<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2017.01029</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>First Molecular Detection of Piroplasm Infection in Pet Dogs from Gansu, China</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Niu</surname> <given-names>Qingli</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/421388/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Yang</surname> <given-names>Jifei</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Liu</surname> <given-names>Zhijie</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Gao</surname> <given-names>Shandian</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Pan</surname> <given-names>Yuping</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Guan</surname> <given-names>Guiquan</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Chu</surname> <given-names>Yuefeng</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Liu</surname> <given-names>Guangyuan</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Luo</surname> <given-names>Jianxun</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/379521/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Yin</surname> <given-names>Hong</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x002A;</sup></xref>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>State Key Laboratory of Veterinary Etiological Biology, Key Laboratory of Veterinary Parasitology of Gansu Province, Lanzhou Veterinary Research Institute, Chinese Academy of Agricultural Science</institution> <country>Lanzhou, China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Jiangsu Co-innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses</institution> <country>Yangzhou, China</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: <italic>Bang Shen, Huazhong Agricultural University, China</italic></p></fn>
<fn fn-type="edited-by"><p>Reviewed by: <italic>Jinlin Zhou, Shanghai Veterinary Research Institute (CAAS), China; Mario Santoro, Istituto Zooprofilattico Sperimentale del Mezzogiorno, Italy</italic></p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x002A;Correspondence: <italic>Hong Yin, <email>yinhong@caas.cn</email> Qingli Niu, <email>niuqingli@163.com</email></italic></p></fn>
<fn fn-type="other" id="fn002"><p>This article was submitted to Infectious Diseases, a section of the journal Frontiers in Microbiology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>07</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<volume>8</volume>
<elocation-id>1029</elocation-id>
<history>
<date date-type="received">
<day>08</day>
<month>03</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>23</day>
<month>05</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2017 Niu, Yang, Liu, Gao, Pan, Guan, Chu, Liu, Luo and Yin.</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>Niu, Yang, Liu, Gao, Pan, Guan, Chu, Liu, Luo and Yin</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) or licensor 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>Babesiosis, the hemolytic disease caused by <italic>Babesia</italic>, which is a tick-transmitted obligate intraerythrocytic protozoan parasite. This disease is responsible for significant mortality and morbidity rates and enormous economic losses to the livestock industry in tropical and subtropical regions worldwide. In this study, blood samples were collected from 141 pet dogs from Gansu, China, and analyzed for <italic>Babesia</italic> or <italic>Theileria</italic> spp. infection using specific PCR and sequencing based on 18S rRNA gene fragments. The results indicated that 18S rRNA gene sequences from 11 samples were similar to the 18S rRNA gene sequences in <italic>Babesia canis vogeli</italic> (2) and <italic>Theileria sinensis</italic> (9). The total infected rates of <italic>B. canis vogeli</italic> and <italic>T. sinensis</italic> were 1.4% (2/141) and 6.4% (9/141), respectively. This represents the first molecular report of <italic>T. sinensis</italic> in dogs worldwide and of <italic>B. canis vogeli</italic> in dogs from Gansu province of China. Furthermore, the finding of <italic>T. sinensis</italic> in dogs may represent the common infection of this parasite occurring in Gansu.</p>
</abstract>
<kwd-group>
<kwd>pet dog</kwd>
<kwd>piroplasm</kwd>
<kwd>detection</kwd>
<kwd>Gansu</kwd>
<kwd>infection</kwd>
</kwd-group>
<counts>
<fig-count count="1"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="32"/>
<page-count count="5"/>
<word-count count="0"/>
</counts>
</article-meta>
</front>
<body>
<sec><title>Introduction</title>
<p>Babesiosis is a haemoparasitic disease, caused by the intraerythrocytic multiplication of protozoa of the genus <italic>Babesia</italic> and transmitted by ticks. It is a frequent infection of domestic and wild animals worldwide, including humans (<xref ref-type="bibr" rid="B25">Telford et al., 1993</xref>; <xref ref-type="bibr" rid="B8">Bush et al., 2001</xref>). The clinical symptoms of babesiosis are due to the repeated asexual rounds of multiplication of parasites inside of host erythrocytes, and are usually characterized by fever, depression, hemolytic anemia, hemoglobinuria, icterus, finally resulting in death in severe cases if not treated. The prevalence of babesiosis correlates with the geographic distribution and activity of vector ticks. Furthermore, environmental conditions changing, including global warming, favors tick survival and reproduction, which correlate with a significant increase in the abundance of ticks (<xref ref-type="bibr" rid="B23">Slenning, 2010</xref>). This disease can be responsible of great direct and indirect economic losses, due to the death of the animals, a reduction in the production or restriction in animal movements (<xref ref-type="bibr" rid="B19">McCosker, 1981</xref>).</p>
<p>Canine babesiosis is a common and clinically significant emerging hemoprotozoan infection of domestic dogs and wild canids geographically widespread by tick borne pathogen <italic>Babesia</italic> (<xref ref-type="bibr" rid="B27">V&#x00ED;chov&#x00E1; et al., 2016</xref>). The clinical characteristics include fever, haemolytic anemia, thrombocytopenia, and vomiting. The earliest descriptions of intraerythrocytic parasites in dogs were in Africa in 1896, and the first documented case of canine babesiosis was in the United States in 1934 (<xref ref-type="bibr" rid="B1">Adaszek and Winiarczyk, 2008</xref>). Recently, six main <italic>Babesia</italic> species responsible for canine babesiosis have been reported in the world, including the large form of <italic>B. canis</italic> (three distinct subspecies <italic>B. canis canis</italic>, <italic>B. canis rossi</italic>, and <italic>B. canis vogeli</italic>) and the small form of <italic>B. gibsoni</italic>, <italic>B. conradae</italic>, and <italic>B. vulpes</italic> (<xref ref-type="bibr" rid="B31">Zahler et al., 2000</xref>; <xref ref-type="bibr" rid="B7">Boozer and Macintire, 2003</xref>; <xref ref-type="bibr" rid="B14">Irwin, 2009</xref>, <xref ref-type="bibr" rid="B15">2010</xref>; <xref ref-type="bibr" rid="B18">Matijatko et al., 2012</xref>; <xref ref-type="bibr" rid="B5">Berzina et al., 2013</xref>; <xref ref-type="bibr" rid="B16">Kamani et al., 2013</xref>; <xref ref-type="bibr" rid="B3">Baneth et al., 2015</xref>). Moreover, two large <italic>Babesia</italic> spp. have been reported, one is distributed across North Carolina, New Jersey, New York, and Texas (<xref ref-type="bibr" rid="B6">Birkenheuer et al., 2004</xref>; <xref ref-type="bibr" rid="B13">Holman et al., 2009</xref>; <xref ref-type="bibr" rid="B22">Sikorski et al., 2010</xref>), and another one was only reported in a dog from Great Britain (<xref ref-type="bibr" rid="B12">Holm et al., 2006</xref>). Arthropod vectors of these two <italic>Babesia</italic> species have not been identified.</p>
<p>Little information is available on the prevalence of piroplasmosis in dogs in Gansu province, China. Therefore, the aim of the present study was to investigate the occurrence of <italic>Babesia</italic> and <italic>Theileria</italic> spp. infections in pet dogs from Gansu province of China.</p>
</sec>
<sec id="s1" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec><title>Animals and Sample Collection</title>
<p>A total of 141 blood samples were collected from randomly selected pet dogs (84 males and 57 females) of different breeds in a pet clinic. Venous blood samples were collected into EDTA tubes between March 2015 and March 2016. The ages of the dogs were between 2 months and 18 years. One hundred of the pet dogs were without clinical symptom, and 41 animals presented with clinical signs: fever, pale mucous, vomiting, chough, and thrombocytopenia, and thus were suspected to have haemoparasite infection.</p>
</sec>
<sec><title>Genomic DNA Extraction, PCR Amplification and Sequencing</title>
<p>Genomic DNA was isolated from 300 &#x03BC;l of each blood sample using a QIAamp DNA Blood Mini Kit (Gentra, United States) according to the manufacturer&#x2019;s instructions. The DNA samples were stored at -20&#x00B0;C until further use. Genomic DNA from <italic>Babesia</italic> sp. Lintan (<italic>Babesia</italic> cf. <italic>motais</italic>) and <italic>T. ovis</italic> was used as the positive control and distilled water was used as the blank control.</p>
<p>For the molecular detection and identification of piroplasm parasites at the molecular level, PCR amplification of the 18S rRNA gene was performed with the genomic DNA of all samples. A set of forward and reverse primers (Piro1-S: 5&#x2032;-CTTGACGGTAGGGTATTGGC-3&#x2032;, Piro3-AS: 5&#x2032;-CCTTCCTTTAAGTGATAAGGTTCAC-3&#x2032;) was used to amplify a gene fragment of 1400 bp (<xref ref-type="bibr" rid="B30">Yang et al., 2014</xref>), after which a nested-PCR was performed on primary PCR products with internal primers (PIRO-A: 5&#x2032;-ATAACCGTGCTAATTGTAGG-3&#x2032; and PIRO-B: 5&#x2032;-TGTTATTTCTTGTCACTACC-3&#x2032;) to amplify a gene fragment of 406-421 bp (<xref ref-type="bibr" rid="B20">Olmeda et al., 1997</xref>). The PCR amplified conditions of the 18S rRNA gene were previously described by <xref ref-type="bibr" rid="B30">Yang et al. (2014)</xref>. All 114 samples of secondary PCR products were subjected to electrophoresis on 1.5% agarose gels treated with GoldView I nucleotide stain (Solarbio) and visualized under UV illumination for the expected size of amplified fragments by comparison to molecular weight marker.</p>
<p>The positive PCR products with 18S rRNA gene fragments of 11 isolates were purified using a MiniBEST DNA Fragment Purification Kit (TaKaRa), cloned into a pGEM-T Easy Vector System (Promega), and then transformed into <italic>Escherichia coli</italic> JM109 Chemically Competent Cells (TaKaRa) according to the manufacturers&#x2019; instructions. Colonies were selected by direct colony PCR using vector primers. Ten sub-colonies from each sample were selected for sequencing.</p>
<p>The 11 partial 18S rRNA sequences obtained were subjected to a blast search on the NCBI website<sup><xref ref-type="fn" rid="fn01">1</xref></sup> using the BLASTn program and deposited in GenBank under accession nos. KY608898-KY608908. Multiple sequence alignments were analyzed using Clustal W 2.0.12 software. A phylogenetic tree was constructed with the sequences obtained in this study and sequences of the 18S rRNA genes of the main <italic>Babesia</italic> and <italic>Theileria</italic> species available in GenBank using Neighbor-Joining in MEGA 7 software (<xref ref-type="bibr" rid="B17">Kumar et al., 2016</xref>).</p>
</sec>
<sec><title>Ethics Statement</title>
<p>This study was approved by the Animal Ethics Committee of the Lanzhou Veterinary Research Institute, Chinese Academy of Agricultural Sciences (No. LVRIAEC2013-010). All pet dogs were handled in accordance with the Animal Ethics Procedures and Guidelines of the People&#x2019;s Republic of China.</p>
</sec>
</sec>
<sec><title>Results and Discussion</title>
<p>Vector-borne infections in dogs have been increasing worldwide. However, few studies have been performed on piroplasm in dogs in Gansu. In 2015, there was a report investigating prevalence of tick-borne pathogens in 10 provinces of China, including Gansu province, but no samples indicated <italic>Babesia</italic> or <italic>Theileria</italic> species infections in dogs from Gansu (<xref ref-type="bibr" rid="B29">Xu et al., 2015</xref>).</p>
<p>In our study, out of the 141 dogs sampled, 11 positive samples for piroplasm infections were found, including 2 (1.4%) infected with <italic>B. canis vogeli</italic> and 9 (6.4%) infected with <italic>T. sinensis</italic>. Two pet dogs (one male, Shiba Inu and one female, mixed-breed) infected with <italic>B. canis vogeli</italic> were both 2 months old and showed the clinical symptom of fever. Studies have revealed that young animals are susceptible to <italic>B. canis vogeli</italic> infection and their clinical presentations are more severe (<xref ref-type="bibr" rid="B11">Greene, 2011</xref>). At present, <italic>B. canis vogeli</italic> and <italic>B. gibsoni</italic> have been reported to infect dogs in Jiangxi, Fujian, Anhui, Jiangsu, Chongqing, Guangdong, Guangxi, Hainan, Zhejiang, Shanghai, and Shandong provinces (<xref ref-type="bibr" rid="B21">Shen et al., 1997</xref>; <xref ref-type="bibr" rid="B28">Wei et al., 2012</xref>; <xref ref-type="bibr" rid="B9">Cao et al., 2015</xref>). The transmission vector for <italic>B. canis vogeli</italic> is <italic>Rhipicephalus sanguineus</italic>, a tick that is distributed in 15 provinces of China, including Gansu (<xref ref-type="bibr" rid="B26">Teng and Jiang, 1991</xref>). No <italic>B. gibsoni</italic> infections were found in pet dogs in our study. <italic>T. sinensis</italic>, which normally infects cattle, was found to infect two pet dogs (male, 6 years old, asymptomatic) belonging to the Bichon Frise breed; 2 Nisos dogs (male, one was 2 months old and one was 5 months old) with the clinical feature of fever; one Husky dog (male, 7 months old) with a cough; and four mixed-breed dogs (three males, two of them are 3 months old and another one was 8 years old; one female, 4 months old) with the clinical features of fever, vomiting and cough. Several studies based on molecular methods have revealed that dogs could be sporadically infected by the genus <italic>Theileria</italic>, including <italic>Theileria equi</italic> (<xref ref-type="bibr" rid="B4">Beck et al., 2009</xref>), <italic>T. ovis</italic> (<xref ref-type="bibr" rid="B24">Takeet et al., 2017</xref>), <italic>T. annulata</italic> (<xref ref-type="bibr" rid="B10">Criado et al., 2006</xref>; <xref ref-type="bibr" rid="B2">Aktas et al., 2015</xref>) and <italic>T. orientalis</italic> (<xref ref-type="bibr" rid="B29">Xu et al., 2015</xref>), from Croatia, Spain, Turkey, Iran, and China. These parasites are usually found in horses, sheep and cattle. <italic>T. sinensis</italic> is distributed only in Gansu Province China and is transmitted by <italic>Haemaphysalis qinghaiensis</italic> (<xref ref-type="bibr" rid="B32">Zhao et al., 2017</xref>). In our study, records from dogs infected with <italic>B. canis vogeli</italic> and <italic>T. sinensis</italic> provided by veterinarians from clinics indicated that these pet dogs spent most of their time indoors and they had limited exposure to the outside environment with active <italic>R. sanguineus</italic> and <italic>H. qinghaiensis</italic> ticks. Thus, how these dogs were exposed to <italic>B. canis vogeli</italic> and <italic>T. sinensis</italic> requires further study. Possibilities of blood transfusion and vertical transmission might be existed.</p>
<p>A phylogenetic tree, based on 18S rRNA sequences (<italic>n</italic> = 11) determined in the present study and sequences of this gene deposited in GenBank from different species, was constructed by Neighbor-Joining method using the software MEGA 7 (<bold>Figure <xref ref-type="fig" rid="F1">1</xref></bold>). In general, the tree indicated that the 18S rRNA sequences formed two clades, including <italic>Theileria</italic> spp. clade and <italic>Babesia</italic> spp. clade. Nine Gansu isolates formed two sub-branches in the first clade, forming a sister clade with all the <italic>Theileria</italic> spp. 18S rRNA sequences from our study, and formed on the same sub-clade with <italic>T. sinensis</italic>, which normally infected cattle. Two Gansu isolates formed a sub-branch with <italic>B. canis vogeli</italic> isolates from Brazil and Italy. Other canine <italic>Babesia</italic> species formed separated sub-clusters on <italic>Babesia</italic> spp. clade, including <italic>B. canis canis</italic>, <italic>B. gibsoni</italic>, <italic>B. canis rossi</italic> clusters, while <italic>B. vulpesm</italic>, <italic>B. conradae</italic> and <italic>Babesia</italic> sp. Coco formed single clusters, respectively. Taken together, based on the sequences and phylogenetic analysis, the isolates from pet dogs might be infected two piroplasm species, <italic>T. sinensis</italic> and <italic>B. canis vogeli</italic>.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Phylogenetic tree of the nucleotidic sequences of <italic>Babesia</italic> and <italic>Theileria</italic> spp. 18S rRNA obtained from pet dogs in this study and deposited in GenBank from different piroplasm species, the isolate, host, countries and accession numbers are shown after species name. The 18S rRNA sequences obtained in this study were indicated with bold triangle. The tree was inferred using the neighbor joining method of MEGA7, bootstrap values are shown at each branch point. Numbers above the branch demonstrate bootstrap support from 1000 replications. All sites of the alignment containing insertions&#x2013;deletions, missing data were eliminated from the analysis (option &#x201C;complete deletion&#x201D;).</p></caption>
<graphic xlink:href="fmicb-08-01029-g001.tif"/>
</fig>
<p>To the best of our knowledge, this is the first report of <italic>B. canis vogeli</italic> in dogs from Gansu province and the first report of <italic>T. sinensis</italic> in dogs in the world. The results of this study provide evidence for the presence of two distinct piroplasm parasites among the canine population from Gansu that had previously not been molecularly documented. It is suggested that increasing piroplasm parasite infections in pet dogs might pose an increased health threat for pet dogs. Dog owners and veterinarians should be better informed on the possibility of infections of canine piroplasm in pet dogs so that appropriate prevention and treatment measures can be adopted.</p>
</sec>
<sec><title>Author Contributiions</title>
<p>QN and YP carried out the experiments, including PCR, cloning, sequencing and data analysis. QN drafted the manuscript. JY and YC collected samples, ZL, SG, GG, GL, JL, and HY supervised all work. All authors read and approved the final version of the manuscript.</p>
</sec>
<sec><title>Conflict of Interest Statement</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>
</body>
<back>
<ack>
<p>This study was supported financially by the NSFC (Nos. 31502054, 31372432, 31201899, and 31471967); Creative Research Groups of Gansu Province (No. 1210RJIA006); NBCIS CARS-38; 973 Program (2015CB150300), the Jiangsu Co-innovation Center Programme for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, State Key Laboratory of Veterinary Etiological Biology Project.</p>
</ack>
<ref-list>
<title>References</title>
<ref id="B1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Adaszek</surname> <given-names>&#x0141;.</given-names></name> <name><surname>Winiarczyk</surname> <given-names>S.</given-names></name></person-group> (<year>2008</year>). <article-title>Dogs babesiosis&#x2013;still actually problem.</article-title> <source><italic>Wiad. Parazytol.</italic></source> <volume>54</volume> <fpage>109</fpage>&#x2013;<lpage>115</lpage>.</citation></ref>
<ref id="B2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Aktas</surname> <given-names>M.</given-names></name> <name><surname>Ozubek</surname> <given-names>S.</given-names></name> <name><surname>Altay</surname> <given-names>K.</given-names></name> <name><surname>Ipek</surname> <given-names>N. D.</given-names></name> <name><surname>Balkaya</surname> <given-names>I.</given-names></name> <name><surname>Utuk</surname> <given-names>A. E.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>Molecular detection of tick-borne rickettsial and protozoan pathogens in domestic dogs from Turkey.</article-title> <source><italic>Parasit. Vectors</italic></source> <volume>8</volume> <issue>157</issue>. <pub-id pub-id-type="doi">10.1186/s13071-015-0763-z</pub-id></citation></ref>
<ref id="B3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Baneth</surname> <given-names>G.</given-names></name> <name><surname>Florin-Christensen</surname> <given-names>M.</given-names></name> <name><surname>Cardoso</surname> <given-names>L.</given-names></name> <name><surname>Schnittger</surname> <given-names>L.</given-names></name></person-group> (<year>2015</year>). <article-title>Reclassification of <italic>Theileria annae</italic> as <italic>Babesia vulpes</italic> sp. nov.</article-title> <source><italic>Parasit. Vectors</italic></source> <volume>8</volume> <issue>207</issue>. <pub-id pub-id-type="doi">10.1186/s13071-015-0830-5</pub-id></citation></ref>
<ref id="B4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Beck</surname> <given-names>R.</given-names></name> <name><surname>Vojta</surname> <given-names>L.</given-names></name> <name><surname>Mrljak</surname> <given-names>V.</given-names></name> <name><surname>Marinculic</surname> <given-names>A.</given-names></name> <name><surname>Beck</surname> <given-names>A.</given-names></name> <name><surname>Zivicnjak</surname> <given-names>T.</given-names></name><etal/></person-group> (<year>2009</year>). <article-title>Diversity of <italic>Babesia</italic> and <italic>Theileria</italic> species in symptomatic and asymptomatic dogs in Croatia.</article-title> <source><italic>Int. J. Parasitol.</italic></source> <volume>39</volume> <fpage>843</fpage>&#x2013;<lpage>848</lpage>. <pub-id pub-id-type="doi">10.1016/j.ijpara.2008.12.005</pub-id></citation></ref>
<ref id="B5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Berzina</surname> <given-names>I.</given-names></name> <name><surname>Capligina</surname> <given-names>V.</given-names></name> <name><surname>Baumanis</surname> <given-names>V.</given-names></name> <name><surname>Ranka</surname> <given-names>R.</given-names></name> <name><surname>Cirule</surname> <given-names>D.</given-names></name> <name><surname>Matise</surname> <given-names>I.</given-names></name></person-group> (<year>2013</year>). <article-title>Autochthonous canine babesiosis caused by <italic>Babesia canis canis</italic> in Latvia.</article-title> <source><italic>Vet. Parasitol.</italic></source> <volume>196</volume> <fpage>515</fpage>&#x2013;<lpage>518</lpage>. <pub-id pub-id-type="doi">10.1016/j.vetpar.2013.03.015</pub-id></citation></ref>
<ref id="B6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Birkenheuer</surname> <given-names>A. J.</given-names></name> <name><surname>Neel</surname> <given-names>J.</given-names></name> <name><surname>Ruslander</surname> <given-names>D.</given-names></name> <name><surname>Levy</surname> <given-names>M. G.</given-names></name> <name><surname>Breitschwerdt</surname> <given-names>E. B.</given-names></name></person-group> (<year>2004</year>). <article-title>Detection and molecular characterization of a novel large <italic>Babesia</italic> species in a dog.</article-title> <source><italic>Vet. Parasitol.</italic></source> <volume>124</volume> <fpage>151</fpage>&#x2013;<lpage>160</lpage>. <pub-id pub-id-type="doi">10.1016/j.vetpar.2004.07.008</pub-id></citation></ref>
<ref id="B7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Boozer</surname> <given-names>A. L.</given-names></name> <name><surname>Macintire</surname> <given-names>D. K.</given-names></name></person-group> (<year>2003</year>). <article-title>Canine babesiosis.</article-title> <source><italic>Vet. Clin. North Am. Small Anim. Pract.</italic></source> <volume>33</volume> <fpage>885</fpage>&#x2013;<lpage>904</lpage>. <pub-id pub-id-type="doi">10.1016/S0195-5616(03)00039-1</pub-id></citation></ref>
<ref id="B8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bush</surname> <given-names>A.</given-names></name> <name><surname>Fernandes</surname> <given-names>J.</given-names></name> <name><surname>Esch</surname> <given-names>G.</given-names></name> <name><surname>Seed</surname> <given-names>R.</given-names></name></person-group> (<year>2001</year>). <source><italic>Parasitism: The Diversity and Ecology of Animal Parasites</italic>.</source> <publisher-loc>Cambridge</publisher-loc>: <publisher-name>Cambridge University Press</publisher-name>, <fpage>89</fpage>&#x2013;<lpage>91</lpage>.</citation></ref>
<ref id="B9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cao</surname> <given-names>J.</given-names></name> <name><surname>Yang</surname> <given-names>Q.</given-names></name> <name><surname>Zhang</surname> <given-names>J.</given-names></name> <name><surname>Zhou</surname> <given-names>Y.</given-names></name> <name><surname>Zhang</surname> <given-names>H.</given-names></name> <name><surname>Gong</surname> <given-names>H.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>Seroprevalence survey of <italic>Babesia gibsoni</italic> infection and tick species in dogs in East China.</article-title> <source><italic>Vet. Parasitol.</italic></source> <volume>214</volume> <fpage>12</fpage>&#x2013;<lpage>15</lpage>. <pub-id pub-id-type="doi">10.1016/j.vetpar.2015.10.002</pub-id></citation></ref>
<ref id="B10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Criado</surname> <given-names>A.</given-names></name> <name><surname>Martinez</surname> <given-names>J.</given-names></name> <name><surname>Buling</surname> <given-names>A.</given-names></name> <name><surname>Barba</surname> <given-names>J. C.</given-names></name> <name><surname>Merino</surname> <given-names>S.</given-names></name> <name><surname>Jefferies</surname> <given-names>R.</given-names></name><etal/></person-group> (<year>2006</year>). <article-title>New data on epizootiology and genetics of piroplasms based on sequences of small ribosomal subunit and cytochrome b genes.</article-title> <source><italic>Vet. Parasitol.</italic></source> <volume>142</volume> <fpage>238</fpage>&#x2013;<lpage>247</lpage>. <pub-id pub-id-type="doi">10.1016/j.vetpar.2006.07.004</pub-id></citation></ref>
<ref id="B11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Greene</surname> <given-names>C.</given-names></name></person-group> (<year>2011</year>). <source><italic>Infectious Diseases of the Dog and Cat - E-Book</italic></source>, <edition>4th Edn</edition>. <publisher-loc>Amsterdam</publisher-loc>: <publisher-name>Elsevier Health Sciences</publisher-name>.</citation></ref>
<ref id="B12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Holm</surname> <given-names>L. P.</given-names></name> <name><surname>Kerr</surname> <given-names>M. G.</given-names></name> <name><surname>Trees</surname> <given-names>A. J.</given-names></name> <name><surname>Mcgarry</surname> <given-names>J. W.</given-names></name> <name><surname>Munro</surname> <given-names>E. R.</given-names></name> <name><surname>Shaw</surname> <given-names>S. E.</given-names></name></person-group> (<year>2006</year>). <article-title>Fatal babesiosis in an untravelled British dog.</article-title> <source><italic>Vet. Record</italic></source> <volume>159</volume> <fpage>179</fpage>&#x2013;<lpage>180</lpage>. <pub-id pub-id-type="doi">10.1136/vr.159.6.179</pub-id></citation></ref>
<ref id="B13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Holman</surname> <given-names>P. J.</given-names></name> <name><surname>Backlund</surname> <given-names>B. B.</given-names></name> <name><surname>Wilcox</surname> <given-names>A. L.</given-names></name> <name><surname>Stone</surname> <given-names>R.</given-names></name> <name><surname>Stricklin</surname> <given-names>A. L.</given-names></name> <name><surname>Bardin</surname> <given-names>K. E.</given-names></name></person-group> (<year>2009</year>). <article-title>Detection of a large unnamed <italic>Babesia</italic> piroplasm originally identified in dogs in North Carolina in a dog with no history of travel to that state.</article-title> <source><italic>J. Am. Vet. Med. Assoc.</italic></source> <volume>235</volume> <fpage>851</fpage>&#x2013;<lpage>854</lpage>. <pub-id pub-id-type="doi">10.2460/javma.235.7.851</pub-id></citation></ref>
<ref id="B14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Irwin</surname> <given-names>P. J.</given-names></name></person-group> (<year>2009</year>). <article-title>Canine babesiosis: from molecular taxonomy to control.</article-title> <source><italic>Parasit. Vectors</italic></source> <comment>2(Suppl. 1)</comment>:<issue>S4</issue>. <pub-id pub-id-type="doi">10.1186/1756-3305-2-S1-S4</pub-id></citation></ref>
<ref id="B15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Irwin</surname> <given-names>P. J.</given-names></name></person-group> (<year>2010</year>). <article-title>Canine babesiosis.</article-title> <source><italic>Vet. Clin. North Am. Small Anim. Pract.</italic></source> <volume>40</volume> <fpage>1141</fpage>&#x2013;<lpage>1156</lpage>. <pub-id pub-id-type="doi">10.1016/j.cvsm.2010.08.001</pub-id></citation></ref>
<ref id="B16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kamani</surname> <given-names>J.</given-names></name> <name><surname>Baneth</surname> <given-names>G.</given-names></name> <name><surname>Mumcuoglu</surname> <given-names>K. Y.</given-names></name> <name><surname>Waziri</surname> <given-names>N. E.</given-names></name> <name><surname>Eyal</surname> <given-names>O.</given-names></name> <name><surname>Guthmann</surname> <given-names>Y.</given-names></name><etal/></person-group> (<year>2013</year>). <article-title>Molecular detection and characterization of tick-borne pathogens in dogs and ticks from Nigeria.</article-title> <source><italic>PLoS Negl. Trop. Dis.</italic></source> <volume>7</volume>:<issue>e2108</issue>. <pub-id pub-id-type="doi">10.1371/journal.pntd.0002108</pub-id></citation></ref>
<ref id="B17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kumar</surname> <given-names>S.</given-names></name> <name><surname>Stecher</surname> <given-names>G.</given-names></name> <name><surname>Tamura</surname> <given-names>K.</given-names></name></person-group> (<year>2016</year>). <article-title>MEGA7: molecular evolutionary genetics analysis version 7.0 for bigger datasets.</article-title> <source><italic>Mol. Biol. Evol.</italic></source> <volume>33</volume> <fpage>1870</fpage>&#x2013;<lpage>1874</lpage>. <pub-id pub-id-type="doi">10.1093/molbev/msw054</pub-id></citation></ref>
<ref id="B18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Matijatko</surname> <given-names>V.</given-names></name> <name><surname>Torti</surname> <given-names>M.</given-names></name> <name><surname>Schetters</surname> <given-names>T. P.</given-names></name></person-group> (<year>2012</year>). <article-title>Canine babesiosis in Europe: how many diseases?</article-title> <source><italic>Trends Parasitol.</italic></source> <volume>28</volume> <fpage>99</fpage>&#x2013;<lpage>105</lpage>. <pub-id pub-id-type="doi">10.1016/j.pt.2011.11.003</pub-id></citation></ref>
<ref id="B19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>McCosker</surname> <given-names>P.</given-names></name></person-group> (<year>1981</year>). <article-title>&#x201C;The global importance of babesiosis,&#x201D; in</article-title> <source><italic>Babesiosis</italic></source>, <role>eds</role> <person-group person-group-type="editor"><name><surname>Ristic</surname> <given-names>M.</given-names></name> <name><surname>Kreier</surname> <given-names>J. P.</given-names></name></person-group> (<publisher-loc>New York, NY</publisher-loc>: <publisher-name>Academic Press</publisher-name>), <fpage>1</fpage>&#x2013;<lpage>24</lpage>.</citation></ref>
<ref id="B20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Olmeda</surname> <given-names>A. S.</given-names></name> <name><surname>Armstrong</surname> <given-names>P. M.</given-names></name> <name><surname>Rosenthal</surname> <given-names>B. M.</given-names></name> <name><surname>Valladares</surname> <given-names>B.</given-names></name> <name><surname>Del</surname> <given-names>C. A.</given-names></name> <name><surname>de Armas</surname> <given-names>F.</given-names></name><etal/></person-group> (<year>1997</year>). <article-title>A subtropical case of human babesiosis.</article-title> <source><italic>Acta Trop.</italic></source> <volume>67</volume> <fpage>229</fpage>&#x2013;<lpage>234</lpage>. <pub-id pub-id-type="doi">10.1016/S0001-706X(97)00045-4</pub-id></citation></ref>
<ref id="B21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shen</surname> <given-names>Y.</given-names></name> <name><surname>Gao</surname> <given-names>J.</given-names></name> <name><surname>Xu</surname> <given-names>K.</given-names></name> <name><surname>Xue</surname> <given-names>L.</given-names></name> <name><surname>Zhang</surname> <given-names>Y.</given-names></name> <name><surname>Shi</surname> <given-names>B.</given-names></name><etal/></person-group> (<year>1997</year>). <article-title>Babesiasis in Nanjing area, China.</article-title> <source><italic>Trop. Anim. Health Prod.</italic></source> <volume>29</volume> <fpage>19S</fpage>&#x2013;<lpage>22S</lpage>. <pub-id pub-id-type="doi">10.1007/bf02632910</pub-id></citation></ref>
<ref id="B22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sikorski</surname> <given-names>L. E.</given-names></name> <name><surname>Birkenheuer</surname> <given-names>A. J.</given-names></name> <name><surname>Holowaychuk</surname> <given-names>M. K.</given-names></name> <name><surname>Mccleary-wheeler</surname> <given-names>A. L.</given-names></name> <name><surname>Davis</surname> <given-names>J. M.</given-names></name> <name><surname>Littman</surname> <given-names>M. P.</given-names></name></person-group> (<year>2010</year>). <article-title>Babesiosis caused by a large <italic>Babesia</italic> species in 7 immunocompromised dogs.</article-title> <source><italic>J. Vet. Intern. Med.</italic></source> <volume>24</volume> <fpage>127</fpage>&#x2013;<lpage>131</lpage>. <pub-id pub-id-type="doi">10.1111/j.1939-1676.2009.0440.x</pub-id></citation></ref>
<ref id="B23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Slenning</surname> <given-names>B.</given-names></name></person-group> (<year>2010</year>). <article-title>Global climate change and implications for disease emergence.</article-title> <source><italic>Vet. Pathol.</italic></source> <volume>47</volume> <fpage>28</fpage>&#x2013;<lpage>33</lpage>. <pub-id pub-id-type="doi">10.1177/0300985809354465</pub-id></citation></ref>
<ref id="B24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Takeet</surname> <given-names>M. I.</given-names></name> <name><surname>Oyewusi</surname> <given-names>A. J.</given-names></name> <name><surname>Abakpa</surname> <given-names>S. A.</given-names></name> <name><surname>Daramola</surname> <given-names>O. O.</given-names></name> <name><surname>Peters</surname> <given-names>S. O.</given-names></name></person-group> (<year>2017</year>). <article-title>Genetic diversity among <italic>Babesia rossi</italic> detected in naturally infected dogs in Abeokuta, Nigeria, based on 18S rRNA gene sequences.</article-title> <source><italic>Acta Parasitol.</italic></source> <volume>62</volume> <fpage>192</fpage>&#x2013;<lpage>198</lpage>. <pub-id pub-id-type="doi">10.1515/ap-2017-0023</pub-id></citation></ref>
<ref id="B25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Telford</surname> <given-names>S.</given-names> <suffix>III.</suffix></name> <name><surname>Gorenflot</surname> <given-names>A.</given-names></name> <name><surname>Brasseur</surname> <given-names>P.</given-names></name> <name><surname>Spielman</surname> <given-names>A.</given-names></name></person-group> (<year>1993</year>). <article-title>&#x201C;Babesial infection in human and wildlife,&#x201D; in</article-title> <source><italic>Parasitic Protozoa</italic>,</source> <volume>Vol. 5</volume> <volume>7</volume> <role>eds</role> <person-group person-group-type="editor"><name><surname>Kreier</surname> <given-names>J. P.</given-names></name> <name><surname>Baker</surname> <given-names>J. R.</given-names></name></person-group> (<publisher-loc>San Diego, CA</publisher-loc>: <publisher-name>Academic Press</publisher-name>), <fpage>1</fpage>&#x2013;<lpage>47</lpage>.</citation></ref>
<ref id="B26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Teng</surname> <given-names>G.</given-names></name> <name><surname>Jiang</surname> <given-names>Z.</given-names></name></person-group> (<year>1991</year>). <source><italic>Economic Insect Fauna of China. Fasc 39 Acari Ixodidae</italic>.</source> <publisher-loc>Beijing</publisher-loc>: <publisher-name>Science Press</publisher-name>, <fpage>324</fpage>.</citation></ref>
<ref id="B27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>V&#x00ED;chov&#x00E1;</surname> <given-names>B.</given-names></name> <name><surname>Horsk&#x00E1;</surname> <given-names>M.</given-names></name> <name><surname>Bla&#x0148;arov&#x00E1;</surname> <given-names>L.</given-names></name> <name><surname>&#x0160;vihran</surname> <given-names>M.</given-names></name> <name><surname>Andersson</surname> <given-names>M.</given-names></name> <name><surname>Pet&#x2019;ko</surname> <given-names>B.</given-names></name></person-group> (<year>2016</year>). <article-title>First molecular identification of <italic>Babesia gibsoni</italic> in dogs from Slovakia, central Europe.</article-title> <source><italic>Ticks Tick Borne Dis.</italic></source> <volume>7</volume> <fpage>54</fpage>&#x2013;<lpage>59</lpage>. <pub-id pub-id-type="doi">10.1016/j.ttbdis.2015.08.004</pub-id></citation></ref>
<ref id="B28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wei</surname> <given-names>F. R.</given-names></name> <name><surname>Lan</surname> <given-names>Q. X.</given-names></name> <name><surname>Zhu</surname> <given-names>D.</given-names></name> <name><surname>Ye</surname> <given-names>J. H.</given-names></name> <name><surname>Liu</surname> <given-names>Q.</given-names></name> <name><surname>Zhang</surname> <given-names>Y.</given-names></name></person-group> (<year>2012</year>). <article-title>Investigation on <italic>Babesia</italic> in ticks infested on police dogs in selected areas of China.</article-title> <source><italic>Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi</italic></source> <volume>30</volume> <fpage>390</fpage>&#x2013;<lpage>392</lpage>.</citation></ref>
<ref id="B29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname> <given-names>D.</given-names></name> <name><surname>Zhang</surname> <given-names>J.</given-names></name> <name><surname>Shi</surname> <given-names>Z.</given-names></name> <name><surname>Song</surname> <given-names>C.</given-names></name> <name><surname>Zheng</surname> <given-names>X.</given-names></name> <name><surname>Zhang</surname> <given-names>Y.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>Molecular detection of vector-borne agents in dogs from ten provinces of China.</article-title> <source><italic>Parasit. Vectors</italic></source> <volume>8</volume> <issue>501</issue>. <pub-id pub-id-type="doi">10.1186/s13071-015-1120-y</pub-id></citation></ref>
<ref id="B30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname> <given-names>J. F.</given-names></name> <name><surname>Li</surname> <given-names>Y. Q.</given-names></name> <name><surname>Liu</surname> <given-names>Z. J.</given-names></name> <name><surname>Liu</surname> <given-names>J. L.</given-names></name> <name><surname>Guan</surname> <given-names>G. Q.</given-names></name> <name><surname>Chen</surname> <given-names>Z.</given-names></name><etal/></person-group> (<year>2014</year>). <article-title>Molecular evidence for piroplasms in wild Reeves&#x2019; muntjac (<italic>Muntiacus reevesi</italic>) in China.</article-title> <source><italic>Parasitol. Int.</italic></source> <volume>63</volume> <fpage>713</fpage>&#x2013;<lpage>716</lpage>. <pub-id pub-id-type="doi">10.1016/j.parint.2014.06.002</pub-id></citation></ref>
<ref id="B31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zahler</surname> <given-names>M.</given-names></name> <name><surname>Rinder</surname> <given-names>H.</given-names></name> <name><surname>Zweygarth</surname> <given-names>E.</given-names></name> <name><surname>Fukata</surname> <given-names>T.</given-names></name> <name><surname>Maede</surname> <given-names>Y.</given-names></name> <name><surname>Schein</surname> <given-names>E.</given-names></name><etal/></person-group> (<year>2000</year>). <article-title>&#x2018;<italic>Babesia gibsoni</italic>&#x2019; of dogs from North America and Asia belong to different species.</article-title> <source><italic>Parasitology</italic></source> <volume>120(Pt 4)</volume>, <fpage>365</fpage>&#x2013;<lpage>369</lpage>. <pub-id pub-id-type="doi">10.1017/S0031182099005557</pub-id></citation></ref>
<ref id="B32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhao</surname> <given-names>S.</given-names></name> <name><surname>Liu</surname> <given-names>J.</given-names></name> <name><surname>Zhao</surname> <given-names>H.</given-names></name> <name><surname>Li</surname> <given-names>Y.</given-names></name> <name><surname>Xie</surname> <given-names>J.</given-names></name> <name><surname>Liu</surname> <given-names>A.</given-names></name><etal/></person-group> (<year>2017</year>). <article-title>Evaluating an indirect rMPSP enzyme-linked immunosorbent assay for the detection of bovine <italic>Theileria</italic> infection in China.</article-title> <source><italic>Parasitol. Res.</italic></source> <volume>116</volume> <fpage>667</fpage>&#x2013;<lpage>676</lpage>. <pub-id pub-id-type="doi">10.1007/s00436-016-5332-7</pub-id></citation></ref>
</ref-list>
<fn-group>
<fn id="fn01"><label>1</label><p><ext-link ext-link-type="uri" xlink:href="http://blast.ncbi.nlm.-nih.gov/Blast.cgi">http://blast.ncbi.nlm.-nih.gov/Blast.cgi</ext-link></p></fn>
</fn-group>
</back>
</article>