J Arthropod-Borne Dis, September 2020, 14(3): 261–269 A Afshari et al.: Establishment and Validation of … 261 http://jad.tums.ac.ir Published Online: September 30, 2020 Original Article Establishment and Validation of Theileria annulata Sporozoite Ak-93 Infection in Laboratory-Reared Hyalomma anatolicum Tick Using In Vivo and In Vitro Assays *Asghar Afshari1; Gholamreza Habibi1; Mohammad Abdigoudarzi2; Fereshteh Yazdani3 1Department of Parasitic Vaccines Research and Production, Razi Vaccine and Serum Research Institute, Agricultural Research Education and Extension Organization (AREEO), Karaj, Iran 2Department of Parasitology, Razi Vaccine and Serum Research institute, Agricultural Research Education and Extension Organization (AREEO), Karaj, Iran 3Department of Brucellosis, Razi Vaccine and Serum Research Institute, Agricultural Research, Education and Organization Extension (AREEO), Karaj, Iran *Corresponding author: Dr Asghar Afshari, E-mail: a.afshari@rvsri.ac.ir (Received 15 Jun 2019; accepted 27 Sep 2020) Abstract Background: Tropical Theileriosis caused by Theileria annulata is a tick-borne disease which transmitted by the ix- odid tick members of the genus Hyalomma. Studies on different aspects of disease require to access infective sporozoite of parasite which produced by tick vector. This study was carried out to establish of T. annulata life cycle to achieve T. annulata infected ticks. Methods: Laboratory rabbit and calf were used for rearing of Hyalomma anatolicum different instars. Unfed nymphs were fed on T. annulata infected calf. Clinical signs, Giemsa stained smears and Polymerase Chain Reaction (PCR) methods were used for detection of infection in blood and tick specimens. Susceptible calf was used for confirmation of sporozoites maturation and infectivity in bioassay test. Results: Hyalomma anatolicum two and three-host strategies of life cycle was lasted 90 and 116 days respectively. The PCR confirmed T. annulata infection in blood and tick samples. Maturation of T. annulata sporozoites was confirmed in bioassy test. First clinical symptom of disease was seen earlier in the case of transmission of disease through feeding of live ticks in comparison with blood injection method. Conclusion: Complete life cycle of T. annulata was done and confirmed by clinical signs, microscopic examination, molecular methods and bioassay test. According to published reports to date, this is the first report of establishment of H. anatolicum tick infection with T. annulata using susceptible calf under controlled conditions in Iran. Keywords: Theileria annulata; Hyalomma anatolicum; Tick rearing; Polymerase Chain Reaction (PCR); Bioassay Introduction Bovine tropical theileriosis caused by Theil- eria annulata is one of the most important tick borne disease in cattle. The disease is trans- mitted trans-stadially by species of ixodid ticks of the genus Hyalomma and it is distributed in tropical and subtropical areas from northern Af- rica, southern Europe, the Middle East (in- cluding Iran) to Far East (1, 2). Complex life cycle of T. annulata involve schizogony and merogony in vertebrate host and sporogony in invertebrate hosts. Sporozoites of T. annulata enter the blood stream of host by feeding of inf- ected tick on cattle and multiply as schizonts in lymphocytes and macrophages and from these stages merozoites developed in red blood cells that called piroplasm or erythrocytic forms. Some of these differentiate to gametocytes. By uptake of blood with ticks, the gamogony and sporogony stages occurred in tick midgut lu- men and salivary glands of tick respectively (3). Lymph nodes enlargment, fever, anemia and icterus are main clinical signs of disease (4). Tropical theileriosis can be controlled by methods such as application of acaricides for Copyright © 2020 The Authors. Published by Tehran University of Medical Sciences. This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International license (https://creativecommons.org/licenses/by- nc/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited. http://jad.tums.ac.ir/ https://creativecommons.org/licenses/by-nc/4.0/ https://creativecommons.org/licenses/by-nc/4.0/ J Arthropod-Borne Dis, September 2020, 14(3): 261–269 A Afshari et al.: Establishment and Validation of … 262 http://jad.tums.ac.ir Published Online: September 30, 2020 tick vector control, administration of live atten- uated vaccine or by combination of both aca- ricides and vaccination (1). In case of infected animals the specific treatment against T. an- nulata is recommended by using parvaquone and buparvaquone (5). Hyalomma anatolicum as main vector of T. annulata is predominant species of Hyalomma ticks in domestic rumi- nants in Iran (6). Succesfull laboratory rearing of H. anatolicum tick using white rabbit has been reported (7). Artificial tick feeding has been used in some studies (8, 9). In this study laboratory animals were used as host for nymph and larva of ticks and preservation of tansstadial transmission of T. annulata. Spro- zoite stage of Theileria annulata that present in salivary glands of tick vector is important in parasite life cycle (10). The maturation is necessary for infectivity of sporozites and oc- curred in tick salivary glands by both incuba- tion at 36–37 °C or feeding on rabbit for 4–5 days (11, 12). Infective sporozoites can be used in many studies on different features of disease specially in vaccine efficay test (13). This study was carried out to establish of sex- ual stage of T. annulata life cycle using labor- atory white rabbit and T. annulata infected calf for rearing of different tick instars to achieve H. anatolicum ticks infected by sporozoites of T. annulata AK-93 local strain. Although the bovine theileriosis vaccine immunity assay has performed by inoculating cryopreserved T. an- nulata infected blood stabilates, but here for the first time we tried to install the process of preparation and confirmation of T. annulata infected tick by in vitro molecular methods and in vivo assay by inoculation to susceptible calf. Materials and Methods Parasite A highly virulent T. annulata infected blood AK-93 strain has been previously cryopreserved in cell bank unit of the Department of Parasite Vaccines Research and Production, Razi Vac- cine and Serum Research Institute, (RVSRI). The virulent T. annulata Ak-93 strain has been isolated from an infected calf with severe theil- eriosis from Takestan County in Qazvin Prov- ince of Iran in 2014. The infectivity and viru- lence of the Ak-93 strain was earlier con- firmed by in vivo assay through subcutane- ously injection to a healthy intact calf (14). Tick rearing The adult engorged female Hy. anatolicum tick obtained from Department of Parasitology, Razi Vaccine and Serum Research Institute, incubated for oviposition. All incubation con- ditions in tick rearing experiments were car- ried out in constant temperature 28 oC and rel- ative humidity 85% unless specifically noted. To avoid fungal contamination the tick was rinsed by distilled water, dried in room tem- perature and kept in glass tube before incuba- tion. The glass tube outlet closed by cotton for good ventilation. Egg hatching After complete egg laying, the dead tick was removed from tube and eggs were incubated in the same condition as mentioned in the case of oviposition. Larvae feeding Three month old white laboratory rabbit was provided from Department of Laboratory Ani- mal Production of Razi Vaccine and Serum Research Institute 1.5 to 2kg of weight was used for feeding of tick larvae. The ear’s hair of rabbit and also calves completely shaved and cleaned before releasing of larvae on an- imal’s ears. Aproximately 1000 larvae released on rabbit ears using cotton earbags. Moulting of larvae The free detached engorged larvae have been collected from rabbit's earbag and kept in glass tube and incubated for moulting. One of six-month-old calves was injected with Ak-93 virulent strain of T. annulata for infection induction. Another calf was remained safe for future challenge of the infective tick. http://jad.tums.ac.ir/ J Arthropod-Borne Dis, September 2020, 14(3): 261–269 A Afshari et al.: Establishment and Validation of … 263 http://jad.tums.ac.ir Published Online: September 30, 2020 Experimental infection of calf Experimental infection with Theileria an- nulata in calf was done by subcutaneous in- jection of 20ml of virulent T. annulata infect- ed blood (AK-93 strain) around prescapular area. The clinical features of bovine theilerio- sis in inoculated calf such as fever and lymph node enlargement were monitored daily. Giem- sa stained smears prepared from aspirate of swelling lymph node were used for early de- tection of disease. Feeding of nymphs Unfed nymphs were divided in two groups, one for feeding on intact calf and another for feeding on T. annulata experimentally infect- ed calf using earbags as described before in the case of larvae feeding. Moulting of nymphs Both groups of engorged nymphs collected from intact and Theileria infected calves were incubated under conditions similar to moult- ing of larvae. Feeding of adults and maturation of sporo- zoites Adult male and female unfed Hyalomma anatolicum ticks that obtained from moulted nymphs were used for rearing of next gener- ation of tick by feeding on intact calf, as well as for T. annulata sporozoites maturation in tick’s salivary glands by incubation at 37 oC, relative humidity 85% for 3 days in the case of ticks that their nymphal stage had been fed on Theileria infected calf. Bioassay test Unfed adult T. annulata infected ticks were fed on intact six-month-old calf for confirma- tion of sporozoite maturation as bioassay test and the remainder ticks were used for stabilate preparation that could be applied in other fu- ture studies. Animal working All the procedures were accomplished in accordance with Animal Care and Ethics Com- mittee (ACEC) of Razi vaccine and serum re- search institute instructions. There was no de- viation of planned protocols and working meth- ods and no animal wasting in research was oc- curred. In the last part of the tests, all rabbits and calves were dismissed according to the standard protocols. Molecular test Primer design Two sets of primers were used: (i) TAMS (Theileria annulata merozoite surface antigen) for confirmation of Theileria annulata infec- tion in calf blood and nymph specimens and (ii) HAEC (Hyalomma anatolicum excavatum calreticulin gene) for PCR and Reverse Tran- scription Polymerase Chain Reaction (RT- PCR) internal control of Hyalomma ticks. The forward and reverse HAEC primers designed from two exons of mentioned gene (in order to produce two different PCR product lengths) on genomic DNA and cDNA in PCR/RT-PCR reactions (Table 1). DNA extraction Phenol-chloroform method were used for genomic DNA extraction from blood and ticks samples (15). Each tick was grounded by mor- tar and pestle in 2ml of PBS (Phosphate-Buff- ered Saline) and supernatant was used for DNA extraction. RNA extraction and cDNA synthesis Total RNA was extracted from the tick sta- bilate using the One Step RNA reagent (YTzol Pure RNA, Yekta Tajhiz Azma, Iran) in ac- cordance with the manufacturer’s instruction. DNase treatment was done to assure the RNA response in RT-PCR assay (DNase I, Jena Bi- oscience, Germany). The cDNA synthesis and further PCR were performed using the M- MuLV reverse transcriptase and PCR mix (Yekta Tajhiz Azma, Iran) according to the man- ufacturer’s instructions. Briefly, 2μg of total DNase treated RNA and 160pm of oligo (dT) 15 primer were incubated at 70 oC for 5 minutes http://jad.tums.ac.ir/ J Arthropod-Borne Dis, September 2020, 14(3): 261–269 A Afshari et al.: Establishment and Validation of … 264 http://jad.tums.ac.ir Published Online: September 30, 2020 and then 4ul RT buffer 5X, 20U RNase In- hibitor, 200 Units of M-MuLV reverse tran- scriptase, 500μM each of dNTP were added in a total volume of 20μl. The reaction was incu- bated at 42 oC for 1 hour, followed by 10min at 70 oC to inactivate the enzyme. PCR and RT-PCR DNA and cDNA obtained from nymphal stages of H. anatolicum ticks before and after feeding on experimentally infected calf were used in PCR and RT-PCR reactions. Each re- action preformed in total volume of 20μl con- taining 10μl of master mix (Yekta Tajhiz Azma, Iran), 7μl of DEPC water, 1μl of each forward and reverse of mentioned primers and 1μl of DNA and synthesized cDNA in PCR and RT-PCR reactions, respectively. Both PCR andRT-PCR cycling started an initial denatur- ation at 94 oC for 2min followed by 38 cycles of denaturation at 94 oC for 30sec, annealing at 60 oC for 1min and extension at 72 oC for 1min. final extension preformed at 72 oC for 7 minutes. Expected lenght of PCR and RT- PCR products were detected by running on 1.5% agarose gel for 60 minutes. Results Tick rearing The adult H. anatolicum preoviposition and complete ovipostion periods lasted 7 and 14 days respectively. The maximum egg lay- ing occurred in days 4–7 of oviposition pe- riod. The egg hatching was initiated after in- cubation for 7 days and lasted for 12 days. The resulted larvae were kept for 8 days for pre-feeding period. During larvae feeding on rabbit's ear, two and three-host behaviors were seen. Due to needs for unfed nymphs accord- ing to transstadial transmission nature of Theil- eria parasites, to get unfed infected adult ticks for bioassay test, some engorged larvae de- tatched manually from rabbit's ear in day 6 after releasing and remainder larvae moulted to nymphs on rabbit and engorged nymphs dropped and collected in day 13 of feeding period. After incubation, the resulted unfed nymphs and adults were fed on experimentally infected and intact calves respectively for 8 days. The obtained engorged nymphs and adults were incubated for moulting and oviposition. Complete two and three-host life cycle of H. anatolicum tick lasted 90 and 116 days. Some stages of tick rearing are shown and results of tick rearing in two and three-host manner were summarized in Table 2. Experimental infection of calf Absence of previous exposure to T. annu- lata in calf was confirmed with PCR using species specific TAMS primers (Table 1). Pres- capular lymph node enlargement were ob- served in 15th day after injection of infected blood. The schizont stage of T. annulata was detected using Giemsa stained biopsy smear (Fig. 2 left). Parasitemia (Fig. 2 right) and fe- ver above 40 °C (up to 42) were observed at day 20 post infection. Polymerase Chain Reaction and Reverse Transcription Polymerase Chain Reaction The expected PCR/RT-PCR products re- sulted from TAMS (597bp) and HAEC (480/ 330bp) primers on DNA/cDNA of nymphs samples before and after infection with T. an- nulata were seen in agarose gel (Fig. 3). Bioassay test Theileria annulata infected nymphs moult- ed to unfed adults after incubation. Addition- ally, to maturation of sporozoites of T. annu- lata in tick salivary glands, the adult ticks incubated at 37 oC and RH 85% and then three males and four females ticks were used for confirmation of sporozoite maturation by in vivo bioassay test using intact calf (Fig. 4) and remaindor tick will used in stabilate prep- aration according OIE's instruction for vac- cine efficacy test. The absence of Theileria infection in experimental calves was confirmed by specific PCR assay. Clinical signs such as lymph node enlargement and fever occurred http://jad.tums.ac.ir/ J Arthropod-Borne Dis, September 2020, 14(3): 261–269 A Afshari et al.: Establishment and Validation of … 265 http://jad.tums.ac.ir Published Online: September 30, 2020 around in days 10 and 11 after releasing of ticks, however, the T. annulata infection was verified by PCR and Giemsa blood and lymph node smear staining. The clinical signs of Theil- eriosis in experimental calves using two em- ployed methods were summarized in Table 3. Table 1. Specifications of primers used in this study Primer Sequence 5'-3' Expected size of Product GenBank reference accession no. PCR RT-PCR TAMSF GAG ACA AGG AAT ATT CTG AGT CC 597bp 597bp Z48739.1 TAMSR TTA AGT GGC ATA TAA TGA CTT AAG C HAECF CAT TTT GCT TCC CCT GGT CGG 488bp 330bp AY395259.1 HAECR CTG CAG TCG AAC AGC TTG AGG Table 2. Duration of rearing of tick's different developmental stages Developmental stage Duration (day) Two-host manner Three-host manner Adult female preoviposition 7 7 Oviposition 14 14 Pre-hatching 7 7 Hatching 12 12 Larvae pre-feeding 8 8 Larvae feeding 13 6 Larvae pre-moulting 5 Larvae moulting 7 Nymph pre-feeding 10 Nymph feeding 8 Nymph pre-moulting 7 9 Nymph moulting 7 9 Adult pre-feeding 7 7 Adult feeding 8 7 Total life cycle 90 116 Fig. 1. Different stages of Hyalomma anatolicum tick rearing: a (eggs contain larvae), b (feeding of larvae on rabbit), c (engorged larvae), d (nymph and adult feeding on calf), e (engorged nymphs before molting) and f (adult tick feeding on calf's ear) http://jad.tums.ac.ir/ J Arthropod-Borne Dis, September 2020, 14(3): 261–269 A Afshari et al.: Establishment and Validation of … 266 http://jad.tums.ac.ir Published Online: September 30, 2020 Table 3. Comparative clinical signs of theileriosis using two infecting methods Method of infection Day of observation Onset of clinical signs Lymph node enlargement Fever Prasitemia Subcutaneously injection of blood 15 19 20 Feeding of live infected ticks 10 11 13 Fig. 2. Theileria annulata in Giemsa stained lymph node (Left) and blood smear (Right). Macroschizont in infected leukocytes and merozoites in RBCs are shown in lymph node biopsy and blood smears respectively Fig. 3. Agarose gel electrophores of TAMS (1, 3, 6, 8) and HAEC (2, 4, 7) products in PCR (1–4) and RT-PCR (6-9) reactions on Hyalomma anatolicum nymphs before (1, 2) and after (3, 4, 6, 7), Theileria annulata vaccine strain as positive control (8), no cDNA as negative control (9) and 100 bp DNA ladder (M) Fig. 4. Adult unfed infected Hyalomma anatolicum male and female ticks in bioassay test Discussion Here in this study, T. annulata sporozoite Ak-93 Infection was established and validated in laboratory-reared Hy. anatolicum tick vec- tor by in vivo and in vitro techniques. Since, there is no appropriate laboratory animal mod- el for bovine theileriiosis, the susceptible Tau- rine calves breeds are used for in vitro estab- lishment of parasite’s life cycle. Many efforts were performed to feed tick larvae on calf’s ear in this study, but were not successful. How- ever, the laboratory rabbits were used for feeding of larval stage and calves for nymph and adult stages of H. anatolicum tick. The results of laboratory tick rearing studies re- http://jad.tums.ac.ir/ J Arthropod-Borne Dis, September 2020, 14(3): 261–269 A Afshari et al.: Establishment and Validation of … 267 http://jad.tums.ac.ir Published Online: September 30, 2020 vealed that H. anatolicum tick has two-host behavior (7). A similar behavior was observed here in this study. Depending on the geo- graphical distributions of Hyalomma in Iran, the minimum duration of complete life cycle of H. anatolicum ticks have been reported from 76–100 days (16). In the present study, accord- ing to the stable conditions for temperature and relative humidity and regardless of times elapsed for prefeeding periods, the complete life cycle for H. anatolicum continued 75 and 91 days in two and three-host behaviors re- spectively. In addition, as we have to provide unfed nymphs to further feeding on experi- mentally T. annulata infected calves, the en- gorged larvae were detached and collected manually from rabbit’s ear and this physical intervention resulted in prolongation of com- plete life cylce in three-host manner. Molecular detection of T. annulata infec- tion using specific primers designed for vari- ous genes such as Tams (17), internal tran- scribed spacers (ITS1-ITS2) (18) and sporo- zoite surface antigen (SPAG) (19). In the pre- sent study, the species specific Tams primers were used for detection of T. annulata infec- tion in calves and tick specimens. Addition- ally, RT-PCR reactions using Tams and HAEC genes were carried out in order to confirm the presence of active parasite infection (sporozo- ites formation) in prepared samples. It should be noted that the calreticulin is a multifunctional gene that expressed in all eukaryotic cells and has a 158bp intron spanned between two ex- ons in H. anatolicum (20). This specific char- acter is useful for RT-PCR assay. Moreover, Giemsa-stained blood and lymph node needle biopsy smears were also examined for early detection of T. annulata infection in calves. In acute tropical theileriosis, death may be occurred between 5 and 7 days after onset of clinical signs in calves (21). Thus, early detec- tion of infection is important for well-timed releasing of nymphs on infected calf accord- ing to the required time for nymphs feeding. Sporozoite maturation could be achieved in tick's salivary glands by two methods; feeding of infected ticks on vertebrate hosts for sev- eral days or incubation of infected ticks at 36– 37 oC in laboratory condition. However, it has been reported that the sporozoite maturation could be better formed by feeding on live animals than in vitro incubation (12). Since, the infected ticks supposed to be used in bio- assay test, thus the ticks were incubated for 3 days to induce sporozoites maturation. This period has been reported for six days in H. a. excavatum as a very close species to H. ana- tolicum (11). Comparison of clinical symp- toms in two methods of disease transmission including injection of T. annulata infected blood and through live infected ticks indicates the severity of disease was more by T. annulata sporozoites transfer via live infected ticks. Tropical theileriosis in Iran was described for the first time in 1935. Control of disease has been performed using live attenuated Theil- eriosis vaccine manufactured by Razi Vaccine and Serum research Institute initiated since 1973 and continues to date (1). According to OIE’s recommendation, vaccine efficacy test has to be done by challenge test using live in- fected ticks or T. annulata sporozoite tick sta- bilate. Despite the absence of international agreed standards for the challenge dose size, 5 to 10 females and the same number of in- fected unfed male Hyalomma ticks have to be used for infection of cattle (13). Here in this study, we used three male and four female unfed infected adult Hyalomma ticks for spo- rozoite maturation by subjecting to an intact naïve calf in bioassay test. Therefore, the pres- ence of clinical signs of theileriosis after feed- ing of ticks has verified the sporozoite matura- tion and successful complete formation of T. annulata life cycle in calf and tick under in vitro controlled condition. Similar results have been reported in transmission of T. annulata by H. dromedary (22) and Theileria hirci by H. anatolicum previously (23). In recent years, due to ethical, economical and practical prob- lems associated with tick rearing using ani- http://jad.tums.ac.ir/ J Arthropod-Borne Dis, September 2020, 14(3): 261–269 A Afshari et al.: Establishment and Validation of … 268 http://jad.tums.ac.ir Published Online: September 30, 2020 mals led researchers to use artificial mem- branes for tick feeding as a new approach (24). Hyalomma anatolicum tick adult stage was successfully fed artificially through sili- cone membrane, although this method did not worked for nymphs, however, replacement of silicone membrane by mouse skin sheet showed satisfactory results (9). Although artificial tick feeding was used for adults and a little for nymph stages, but rabbit utilization for rear- ing of larval stage is unavoidable. According to OIE recommendation (13) the efficacy test of theileriosis vaccine must be conducted using live or stabilte of infected tick thus the obtained Theileria annulata infected tick from this study will used in vaccine efficacy test in future studies. Based on the available pub- lished reports to date, this is the first report of establishment of H. anatolicum tick infection with T. annulata under controlled condition in Iran. Ethics We hereby declare all ethical standards have been respected in preparation of the submitted article and all experiments on laboratory ani- mals were performed according to regulations set by Ethical Committee of Razi Institute. Acknowledgements The authors thank Dr Ghader Khezrian for providing blood sample. This study was sup- ported by the Parasitic Vaccine Research and Production Department, Razi Vaccine and Se- rum Research institute. This study was sup- ported by the Razi Vaccine and Serum Re- search Institute, Iran with the research project code of 2-18-18-94123. The authors declare that they have no conflict of interest. References 1. Hashemi-Fesharki R (1988) Control of Theil- eria annulata in Iran. Parasitol Today. 4(2): 36–40. 2. Purnell RE (1978) Theileria annulata as a hazard to cattle in countries on the north- ern Mediterranean littoral. Vet Sci Com- mun. 2(1): 3–10. 3. 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