is itself known to contain neutralizing epitopes and is a leading vaccine candidate [73]. The gene in B. bovis (BBOV_IV007750) that occupies the site of p67 in T. parva is predicted to encode a membrane protein, suggesting that this protein may have immunostimulatory properties equivalent to p67. RT-PCR experiments indicate that the B. bovis gene is transcribed in infected erythrocytes and during the kinete stage in ticks (unpublished data; sporozoite expression has not been examined). It will be interesting to explore the vaccine potential of the B. bovis p67 homolog, as ∼50% of cattle immunized with recombinant p67 and challenged under field conditions show a reduction in severe East Coast fever [74]. Large blocks of synteny are evident between B. bovis and T. parva chromosomes (Figure 4A). However, several chromosomal rearrangements have taken place, as observed between chromosomes of P. falciparum and P. yoelii yoelii [75]. Synteny rarely extends to telomeres (Figure 4B), as these regions usually contain species-specific polymorphic genes that are present at many syntenic break points. Unlike the T. parva subtelomeric regions, the B. bovis subtelomeres contain genes transcribed from both strands. However, similar to both T. parva and P. falciparum, the telomeres contain many (putative) membrane proteins. At a gross level, B. bovis chromosomes 2 and 4 primarily consist of sections of T. parva chromosome 4 and 2, and 3 and 1, respectively. B. bovis chromosome 3 contains sections from all four T. parva chromosomes, while B. bovis chromosome 1 contains DNA from T. parva chromosomes 3, 1, and 2 (Figure 4). Closer examination of syntenic blocks indicates that inversions in gene order have also taken place. Figure 4 Diagram of Chromosomal Synteny between B. bovis and T. parva (A) Synteny at the chromosomal level. B. bovis chromosome number is indicated at the top. Bars on the right side of each chromosome diagram designate B. bovis genes, with black bars indicating B. bovis ves1 genes and gray bars indicating other genes. The colors on the left of each chromosome diagram indicate to which T. parva chromosome an ortholog belongs as follows: Tp1 = red, Tp2 = green, Tp3 = blue, Tp4 = orange. (B) Comparison of telomeric arrangement of genes for B. bovis and T. parva chromosome 2. The gray line indicates the chromosomal backbone, with black dots indicating the telomere. Large genes are depicted as arrows with coding direction indicated, while small genes have an arrowhead beneath the gene to indicate the direction of transcription. Gray double arrowheads indicate that the chromosome continues. Colors indicate gene content as follows: blue = B. bovis ves1α, red = B. bovis ves1β, yellow = B. bovis SmORF, pale green = putative membrane protein, pale blue = annotated genes with predicted function, black = hypothetical, orange = T. parva family 3 hypothetical, purple = T. parva family 1 hypothetical, green = ABC transporter. Summary The 8.2 Mbp genome of B. bovis consists of four nuclear chromosomes, and two small extra-nuclear chromosomes for the apicoplast and mitochondria. B. bovis appears to have one of the smallest apicomplexan genomes sequenced to date. Consistent with the small genome size, analysis of enzyme pathways reveals a reduced metabolic potential, and provides a better understanding of B. bovis metabolism and potential avenues for drug therapies. Using several different approaches, identification of proteins predicted to be targeted to the apicoplast reveals far fewer proteins than for related organisms. This may be due in part to the lack of appropriate detection algorithms. However, the conservative approach used to identify the genes encoding these proteins provides a solid base from which to extend these analyses. A foundation for the elucidation of antigenic variation and immune evasion has been established with genome-wide characterization of the ves1 gene family, and discovery of the novel smorf gene family. ves1 and smorf genes are co-distributed throughout the chromosome, with the majority located away from telomeres and centromeres. As many as 33 potential loci of ves1 transcription have been identified, and cDNA analysis suggests that this transcription is more broad-based than with other hemoprotozoa. Comparative analysis indicates that many stage-specific and immunologically important genes from P. falciparum are absent in B. bovis. However, through both COG analysis and synteny, additional B. bovis vaccine candidates, including homologs of P. falciparum p36, Pf12, T. parva p67, and four of six T. parva proteins targeted by CD8+ cytotoxic T cells, have been identified. Methods Parasite culture and library construction. R. microplus adults were allowed to feed on calf C-912 inoculated with the T2Bo strain that was one passage (splenectomized calf) removed from a field isolate and frozen as a liquid nitrogen stabilate [76]. Progeny larvae were placed on calf C-936, blood was collected 7 d post tick infestation, and microaerophilous stationary phase culture was established according to [77] with modifications as described in [18]. Parasite genomic DNA from parasites in culture for 34–39 weeks was extracted using standard methods [78]. Small (2–3 kbp) and medium (12–15 kbp) insert libraries were constructed by nebulization and cloning into pHOS2. A large insert library (100–145 kbp) was constructed in pECBAC1 (Amplicon Express) and consisted of clones resulting from HindIII or MboI partially digested DNA. Genome sequencing. A total of 103,478 high quality sequence reads (average read length = 870) were generated (58,251 reads from the small insert library and 45,227 reads from the medium insert library) and assembled using Celera Assembler (http://sourceforge.net/projects/wgs-assembler/). The sequence data fell into 50 scaffolds consisting of 88 contigs. The bacterial artificial chromosome library was end sequenced to generate an additional 2,874 reads that were used to confirm the assembly and for targeted sequencing in the closure phase. Gaps in the assembly were closed by a combination of primer walking and transposon based or shotgun sequencing of medium insert clones, bacterial artificial chromosome clones, or PCR products. This genome project has been deposited at DDBJ/EMBL/GenBank under accession number AAXT00000000. The version described in this paper is the first version, AAXT01000000. Functional annotation. Chromosomal gene models were predicted using Phat [79], GlimmerHMM, TigrScan [80], and Unveil [81] after training each gene finding algorithm on 499 partial and full-length B. bovis genes totaling ∼453 kbp. The training data were manually constructed after inspection of the alignment of highly conserved protein sequences from nraa using the AAT package [82] and PASA to align a collection of ∼11,000 B. bovis ESTs [17] to the genome sequence. Jigsaw was used to derive consensus gene models [83] from the outputs of the gene finding programs and protein alignments. The consensus gene models were visually inspected and obvious errors such as split or chimeric gene models were corrected based on either EST or protein alignment evidence using the Neomorphic Annotation Station [84] before promotion to working gene models. Genes encoding tRNAs were identified using tRNAscan-SE [85]. BLAST [86] was used to search nraa using the predicted B. bovis protein sequences, and protein domains were assigned using the InterPro database [87]. The presence of secretory signals and transmembrane domains were detected using SignalP [88] and TMHMM [49], respectively. Functional gene assignments were assigned based on the BLAST data, and a Web-based tool called Manatee (http://manatee.sourceforge.net/) was used to manually curate and annotate the data. Proteins were annotated as hypothetical proteins if there was less than 35% sequence identity to known proteins, and as conserved hypothetical proteins if there was greater than 35% sequence identity to other proteins in the database that were unnamed. If a protein was predicted to have a signal peptide and at least one transmembrane domain, but was otherwise considered as a hypothetical or conserved hypothetical protein, it was annotated as a membrane protein, putative. If there was greater than 35% sequence identity for 70% of the sequence length, the protein product would be assigned a name only when a publication record could verify the authenticity of the named product. In the absence of published evidence, the named product was listed as putative. The mitochondrial and apicoplast genomes were manually annotated, and apicoplast-targeted proteins were analyzed using PlasmoAP (http://v4-4.plasmodb.org/restricted/PlasmoAPcgi.shtml) [31]. PASA [89] was used to align ∼86% of the B. bovis ESTs to the genome sequence data and provided evidence for transcription of 1,633 genes. Comparative analyses. Sybil (http://sybil.sourceforge.net/) was used to create an all-versus-all BLASTP search using the proteomes of B. bovis, T. parva, and P. falciparum. These outputs were subjected to Jaccard clustering [10], placing proteins into distinct clusters for each proteome. Clusters from different proteomes were linked based on best bidirectional BLASTP hits between them to provide Jf-COGs. A minimum block size of five with one gap was allowed in the analyses. cDNA analyses. Analysis of ves1 transcription utilized total RNA isolated from microaerophilous stationary phase culture culture using TRIzol (BRL) treated three times with RNase-free DNase (Ambion) for 30 min at 37 °C. RNA was reverse transcribed with a Superscript (Invitrogen) reverse transcription kit using random hexamers according to the manufacturer's instructions. Universal primer sequences that would anneal to the two specific subunit types could not be found. Therefore, in the first RT-PCR experiment, primers were designed to amplify as many of the genes as possible. The following primers were used for ves1β cDNA: beta2For: 5′ GGA CTA CAG AAG TGG GTT GGG TGG and beta4Rev: 5′ ATA GCC CAT GGC CGC CAT GAA TGA; ves1α cDNA: alpha3For: 5′ CAG GTA CTC AGT GCA CTC GTT GGG TGG AG and alpha6Rev: 5′ CCC TAA TGT AGT GNA CCA CCT GGT TGT ATG C. Due to the high degree of sequence similarity (>99%) of the published ves1 loci in cosmid 53 and 54 (accession numbers AY279553 and AY279554, respectively) to the genome sequence, a second RT-PCR experiment used primers designed to amplify the published LAT [37]. This experiment used primers LATbetaF1: 5′ GCA ACC GCA CGA CAG and LATbetaR2: 5′ CGC TGA CAC GCT AGT for the ves1β gene. A final cDNA cloning experiment was designed to elucidate the transcriptional profile for ves1 by targeting ves1α and ves1β genes associated with Rep sequence clusters [37]. Primers were as follows: ves1β: 00789F1: 5′ AGA CTG TGA ATC TCG GCT CA and 00789R: 5′ CAG CGG CAC CAC TAC CTT T; ves1α: 00792F2: 5′ TGC CCA GGA CAG TTA TG and 00792R2: 5′ TGA TGC CCT CTT CAA TAG TT. Whenever possible, ves1 primers were designed such that they would flank introns, providing an additional assurance that the amplicon obtained was not from contaminating genomic DNA; however, this was only possible for ves1β experiments. Supporting Information Figure S1 Diagram of B. bovis Apicoplast Genome Coding sequences (CDSs) with functional annotation are depicted in red, while hypothetical CDSs are shown in lack. Genes encoding tRNA genes are shown as blue bars, while rRNA genes are shown as yellow arrows. All genes are unidirectionally encoded. (303 KB PDF) Click here for additional data file. Figure S2 Diagram of B. bovis Mitochondrial Genome CDSs are depicted in red, large subunit rRNA genes in blue, and inverted terminal repeats as black arrows. (38 KB PDF) Click here for additional data file. Figure S3 Diagram of the 24 Putative ves1 LAT Loci All loci are depicted with ves1β on the left and ves1α on the right and drawn to the same scale. The genome backbone is a yellow line, exons are orange, and introns are shown as blank boxes. The systematic gene name for each gene is shown. Transmembrane helices (TMHelix), coiled-coil domains (Coiled Coil), and the variant domains with conserved sequences 1 and 2 (VDCS-1 or −2) are indicated. (327 KB PDF) Click here for additional data file. Figure S4 Alignment of 44 SmORF Sequences Deduced amino acid sequences were aligned with the AlignX module of VectoNTI. The blue background indicates positions with identical amino acid sequences, while the green background indicates conserved amino acids. Dashes indicate that there is no amino acid in that position. Long stretches of intervening amino acid sequence has been trimmed from a few sequences to allow visualization of the four blocks of amino acid conservation. The double slashes (//) indicate that the sequence was trimmed from this position that spanned the full length between the remaining amino acids, while a single slash (/) indicates that the sequence that was trimmed from the alignment that did not fully span the region was removed. The total alignment length is 720 amino acids in length. (43 KB PDF) Click here for additional data file. Figure S5 Venn Diagram Showing Number of Genes in Overlapping COGs between B. bovis, T. parva, and P. falciparum (14 KB PDF) Click here for additional data file. Figure S6 Example of Microsynteny between B. bovis and T. parva The T. parva p67 locus is diagrammed in the middle row, with the corresponding B. bovis locus shown on the top row, and the T. annulata SPAG-1 locus diagrammed on the bottom row. Genes with sequence identity between species are connected by shaded gray lines. The gene highlighted with pink was used to identify the syntenic locus. The p67 gene is indicated. (52 KB PDF) Click here for additional data file. Table S1 Transporters (85 KB DOC) Click here for additional data file. Table S2 Characteristics of Apicomplexan Plastids (34 KB DOC) Click here for additional data file. Table S3 Nuclear Encoded Genes Potentially Targeted to the Apicoplast (104 KB DOC) Click here for additional data file. Table S4 Characteristics of ves1 Sequences (44 KB XLS) Click here for additional data file. Table S5 CDS common to B. bovis, T. parva, and P. falciparum (728 KB XLS) Click here for additional data file. Table S6 CDS Unique to B. bovis (97 KB XLS) Click here for additional data file. Table S7 CDS Unique to T. parva (138 KB XLS) Click here for additional data file. Table S8 CDS Unique to P. falciparum (388 KB XLS) Click here for additional data file. Accession Number The B. bovis T2Bo genome is deposited at DDBJ/EMBL/GenBank under accession number AAXT00000000.
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                Author and article information

                Contributors
                Journal
                Int J Parasitol
                Int. J. Parasitol
                International Journal for Parasitology
                Elsevier Science
                0020-7519
                1879-0135
                1 February 2019
                February 2019
                : 49
                : 2
                : 183-197
                Affiliations
                [a ]Department of Veterinary Microbiology and Pathology, Washington State University, Pullman, WA, United States
                [b ]Animal Disease Research Unit, Agricultural Research Service, USDA, WSU, Pullman, WA, United States
                [c ]Parasitology and Animal Diseases Department, National Research Center, Dokki, Giza, Egypt
                [d ]Department of Microbiology, Biomedicine Discovery Institute, Monash University, Victoria 3800, Australia
                Author notes
                [* ]Corresponding authors at: Animal Disease Research Unit, ARS-USDA and Department of Veterinary Microbiology and Pathology, Washington State University, Pullman, WA, United States (C.E. Suarez) and Department of Microbiology, Biomedicine Discovery Institute, Monash University, Victoria 3800, Australia (B.M. Cooke). ces@ 123456vetmed.wsu.edu brian.cooke@ 123456monash.edu
                Article
                S0020-7519(18)30304-7
                10.1016/j.ijpara.2018.11.002
                6988112
                30690089
                01510741-cbc6-4a56-8a6b-49a227aa3a0a
                © 2020 The Authors. Published by Elsevier Ltd on behalf of Australian Society for Parasitology.

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                : 23 October 2018
                : 21 November 2018
                : 21 November 2018
                Categories
                Article

                Parasitology
                babesia,babesiosis,tick fever,parasite vaccines,pathogenesis
                Parasitology
                babesia, babesiosis, tick fever, parasite vaccines, pathogenesis

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