Abstract

Tick-borne relapsing fever (TBRF), characterized by recurring febrile episodes, is globally distributed and among the most common bacterial infections in some African countries. Despite the public health concern that this disease represents, little is known regarding the virulence determinants required by TBRF Borrelia during infection. Because the chromosomes of TBRF Borrelia show extensive colinearity with those of Lyme disease (LD) Borrelia, the exceptions represent unique genes encoding proteins that are potentially essential to the disparate enzootic cycles of these two groups of spirochetes. One such exception is a gene encoding an HtrA family protease, BtpA, that is present in TBRF Borrelia, but not in LD spirochetes. Previous work suggested that btpA orthologs may be important for resistance to stresses faced during mammalian infection. Herein, proteomic analyses of the TBRF spirochete, Borrelia turicatae, demonstrated that BtpA, as well as proteins encoded by adjacent genes in the B. turicatae genome, were produced in response to culture at mammalian body temperature, suggesting a role in mammalian infection. Further, transcriptional analyses revealed that btpA was expressed with the genes immediately upstream and downstream as part of an operon. To directly assess if btpA is involved in resistance to environmental stresses, btpA deletion mutants were generated. btpA mutants demonstrated no growth defect in response to heat shock, but were more sensitive to oxidative stress produced by t-butyl peroxide compared to wild-type B. turicatae. Finally, btpA mutants were fully infectious in a murine relapsing fever (RF) infection model. These results indicate that BtpA is either not required for mammalian infection, or that compensatory mechanisms exist in TBRF spirochetes to combat environmental stresses encountered during mammalian infection in the absence of BtpA.

Highlights

  • Relapsing fever (RF), caused by spirochetes belonging to the genus Borrelia, is characterized by recurrent febrile episodes accompanied by non-specific symptoms including headache, nausea, vomiting, and diarrhea (Ross and Milne, 1904; Dutton et al, 1905; Dworkin et al, 1998, 2008)

  • BtpA Is Produced in Response to Mammalian Body Temperature

  • In the Lyme disease (LD) spirochete, B. burgdorferi, numerous proteins important for mammalian infection are produced when the bacteria are cultured at mammalian body temperature (37◦C), whereas, proteins involved in tick colonization are produced in response to culture at a temperature representative of an unfed tick (23◦C) (Schwan et al, 1995; Stevenson et al, 1995; Schwan and Piesman, 2000; Yang et al, 2000; Ojaimi et al, 2003)

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Summary

Introduction

Relapsing fever (RF), caused by spirochetes belonging to the genus Borrelia, is characterized by recurrent febrile episodes accompanied by non-specific symptoms including headache, nausea, vomiting, and diarrhea (Ross and Milne, 1904; Dutton et al, 1905; Dworkin et al, 1998, 2008). Tickborne RF (TBRF) is globally distributed with high prevalence in several endemic areas (Cutler, 2010). The actual incidence of TBRF may be even higher than reported in many studies, as TBRF cases often go unreported or are misdiagnosed as another disease, such as malaria, in endemic regions of Africa (Dworkin et al, 1998; Nordstrand et al, 2007; Cutler, 2010; Schwan et al, 2012; Talagrand-Reboul et al, 2018). Despite the public health concern that TBRF represents, and the fact that the etiologic agent of TBRF was first described over 100 years ago (Ross and Milne, 1904; Dutton et al, 1905), our knowledge regarding virulence determinants utilized by the causative Borrelia spirochetes is limited

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