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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Infect. Microbiol.</journal-id>
<journal-title>Frontiers in Cellular and Infection Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Infect. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">2235-2988</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcimb.2021.747952</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular and Infection Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>The Presence of <italic>Blastocystis</italic> in Tibetan Antelope (<italic>Pantholops hodgsonii</italic>)</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Geng</surname>
<given-names>Hong-Li</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sun</surname>
<given-names>Yu-Zhe</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Jiang</surname>
<given-names>Jing</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sun</surname>
<given-names>He-Ting</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Li</surname>
<given-names>Yuan-Guo</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Qin</surname>
<given-names>Si-Yuan</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/884524"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Zhen-Jun</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ma</surname>
<given-names>Tao</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhu</surname>
<given-names>Jun-Hui</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Xue</surname>
<given-names>Nian-Yu</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1423393"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Ni</surname>
<given-names>Hong-Bo</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1420985"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>College of Veterinary Medicine, Qingdao Agricultural University</institution>, <addr-line>Qingdao</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>College of Life Sciences, Changchun Sci-Tech University</institution>, <addr-line>Shuangyang</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>General Monitoring Station for Wildlife-Borne Infectious Diseases, State Forestry and Grass Administration</institution>, <addr-line>Shenyang</addr-line>, <country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Key Laboratory of Zoonosis Research, Ministry of Education, College of Veterinary Medicine, Jilin University</institution>, <addr-line>Changchun</addr-line>, <country>China</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>College of Animal Science and Veterinary Medicine, Heilongjiang Bayi Agricultural University</institution>, <addr-line>Daqing</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Guo-Hua Liu, Hunan Agricultural University, China</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Md Robiul Karim, Bangabandhu Sheikh Mujibur Rahman Agricultural University, Bangladesh; Zahra Babaei, Kerman University of Medical Sciences, Iran; Meysam Sharifdini, Guilan University of Medical Sciences, Iran</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Jing Jiang, <email xlink:href="mailto:jiangjingxiaoyao@163.com">jiangjingxiaoyao@163.com</email>; Hong-Bo Ni, <email xlink:href="mailto:hongboni@126.com">hongboni@126.com</email>
</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Clinical Microbiology, a section of the journal Frontiers in Cellular and Infection Microbiology</p>
</fn>
<fn fn-type="equal" id="fn003">
<p>&#x2020;These authors have contributed equally to this work</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>29</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>11</volume>
<elocation-id>747952</elocation-id>
<history>
<date date-type="received">
<day>27</day>
<month>07</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>09</day>
<month>09</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2021 Geng, Sun, Jiang, Sun, Li, Qin, Wang, Ma, Zhu, Xue and Ni</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Geng, Sun, Jiang, Sun, Li, Qin, Wang, Ma, Zhu, Xue and Ni</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>
<italic>Blastocystis</italic> is a protozoan that parasitizes the intestines. A number of hosts of <italic>Blastocystis</italic> have been found, including human and animals. However, there has been no research on the prevalence of <italic>Blastocystis</italic> in Tibetan antelope. Here, a molecular test was performed using 627 Tibetan antelope fecal samples collected on Tibet in China from 2019 to 2020. The result showed that 30 (4.8%) samples were <italic>Blastocystis</italic> positive. The highest prevalence of <italic>Blastocystis</italic> was in Shuanghu County (25/209, 12.0%), followed by Shenza County (2/103, 1.9%), Nyima County (3/182, 1.6%), and Baigoin County (0/133, 0.0%). In addition, logistic regression analysis showed that the gender, sampling year, and area of Tibetan antelope were risk factors for <italic>Blastocystis</italic> prevalence. Three subtypes (ST10, ST13, and ST14) of <italic>Blastocystis</italic> were found in Tibetan antelope through a subtype sequence analysis, and ST13 was identified to be the dominant subtype. This is the first investigation for the infection of <italic>Blastocystis</italic> in Tibetan antelope. Collectively, the data in this study have expanded the host range of <italic>Blastocystis</italic> and provided basic information for the distribution of <italic>Blastocystis</italic> subtypes, which could support the prevention of <italic>Blastocystis</italic> infection in wild animals.</p>
</abstract>
<kwd-group>
<kwd>
<italic>Blastocystis</italic>
</kwd>
<kwd>prevalence</kwd>
<kwd>subtypes</kwd>
<kwd>Tibetan antelope (<italic>Pantholops hodgsonii</italic>)</kwd>
<kwd>PCR</kwd>
</kwd-group>
<counts>
<fig-count count="3"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="52"/>
<page-count count="8"/>
<word-count count="3164"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>
<italic>Blastocystis</italic> is a protozoan that parasitizes the intestines (<xref ref-type="bibr" rid="B16">Jim&#xe9;nez et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B30">Paik et&#xa0;al., 2019</xref>). It can infect a variety of hosts, such as mammals, amphibians, birds, and insects (<xref ref-type="bibr" rid="B52">Zhu et&#xa0;al., 2020</xref>). <italic>Blastocystis</italic> is transmitted through the fecal&#x2013;oral route or water and food between susceptible hosts (<xref ref-type="bibr" rid="B5">Asghari et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B9">Deng et al., 2019</xref>). Hosts infected with <italic>Blastocystis</italic> could develop clinical signs, e.g., diarrhea, abdominal pain, and vomiting. Immunocompromised individuals are more susceptible to <italic>Blastocystis</italic> (<xref ref-type="bibr" rid="B47">Wang et&#xa0;al., 2018a</xref>; <xref ref-type="bibr" rid="B30">Paik et&#xa0;al., 2019</xref>).</p>
<p>
<italic>Blastocystis</italic> was first isolated from animal feces in 1911 (<xref ref-type="bibr" rid="B3">Alexeieff, 1911</xref>). Since then, more and more animals and humans, such as cattle, deer, sheep, and goats, were identified to be the hosts of <italic>Blastocystis</italic> (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). In China, <italic>Blastocystis</italic> was first reported in children in 1990 (<xref ref-type="bibr" rid="B22">Li et&#xa0;al., 1990</xref>). A large number of investigations regarding <italic>Blastocystis</italic> prevalence in different hosts were performed previously (<xref ref-type="bibr" rid="B40">Song et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B50">Zhao et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B47">Wang et&#xa0;al., 2018a</xref>; <xref ref-type="bibr" rid="B46">Wang et&#xa0;al., 2018b</xref>). So far, the infection of <italic>Blastocystis</italic> has been reported in many animals, including domestic and wild animals (<xref ref-type="bibr" rid="B50">Zhao et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B47">Wang et&#xa0;al., 2018a</xref>).</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Subtypes and prevalence of <italic>Blastocystis</italic> sp. detected from the ruminants worldwide (2010&#x2013;2021).</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Host</th>
<th valign="top" align="center">No. tested</th>
<th valign="top" align="center">No. positive</th>
<th valign="top" align="center">Prevalence (%)</th>
<th valign="top" align="center">Location</th>
<th valign="top" align="center">Subtypes (STs) identified</th>
<th valign="top" align="center">Reference</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Sheep</td>
<td valign="top" align="center">832</td>
<td valign="top" align="center">50</td>
<td valign="top" align="center">6.00%</td>
<td valign="top" align="left">China</td>
<td valign="top" align="left">ST5, ST10, ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B21">Li et&#xa0;al., 2018</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Sheep</td>
<td valign="top" align="center">109</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">5.50%</td>
<td valign="top" align="left">China</td>
<td valign="top" align="left">ST1, ST5, ST10, ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B47">Wang et&#xa0;al., 2018a</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Sheep</td>
<td valign="top" align="center">100</td>
<td valign="top" align="center">32</td>
<td valign="top" align="center">32.00%</td>
<td valign="top" align="left">Iran</td>
<td valign="top" align="left">ST3, ST5, ST7, ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B35">Salehi et&#xa0;al., 2021</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Goat</td>
<td valign="top" align="center">781</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.30%</td>
<td valign="top" align="left">China</td>
<td valign="top" align="left">ST1</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B21">Li et&#xa0;al., 2018</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Goat</td>
<td valign="top" align="center">236</td>
<td valign="top" align="center">73</td>
<td valign="top" align="center">30.90%</td>
<td valign="top" align="left">Malaysia</td>
<td valign="top" align="left">ST1, ST3, ST6, ST7</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B44">Tan et&#xa0;al., 2013</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Goat</td>
<td valign="top" align="center">400</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.75%</td>
<td valign="top" align="left">Nepal</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B11">Ghimire and Bhattarai, 2019</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Goat</td>
<td valign="top" align="center">38</td>
<td valign="top" align="center">36</td>
<td valign="top" align="center">94.70%</td>
<td valign="top" align="left">Thailand</td>
<td valign="top" align="left">ST10, ST12, ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B45">Udonsom et&#xa0;al., 2018</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Goat</td>
<td valign="top" align="center">789</td>
<td valign="top" align="center">458</td>
<td valign="top" align="center">58.00%</td>
<td valign="top" align="left">China</td>
<td valign="top" align="left">ST1, ST3, ST4, ST5</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B40">Song et&#xa0;al., 2017</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">147</td>
<td valign="top" align="center">14</td>
<td valign="top" align="center">9.52%</td>
<td valign="top" align="left">China</td>
<td valign="top" align="left">ST3, ST10, ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B47">Wang et&#xa0;al., 2018a</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">22</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">22.70%</td>
<td valign="top" align="left">UAE</td>
<td valign="top" align="left">ST10</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B2">AbuOdeh et&#xa0;al., 2019</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">28</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">21.40%</td>
<td valign="top" align="left">Brazil</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B28">Moura et&#xa0;al., 2018</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">21</td>
<td valign="top" align="center">50.00%</td>
<td valign="top" align="left">Thailand</td>
<td valign="top" align="left">ST10, ST12</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B45">Udonsom et&#xa0;al., 2018</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">80</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">11.30%</td>
<td valign="top" align="left">Turkey</td>
<td valign="top" align="left">ST10, ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B6">Aynur et&#xa0;al., 2019</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">526</td>
<td valign="top" align="center">54</td>
<td valign="top" align="center">10.30%</td>
<td valign="top" align="left">China</td>
<td valign="top" align="left">ST4, ST5, ST10, ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B51">Zhu et&#xa0;al., 2017</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">47</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">19.20%</td>
<td valign="top" align="left">USA</td>
<td valign="top" align="left">ST10, ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B10">Fayer et&#xa0;al., 2012</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">196</td>
<td valign="top" align="center">19</td>
<td valign="top" align="center">9.60%</td>
<td valign="top" align="left">Iran</td>
<td valign="top" align="left">ST3, ST5, ST6</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B7">Badparva et&#xa0;al., 2015</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">31</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">22.60%</td>
<td valign="top" align="left">England</td>
<td valign="top" align="left">ST1, ST5, ST10</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B4">Alfellani et&#xa0;al., 2013</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">25</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">80.00%</td>
<td valign="top" align="left">Colombia</td>
<td valign="top" align="left">ST1, ST3</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B32">Ram&#xed;rez et&#xa0;al., 2014</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">36</td>
<td valign="top" align="center">15</td>
<td valign="top" align="center">41.70%</td>
<td valign="top" align="left">Libya</td>
<td valign="top" align="left">ST5, ST10, ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B4">Alfellani et&#xa0;al., 2013</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">75</td>
<td valign="top" align="center">25</td>
<td valign="top" align="center">33.30%</td>
<td valign="top" align="left">Iran</td>
<td valign="top" align="left">ST5, ST10</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B38">Sharifi et&#xa0;al., 2020</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">29</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">34.50%</td>
<td valign="top" align="left">Malaysia</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B14">Hemalatha et&#xa0;al., 2014</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">40</td>
<td valign="top" align="center">14</td>
<td valign="top" align="center">35.00%</td>
<td valign="top" align="left">Iran</td>
<td valign="top" align="left">ST10, ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B34">Rostami et&#xa0;al., 2020</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">1512</td>
<td valign="top" align="center">101</td>
<td valign="top" align="center">6.70%</td>
<td valign="top" align="left">Korea</td>
<td valign="top" align="left">ST1,5,10,14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B19">Lee et&#xa0;al., 2018</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">133</td>
<td valign="top" align="center">72</td>
<td valign="top" align="center">54.10%</td>
<td valign="top" align="left">Japan</td>
<td valign="top" align="left">ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B27">Masuda et&#xa0;al., 2018</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">254</td>
<td valign="top" align="center">161</td>
<td valign="top" align="center">63.40%</td>
<td valign="top" align="left">Lebanon</td>
<td valign="top" align="left">ST1, ST3, ST5, ST10, ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B12">Greige et&#xa0;al., 2019</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">110</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">5.40%</td>
<td valign="top" align="left">Malaysia</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B1">Abd et&#xa0;al., 2019</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">1027</td>
<td valign="top" align="center">278</td>
<td valign="top" align="center">27.10%</td>
<td valign="top" align="left">China</td>
<td valign="top" align="left">ST10</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B33">Ren et&#xa0;al., 2019</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">500</td>
<td valign="top" align="center">47</td>
<td valign="top" align="center">9.40%</td>
<td valign="top" align="left">Indonesia</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B13">Hastutiek et&#xa0;al., 2019</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">2539</td>
<td valign="top" align="center">73</td>
<td valign="top" align="center">2.90%</td>
<td valign="top" align="left">USA</td>
<td valign="top" align="left">ST3, ST4, ST5, ST10, ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B24">Maloney et&#xa0;al., 2019</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">120</td>
<td valign="top" align="center">30</td>
<td valign="top" align="center">25.00%</td>
<td valign="top" align="left">Malaysia</td>
<td valign="top" align="left">ST1, ST3, ST4, ST5, ST10, ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B17">Kamaruddin et&#xa0;al., 2020</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Cattle</td>
<td valign="top" align="center">108</td>
<td valign="top" align="center">108</td>
<td valign="top" align="center">100.00%</td>
<td valign="top" align="left">Indonesia</td>
<td valign="top" align="left">ST10</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B42">Suwanti et&#xa0;al., 2020</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Reindeer</td>
<td valign="top" align="center">104</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">6.70%</td>
<td valign="top" align="left">China</td>
<td valign="top" align="left">ST10, ST13</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B46">Wang et&#xa0;al., 2018b</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Sika deer</td>
<td valign="top" align="center">82</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">14.60%</td>
<td valign="top" align="left">China</td>
<td valign="top" align="left">ST10, ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B46">Wang et&#xa0;al., 2018b</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Water deer</td>
<td valign="top" align="center">125</td>
<td valign="top" align="center">51</td>
<td valign="top" align="center">40.80%</td>
<td valign="top" align="left">Korean</td>
<td valign="top" align="left">ST4, ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B18">Kim et&#xa0;al., 2020</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Red deer</td>
<td valign="top" align="center">48</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0.00%</td>
<td valign="top" align="left">China</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B46">Wang et&#xa0;al., 2018b</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Spotted deer</td>
<td valign="top" align="center">30</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">3.30%</td>
<td valign="top" align="left">Bangladesh</td>
<td valign="top" align="left">ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B20">Li et&#xa0;al., 2019</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">Sika deer</td>
<td valign="top" align="center">132</td>
<td valign="top" align="center">60</td>
<td valign="top" align="center">45.50%</td>
<td valign="top" align="left">Japan</td>
<td valign="top" align="left">ST14</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B39">Shirozu et&#xa0;al., 2021</xref>
</td>
</tr>
<tr>
<td valign="top" align="left">White tailed-deer</td>
<td valign="top" align="center">80</td>
<td valign="top" align="center">71</td>
<td valign="top" align="center">88.80%</td>
<td valign="top" align="left"> USA</td>
<td valign="top" align="left">ST1, ST3, ST4, ST10, ST14, ST21, ST23, ST24, ST25, ST26</td>
<td valign="top" align="left">
<xref ref-type="bibr" rid="B23">Maloney and Santin, 2021</xref>
</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>UAE, United Arab Emirates; NA, not available.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>To date, approximately 29 proposed <italic>Blastocystis</italic> subtypes have been identified in a large number of literatures (<xref ref-type="bibr" rid="B26">Ma et&#xa0;al., 2020</xref>). ST1-9 and ST12 subtypes were identified in humans, while ST10-17 and ST21-28 subtypes were detected in animals (<xref ref-type="bibr" rid="B41">Stensvold and Clark, 2016</xref>; <xref ref-type="bibr" rid="B29">Ning et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B15">Hublin et&#xa0;al., 2021</xref>). Of note, some subtypes were identified in both humans and animals, such as ST1, ST3, and ST5 subtypes (<xref ref-type="bibr" rid="B40">Song et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B47">Wang et&#xa0;al., 2018a</xref>). ST4 was found in deer (<xref ref-type="bibr" rid="B46">Wang et&#xa0;al., 2018b</xref>; <xref ref-type="bibr" rid="B18">Kim et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B39">Shirozu et&#xa0;al., 2021</xref>), and ST12 was found in yaks in the plateau area (<xref ref-type="bibr" rid="B33">Ren et&#xa0;al., 2019</xref>).</p>
<p>Tibetan antelope (<italic>Pantholops hodgsonii</italic>) belongs to genus Pantholops, family Bovidae, order Cetartiodactyla according to the IUCN Red List in 2016 (IUCN SSC Antelope Specialist Group, 2016). Tibetan antelope is one of the most rare and endangered wild animals. There are approximately 100,000 to 150,000 Tibetan antelope in India and China (IUCN SSC Antelope Specialist Group 2016). Tibetan antelope can carry various pathogens, such as <italic>Mycoplasma capricolum</italic> subspecies, <italic>capripneumoniae</italic> (Mccp) (<xref ref-type="bibr" rid="B49">Yu et&#xa0;al., 2012</xref>), and <italic>Escherichia coli</italic> (<xref ref-type="bibr" rid="B8">Bai et&#xa0;al., 2016</xref>).</p>
<p>However, the existing data indicate that sheep may carry several potential <italic>Blastocystis</italic> subtypes, including ST1, ST3, ST4, ST5, ST6, and ST7 (<xref ref-type="bibr" rid="B44">Tan et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B40">Song et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B47">Wang et&#xa0;al., 2018a</xref>; <xref ref-type="bibr" rid="B35">Salehi et&#xa0;al., 2021</xref>). So far, studies on the prevalence and subtype diversity of <italic>Blastocystis</italic> in Tibetan antelope are unknown and the relevant public health impact is still unclear. This study provides important information on the diversity of <italic>Blastocystis</italic> subtypes in Tibetan antelope, and would help determine the role of Tibetan antelope in the transmission of <italic>Blastocystis</italic> to humans and other animals.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="s2_1">
<title>Specimen Collection</title>
<p>From August 2019 to September 2020, the feces of 627 wild Tibetan antelope was collected in four areas in Tibet (<xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref> and <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>). This study randomly observed Tibetan antelope in the field. Fresh fecal samples were put into a PE glove immediately after defecation onto the ground, and then were placed into ice boxes and transported to the laboratory. This study was approved by the Ethics Committee of Jilin University. Appropriate permission was obtained from the General Monitoring Station for Wildlife-Borne Infectious Diseases, State Forestry and Grass Administration.</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Factors in the sampling site of different seasons in tibet.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Season</th>
<th valign="top" align="center">Longitude</th>
<th valign="top" align="center">Latitude</th>
<th valign="top" align="center">Altitude</th>
<th valign="top" align="center">Temperature</th>
<th valign="top" align="center">Humidity</th>
<th valign="top" align="center">Climate</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Summer (August)</td>
<td valign="top" rowspan="2" align="center">31&#xb0;29&#x2032;</td>
<td valign="top" rowspan="2" align="center">92&#xb0;04&#x2032;</td>
<td valign="top" rowspan="2" align="center">4,507 m</td>
<td valign="top" align="center">9.0&#xb0;C</td>
<td valign="top" align="center">68 mm</td>
<td valign="top" rowspan="2" align="left">Plateau alpine climate</td>
</tr>
<tr>
<td valign="top" align="left">Autumn (September)</td>
<td valign="top" align="center">6.1&#xb0;C</td>
<td valign="top" align="center">70 mm</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>A map of Tibet Autonomous Region, China, in which Tibetan antelope are sampled.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-11-747952-g001.tif"/>
</fig>
</sec>
<sec id="s2_2">
<title>DNA Extraction and PCR Amplification</title>
<p>Genomic DNA was extracted using the E.Z.N.A.<sup>&#xae;</sup> Stool DNA Kit (Omega Biotek Inc., Norcross, GA, USA) according to the manufacturer&#x2019;s instructions and stored at &#x2212;20&#xb0;C until PCR amplification. SSU rRNA gene was the target for PCR analysis using primers RD5 (5&#x2032;-ATCTGGTTGATCCTGCCAGT-3&#x2032;) and BhRDr (5&#x2032;-GAGCTTTTTAACTGCAACAACG-3&#x2032;) as described previously to amplify an approximately 600-bp region (<xref ref-type="bibr" rid="B37">Scicluna et&#xa0;al., 2006</xref>). Positive and negative controls were included in each test. PCR products were observed using UV light after electrophoresis at a 1.5% agarose gel containing ethidium bromide.</p>
</sec>
<sec id="s2_3">
<title>Sequence and Phylogenetic Analyses</title>
<p>The <italic>Blastocystis</italic>-positive PCR products were sent to Sangon Biotech Company (Shanghai, China) for sequencing. The sequence accuracy was confirmed by bidirectional sequencing. The sequencing was re-performed if variation was present in the previous result. Basic Local Alignment Search Tool (BLAST) (<uri xlink:href="http://www.ncbi.nlm.nih.gov/blast/">http://www.ncbi.nlm.nih.gov/blast/</uri>) was employed to compare consensus sequences with the similar sequences on GenBank. The subtypes of <italic>Blastocyst</italic> isolates were determined through the online platform PubMLST (<uri xlink:href="https://pubmlst.org/bigsdb?db=pubmlst_blastocystis_seqdef">https://pubmlst.org/bigsdb?db=pubmlst_blastocystis_seqdef</uri>). The obtained sequences were aligned using ClustalX 1.83 program. The alignment was trimmed using the trimAI v1.2 software (<uri xlink:href="http://trimal.cgenomics.org/downloads">http://trimal.cgenomics.org/downloads</uri>) (<xref ref-type="bibr" rid="B20">Li et&#xa0;al., 2019</xref>). All positions with gaps were eliminated, and 104 unambiguously aligned sites were used for phylogenetic inference. The maximum likelihood (ML) method (Kimura two-parameter model) was employed to reconstruct phylogenetic trees by using MEGA X. Representative nucleotide sequences were submitted to GenBank under accession numbers: MZ444657&#x2013;MZ444662.</p>
</sec>
<sec id="s2_4">
<title>Statistical Analysis</title>
<p>The variation of <italic>Blastocystis</italic> prevalence (<italic>y</italic>) in Tibetan antelope on the basis of sampling year (<italic>x</italic>1), gender (<italic>x</italic>2), and collecting region (<italic>x</italic>3) was analyzed with <italic>&#x3c7;</italic>
<sup>2</sup> test using SAS version 9.4 (SAS Institute Inc., USA). In the multivariable regression analysis, each of the variables was independently contained in the binary Logit model. The best model was judged by Fisher&#x2019;s scoring algorithm. All tests were two-sided, and the results were considered statistically significant when <italic>p</italic> &lt; 0.05. To explore the association between <italic>Blastocystis</italic> prevalence and the investigated factors, the odds ratios (ORs) and their 95% confidence intervals (95% CIs) were calculated.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>Prevalence of <italic>Blastocystis</italic> sp.</title>
<p>In the present study, 30 out of 627 Tibetan antelope feces were identified to be <italic>Blastocystis</italic> positive (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>). The infection rate of <italic>Blastocystis</italic> in Tibetan antelope in 2019 (0.6%, 2/322) was lower than that (9.2%, 28/305) in 2020. The prevalence of <italic>Blastocystis</italic> in different investigated counties ranged from 0% to 12% (<xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>). <italic>Blastocystis</italic> were detected in all three counties, except for Baigoin County. The highest prevalence of <italic>Blastocystis</italic> was in Shuanghu County (25/209, 12.0%), followed by Shenza County (2/103, 1.9%) and Nyima County (3/182, 1.6%; <xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>). The infection rate of <italic>Blastocystis</italic> in Tibetan antelope in females (2.7%, 8/300) was significantly lower than that (6.7%, 22/327) in males (<italic>p</italic> = 0.017).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>The PCR amplification result of <italic>Blastocystis</italic> rRNA gene. &#x201c;1&#x2013;30&#x201d;: 30 positive samples of <italic>Blastocystis</italic> in TA25, TA26, TA72, TA100, TA103, TA105, TA107, TA108, TA111, TA118, TA124, TA128, TA130, TA131, TA147, TA148, TA156, TA157, TA169, TA175, TA214, TA216, TA228, TA230, TA232, TA235, TA238, TA252, TA291, and TA307; &#x201c;-&#x201d;: negative control; &#x201c;+&#x201d;: positive control; &#x201c;M&#x201d;: DL2000 Marker.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-11-747952-g002.tif"/>
</fig>
<table-wrap id="T3" position="float">
<label>Table&#xa0;3</label>
<caption>
<p>Occurrence and subtype distribution of <italic>Blastocystis</italic> sp. in tibetan antelope (<italic>Pantholops hodgsonii</italic>).</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Factor</th>
<th valign="top" align="center">Category</th>
<th valign="top" align="center">No. tested</th>
<th valign="top" align="center">No. positive</th>
<th valign="top" align="center">Prevalence (%) (95% CI)</th>
<th valign="top" align="center">
<italic>p</italic>-value</th>
<th valign="top" align="center">OR (95% CI)</th>
<th valign="top" align="center">Subtypes (no.)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" rowspan="2" align="left">Gender</td>
<td valign="top" align="left">Female</td>
<td valign="top" align="center">300</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">2.7 (0.8&#x2013;4.5)</td>
<td valign="top" rowspan="2" align="center">0.017</td>
<td valign="top" align="center">Reference</td>
<td valign="top" align="left">ST10 (1); ST13 (6); ST14 (1)</td>
</tr>
<tr>
<td valign="top" align="left">Male</td>
<td valign="top" align="center">327</td>
<td valign="top" align="center">22</td>
<td valign="top" align="center">6.7 (4.0&#x2013;9.4)</td>
<td valign="top" align="center">2.63 (1.15&#x2013;6.00)</td>
<td valign="top" align="left">ST10 (3); ST13 (18); ST14 (1)</td>
</tr>
<tr>
<td valign="top" rowspan="2" align="left">Sampling year</td>
<td valign="top" align="left">2019</td>
<td valign="top" align="center">322</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.6 (0.0&#x2013;1.5)</td>
<td valign="top" rowspan="2" align="center">&lt;0.01</td>
<td valign="top" align="center">Reference</td>
<td valign="top" align="left">ST13 (2)</td>
</tr>
<tr>
<td valign="top" align="left">2020</td>
<td valign="top" align="center">305</td>
<td valign="top" align="center">28</td>
<td valign="top" align="center">9.2 (5.9&#x2013;12.4)</td>
<td valign="top" align="center">16.17 (3.82&#x2013;68.50)</td>
<td valign="top" align="left">ST10 (4); ST13 (22); ST14 (2)</td>
</tr>
<tr>
<td valign="top" rowspan="4" align="left">Region</td>
<td valign="top" align="left">Nyima County</td>
<td valign="top" align="center">182</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">1.6 (0.0&#x2013;3.5)</td>
<td valign="top" rowspan="4" align="center">&lt;0.01</td>
<td valign="top" align="center">Reference</td>
<td valign="top" align="left">ST13 (3)</td>
</tr>
<tr>
<td valign="top" align="left">Shuanghu County</td>
<td valign="top" align="center">209</td>
<td valign="top" align="center">25</td>
<td valign="top" align="center">12.0 (7.6&#x2013;16.4)</td>
<td valign="top" align="center">8.11 (2.41&#x2013;27.33)</td>
<td valign="top" align="left">ST10 (3); ST13 (20); ST14 (2)</td>
</tr>
<tr>
<td valign="top" align="left">Shenza County</td>
<td valign="top" align="center">103</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">1.9 (0.0&#x2013;4.6)</td>
<td valign="top" align="center">1.18 (0.19&#x2013;7.19)</td>
<td valign="top" align="left">ST10 (1); ST13(1)</td>
</tr>
<tr>
<td valign="top" align="left">Baingoin County</td>
<td valign="top" align="center">133</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">0.0 (0.0&#x2013;0.0)</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="left">&#x2013;</td>
</tr>
<tr>
<td valign="top" align="left">Total</td>
<td valign="top" align="left"/>
<td valign="top" align="center">627</td>
<td valign="top" align="center">30</td>
<td valign="top" align="center">4.8 (3.1&#x2013;6.5)</td>
<td valign="top" align="center"/>
<td valign="top" align="center"/>
<td valign="top" align="left">ST10 (4); ST13 (24); ST14 (2)</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3_2">
<title>Risk Factors of <italic>Blastocystis</italic> sp.</title>
<p>To expose gender, sampling year, and collecting region of Tibetan antelope, and <italic>Blastocystis</italic> prevalence, univariate analysis was also conducted in the present study (<xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>). A&#xa0;Fisher&#x2019;s scoring method-based positive stepwise logistic regression analysis was performed to estimate the influence of multiple variables on <italic>Blastocystis</italic> infection. Only one variable was found to have effects on the <italic>Blastocystis</italic> infection in the final model, as described by the equation: <italic>y</italic> = 1.3138<italic>x</italic>3 + 0.7097. Collecting region had a positive impact on the risk of <italic>Blastocystis</italic> infection with the OR of 3.720 (95% CI 2.061&#x2013;6.715). Nyima County (1.6%, 95% CI 0.0&#x2013;3.5) was considered to have lower prevalence than Shuanghu County (OR = 8.11, 95% CI 2.41&#x2013;27.33) and Shenza County (OR = 1.18, 95% CI 0.19&#x2013;7.19) (<xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>).</p>
</sec>
<sec id="s3_3">
<title>Distribution and Phylogenetic Analysis of <italic>Blastocystis</italic> Subtypes</title>
<p>Three <italic>Blastocystis</italic> subtypes (ST10, ST13, and ST14) were detected in this study. Among them, the ST13 subtype was found in 24 individuals and was widely distributed in different gender subgroups, sampling years, and collecting regions. In the sampling years, all three <italic>Blastocystis</italic> subtypes appeared in Tibetan antelope in 2020, and only ST13 was found in the Tibetan antelope in 2019 (<xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>). In the gender subgroups, although all of the three subtypes appeared in the Tibetan antelope, the infection of ST10 and ST13 in males was higher than that in females. Tibetan antelope in Shuanghu County was found to be infected with three <italic>Blastocystis</italic> subtypes in the regional subgroups. However, only the ST13 subtype was found in the Tibetan antelope in Nyima County (<xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>).</p>
<p>The six representative sequences in this study and 49 sequences on GenBank were used to construct a phylogenetic tree. According to the phylogenetic tree analysis, the sequences of the three subtypes (ST10, ST13, and ST14) obtained from this study were clustered with their reference subtypes (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref>). The sequence of ST10 isolate has 99% homology with that of ST10 isolated from sika deer (MK930358) and sheep (MW850529). The sequence identified as ST13 in this study has a high degree of homology (99%) with the sequence identified in white Kangaroo (MT672637) and reindeer (MH325366). The ST14 sequence has 98% homology with the known reference sequence identified in sheep (MF186707).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Phylogenetic analyses of <italic>Blastocystis</italic> using (ML) method (Kimura two-parameter model). Bootstrap values below 50% from 1,000 replicates are not shown. <italic>Blastocystis</italic> isolates identified in the present study are indicated by solid circles.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-11-747952-g003.tif"/>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>The overall infection rate of <italic>Blastocystis</italic> in Tibetan antelope was 4.8% (30/627) in Tibet, which was lower than the prevalence of 5.5% (6/109) and 6.0% (50/832) identified in sheep (<xref ref-type="bibr" rid="B47">Wang et&#xa0;al., 2018a</xref>; <xref ref-type="bibr" rid="B21">Li et&#xa0;al., 2018</xref>) in China and 19.3% (9/150) and 32.0% (32/100) in sheep in Iran (<xref ref-type="bibr" rid="B34">Rostami et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B35">Salehi et&#xa0;al., 2021</xref>). The difference in the prevalence of <italic>Blastocystis</italic> may be related to the living environment and geographical factors of different countries (<xref ref-type="bibr" rid="B43">Tan, 2008</xref>). The infection rate of <italic>Blastocystis</italic> in different species is different. For example, the prevalence of Tibetan antelope in this study and sheep, goats, and cattle in other studies were 4.8% (30/627), 0.75% (3/400) (<xref ref-type="bibr" rid="B11">Ghimire and Bhattarai, 2019</xref>), and 14.43% (72/500) (<xref ref-type="bibr" rid="B13">Hastutiek et&#xa0;al., 2019</xref>), respectively. The results showed that the prevalence of <italic>Blastocystis</italic> might be related to the sensitivity of animals to <italic>Blastocystis</italic>. Therefore, future research should collect more samples to better understand the population characteristics of <italic>Blastocystis</italic> in Tibetan antelope.</p>
<p>The average temperature in Baingoin County is &#x2212;17.1&#xb0;C annually, which is much lower than that of other counties. The survival of <italic>Blastocystis</italic> may be affected by the low-temperature environment in Baingoin County. <italic>Blastocystis</italic> might survive in warm and humid environment (<xref ref-type="bibr" rid="B36">Sari et&#xa0;al., 2021</xref>). This is probably the reason why the infection rate of <italic>Blastocystis</italic> in Baingoin County (0.0%, 0/133) was significantly lower than that of the other three counties.</p>
<p>Previous studies have shown that the infection rate of <italic>Blastocystis</italic> in males (4.8%, 25/517) was higher than that in females (3.1%, 9/291) in cattle (<xref ref-type="bibr" rid="B19">Lee et&#xa0;al., 2018</xref>) and in sambar (males: 38.2%, 21/55 <italic>vs.</italic> females: 23.3%, 7/30) (<xref ref-type="bibr" rid="B18">Kim et&#xa0;al., 2020</xref>). This study also found that the infection rate of <italic>Blastocystis</italic> (6.7%, 22/327) was higher in males than in females (2.7%, 8/300) of Tibetan antelope. This may be due to the fact that males have a wider range of activities than females, and have a relatively higher chance for contacting with cysts.</p>
<p>At present, 29 proposed <italic>Blastocystis</italic> subtypes have been identified (<xref ref-type="bibr" rid="B23">Maloney and Santin, 2021</xref>). Among them, ST1, ST3, ST5, ST10, and ST14 subtypes were detected in sheep and goats (<xref ref-type="bibr" rid="B40">Song et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B21">Li et&#xa0;al., 2018</xref>; <xref ref-type="bibr" rid="B47">Wang et&#xa0;al., 2018a</xref>), among which ST10 and ST14 were the most common subtypes (<xref ref-type="bibr" rid="B10">Fayer et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B50">Zhao et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B15">Hublin et&#xa0;al., 2021</xref>). ST10 and ST14 were also detected in Tibetan antelope. However, it is worth noting that ST10 (<italic>n</italic> = 4) and ST14 (<italic>n</italic> = 2) were not common in the samples of Tibetan antelope in this study. On the contrary, ST13 (<italic>n</italic> = 24) represented the infection trend of <italic>Blastocystis</italic> in Tibetan antelope. ST13 subtype is a relatively rare subtype. ST13 has been detected in deer, flying squirrels, kangaroo, monkeys, and other animals (<xref ref-type="bibr" rid="B31">Parkar et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B4">Alfellani et&#xa0;al., 2013</xref>; <xref ref-type="bibr" rid="B46">Wang et&#xa0;al., 2018b</xref>; <xref ref-type="bibr" rid="B20">Li et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B48">Xiao et&#xa0;al., 2019</xref>). Compared with domestic animals, ST13 may be more common in wild animals. Therefore, the follow-up research should focus on the distribution of <italic>Blastocystis</italic> genotypes in wild animals.</p>
<p>In summary, this is the first report of <italic>Blastocystis</italic> infection in Tibetan antelope in Tibet, China. The total prevalence of <italic>Blastocystis</italic> was 4.11% (30/627). Moreover, ST10, ST13, and ST14 subtypes were found in Tibetan antelope, among which ST13 was the dominant subtype. These results not only expanded the knowledge of hosts of <italic>Blastocystis</italic>, but also provided data for further studies on the distribution of <italic>Blastocystis</italic> subtypes in Tibetan antelope, and also provided data supporting for the prevention of <italic>Blastocystis</italic> infection in wild animals.</p>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found in the article/supplementary material.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics Statement</title>
<p>The animal study was reviewed and approved by the Ethics Committee of Jilin University.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author Contributions</title>
<p>H-BN and JJ conceived and designed the study and critically revised the manuscript. S-YQ, H-TS, J-HZ, Z-JW, and TM collected the samples. H-LG, Y-ZS, Y-GL, and N-YX performed the experiments. H-LG and Y-ZS analyzed the data and drafted the manuscript. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>This work was supported by the Research Foundation for Distinguished Scholars of Qingdao Agricultural University (665-1120046).</p>
</sec>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgments</title>
<p>We thank Dr. Chuang Lyu (Shandong New Hope Liuhe Group Co., Ltd. and Qingdao Jiazhi Biotechnology Co., Ltd., Qingdao, China) for critically revising the manuscript.</p>
</ack>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Abd</surname> <given-names>R. N. A.</given-names>
</name>
<name>
<surname>Yusof</surname> <given-names>A. M.</given-names>
</name>
<name>
<surname>Mohammad</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Identification of Blastocystis Sp. Infection Form Cattle, Goat and Sheep Isolated From Farms in Pahang, Malaysia</article-title>. <source>Int. J. Allied Health Sci.</source> <volume>3</volume> (<issue>3</issue>), <fpage>810</fpage>&#x2013;<lpage>810</lpage>.</citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>AbuOdeh</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Ezzedine</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Madkour</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Stensvold</surname> <given-names>C. R.</given-names>
</name>
<name>
<surname>Samie</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Nasrallah</surname> <given-names>G.</given-names>
</name>
<etal/>
</person-group>. (<year>2019</year>). <article-title>Molecular Subtyping of <italic>Blastocystis</italic> From Diverse Animals in the United Arab Emirates</article-title>. <source>Protist</source> <volume>170</volume> (<issue>5</issue>), <elocation-id>125679</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.protis.2019.125679</pub-id>
</citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Alexeieff</surname> <given-names>A.</given-names>
</name>
</person-group> (<year>1911</year>). <article-title>Sur La Nature Des Formations Dites &#x201c;Kystes De <italic>Trichomonas Intestinalis</italic>&#x201d;</article-title>. <source>Comptes Rendus Des. Seances la Sociiti Biologie</source> <volume>71</volume>, <fpage>296298</fpage>.</citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Alfellani</surname> <given-names>M. A.</given-names>
</name>
<name>
<surname>Taner-Mulla</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Jacob</surname> <given-names>A. S.</given-names>
</name>
<name>
<surname>Imeede</surname> <given-names>C. A.</given-names>
</name>
<name>
<surname>Yoshikawa</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Stensvold</surname> <given-names>C. R.</given-names>
</name>
<etal/>
</person-group>. (<year>2013</year>). <article-title>Genetic Diversity of <italic>Blastocystis</italic> in Livestock and Zoo Animals</article-title>. <source>Protist</source> <volume>164</volume>, <fpage>497</fpage>&#x2013;<lpage>509</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.protis.2013.05.003</pub-id>
</citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Asghari</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Sadraei</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Pirestani</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Mohammadpour</surname> <given-names>I.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>First Molecular Identification and Subtype Distribution of Blastocystis Sp. Isolated From Hooded Crows (<italic>Corvus Cornix</italic>) and Pigeons (<italic>Columba Livia</italic>) in Tehran Province, Iran</article-title>. <source>Comp. Immunol. Microbiol. Infect. Dis.</source> <volume>62</volume>, <fpage>25</fpage>&#x2013;<lpage>30</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cimid.2018.11.013</pub-id>
</citation>
</ref>
<ref id="B6">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Aynur</surname> <given-names>Z. E.</given-names>
</name>
<name>
<surname>G&#xfc;&#xe7;l&#xfc;</surname> <given-names>&#xd6;.</given-names>
</name>
<name>
<surname>Y&#x131;ld&#x131;z</surname> <given-names>&#x130;.</given-names>
</name>
<name>
<surname>Aynur</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Ertabaklar</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Bozdo&#x11f;an</surname> <given-names>B.</given-names>
</name>
<etal/>
</person-group>. (<year>2019</year>). <article-title>Molecular Characterization of <italic>Blastocystis</italic> in Cattle in Turkey</article-title>. <source>Parasitol Res.</source> <volume>118</volume> (<issue>3</issue>), <fpage>1055</fpage>&#x2013;<lpage>1059</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s00436-019-06243-8</pub-id>
</citation>
</ref>
<ref id="B7">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Badparva</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Sadraee</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Kheirandish</surname> <given-names>F.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Genetic Diversity of <italic>Blastocystis</italic> Isolated From Cattle in Khorramabad, Iran</article-title>. <source>Jundishapur J. Microbiol.</source> <volume>8</volume> (<issue>3</issue>), <elocation-id>e14810</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.5812/jjm.14810</pub-id>
</citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bai</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Ba</surname> <given-names>P.</given-names>
</name>
<etal/>
</person-group>. (<year>2016</year>). <article-title>Molecular and Phylogenetic Characterization of Non-O157 Shiga Toxin-Producing <italic>Escherichia Coli</italic> Strains in China</article-title>. <source>Front. Cell Infect. Microbiol.</source> <volume>6</volume>, <elocation-id>143</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fcimb.2016.00143</pub-id>
</citation>
</ref>
<ref id="B9">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Deng</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Chai</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Zhong</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>Y.</given-names>
</name>
<etal/>
</person-group>. (<year>2019</year>). <article-title>Epidemiology of Blastocystis Sp. Infection in China: A Systematic Review</article-title>. <source>Parasite</source> <volume>26</volume>, <fpage>41</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1051/parasite/2019042</pub-id>
</citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fayer</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Santin</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Macarisin</surname> <given-names>D.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>Detection of Concurrent Infection of Dairy Cattle With <italic>Blastocystis</italic>, <italic>Cryptosporidium</italic>, <italic>Giardia</italic>, and <italic>Enterocytozoon</italic> by Molecular and Microscopic Methods</article-title>. <source>Parasitol Res.</source> <volume>111</volume> (<issue>3</issue>), <fpage>1349</fpage>&#x2013;<lpage>1355</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s00436-012-2971-1</pub-id>
</citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ghimire</surname> <given-names>T. R.</given-names>
</name>
<name>
<surname>Bhattarai</surname> <given-names>N.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>A Survey of Gastrointestinal Parasites of Goats in a Goat Market in Kathmandu, Nepal</article-title>. <source>J. Parasit. Dis.</source> <volume>43</volume> (<issue>4</issue>), <fpage>686</fpage>&#x2013;<lpage>695</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s12639-019-01148-w</pub-id>
</citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Greige</surname> <given-names>S.</given-names>
</name>
<name>
<surname>El Safadi</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Khaled</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Gantois</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Baydoun</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Chemaly</surname> <given-names>M.</given-names>
</name>
<etal/>
</person-group>. (<year>2019</year>). <article-title>First Report on the Prevalence and Subtype Distribution of Blastocystis Sp. In Dairy Cattle in Lebanon and Assessment of Zoonotic Transmission</article-title>. <source>Acta Trop.</source> <volume>194</volume>, <fpage>23</fpage>&#x2013;<lpage>29</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.actatropica.2019.02.013</pub-id>
</citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hastutiek</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Yuniarti</surname> <given-names>W. M.</given-names>
</name>
<name>
<surname>Djaeri</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Lastuti</surname> <given-names>N. D. R.</given-names>
</name>
<name>
<surname>Suprihati</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Suwanti</surname> <given-names>L. T.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Prevalence and Diversity of Gastrointestinal Protozoa in Madura Cattle at Bangkalan Regency, East Java, Indonesia</article-title>. <source>Vet. World</source> <volume>12</volume> (<issue>2</issue>), <fpage>198</fpage>&#x2013;<lpage>204</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.14202/vetworld.2019.198-204</pub-id>
</citation>
</ref>
<ref id="B14">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hemalatha</surname> <given-names>C.</given-names>
</name>
<name>
<surname>Chandrawathani</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Suresh Kumar</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Premaalatha</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Geethamalar</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Lily Rozita</surname> <given-names>M. H.</given-names>
</name>
<etal/>
</person-group>. (<year>2014</year>). <article-title>The Diagnosis of Blastocystis Sp. Form Animals-an Emerging Zoonosis</article-title>. <source>Malaysian J. Vet. Res.</source> <volume>5</volume>, <fpage>15</fpage>&#x2013;<lpage>21</lpage>.</citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hublin</surname> <given-names>J. S. Y.</given-names>
</name>
<name>
<surname>Maloney</surname> <given-names>J. G.</given-names>
</name>
<name>
<surname>Santin</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>
<italic>Blastocystis</italic> in Domesticated and Wild Mammals and Birds</article-title>. <source>Res. Vet. Sci.</source> <volume>135</volume>, <fpage>260</fpage>&#x2013;<lpage>282</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.rvsc.2020.09.031</pub-id>
</citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jim&#xe9;nez</surname> <given-names>P. A.</given-names>
</name>
<name>
<surname>Jaimes</surname> <given-names>J. E.</given-names>
</name>
<name>
<surname>Ram&#xed;rez</surname> <given-names>J. D.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>A Summary of <italic>Blastocystis</italic> Subtypes in North and South America</article-title>. <source>Parasit. Vectors</source> <volume>12</volume> (<issue>1</issue>), <fpage>376</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s13071-019-3641-2</pub-id>
</citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kamaruddin</surname> <given-names>S. K.</given-names>
</name>
<name>
<surname>Mat</surname> <given-names>Y. A.</given-names>
</name>
<name>
<surname>Mohammad</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Prevalence and Subtype Distribution of <italic>Blastocystis Sp. In</italic> Cattle From Pahang, Malaysia</article-title>. <source>Trop. Biomed.</source> <volume>37</volume> (<issue>1</issue>), <fpage>127</fpage>&#x2013;<lpage>141</lpage>.</citation>
</ref>
<ref id="B18">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kim</surname> <given-names>K. T.</given-names>
</name>
<name>
<surname>Noh</surname> <given-names>G.</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Kim</surname> <given-names>S. H.</given-names>
</name>
<name>
<surname>Jeong</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Kim</surname> <given-names>Y.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>Genetic Diversity and Zoonotic Potential of <italic>Blastocystis</italic> in Korean Water Deer, Hydropotes Inermis Argyropus</article-title>. <source>Pathogens</source> <volume>9</volume> (<issue>11</issue>), <fpage>955</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/pathogens9110955</pub-id>
</citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>S. H.</given-names>
</name>
<name>
<surname>Seo</surname> <given-names>M. G.</given-names>
</name>
<name>
<surname>Kim</surname> <given-names>H. Y.</given-names>
</name>
<name>
<surname>Kim</surname> <given-names>J. W.</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>Y. R.</given-names>
</name>
<etal/>
</person-group>. (<year>2018</year>). <article-title>Occurrence and Genetic Diversity of <italic>Blastocystis</italic> in Korean Cattle</article-title>. <source>Vet. Parasitol.</source> <volume>258</volume>, <fpage>70</fpage>&#x2013;<lpage>73</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.vetpar.2018.06.010</pub-id>
</citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Karim</surname> <given-names>M. R.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>D.</given-names>
</name>
<name>
<surname>Rahaman Sumon</surname> <given-names>S. M. M.</given-names>
</name>
<name>
<surname>Siddiki</surname> <given-names>S. H. M. F.</given-names>
</name>
<name>
<surname>Rume</surname> <given-names>F. I.</given-names>
</name>
<etal/>
</person-group>. (<year>2019</year>). <article-title>Molecular Characterization of Blastocystis Sp. In Captive Wildlife in Bangladesh National Zoo: Non-Human Primates With High Prevalence and Zoonotic Significance</article-title>. <source>Int. J. Parasitol Parasites Wildl.</source> <volume>10</volume>, <fpage>314</fpage>&#x2013;<lpage>320</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.ijppaw.2019.11.003</pub-id>
</citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>W. C.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Gu</surname> <given-names>Y.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Occurrence of Blastocystis Sp. And <italic>Pentatrichomonas Hominis</italic> in Sheep and Goats in China</article-title>. <source>Parasit. Vectors</source> <volume>11</volume> (<issue>1</issue>), <fpage>93</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s13071-018-2671-5</pub-id>
</citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>X. M.</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Zhong</surname> <given-names>D. M.</given-names>
</name>
<name>
<surname>He</surname> <given-names>J. G.</given-names>
</name>
</person-group> (<year>1990</year>). <article-title>Diagnosis and Treatment of Two Cases of <italic>Blastocystis Hominis</italic>
</article-title>. <source>Chin. J. Pediatr.</source> <volume>28</volume>, <fpage>8</fpage>.</citation>
</ref>
<ref id="B23">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Maloney</surname> <given-names>J. G.</given-names>
</name>
<name>
<surname>Jang</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Molokin</surname> <given-names>A.</given-names>
</name>
<name>
<surname>George</surname> <given-names>N. S.</given-names>
</name>
<name>
<surname>Santin</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Wide Genetic Diversity of <italic>Blastocystis</italic> in White-Tailed Deer (<italic>Odocoileus Virginianus</italic>) From Maryland, USA</article-title>. <source>Microorganisms</source> <volume>9</volume> (<issue>6</issue>), <fpage>1343</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/microorganisms9061343</pub-id>
</citation>
</ref>
<ref id="B24">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Maloney</surname> <given-names>J. G.</given-names>
</name>
<name>
<surname>Lombard</surname> <given-names>J. E.</given-names>
</name>
<name>
<surname>Urie</surname> <given-names>N. J.</given-names>
</name>
<name>
<surname>Shivley</surname> <given-names>C. B.</given-names>
</name>
<name>
<surname>Santin</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Zoonotic and Genetically Diverse Subtypes of <italic>Blastocystis</italic> in US Pre-Weaned Dairy Heifer Calves</article-title>. <source>Parasitol Res.</source> <volume>118</volume> (<issue>2</issue>), <fpage>575</fpage>&#x2013;<lpage>582</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s00436-018-6149-3</pub-id>
</citation>
</ref>
<ref id="B25">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Maloney</surname> <given-names>J. G.</given-names>
</name>
<name>
<surname>Santin</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Mind the Gap: New Full-Length Sequences of <italic>Blastocystis</italic> Subtypes Generated <italic>via</italic> Oxford Nanopore Minion Sequencing Allow for Comparisons Between Full-Length and Partial Sequences of the Small Subunit of the Ribosomal RNA Gene</article-title>. <source>Microorganisms</source> <volume>9</volume> (<issue>5</issue>), <fpage>997</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/microorganisms9050997</pub-id>
</citation>
</ref>
<ref id="B26">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ma</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Qiao</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Zhai</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>J.</given-names>
</name>
<etal/>
</person-group>. (<year>2020</year>). <article-title>Molecular Prevalence and Subtypes of Blastocystis Sp. In Primates in Northern China</article-title>. <source>Transbound Emerg. Dis.</source> <volume>67</volume> (<issue>6</issue>), <fpage>2789</fpage>&#x2013;<lpage>2796</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/tbed.13644</pub-id>
</citation>
</ref>
<ref id="B27">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Masuda</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Sumiyoshi</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Ohtaki</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Matsumoto</surname> <given-names>J.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Prevalence and Molecular Subtyping of <italic>Blastocystis</italic> From Dairy Cattle in Kanagawa, Japan</article-title>. <source>Parasitol Int.</source> <volume>67</volume> (<issue>6</issue>), <fpage>702</fpage>&#x2013;<lpage>705</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.parint.2018.07.005</pub-id>
</citation>
</ref>
<ref id="B28">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Moura</surname> <given-names>R. G. F.</given-names>
</name>
<name>
<surname>Oliveira-Silva</surname> <given-names>M. B.</given-names>
</name>
<name>
<surname>Pedrosa</surname> <given-names>A. L.</given-names>
</name>
<name>
<surname>Nascentes</surname> <given-names>G. A. N.</given-names>
</name>
<name>
<surname>Cabrine-Santos</surname> <given-names>M.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Occurrence of Blastocystis Spp. In Domestic Animals in Tri&#xe2;ngulo Mineiro Area of Brazil</article-title>. <source>Rev. Soc. Bras. Med. Trop.</source> <volume>51</volume> (<issue>2</issue>), <fpage>240</fpage>&#x2013;<lpage>243</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1590/0037-8682-0484-2016</pub-id>
</citation>
</ref>
<ref id="B29">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ning</surname> <given-names>C. Q.</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>Z. H.</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>J. H.</given-names>
</name>
<name>
<surname>Ai</surname> <given-names>L.</given-names>
</name>
<name>
<surname>Tian</surname> <given-names>L. G.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Epidemiology of Blastocystis Infection From 1990 to 2019 in China</article-title>. <source>Infect. Dis. Poverty</source> <volume>9</volume> (<issue>1</issue>), <fpage>168</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s40249-020-00779-z</pub-id>
</citation>
</ref>
<ref id="B30">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Paik</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Jung</surname> <given-names>B. Y.</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Hwang</surname> <given-names>M. H.</given-names>
</name>
<name>
<surname>Han</surname> <given-names>J. E.</given-names>
</name>
<name>
<surname>Rhee</surname> <given-names>M. H.</given-names>
</name>
<etal/>
</person-group>. (<year>2019</year>). <article-title>Molecular Detection and Subtyping of <italic>Blastocystis</italic> in Korean Pigs</article-title>. <source>Korean J. Parasitol.</source> <volume>57</volume> (<issue>5</issue>), <fpage>525</fpage>&#x2013;<lpage>529</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3347/kjp.2019.57.5.525</pub-id>
</citation>
</ref>
<ref id="B31">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Parkar</surname> <given-names>U.</given-names>
</name>
<name>
<surname>Traub</surname> <given-names>R. J.</given-names>
</name>
<name>
<surname>Vitali</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Elliot</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Levecke</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Robertson</surname> <given-names>I.</given-names>
</name>
<etal/>
</person-group>. (<year>2010</year>). <article-title>Molecular Characterization of <italic>Blastocystis</italic> Isolates From Zoo Animals and Their Animal-Keepers</article-title>. <source>Vet. Parasitol.</source> <volume>169</volume> (<issue>1-2</issue>), <fpage>8</fpage>&#x2013;<lpage>17</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.vetpar.2009.12.032</pub-id>
</citation>
</ref>
<ref id="B32">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ram&#xed;rez</surname> <given-names>J. D.</given-names>
</name>
<name>
<surname>S&#xe1;nchez</surname> <given-names>L. V.</given-names>
</name>
<name>
<surname>Bautista</surname> <given-names>D. C.</given-names>
</name>
<name>
<surname>Corredor</surname> <given-names>A. F.</given-names>
</name>
<name>
<surname>Fl&#xf3;rez</surname> <given-names>A. C.</given-names>
</name>
<name>
<surname>Stensvold</surname> <given-names>C. R.</given-names>
</name>
</person-group> (<year>2014</year>). <article-title>
<italic>Blastocystis</italic> Subtypes Detected in Humans and Animals From Colombia</article-title>. <source>Infect. Genet. Evol.</source> <volume>22</volume>, <fpage>223</fpage>&#x2013;<lpage>228</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.meegid.2013.07.020</pub-id>
</citation>
</ref>
<ref id="B33">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ren</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Song</surname> <given-names>J. K.</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Zou</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>P. X.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>D.</given-names>
</name>
<etal/>
</person-group>. (<year>2019</year>). <article-title>First Genotyping of <italic>Blastocystis</italic> in Yaks From Qinghai Province, Northwestern China</article-title>. <source>Parasit. Vectors</source> <volume>12</volume> (<issue>1</issue>), <fpage>171</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s13071-019-3436-5</pub-id>
</citation>
</ref>
<ref id="B34">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rostami</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Fasihi-Harandi</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Shafiei</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Aspatwar</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Derakhshan</surname> <given-names>F. K.</given-names>
</name>
<name>
<surname>Raeghi</surname> <given-names>S.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Genetic Diversity Analysis of <italic>Blastocystis</italic> Subtypes and Their Distribution Among the Domestic Animals and Pigeons in Northwest of Iran</article-title>. <source>Infect. Genet. Evol.</source> <volume>86</volume>:<elocation-id>104591</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.meegid.2020.104591</pub-id>
</citation>
</ref>
<ref id="B35">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Salehi</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Rostami</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Mirjalali</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Stensvold</surname> <given-names>C. R.</given-names>
</name>
<name>
<surname>Haghighi</surname> <given-names>A.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Genetic Characterization of <italic>Blastocystis</italic> From Poultry, Livestock Animals and Humans in the Southwest Region of Iran-Zoonotic Implications</article-title>. <source>Transbound Emerg. Dis.</source> doi:&#xa0;<pub-id pub-id-type="doi">10.1111/tbed.14078</pub-id>
</citation>
</ref>
<ref id="B36">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sari</surname> <given-names>I. P.</given-names>
</name>
<name>
<surname>Audindra</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Zhafira</surname> <given-names>A. S.</given-names>
</name>
<name>
<surname>Rahma</surname> <given-names>A. A.</given-names>
</name>
<name>
<surname>Wahdini</surname> <given-names>S.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Nutritional Status of School-Aged Children With Intestinal Parasite Infection in South Jakarta, Indonesia</article-title>. <source>Open Access Macedonian J. Med. Sci.</source> <volume>9</volume> (<issue>E</issue>), <fpage>95</fpage>&#x2013;<lpage>100</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3889/oamjms.2021.5711</pub-id>
</citation>
</ref>
<ref id="B37">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Scicluna</surname> <given-names>S. M.</given-names>
</name>
<name>
<surname>Tawari</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Clark</surname> <given-names>C. G.</given-names>
</name>
</person-group> (<year>2006</year>). <article-title>DNA Barcoding of <italic>Blastocystis</italic>
</article-title>. <source>Protist</source> <volume>157</volume> (<issue>1</issue>), <fpage>77</fpage>&#x2013;<lpage>85</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.protis.2005.12.001</pub-id>
</citation>
</ref>
<ref id="B38">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sharifi</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Abbasi</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Shahabi</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Zaraei</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Mikaeili</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Sarkari</surname> <given-names>B.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Comparative Genotyping of <italic>Blastocystis</italic> Infecting Cattle and Human in the South of Iran</article-title>. <source>Comp. Immunol. Microbiol. Infect. Dis.</source> <volume>72</volume>, <elocation-id>101529</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cimid.2020.101529</pub-id>
</citation>
</ref>
<ref id="B39">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shirozu</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Morishita</surname> <given-names>Y. K.</given-names>
</name>
<name>
<surname>Koketsu</surname> <given-names>M.</given-names>
</name>
<name>
<surname>Fukumoto</surname> <given-names>S.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Molecular Detection of Blastocystis Sp. Subtype 14 in the Yezo Sika Deer (<italic>Cervus Nippon Yesoensis</italic>) in Hokkaido, Japan</article-title>. <source>Vet. Parasito.</source> <volume>100585</volume>, <fpage>2405</fpage>&#x2013;<lpage>9390</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.vprsr.2021.100585</pub-id>
</citation>
</ref>
<ref id="B40">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Song</surname> <given-names>J. K.</given-names>
</name>
<name>
<surname>Yin</surname> <given-names>Y. L.</given-names>
</name>
<name>
<surname>Yuan</surname> <given-names>Y. J.</given-names>
</name>
<name>
<surname>Tang</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Ren</surname> <given-names>G. J.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>H. J.</given-names>
</name>
<etal/>
</person-group>. (<year>2017</year>). <article-title>First Genotyping of Blastocystis Sp. In Dairy, Meat, and Cashmere Goats in Northwestern China</article-title>. <source>Acta Trop.</source> <volume>176</volume>, <fpage>277</fpage>&#x2013;<lpage>282</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.actatropica</pub-id>
</citation>
</ref>
<ref id="B41">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Stensvold</surname> <given-names>C. R.</given-names>
</name>
<name>
<surname>Clark</surname> <given-names>C. G.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Current Status of <italic>Blastocystis</italic>: A Personal View</article-title>. <source>Parasitol Int.</source> <volume>65</volume> (<issue>6 Pt B</issue>), <fpage>763</fpage>&#x2013;<lpage>771</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.parint.2016.05.015</pub-id>
</citation>
</ref>
<ref id="B42">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Suwanti</surname> <given-names>L. T.</given-names>
</name>
<name>
<surname>Susana</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Hastutiek</surname> <given-names>P.</given-names>
</name>
<name>
<surname>Suprihati</surname> <given-names>E.</given-names>
</name>
<name>
<surname>Lastuti</surname> <given-names>N. D. R.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>
<italic>Blastocystis</italic> Spp. Subtype 10 Infected Beef Cattle in Kamal and Socah, Bangkalan, Madura, Indonesia</article-title>. <source>Vet. World</source> <volume>13</volume> (<issue>2</issue>), <fpage>231</fpage>&#x2013;<lpage>237</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.14202/vetworld.2020.231-237</pub-id>
</citation>
</ref>
<ref id="B43">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tan</surname> <given-names>K. S.</given-names>
</name>
</person-group> (<year>2008</year>). <article-title>New Insights on Classification, Identification, and Clinical Relevance of Blastocystis Spp</article-title>. <source>Clin. Microbiol. Rev.</source> <volume>21</volume> (<issue>4</issue>), <fpage>639</fpage>&#x2013;<lpage>665</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1128/CMR.00022-08</pub-id>
</citation>
</ref>
<ref id="B44">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tan</surname> <given-names>T. C.</given-names>
</name>
<name>
<surname>Tan</surname> <given-names>P. C.</given-names>
</name>
<name>
<surname>Sharma</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Sugnaseelan</surname> <given-names>S.</given-names>
</name>
<name>
<surname>Suresh</surname> <given-names>K. G.</given-names>
</name>
</person-group> (<year>2013</year>). <article-title>Genetic Diversity of Caprine <italic>Blastocystis</italic> From Peninsular Malaysia</article-title>. <source>Parasitol Res.</source> <volume>112</volume> (<issue>1</issue>), <fpage>85</fpage>&#x2013;<lpage>89</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s00436-012-3107-3</pub-id>
</citation>
</ref>
<ref id="B45">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Udonsom</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Prasertbun</surname> <given-names>R.</given-names>
</name>
<name>
<surname>Mahittikorn</surname> <given-names>A.</given-names>
</name>
<name>
<surname>Mori</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Changbunjong</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Komalamisra</surname> <given-names>C.</given-names>
</name>
<etal/>
</person-group>. (<year>2018</year>). <article-title>
<italic>Blastocystis</italic> Infection and Subtype Distribution in Humans, Cattle, Goats, and Pigs in Central and Western Thailand</article-title>. <source>Infect. Genet. Evol.</source> <volume>65</volume>, <fpage>107</fpage>&#x2013;<lpage>111</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.meegid.2018.07.007</pub-id>
</citation>
</ref>
<ref id="B46">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Gong</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Bu</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>W.</given-names>
</name>
<etal/>
</person-group>. (<year>2018</year>b). <article-title>Distribution and Genetic Diversity of Blastocystis Subtypes in Various Mammal and Bird Species in Northeastern China</article-title>. <source>Parasit. Vectors</source> <volume>11</volume> (<issue>1</issue>), <fpage>522</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s13071-018-3106-z</pub-id>
</citation>
</ref>
<ref id="B47">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>J.</given-names>
</name>
<name>
<surname>Gong</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>F.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Zheng</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>A.</given-names>
</name>
</person-group> (<year>2018</year>a). <article-title>Subtype Distribution and Genetic Characterizations of <italic>Blastocystis</italic> in Pigs, Cattle, Sheep and Goats in Northeastern China&#x2019;s Heilongjiang Province</article-title>. <source>Infect. Genet. Evol.</source> <volume>57</volume>, <fpage>171</fpage>&#x2013;<lpage>176</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.meegid.2017.11.026</pub-id>
</citation>
</ref>
<ref id="B48">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xiao</surname> <given-names>X.</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>S. H.</given-names>
</name>
<name>
<surname>Jiang</surname> <given-names>N.</given-names>
</name>
<name>
<surname>Tian</surname> <given-names>D. Z.</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>Z. M.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>M.</given-names>
</name>
<etal/>
</person-group>. (<year>2019</year>). <article-title>First Record of <italic>Leptospira</italic> and <italic>Blastocystis</italic> Infections in Captive Flying Squirrels (<italic>Trogopterus Xanthipes</italic>) From Enshi County, China</article-title>. <source>Acta Trop.</source> <volume>197</volume>, <elocation-id>105065</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.actatropica.2019.105065</pub-id>
</citation>
</ref>
<ref id="B49">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yu</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>T.</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Xia</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>K.</given-names>
</name>
<name>
<surname>Chu</surname> <given-names>D.</given-names>
</name>
<etal/>
</person-group>. (<year>2012</year>). <article-title>Contagious Caprine Pleuropneumonia in Endangered Tibetan Antelope, Chin</article-title>. <source>Emerg. Infect. Dis.</source> <volume>19</volume> (<issue>12</issue>), <fpage>2051</fpage>&#x2013;<lpage>2053</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3201/eid1912.130067</pub-id>
</citation>
</ref>
<ref id="B50">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhao</surname> <given-names>G. H.</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>X. F.</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>T. L.</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>R. S.</given-names>
</name>
<name>
<surname>Yu</surname> <given-names>Z. Q.</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>W. B.</given-names>
</name>
<etal/>
</person-group>. (<year>2017</year>). <article-title>Molecular Characterization of Blastocystis Sp. In Captive Wild Animals in Qinling Mountains</article-title>. <source>Parasitol Res.</source> <volume>116</volume> (<issue>8</issue>), <fpage>2327</fpage>&#x2013;<lpage>2333</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s00436-017-5506-y</pub-id>
</citation>
</ref>
<ref id="B51">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhu</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Tao</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Gong</surname> <given-names>B.</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Song</surname> <given-names>M.</given-names>
</name>
<etal/>
</person-group>. (<year>2017</year>). <article-title>First Report of <italic>Blastocystis</italic> Infections in Cattle in China</article-title>. <source>Vet. Parasitol.</source> <volume>246</volume>, <fpage>38</fpage>&#x2013;<lpage>42</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.vetpar.2017.09</pub-id>
</citation>
</ref>
<ref id="B52">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhu</surname> <given-names>W.</given-names>
</name>
<name>
<surname>Wei</surname> <given-names>Z.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Q.</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>Y.</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>H.</given-names>
</name>
<name>
<surname>Li</surname> <given-names>W.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Prevalence and Subtype Diversity of <italic>Blastocystis</italic> in Human and Nonhuman Primates in North China</article-title>. <source>Parasitol Res.</source> <volume>119</volume> (<issue>8</issue>), <fpage>2719</fpage>&#x2013;<lpage>2725</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s00436-020-06761-w</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>