Final dissertation 240211

Aus dem Department für Veterinärwissenschaften
der Tierärztlichen Fakultät
der Ludwig-Maximilians-Universität München
Arbeit angefertigt unter der Leitung von Univ.-Prof. Dr. med. vet. Kurt Pfister
Angefertigt am
Forschungszentrum Borstel
Leibniz-Zentrum für Medizin und Biowissenschaften
Abteilung Immunologie und Zellbiologie
Laborgruppe Veterinär-Infektiologie und -Immunologie
(Prof. Dr. med. vet Jabbar S. Ahmed)
Development of two diagnostic tools
(ELISA and ICT) for detection of antibodies against ovine
and bovine theileriosis
Inaugural-Dissertation
zur Erlangung der tiermedizinischen Doktorwürde
der Tierärztlichen Fakultät der
Ludwig-Maximilians-Universität München
von
Jasim Abdo
aus
Dohuk, Iraq
München 2011

Gedruckt mit Genehmigung der Tierärztlichen Fakultät
der Universität München
Dekan: Univ.-Prof. Dr. Braun
Berichterstatter: Univ.-Prof. Dr. Pfister
Korreferent: Univ.-Prof. Dr. Klee
Tag der Promotion: 12. Februar 2011

Table of contents
Table of contents
1 Introduction 1
2 Literature review 4
2.1 Genus Theileria 4
2.2 Taxonomy 4
2.3 Life cycle of Theileria 5
2.4 Clinical signs and pathogenesis 6
2.5 Theileria in small ruminants 7
2.5.1 Non pathogenic Theileria species of sheep and goats 8
2.5.2 Pathogenic Theileria species of sheep and goats 8
2.5.2.1 Theileria lestoquardi 8
2.5.2.2 Ovine theileriosis in China 9
2.6 Identification of parasites 11
2.6.1 Diagnosis of ovine theileriosis 12
2.6.1.1 Diagnosis of Theileria lestoquardi infection 12
2.2.1.2 Diagnosis of Theileria uilenbergi and Theileria luwenshuni 12
2.6.2 Diagnosis of bovine theileriosis 13
2.7 Lateral flow device 15
2.7.1 Principle of a lateral flow immune assay 16
3 Materials and methods 19
3.1 Ovine serum samples 19
3.2 Identification, characterization and recombinant expression of clone-9
antigenic protein of Theileria uilenbergi 19
3.2.1 Identification of clone-9 antigenic protein of Theileria uilenbergi 19
3.2.2 Polymerase chain reaction (PCR) and agarose gel electrophoresis 20
3.2.3 Cloning of the clone 9 b PCR product (c9b) 21
3.2.4 Isolation of plasmid DNA 22
3.2.5. Restriction digestion of plasmid DNA and pQE32 vector 22
3.2.6 Purification of DNA fragments 23

Table of contents
3.2.7 Ligation of c9b into digested pQE 32 vector 23
3.2.8 Transformation of M15 (pREP4) competent cells 23
3.2.9 Recombinant protein expression 24
3.2.10 Protein quantification 25
3.3. Protein analysis 25
3.3.1 SDS-polyacrylamide gel electrophoresis (SDS-PAGE) 25
3.3.2 Transfer of protein to nitrocellulose membrane 26
3.3.3 Western blot analysis 27
3.3.4 Silver staining of SDS gels 28
3.4 Enzyme-linked immunosorbent assay (ELISA) 29
3.4.1 Coating of the plate 29
3.4.2 Washing the plate 30
3.4.3 Blocking of the non-specific binding sites 30
3.4.4 Addition of serum (primary antibody) 30
3.4.5 Addition of conjugate 31
3.4.6 Addition of substrate/chromogen solution 31
3.4.7 Expression of results 31
3.5 Development of a lateral flow device for detection of Theileria annulata
Infection
33
3.5.1 Components of the Theileria annulata lateral flow device (Ta-LFD) 33
3.5.2 Identification TaSP 34
3.5.3 Purification and repurification 34
3.5.4 Dialysis and concentration of protein samples 35
3.6 Conception of the Theileria annulata lateral flow device (Ta-LFD) 36
3.6.1 Equipment used for constructing and assembling the lateral flow device 36
3.6.2 Materials used for making the test strips 36
3.6.3 Buffers 37
3.6.4 Reagents 37
3.6.5 The procedure to set up the Ta-LFD 37
3.6.5.1 Conjugation of rTaSP to colloidal gold particles 37
3.6.5.2 Membrane blotting 37
3.6.5.3 Preparation of the conjugated pads 38
3.6.5.4 Assembly of the master card 38
3.6.5.5 Slitting and cutting the master card 38

Table of contents
3.6.5.6 Cassette (device) assembly 39
3.7 Detection of Theileria annulata infection 39
3.8 Evaluation of the Ta-LFD by testing sera from experimentally infected
animals and field sera
41
4 Results and publication 42
4.1 Publication 1 42
4.2 Publication 2 60
5 Discussion 77
5.1 Development of a recombinant protein based indirect ELISA for the
detection of antibodies against T. uilenbergi
77
5.2 Development of an LFD for the detection of antibodies against
T. annulata
81
5.3 Conclusion 83
6 References 84
7 Summary 94
8 Zusammenfassung 96
9 Abbreviations 98
10 Curriculum vitae and publications 100
11 Acknowledgements 103

Introduction
1
1 Introduction
Theileriosis is a tick transmitted-protozoan disease in cattle, sheep and goats as well as in
wild and captive ungulates and is caused by several different pathogenic Theileria (T.) species
(Mehlhorn et al., 1994). Thus, Theileria annulata (T. annulata) is a pathogenic species in
cattle that is responsible for significant economic losses in animal husbandry and causes
tropical theileriosis (also called mediterranean theileriosis). This species is transmitted by
ticks of the genus Hyalomma (Uilenberg et al., 1981). The infection occurs over a wide
geographic area ranging from Southern Europe to Southern Russia, the Middle East, Central
Asia, China, India, Northern Africa and Sudan, Eritrea and Mauritania (McCosker, 1979;
Dolan, 1989; Minjauw and McLeod, 2000).
Regarding Theileria of small ruminants, the highly pathogenic species T .lestoquardi
causes a disease called malignant ovine theileriosis in sheep and goats (Hooshmand–Rad and
Hawa, 1973a; Brown et al., 1998). Other pathogenic ovine Theileria include the newly
identified Theileria parasites designated T .luwenshuni (previously referred to as Theileria sp.
China 1) and T. uilenbergi (previously referred to as Theileria sp. China 2), which are the
causative agents of ovine theileriosis in China (Ahmed et al., 2006; Yin et al., 2007). Both
these species are transstadially transmitted by the three host ticks Haemaphysalis qinghaiensis
and H. longicornis (Yin et al., 2002a, 2002b; Li et al., 2007; Li et al., 2009).
Generally, the diagnosis of infection by Theileria parasites in cattle and small ruminants is
usually based on clinical signs, vector distribution and on the morphological examination of
the piroplasm and schizont stages of the parasite in Giemsa-stained blood and lymph node
smears (Hooshmand-Rad and Hawa, 1973a; Gao et al. 2002). Although these methods can be
used for the detection of acute cases, they do however have limited value for chronic cases
because of the low degree of parasitaemia in those animals and additionally, it is difficult to
discriminate between piroplasm species according to morphology (Hooshmand-Rad, 1974;
Friedhoff, 1997). Several molecular techniques for the specific detection of different Theileria
parasites have been developed. Reverse line blotting (RLB) was established to detect and
differentiate all known Theileria and Babesia (B.)species on the basis of differences in their
18S subunit rRNA gene sequences (Gubbels et al., 1999; Schnittger et al., 2004). However,
the RLB technique requires equipped laboratories, is expensive and impractical for field
diagnosis. In addition, molecular biology techniques have been developed as precise tools for
the detection of parasite DNA and several diagnostic procedures based on PCR with high

Introduction
2
sensitivity and specificity have been established to detect the parasite in large and small
ruminants (d'Oliveira et al., 1995; Shayan et al., 1998; Kirvar et al., 2000; Habibi et al., 2007;
Sun et al., 2008; Yin et al., 2008). However, these techniques are expensive, require a high
degree of expertise and cannot be used to detect subclinical infected animals. Recently, loop-
mediated isothermal amplification of DNA (LAMP) has been successfully developed for the
detection of some Theileria species (Salih et al., 2008; Liu et al., 2008b; Thekisoe et al., 2010;
Wang et al., 2010).
With respect to development of diagnostic tools for the detection of Theileria infection,
the study conducted in this thesis consists of two parts. Firstly, the development of a
recombinant protein indirect ELISA for the detection of specific antibodies against
T. uilenbergi was aimed for, in order to achieve an improvement to existing serological
methods for the detection of infection with this pathogen. Secondly, a rapid test for the
detection of infection with T. annulata was developed based on existing components used for
detection of this infection by ELISA. The aim was to provide a diagnostic tool suitable for use
under field conditions. The study parts are described in more detail in the following:
First part: Development of an indirect test (ELISA) for detection of infection with T.
uilenbergi
Detection of antibodies against Theileria causing ovine theileriosis in China using ELISA
have been applied in epidemiological studies using two previously developed indirect ELISA
methods: The first one was based on crude merozoite antigen (Gao et Al., 2002) and the
second one on the partially expressed T. lestoquardi recombinant heat shock protein 70
(rTIHSP 70) (Miranda et al., 2006a). Nevertheless, these assays needed improvement. Thus,
the crude antigen ELISA is difficult to standardize, requiring the preparation of antigen from
experimentally infected animals. In addition, both methods bear the possibility of cross-
reactivity with other related pathogens.
To meet this demand of an improved, specific indirect ELISA, in the first part of this
study a T. uilenbergi antigenic and speciﬁc protein was utilized for the development of a
serological diagnostic test (indirect ELISA). The gene of this protein was identified by
random screening of a T. uilenbergi merozoite cDNA library (Liu et al., 2008a) by PCR
followed by sequencing and bioinformatic analyses aimed at identifying potential antigenic
parasite proteins suitable for developing diagnostic tools. Using this approach, a gene named
clone-9 was discovered which was partially expressed as a His-tagged recombinant protein
(c9b) and used to establish an indirect ELISA assay. The potential application of this test for

Introduction
3
serological surveys of infection with T. uilenbergi was investigated by using serum from
experimentally infected sheep and serum that was collected from sheep of endemic regions in
China.
Second part: Development of an immunochromatographic strip test (ICT) for the
detection of T. annulata infection
Regarding the serological methods for detecting T. annulata antibodies, many tests have
been applied for epidemiological survey studies. Thus, the indirect fluorescence antibody test
(IFAT) has been successfully used to detect theileriosis in cattle (Burridge and Kimber, 1973),
whereby this test was reported to be more sensitive than examination of blood smears (Dhar
and Gautam, 1977; Darghouth et al., 1996). However, this test has the major drawback of
showing cross-reactivity between different Theileria species (Burridge et al., 1974).
In an effort to develop a T. annulata specific indirect ELISA, a number of T. annulata
recombinant proteins have been evaluated for their use in ELISA, including TaSP, TaD, TaSE
and TaHSP70 (Seitzer et al., 2008). Many publications confirmed the suitability of the TaSP
protein for the detection of tropical theileriosis (Bakheit et al., 2004; Salih et al., 2005, 2007a;
Seitzer et al., 2007, 2008). Furthermore, a competitive ELISA (cELISA) for the detection of
circulating antibodies against the parasite based on the same antigen was recently established
and validated (Renneker et al., 2008, 2009).
In the framework of the second part of this thesis, an immunochromatographic strip test (a
lateral flow device or 'pen-side test') was developed for the detection of the infection with T.
annulata based on the TaSP protein. The advantages of this assay in comparison to available
tests are that it is very simple and easy to use, not requiring trained personnel, it delivers fast
test results that are analyzable by the eye, and it exhibits long-term stability over a wide range
of climates not requiring any cooling (refrigerator). These features make this
immunochromatographic strip test ideal for individual testing, rapid point of care testing,
testing in the field, and reliable testing that might otherwise not be available to third world
countries.

Literature review
4
2 Literature review
2.1 Genus Theileria
Theileria are tick-transmitted intracellular protozoan parasites which cause economic
losses in domestic livestock involving large and small ruminants. Theileria spp. infect wild
and domestic ruminants in tropical and subtropical regions of the world (Dolan, 1989; Shaw,
2002). Theileriosis occurs over a wide geographic area ranging from Southern Europe and
extending to Southern Russia, the Middle East, Central Asia, China, India, Northern Africa
and Sudan, Eritrea and Mauritania (McCosker, 1979; Dolan, 1989; Minjauw and McLeod,
2000). The species which infect cattle and small ruminants are transmitted by ixodid ticks of
the genera Rhipicephalus, Amblyomma, Hyalomma and Haemaphysalis. T. parva and
T. annulata are the most important species that infect cattle in sub-Saharan Africa and Europe,
North Africa and South Asia (Spickler, 2009). Among known Theileria parasites of small
ruminants, T. lestoquardi is highly pathogenic and causes malignant ovine theileriosis
(Uilenberg, 1981; Friedhoff, 1997). Two newly identified Theileria species namely
T. luwenshuni - previously referred to as Theileria sp. China 1 and T. uilenbergi - previously
referred to as Theileria sp. China 2 are responsible for theileriosis in sheep in China (Ahmed
et al., 2006; Yin et al., 2007).
2.2 Taxonomy
The taxonomy of Theileria has been a subject of controversy for many years (Uilenberg,
1981; Irvin, 1987; Stewart et al., 1996). Traditionally, taxonomy has been based on
morphology, transmitting vectors, host specificity, epidemiological data, geographic origin
and mammalian hosts and life cycle characteristics. The development of molecular methods,
particularly sequence data, enhanced the classification outlines that were originally based on
morphological and life history criteria (Barta, 2001) and did not allow the separation of
different Theileria species (Gubbels et al., 2002; Schnittger et al., 2003; Yin et al., 2004).
However, molecular data based on 18S rDNA sequencing subjected new knowledge into the
phylogeny of Theileria species infecting both large and small ruminants (Chansiri et al.,
1999).

Literature review
5
2.3 Life cycle of Theileria
The life cycles of all Theileria species are generally similar (Shaw, 2002). The
transmission of the disease involves two stages: the transmitting invertebrate tick vector and
the vertebrate (Mehlhorn and Schein, 1984; Shaw, 2002; Bishop et al., 2004). Theileria
parasites go through at least three phases during their life cycle: asexual reproduction by
schizogony and merogony in the mammalian host followed by sexual reproduction and
sporogony in the tick vector. The life cycle begins when the sporozoites are injected into the
host with the saliva of the vector during its feeding process (Tait and Hall, 1990). After being
injected into the mammalian host, sporozoites invade different leukocyte sub-types depending
on the Theileria species. Inside the leukocyte, they develop into a macroschizont and induce
transformation and proliferation of the host cell, leading to rapid clonal expansion of
parasitized cells in the lymphoid tissues (William and Dobbelaere, 1993; Radostits et al.,
2000; Ahmed et al., 2008). As the infection spreads, some schizonts will develop into
merozoites which leave the lymphocytes and are released into the bloodstream. The
merozoites will then enter erythrocytes and develop into piroplasms (Glascodine et al., 1990;
Urquhart et al., 1996).
The transmitting invertebrate tick vectors begin with the ingestion of piroplasm-infected
erythrocytes during their blood meal. Lysis of infected erythrocytes occurs in the gut of the
tick and the ingested piroplasms begin to develop into ‘ray bodies’. By the fifth day of the tick
feeding, the ray bodies give rise to uninucleate gametes (Schein, 1975). The zygote is formed
by the fusion of two gametes and subsequently the zygote invades a gut epithelial cell and
differentiates into a motile kinete (Mehlhorn and Schein, 1984). The motile kinetes finally
enter the acinar cells of the salivary gland. Inside this gland, the kinetes develop into
sporoblasts, which wait locally for coming blood triggering extensive multiplication into full
grown and infective sporozoites, a process known as sporogony (Mehlhorn and Schein,
1984). When infested ticks attack animals, sporozoites are released into the mammalian host
and a new life cycle starts (Fig.1).

Literature review
6
Fig. 1 Schematic representation of the life cycle of T. annulata
(taken from http://www.theileria.org/background.htm)
2.4 Clinical signs and pathogenesis
Clinical symptoms and the pathogenesis are related to the multiplication of parasites
within transformed lymphoblastoid cells. The infections with T. parva, T. annulata and T.
lestoquardi are characteristic for the lympho-destructive processes while T. sergenti, T.
mutans, T. uilenbergi and T. luwenshuni infections are associated with invasion and
destruction of erythrocytes resulting in anaemia (Yin et al., 2003).
The incubation period in infected animals varies from 9-25 days and the severity of the
infection is dependent on susceptibility of the animal, virulence of the parasite and the number
of sporozoites that were transmitted to the animal during infection (Preston et al., 1992). The
course of infection may consequently vary from peracute, acute or sub acute to chronic
depending on the interaction between the host and the parasite. The clinical signs of acute
infected animals are enlargement of lymph nodes that drain the site or area of tick infestation,
anorexia, high heart frequency, inappetence, weakness, ceasing of rumination, decreased milk
production, conjunctivitis, nasal and ocular discharge, lacrimation, diarrhea and
hemoglobinuria. In later stages, affected animals become markedly emaciated due to rapid
weight loss. Terminally, severe dyspnea develops with an increasing respiratory rate, moist

Literature review
7
cough and frothy nasal discharge followed by recumbency. In fatal cases, one to two weeks
after the onset of clinical signs, death usually occurs. The most common post-mortem signs
are enlargement of lymph nodes, a clearly enlarged spleen and pulmonary edema (Levine,
1985; Aiello and Mays, 1998; Radostits et al., 2000; Mehlhorn, 2008). Infected animals that
suffer from the peracute form of the disease may die in 3-4 days after the first symptoms are
noticed. In the chronic form, irregular fever, clear emaciation, anemia and icterus may persist
for one to two months before the animal recovers to normal (Levine, 1985).
The pathogenesis of theileriosis is dependent on the stage of the parasite and type of
affected cells. The stages of Theileria are found in erythrocytes, lymphocytes and Histiocytes
(Soulsby, 1982). Regarding infection with T. annulata, the schizonts are considered to be the
most pathogenic parasitic stage. Thus, cells infected with this species express high amounts of
mRNA for cytokines, particularly IFN-γ (Preston et al., 1993; Ahmed et al ., 2008).The main
causes of parasite induced pathology are an apparent proliferation of naive T-cells leading to
an enhanced IFN-γ production on one hand and an excessive production of pro-inflammatory
cytokines including IL-1α, IL-1β, IL-6 and TNF-α on the other hand (Brown et al., 1995;
Glass et al., 2005). Moreover, schizont-infected cells are rapidly disseminated through the
lymphoid tissues (Forsyth et al., 1999). Piroplasms become manifest after the transient
schizont stage and simultaneously a transient fever may be noticed with developing anemia.
Anemia is likely caused by the removal of parasitized or even uninfected erythrocytes from
the circulation system (Yagi et al., 1991). Animals that recover carry a persistent infection.
Occasionally, a relapse may occur when the animal is under condition of stress (Sugimoto and
Fujisaki, 2002).
2.5 Theileria in small ruminants
For a long time T. lestoquardi (syn. T. hirci) has been considered to be the only highly
pathogenic species infecting sheep and goats which cause malignant ovine theileriosis
(Uilenberg, 1981; Friedhoff, 1997). Recently, two newly identified parasites were described
as pathogenic Theileria species of sheep and goats in Northern China. These species have
been currently designated as T. luwenshuni and T. uilenbergi (Ahmed et al., 2006; Yin et al.,
2007). More recently a newly isolated Theileria sp. was identified in Xinjiang Province of
China, whereby the study inferred that this parasite belongs to the cluster of T. ovis (Li et al.,
2010).

Literature review
8
2.5.1 Non pathogenic Theileria species of sheep and goats
T. ovis has been described as a non pathogenic parasite of sheep and goats in Africa,
Europe and Asia and is transmitted by Rhipicephalus evertsi (Neitz, 1957; Uilenberg, 1981).
T. recondita (Lestoquard, 1929) was described as a non pathogenic parasite of sheep in
Germany and Wales (Alani and Herbert, 1988) and it has been shown that this parasite was
transmitted by adults of Haemaphysalis punctata .
T. separata which was described as a non pathogenic parasite of sheep in Eastern and
Southern Africa is transstadially transmitted by Rhipicephalus evertsi (Uilenberg and
Andreasen, 1974.)
2.5.2 Pathogenic Theileria species in sheep and goats
2.5.2.1 Theileria lestoquardi
T. lestoquardi is a tick-borne protozoan parasite highly pathogenic for sheep. The disease
caused by the pathogen is known as malignant theileriosis of sheep and goats, the disease was
first described by a team of veterinarians in Egypt. Later on, the parasite has been reported
from sheep and goats in other countries such as Algeria, Iraq (Khayyat and Gilder, 1947),
India (Raghvachari and Reddy, 1959), Serbia (Dschunkovsky and Urodschevich, 1924) and
the infection was reported to be common in Iran and Iraq (Hooshmand-Rad, 1974; Hawa et
al., 1981). T. lestoquardi has been shown to be transmitted by Hyalomma anatolicum
anatolicum ticks (Hooshmand-Rad and Hawa, 1973b).
Phylogenetically T. lestoquardi is closely related to T. annulata (Katzer et al., 1998;
Schnittger et al., 2003). Both parasites share the same vector, are transmitted transstadially
and parasitize the same cell phenotype of their respective host (Leemans et al., 1999).
Serological studies using IFAT showed a certain degree of cossreactivity between both
parasites, indicating that common antigens do exist between these two parasites (Leemans et
al., 1997). The clinical symptoms of an infection with T. lestoquardi are similar to those
observed for tropical theileriosis particularly in the acute stage of these infections. The
symptoms include high fever, anorexia, listlessness, emaciation, diarrhea or constipation,
enlargement of draining lymph nodes and icteric mucous membranes (Neitz, 1957,
Hooshmand-Rad and Hawa, 1973a). The pathological characteristics of malignant ovine
theileriosis in sheep and goats are also very similar to those described for tropical theileriosis
of cattle and have been described above under chapter 2.4 (Neitz, 1957; Hooshmand-Rad and
Hawa, 1973a; Tageldin et al., 1992).

Literature review
9
2.5.2.2. Ovine theileriosis in China
Infection with T. uilenbergi and T. luwenshuni causes theileriosis in sheep and goats in
Northwest China. In Gannan Tibet region of Gansu Province, this disease has existed for more
than 100 years. The disease was reported in several other regions of China such as Qinghai in
1956, Sichuan in 1958, Gansu in 1974, Inner Mongolia in 1980, and Lianoing in 1981 (Luo
and Yin, 1997; Guo et al., 2002) (Fig. 3).
Concerning morphology and biology T. uilenbergi and T. luwenshuni are very similar but the
complete pathogenic mechanism of the Chinese Theileria parasites remains to be resolved.
However, it seems that the life cycle is similar to the one of other Theileria species, although
exhibiting a less marked leukocytic phase (Schnittger et al., 2000c). The described Chinese
Theileria are most closely related to the T. buffeli/T. sergenti group, and it is assumed that the
pathogencity seems to be closely associated with the proliferation of the intraerythrocytic
piroplasms. Furthermore, these parasites, like T. buffeli and T. sergenti, are not able to
transform their host cells (Schnittger et al. 2000b). Schizonts were observed in smears
prepared from many organs and tissues (liver, spleen, lung, kidney, lymph node and peripheral
blood) and most of these schizonts were found outside the host cell cytoplasm, indicating that
perhaps the schizonts play a role in the pathogenicity of the disease (Yin et al., 2003)
The infection results in great economical losses in the Northwest part of China. The
infection in China was first reported to be caused by T. lestoquardi (Luo and Yin, 1997) but
further findings indicated that it is caused by a different Theileria species since several
biological features of this parasite differ from T. lestoquardi. Firstly, the latter is transmitted
by ticks of the genus Hyalomma (Hooshmand-Rad and Hawa, 1973b) while the pathogens in
Chinese sheep and goats are transmitted by Haemaphysalis qinghaiensis (by both nymph and
adult) (Li et al., 2007; Li et al., 2009). Secondly, culture of T. lestoquardi schizonts in vitro
has been successfully established (Hooshmand-Rad and Hawa, 1975; Brown et al.,1998),
whereas the attempt to cultivate the schizont stage of the Chinese parasites failed. Ultimately,
the analysis of the 18S rRNA gene sequence indicated that T. lestoquardi and Theileria sp.
(China) belong to different clades of the phylogenetic tree. The established phylogenetic tree
of Theileria divided into branches including one with T. annulata, T. parva, T. taurotragi and
T. lestoquardi while the other branch included T. sergenti, T. buffeli and the Chinese isolates.
The parasites of the first group are marked by an intra-leukocyte phase, while the second
group belong to the non-lymphoproliferative Theileria species (Schnittger et al., 2000b;
2000c).

Literature review
10
The occurrence of ovine theileriosis in China is related to the distribution and activity of
the transmitting vector. In the Tibetan region in Gansu Province, H. qinghaiensis ticks are
most active from March until May. In late August, some ticks can be found again but in
November they are unobservable. If the temperature is high in spring, the ticks appear in late
February but when the temperature is low, they appear in the middle of March. Sheep and
goats that recover from an infection throughout spring do not show any clinical symptoms
when again being exposed to an infection in autumn. Usually, naturally infected hosts are
found two weeks after tick infestation. In experimental infection studies, the incubation period
was 4-12 days (Guo et al., 2002).
As mentioned above, the relative incidence of the disease is related to the distribution of
the transmitting vector. The investigations of ticks collected in Gannan Tibet region (Gansu
Province) led to the identification of the following tick species: Ixodes ovatus, I. persulcatus,
I. pomerantzevi, I. crenulatus, Dermacentor abaensis, D. silvarum, D. sinicus, D. nuttalli, D.
coreus, Haemaphysalis qinghaiensis, H. aponommoides, H. concinna, H. bispinosa and
Rhipicephalus sanguineus. Experimental transmission research has shown that T. uilenbergi
Fig. 2 Phylogenetic tree based on the sequence of the 18S ssrRNA gene of several Theileria
parasites infecting small ruminants .The Chinese isolates are found in cluster 1a and 6. Cited
from Yin et al., 2007.

Literature review
11
and T. luwenshuni could be transmitted transstadially by Haemaphysalis sp ticks, H.
qinghaiensis and H. longicornis (Li et al., 2007; Li et al., 2009).
The prevalence of infection rates varies substantially with age and breed of sheep and
goats as well as the region. The incidence of the disease in sheep was higher (27.63 %) than it
was in goats (13.12 %) and the incidence in young animals was higher than in adults (lambs
60.81 %, young goats 40 %, adult sheep 17.12 %, and adult goats 8.06 %). The mortality rate
of young animals was also higher than that of adult animals: lambs 49.55 %, adult sheep
12.17 %, young goats 34.29 % and adult goats 5.91 %. The incidence rate in cross-bred
animals was almost the same compared to that of local herds. However, the incidence rate of
animals from Theileria-free areas brought into endemic areas was higher (77.8-100 %) than
that of local herds (Guo et al., 2002).
2.6 Identification of the parasite
Several approaches are used in the diagnosis of ovine theileriosis, including clinical signs,
postmortem findings, vector distribution and finding of Theileria parasites in Giemsa-stained
blood smears and lymph node needle biopsy smears. The development of molecular biology
methods made several tools available that are able to detect parasite-specific DNA. These are
polymerase chain reaction (PCR); reverse line blotting (RLB) and loop mediated isothermal
amplification (LAMP). In addition, for the detection of circulating antibodies against
Theileria serological tests like immunofluorescent antibody test (IFAT) and Enzyme-linked
immunosorbent assay (ELISA) are available.
Fig. 3 Distribution of ovine theileriosis in Northwest China.
The endemic regions are indicated by filled circles (Liu, 2010)

Literature review
12
2.6.1 Diagnosis of ovine theileriosis
2.6.1.1 Diagnosis of T. lestoquardi infection
The diagnosis of malignant ovine theileriosis has been based on the detection of parasite
stages by Giemsa-staining of blood or organ smears and the observation of clinical symptoms
(Ahmed et al., 2002). Specific primers have been established to amplify T. lestoquardi gene
fragment coding for a 30-kDa merozoite surface protein (Kirvar et al., 1998). The benefit of
this PCR is that it can be used to differentiate between T. lestoquardi and T. annulata in the
transmitting Hyalomma vector and in sheep and goats (Leemans et al., 1999). Other PCR-
based techniques have been developed such as reverse line blotting which is able to
differentiate the Theileria and Babesia parasites infecting small ruminants (Schnittger et al.,
2004).
Several serological tests have been established and used either to follow up immunization
or in epidemiological surveys on malignant ovine theileriosis of sheep or goats. Among these
tests, the indirect fluorescent antibody test (IFAT) was used to detect antibodies against T.
lestoquardi (Hawa et al., 1981; Leemans et al., 1997; Salih et al., 2003; Taha et al., 2003).
However, false positive and negative results due to cross-reactivity or weak specific immune
response have been observed in this test (Leemans et al., 1997).
To minimize the chance for cross-reactivity an enzyme-linked immunosorbent assay
(ELISA) has been developed and evaluated for the serological detection of T. lestoquardi
based on the newly discovered recombinant clone 5 surface protein of T. lestoquardi (Bakheit
et al., 2006).
2.6.1.2 Diagnosis of T. uilenbergi and T. luwenshuni
The routine diagnosis of T. uilenbergi and T. luwenshuni infection depends on a
combination of clinical signs and microscopic examination of blood and/or biopsy smears.
However, these methods require experienced personnel and are not practical for
epidemiological studies. A polymerase chain reaction (PCR) using species-specific primers,
which were designed based on the hypervariable region of the small subunit ribosomal RNA
gene sequences, has been established to detect T. luwenshuni and T. uilenbergi in both
transmitting ticks and in the ovine host (Sun et al., 2008; Yin et al., 2008). A reverse line blot
(RLB) was also developed which specifically identifies different ovine Theileria and Babesia
parasites (Schnittger et al., 2004) but these diagnostic tests are expensive and require a
complex protocol and experienced laboratory personnel. Recently, a loop-mediated isothermal

Literature review
13
amplification (LAMP) method was developed that is able to detect T. uilenbergi and
T. luwenshuni parasite DNA at high sensitivity and specificity (Liu et al. 2008b), which still
needs to be validated in the field.
Efforts have been made to identify antigenic proteins of the parasites being suitable for the
development of serological assays (Miranda et al., 2004, 2006b). Two indirect ELISAs for the
detection of ovine theileriosis in China have been established, one based on crude merozoite
material (Gao et al., 2002) and another based on the partially recombinantly expressed T.
lestoquardi heat shock protein 70 (rTIHSP 70; Miranda et al., 2006a). These assays still need
improvement since on the one hand the crude antigen ELISA is difficult to standardize,
requires infection of animals for antigen preparation and is potentially cross-reactive with
other related pathogens. On the other hand the rTIHSP 70 gene used for the recombinant
protein ELISA originated from T. lestoquardi and bears the risk of cross-reactivity with other
piroplasms infecting small ruminants.
To identify specific T. uilenbergi antigens in order to establish specific serologic tests
pooled T. uilenbergi positive sera was used to screen a merozoite cDNA expression library
(Liu et al., 2008a), leading to the identification of an antigen suitable for indirect ELISA (Liu
et al., 2010). A second approach involving the application of random sequencing of selected
clones followed by bioinformatic analyses identified potential immunogenic parasite antigens,
leading to the identification of a gene family (clone-2 family) suitable for the development of
serological tools (Liu et al., 2008a).
2.6.2 Diagnosis of bovine Theileriosis
Generally, the diagnosis of an infection with T. annulata is also based on clinical signs and
the demonstration of parasite stages in blood or organ smears. But as mentioned before, these
methods are only suitable for the detection of acute cases but have limited value for the
detection of chronic and long-lasting carrier cases because of the degree of parasitaemia in
those animals. Furthermore, it is difficult to differentiate between piroplasm species according
to morphology (Hooshmand-Rad, 1974; Friedhoff, 1997). The clinical signs involve
enlargement of lymph nodes, increased body temperature, diarrhea, frothy exudates, dyspnea
and in severe cases recumbency and death (Uilenberg, 1981; Robinson, 1982; Norval et al.,
1992) as mentioned in 2.4.
Research in molecular biology has delivered precise tools for the detection of parasite
DNA. Many molecular tests with high sensitivity and specificity have been developed for the
diagnosis of T. annulata in the bovine host including PCR (d'Oliveira et al., 1995; Shayan et

Literature review
14
al., 1998; Kirvar et al., 2000; Habibi et al., 2007) and reverse line blotting (RLB) to detect and
differentiate all known Theileria and Babesia species on the basis of differences in their 18S
subunit rRNA gene sequences (Gubbels et al., 1999; Schnittger et al., 2004). However, these
techniques require equipped laboratories, are expensive and impractical for field diagnosis.
Recently, a loop-mediated isothermal amplification (LAMP) assay was developed and
evaluated for the diagnosis of tropical theileriosis, which operated at high specificity,
efficiency and rapidity (Salih et al., 2008) but which has not been validated in the field yet.
Serological tests are considered to be suitable for epidemiological studies, as they detect
antibodies against Theileria parasites. They include indirect fluorescent antibody test (IFAT)
which was developed using either the piroplasm or cultured macroschizont as antigen (Pipano
and Cahana, 1969; Burridge et al., 1973) and which has been reported to be more sensitive
than examination of blood smears (Dhar and Gautam, 1977; Darghouth et al., 1996).
However, it has the major drawback of cross-reactivity between different Theileria species
and thus limits the specificity of the IFAT (Burridge et al., 1974).
Several enzyme-linked immunosorbent assays (ELISA) were established for the detection
of tropical theileriosis. An ELISA was developed and applied for epidemiological field studies
using purified schizont or piroplasm antigen for detecting antibodies against schizont and
piroplasm stages of T. annulata, respectively (Manuja et al., 2000, 2001). As a point of fact, it
is impossible to standardize antigen purified from crude parasite material and in addition,
experimental infection of animals for parasite production is required. To evade this trouble,
several assays based on recombinant parasite antigens, such as the merozoit rhoptry antigen
Tams-1 and the sporozoite antigen SPAG-1, have been developed and used (Gubbels et al.,
2000). Although Tams-1 was found to be suitable for the detection of antibodies, some cross
reactivity has been observed (Williamson et al., 1989; Ilhan et al., 1998; Gubbels et al., 2000).
Recently, T. annulata surface protein (TaSP) (Schnittger et al., 2002) has been proven to be
highly suitable for the detection of T. annulata specific antibodies in comparison with several
other T. annulata proteins including TaD, TaSE and TamtHSP70 (Seitzer et al., 2008).
Different publications documented the suitability of the recombinant TaSP for application in
the diagnosis of tropical theileriosis (Bakheit et al., 2004; Seitzer et al., 2007, 2008). An
indirect ELISA based on TaSP has been established (Bakheit et al., 2004), validated in the
field (Salih et al., 2005) and used for epidemiological studies (Salih et al., 2007b).
Furthermore, to increase specificity, a competitive ELISA (cELISA) based on the same
antigen has been established and validated for the detection of circulating antibodies against
T. annulata (Renneker et al., 2008, 2009). ELISAs are the method of choice for

Literature review
15
epidemiological studies and large scale investigations but the procedures are time-consuming,
labor-intensive and also require professional personnel, special laboratory materials and
equipment. Hence, a convenient, rapid and sensitive diagnostic test, such as lateral flow
device that does not require instrumentation or specially trained personnel, would be
extremely valuable for the use in both, clinical and field applications for the diagnosis of
tropical theileriosis. Given the high suitability of the TaSP antigen for serodiagnosis of T.
annulata infection, the establishment of a lateral flow device (LFD) on the basis of this
protein for use as a rapid point of care assay was aimed for in this thesis.
2.7. Lateral flow device
Lateral flow assays (LFAs) employ carrier material which contains dry reagents attached
to prefabricated strips that are activated by applying the fluid sample. Lateral flow devices are
also known as immunochromatographic strip tests (ICT), an extension of latex agglutination
tests which were developed in 1956 (Singer and Plotz, 1956). The assay strip has been firmly
established for rapid immunoassays since the mid-1980s, when the first test was established
for the detection of human chorionic gonadotropin (HCG). Nowadays, many classes of
analytes, like antigen, antibody, hapten and even oligonucleotides have been used for specific
qualitative and quantitative detection. In recent years, the technology has been used in
different application as a device system, for example in human clinical diagnostics, veterinary
diagnostics, agriculture, environmental health, food safety and industrial diagnostics as
depicted in Fig. 4 (Geertruida et al., 2009; O’Farrell, 2009). Many lateral flow immunoassays
are non-instrumental and rely on visual interpretation of the results, allowing easy portability
and testing at any time and any place by non-technical personnel. Hence, many lateral flow
immunoassays have been developed for ‘‘point-of-care’’ use and field application outside the
laboratory (O’Farrell, 2009).

Literature review
16
2.7.1 Principle of the lateral flow immune assay
To produce a functional test strip a large number of critical components are brought
together, therefore developing an LFD is complex. A typical LFD format consists of several
zones: a sample pad that is closely associated with a conjugate pad, which in turn touches a
membrane onto which test and control reagents have been immobilized. An absorbent pad
wicks fluid away from the membrane (Fig. 5). The colloidal gold particles are the most
common detector reagents that are used for the visualization of a positive reaction; usually
these particles are available commercially. Other possibilities to visualize the specific
interaction of antigen and antibody include latex beads, enzyme conjugates, other colloidal
metals, dye sacs, fluorescent particles and magnetic particles.
Fig. 5: Configuraton of a lateral flow device (O'Farrell, 2009)
Fig. 4 Utility of the Lateral Flow Immunoassay Technology that is already in production or is
known to be in development (O’Farrell, 2009)

Literature review
17
To perform the test, firstly the sample must be mixed with a specific test-dependant buffer,
which may simply be a diluent or a running buffer. The treated sample which is used as
specimen (e.g. whole blood, urine, saliva, plasma or serum) is added to the proximal end of
the strip (sample pad). Driven by capillary forces the fluid migrates towards the conjugate
pad, where a particulate conjugate has been immobilized. These particles have been
conjugated either to an antigen or to an antibody depending on the assay format. The sample
rehydrates the gold conjugate and the analyte contained within interacts with the conjugate.
The complex of gold conjugate and analyte then move into the next section of the strip, which
is the reaction matrix, where other specific biological components of the assay have been
immobilized. The complex will react with the immobilized antigen or antibody on the test line
to form the coloured band. The excess conjugate or the free conjugate, if the sample does not
contain antibody or antigen, will migrate along the membrane towards the control line, where
it will interact with another immobilized reagent. This control line typically comprises a
species-specific anti-immunoglobulin antibody. The rest of the solution is entrapped in the
wick / absorbent pad (O’Farrell., 2009) and the test results can usually be read in 2 to 15 min
through the viewing window. A sample is considered to be positive if two colored lines appear
in the viewing window, one at the test line and another one at the control line (Fig. 6 B). A
sample is considered to be negative if a colored line appears at the control line only (Fig. 6 C).

Materials and methods
19
3 Materials and methods
3.1 Ovine serum samples
Ovine sera collected from sheep experimentally infected with T. uilenbergi were kindly
provided by Dr. Yin Hong, LVRI (Lanzhou Veterinary Research Institute), China. The 6-12
months old lambs were bought from Theileria and protozoa free areas, and were
splenectomised 30 days before the experimental infection. The T. uilenbergi stock used in this
study originated from Longde County of Ningxia Province, China and was verified in
previous phylogenetic studies (Schnittger et al., 2003; Yin et al., 2004; Yin et al., 2008). The
parasite stock was preserved in liquid nitrogen at Lanzhou Veterinary Research Institute.
Eight animals were infected with T. sp. (China) in two groups. The ´tick infected´ group
(animal no. 1229, 1207, 1240 and 1250) was infected by attraction of 200 H. qinghaiensis
ticks collected from T. sp. (China) endemic areas. The other ´blood-infected´ group (animal
no. 1219, 1236, 1237 and 2203) was experimentally infected by 8 ml of blood with 4 %
parasitaemia (Seitzer et al., 2008). Serum samples were sequentially collected from all eight
sheep post inoculation on day 14, 19, 26 and 30. Pre-infection sera from these animals as well
as sera from a slaughterhouse in Germany (068, 903, 943, b1, b2, b3, b4 and S1-S20) were
collected as negative controls. T. lestoquardi positive sera were collected from endemic
regions in Sudan (Bakheit et al., 2006).
3.2 Identification, characterization and recombinant expression of
clone-9 antigenic protein of T. uilenbergi
3.2.1 Identification of clone-9 antigenic protein of T. uilenbergi
To identify immunodominant proteins of T. uilenbergi, a previously established merozoite
cDNA library was screened by random amplification of the insert with vector PCR primers.
Searches for sequence identities were performed using the Basic Local Alignment Search Tool
(BLAST) (http://blast.ncbi.nlm.nih.gov/Blast.cgi?CMD=Web&PAGE_TYPE=BlastHome)
provided at NCBI. The SignalP 3.0 prediction server was used to analyze for the presence of
potential signal sequences (Bendtsen et al., 2004) (http://www.cbs.dtu.dk/services/SignalP/).
Prediction of transmembrane helices in proteins was performed using the TopPred server
(http://mobyle.pasteur.fr/cgi-bin/portal.py?form=toppred) and the TMHMM Server v. 2.0

20
(http://www.cbs.dtu.dk/services/TMHMM/). Prediction of antigenic peptides was performed
using the method of Kolaskar and Tongaonkar (1990) provided online by the Cancer Vaccine
Center, Dana-Farber Cancer Institute, Harvard Medical School
(http://bio.dfci.harvard.edu/Tools/antigenic.pl).
Three potentially antigenic highly conserved mRNA gene sequences (clone 2, clone 26
and clone 9) were obtained which were found to be part of a gene family and termed Clone 2
gene family (Liu et al., 2008a).
3.2.2 Polymerase chain reaction (PCR) and agarose gel electrophoresis
PCR reactions were performed in a final volume of 35 µl which contained 25.5 µl water, 2
µl template (20 ng - 400 ng cDNA, genomic DNA), 3.5 µl 10x PCR buffer (100 mM Tris-
HCl, pH 8.8, 500 mM KCl, 0.1 % Tween 20 and 15 mM MgCl2), 0.7 µl dNTPs (final
concentration 200 µM each), 1.6 µl each primer (final concentration 450 nM each primer) and
0.15 µl (75 units) of Taq DNA polymerase. Amplified PCR products were run on agarose gels
of concentrations ranging between 1-1.5 %. The agarose gels were prepared by heat-
dissolving agarose (Invitrogen, Karlsruhe, Germany) in Tris/boric acid/EDTA (TBE; 89 mM
Tris, 89 mM boric acid, 2 mM EDTA, pH 8.0) using a microwave oven. After cooling the
agarose to 50°C, 0.5 g/ml ethidium bromide (Merck, Darmstadt, Germany) were added, the
solution gently swirled and poured into a small gel casting tray (Agagel Mini; Biometra,
Goettingen, Germany) fitted with a 12 well comb. After the agarose gel was polymerized and
transferred to the electrophoresis machine, samples were loaded at volumes of 6 µl containing
5 µl PCR product plus 1 µl 6x loading dye (10 mM Tris-HCl pH 7.6, 0.03 % (v/v)
bromophenol blue, 0.03 % (v/v) xylene xyanol FF, 60 % (v/v) glycerol, 60 mM EDTA). As a
size standard 5 µl (0.1 µg) molecular weight marker was used (10-kb MassRuler TM DNA
Ladder mix, Fermentas, St. Leon-Rot, Germany; 1-kb and 100-bp peqGOLD DNA Ladder
Mix, Peqlab, Erlangen, Germany). The electrophoresis was carried out at 10 V/cm gel with a
voltage source (80 V, 400 mM, Model 200 / 2.0 power supply, Biorad, Munich, Germany) in 1
x TBE buffer for 1 h (1 % agarose gel) or 90 min (1.5 % agarose gel). Visualization and
photography of the gel were done using a transilluminator equipped with a digital camera
(Biometra, Goettingen, Germany).

21
3.2.3 Cloning of the clone 9 b PCR product (c9b)
A 480 bp sequence of clone 9b, omitting the predicted signal peptide, was amplified from
clone 9 (Genbank accession EU016504) by PCR using the primers forward (5’-
caggatccCTGTGTTTGCTCATTTTGA-3’) and reverse (5’-GGTCATTACTGGAGTCTTG-
3). PCR cycling was performed using a thermocycler (T3; Biometra, Goettingen, Germany).
The cycling conditions of the PCR were 3 min at 94 ˚C for denaturing followed by 35 cycles
with denaturing at 94 ˚C for 30s, annealing for 60s at 57 ˚C and extension for 1 min at 72 ˚C.
The final extension step was 7 min at 72 ˚C. The PCR products were ligated into the pDrive
vector and then transformed into M13 E. coli according to the pDrive cloning manual
(Qiagen, Hilden, Germany). Briefly, a ligation reaction mixture was prepared by adding 1 µl
pDrive Cloning Vector (50 ng/µl), 2 µl PCR product, 2 µl distilled water and 5 µl Ligation
Master Mix and then incubated at 16 ˚C for 3-16 h. Two microliters of ligation-reaction
mixture were added to a tube of pre-thawed Qiagen EZ Competent Cells, gently mixed and
incubated on ice for 5 min, followed by heating in a heating block at 42°C for 30 s without
shaking and subsequently transferred on ice for 2 min. After this incubation 250 µl SOC
medium (2 % tryptone, 0.5 % yeast extract, 0.05 % NaCl, 2.5 mM KCl, 10 mM MgCl2 and
20mM glucose) were added at room temperature. Then 50 µl and 100 µl of transformation
mixture were directly plated onto two LB agar plates containing ampicillin (100 µg/ml), IPTG
(50 µM Isopropyl-beta-D-thiogalactopyranoside in ddH2O, Roth, Karlsruhe, Germany) and
X-gal (80 µg/ml) at 37°C overnight. The white colonies were individually grown overnight in
5 ml LB broth (Gibco/BRL, Eggenstein, Germany) containing 100 µg/ml ampicillin. They
were then tested for the correct insert in an M13 PCR reaction utilizing the M13 forward
(5'-TGTAAAACGACGGCCAGT-3') and the M13 reverse (5'-CGAGAAACAGCTATGACC-
3') primers. The conditions of the PCR were as mentioned except that 2 µl of the overnight
cultures of each clone were taken as template for the PCR without prior treatment. The
cycling program was as follows: a 94°C initial denaturing step for 2 min and 30 cycles of
94°C for 30 s, 55°C for 30 s and 72°C for 1-3 min depending on the size of the product. The
correct product size was determined as the original PCR product size plus 267 bp representing
the total distance of the M13 primers annealing sites from the PCR insert in the pDrive
derived sequence. The plasmids were then sequenced by automated sequencing (MWG,
Ebersberg, Germany).
If required, an aliquot of the overnight culture was stored as follows: 750 µl of an
overnight culture were combined with 250 µl glycerol (Sigma, Deisenhofen, Germany) in a

22
labelled 1.5 ml screw capped tube. The tube was vortexed and left for 2 h in a refrigerator to
equilibrate and was then snap-frozen in liquid nitrogen and stored at -70° C.
3.2.4 Isolation of plasmid DNA
The main steps to isolate plasmid DNA are growing of a culture, harvesting the cells,
analysis of bacteria and finally the amplification and purification of the plasmid DNA. Twenty
eight single and separate colonies were picked from the LB plates prepared in section 3.2.3
and inoculated in 28 tubes each containing 5 ml of bacterial culture (LB medium with 100
µg/ml kanamycin). Plasmid isolation was carried out by centrifuging 5-10 ml of the overnight
bacterial culture at room temperature.
The extraction of plasmid DNA from bacterial cultures was carried out on a small scale.
The plasmid isolation was performed with the QIAprep Spin Miniprep Kit (Qiagen, Hilden,
Germany) according to the manufacturer. All subsequent centrifugation steps were carried out
at 16,000×g (Eppendorf Centrifuge 5418AG, Hamburg, Germany). Briefly, each of the
bacterial pellets was resuspended in 250 µl P1 buffer (RNase A had been added) and then
250 µl P2 buffer were added and mixed thoroughly by inverting the tube 4-6 times. This was
followed by adding 350 µl N3 buffer and mixing immediately and thoroughly by inverting the
tube 4-6 times; the tubes were then centrifuged for 10 min and the supernatant was loaded to
the QIAprep spin columns. The spin columns were centrifuged for 1 min and washed once
with 0.75 ml PE buffer by centrifugation for 1 min. After an additional centrifugation step for
1 min to remove residual washing buffer, the QIAprep columns were placed in a clean 1.5 ml
microcentrifuge tube for elution of DNA by addition of 50 µl water to the center of each
QIAprep spin column. After incubation for 1 min the column was centrifuged for 1 min.
3.2.5 Restriction digestion of plasmid DNA and pQE32 vector
The pDrive vector containing the c9b insert and the pQE32 vector were restriction
digested with the enzymes Hind III and Bam H1 (New England Biolabs, Frankfurt, Germany).
The final volume of 20 µl contained 17 µl (0.4-5 µg ) plasmid DNA, 2 µl of 10x NE Buffer 2
and 1 µl (20 U) Hind III. This was incubated for 4 h at 37° C followed by heat inactivation for
30 min at 65 ˚C. The subsequent digestion with Bam H1 enzyme was performed in a final
volume of 30 µl which contained 20 µl plasmid DNA, 3 µl of 10x NE Buffer 2 and 1 µl (20
U) enzyme, 2 µl BSA and 4 µl distilled water. This was again incubated at 37 ˚C for 6 h and
the reaction mixture was finally stored at 4 ˚C until purification. The DNA fragments
containing the c9b insert and the restricted pQE32 vector were cut out from an agarose gel

23
and then purified as described in section 3.2.6.
3.2.6 Purification of DNA fragments
Purification was performed using the QIAquick PCR purification kit (Qiagen, Hilden,
Germany) according to the manufacturers’ instructions. To solubilize the gel fragment, 300 µl
of buffer QG were added to each 100 mg of gel, then incubated for 10 min at 50°C. After
adding 1 gel volume of isopropanol, the solution was applied onto a labeled QIAquick spin
column in a 2 ml collection tube. To bind the DNA to the column matrix, the column was
centrifuged at 15000xg for 30 s. The flow-through was discarded and the column was placed
back into the same collection tube. The column was then washed by addition of 0.75 ml of the
ethanol containing PE buffer and centrifugation as above. The flow-through was discarded
again and the column was placed back in the same tube and centrifuged again for another
minute. Thereafter, the column was placed into a clean 1.5 ml microcentrifuge tube and the
DNA was eluted by addition of 50 µl H2O to the center of the QIAquick membrane and
centrifugation for 1 min.
3.2.7 Ligation of c9b into digested pQE 32 vector
After purification, the c9b DNA fragment was ligated into the vector and used to
transform E. coli M15 cells. The ligation was done by adding 8 µl double digested pQE32
(10-100ng), 8µl double digested Clone 9b plasmid, 1 µl ligase (40 U/µl), 2 µl ligase buffer
(New England Biolabs, Frankfurt, Germany) and 1 µl distilled water. Ligation reactions were
incubated in a PCR machine at 16 ˚C overnight.
3.2.8 Transformation of M15 (pREP4) competent cells
Five microliters of ligation-mix were added by tipping to 100 µl aliquots of the competent
E.coli M15 (pREP4) cells previously thawed on ice and gently re-suspended. This solution
was kept on ice for 10 min then heat-shocked at 42°C for 90s. After a 2 min incubation step
on ice, 400 µl of Psi broth (LB medium, 4mM MgSO4, 10 mM KCl) were added, followed by
incubation of the cells at 37°C for 60 min in a shaker. Aliquots of 50, 100, and 200 µl from
each transformation mix were plated on LB-agar plates containing 25 µg/ml kanamycin (Carl
Roth, Karlsruhe, Germany) and 100 µg/ml carbenicillin (Carl Roth, Karlsruhe, Germany); the
plates were then incubated at 37°C overnight. As controls, competent cells were transformed
with 10 ng of the intact undigested pQE32 and the 1/100 and 1/10 dilutions of the
transformation mix were plated. Similarly, 200 µl of a transformation mix omitting the

24
plasmid was plated onto a single plate containing antibiotics. Twenty single and separate
colonies from LB plates were picked each into 2 ml LB broth containing kanamycin (25
µg/ml) and carbenicillin (100 µg/ml) and cultured for 4-6 hrs. Colonies were verified to
contain the insert in a PCR reaction using the pQE primers (Type III/IV forward: 5'-
CGGATAACAATTTCACACAG-3' and reverse: 5'-GTTCTGAGGTCATACTGG-3') and 2 µl
overnight culture as template. PCR conditions were as described before with an annealing
temperature of 52 °C for 30s. Aliquots of all positive clones were frozen at -70°C. One
microgram plasmid DNA isolated from a positive clone was sequenced using the pQE Type
III/IV primer (MWG, Ebersberg, Germany).
3.2.9 Recombinant protein expression
Five ml of overnight cultures from the pQE-clone was used to seed 100 ml freshly
prepared LB medium containing 100 µg/ml carbenicillin and 25 µg/ml kanamycin and grown
at 37 ˚C and with gentle shaking (100 rpm) in a water bath (Julabo SW-20C, Mickley
Diagnostics GmbH, Berlin, Germany) until an OD600 value of 0.6 was reached (measured by a
spectrophotometer; Eppendorf, Hamburg, Germany). IPTG (isopropyl-β-D-
thiogalactopyranoside in ddH2O, Roth, Karlsruhe, Germany) was added to a final
concentration of 1 mM. Induction was allowed to continue for 4 h, after which the cells were
harvested and the pellet was stored at -25 ˚C until resuspension of the usable pellets in 1 ml of
a buffer containing 8 M urea, 0.1 M NaH2PO4, 0.01 M Tris-HCl (buffer B, pH 8.0). Cells
were left to lyses under rotation at room temperature for 1 h or overnight at 4°C. Lysates were
cleared from debris by centrifugation at 20,000xg for 20 min at 4 ˚C. The supernatants were
then applied to the Ni-NTA spin columns previously equilibrated with 600 µl buffer B and
centrifuged at 700xg for 2 min. The flow through was discarded. This was followed by three
washing steps each with 600 µl of buffer C (the same as buffer B but with pH 6.3) and finally,
the proteins were eluted twice each with 200 µl buffer E (the same as buffer B but with pH
4.5). To produce large quantities of recombinant proteins for use in ELISA, a volume of 500
ml LB medium with antibiotics was inoculated with the 10 ml bacterial culture and grown at
37°C until an OD600 value of 0.6 was reached. IPTG was added to a final concentration of 1
mM and the culture was further incubated with vigorous shaking for 4 h. Cells were then
harvested by centrifugation at 3300xg for 15 min and the pellets were stored at -20°C till
used.

25
3.2.10 Protein quantification
A protein assay using the BioRad Micro-DC Assay kit (BioRad, Munich, Germany) was
used to estimate the protein concentration, in which bovine serum albumin (BSA) was used as
reference. It was serially diluted to concentrations ranging between 2.0 and 0.2 mg/ml as
shown in Table 1. The protein samples were diluted 1:1 and 1:2 in water. Volumes of 5 µl of
the BSA and the samples were pipetted into a microtiter plate (Greiner, Frickenhausen,
Germany) and 25 µl of reagent A and 200 µl of reagent B were added. The plate was
incubated at room temperature for 30 min then the optical density values were read at 550 nm
using an ELISA reader (Expert 96, Asys Hitech GmbH, Eugendorf, Austria). The results were
processed automatically using a computer program (Microwin, Ver. 4.2), where the
concentrations of the samples were given in mg/ml.
Table 1 Preparation of BSA dilutions
Tubes No. 1 2 3 4 5 6 7 8 9 10
Concentration
(mg/ml)
2.0 ...
BSA (µl) 50 45 40 35 30 25 20 15 10 5
ddH2O (µl) 0 5 10 15 20 25 30 35 40 45
3.3 Protein analysis
3.3.1 SDS-polyacrylamide gel electrophoresis (SDS-PAGE)
Sodium dodecyl sulfate (SDS) polyacrylamide gel electrophoresis (PAGE) was carried out
to separate proteins due to their molecular size. Different concentrations of the resolving gel
(10 % and 12.5 %) were used according to the expected molecular size of the separated
protein. The SDS-PAGE technique used here was similar to the originally described method
by Laemmli in 1970 in a gel electrophoresis chamber (Mini/Maxi gel tank vertical,
Harnischmacher, Schauenburg, Germany). Firstly, two glass plates (10 cm x 11 cm) or (10 cm
x 20 cm) were washed and wiped with 70 % ethanol which was allowed to evaporate and then
assembled onto a setting rig. Sterile water or 70 % ethanol was then applied to check that the
set-up was tightly sealed. Two separate gels were prepared freshly, namely a stacking gel and
a resolving (running) gel, whereby the running gel solution was prepared according to Table 2
and was then transferred to the assembled chamber using a pipette. Approximately 1.5 cm
space was left for the stacking gel. The gel was covered with 70 % ethanol and allowed to

26
polymerize for at least 30 min. Alcohol covering the running gel was removed by inverting
the chamber and draining the residual drops with a filter paper. The 3 % stacking gel solution
was prepared according to Table 2 simultaneously with the running gel, but the ammonium
persulphate solution (10 % (w/v) APS; Merck, Darmstadt, Germany) was added only shortly
before transferring the stacking gel solution into the chamber. Combs with the desired number
of wells were placed between the glass into the stacking gel and the gel was left to polymerize
for at least 30 min. The set gels were removed from the setting rig and placed into the
electrophoresis chamber (Mini/Maxi gel tank vertical, Harnischmacher, Schauenburg,
Germany). 1x running buffer (SDS buffer; 25 mM Tris HCl, pH 8.3, 192 mM glycerol (VWR,
East Grinstead, UK), 0.1 % (w/v) SDS) was poured into the rig ensuring the plates were
covered. Once the gel was set, the comb was taken out and the wells cleaned out with sterile
water or running buffer to guarantee the removal of all acrylamide and air bubbles.
The samples were prepared in duplicate by adding a 4x sample loading buffer (180 mM
Tris/HCl, pH 6.8, 40 % glycerol (v/v), 4 % SDS (w/v), 0.04 % bromphenol blue (w/v) and
100 mM DTT). One of the duplicates was set aside for silver staining and one for western blot
and the samples were heated at 98°C for 5 min. Up to 15 µl of each sample was then loaded
into the corresponding well along with a PageRuler™ prestained protein ladder (Fermentas,
St. Leon-Rot, Germany) and /or the 6 x His protein Ladder (Qiagen, Hilden, Germany). The
prestained broad range protein was added to the first well and samples were added to the other
wells. The amount of sample or marker added to each well was adjusted to the same volume
by adding the appropriate amount of sample reducing buffer plus bromphenol blue (BPB).
Electrophoresis was carried out in sequence as follows: 50 volts for 5 min, 100 volts for 10
min and 200 volts until the dye had run to the bottom of the gel (approximately 45- 60 min).
Table 2 (A) Composition of the resolving gel
Component 10 % running gel 12.5 % running gel
Distilled autoclaved H2O 5 ml 4 ml
Acrylamide/bisacrylamide solution 4 ml 5 ml
1.5 M Tris-HCl (pH 8.8), 0.4 % SDS 3 ml 3 ml
N,N,N’,N’-tetramethylethylenediamine (TEMED) 10 µl 10 µl
Ammonium persulphate (APS) (10 % solution) 100 µl 100 µl

27
Table 2 (B).Composition of the stacking gel
Component 3 % stacking gel
Distilled autoclaved H2O 3 ml
Acrylamide/bisacrylamide solution 0.5 ml
0.5 M Tris-HCl (pH 6.8), 0.4 % SDS 1.25 ml
N,N,N’,N’-tetramethylethylenediamine (TEMED) 10 µl
Pyronin Y buffer (0.5 M Tris-HCl, 10 % Glycerol, 0.4 %
SDS, 0.01 % Pyronin Y)
10 µl
Ammonium persulphate (APS) (10 % solution) 20 µl
3.3.2 Transfer of protein to nitrocellulose membrane
Once the gels have finished running they were removed from the running rig and the glass
plates. The gels were soaked in anode buffer II (25 mM Tris, 20 % methanol, pH 10.4) for 15
min. During this time nitrocellulose membranes (0.2 mm, BA 85, Schleicher and Schuell,
Dassel, Germany) were also equilibrated in the same buffer for at least 15 min. Blot papers
were wetted in cathode buffer (300 mM Tris, 20 mM 6-aminohexan acid, 10 % methanol, pH
9.4), anode buffer I (300 mM Tris, 20 % methanol, pH 10) and anode buffer II and the system
was assembled in the following order: two pieces of anode buffer I wetted blotting papers
were placed at the bottom of the BioRad Transblot-SD semi-dry blotter (BioRad, Munich,
Germany) and then one piece of anode buffer II wetted blotting paper, the equilibrated NC
membrane, the SDS-PAGE gel and three pieces of cathode buffer wetted blotting papers were
placed on top of each other sequentially. After driving out the air bubbles trapped between the
blotting papers, the cover of the device was assembled and the separated proteins were
transferred to nitrocellulose membranes using the BioRad Transblot-SD semi-dry blotter
(BioRad, Munich, Germany). Transfer was carried out at 25 V and 120 mA for 60 min for 2
gels or at 25 V and 200 mA for 60 min for 4 gels (approximately 2.5 mA/cm2
of the gel).
3.3.3 Western blot analysis
Protein transfer was checked with Ponceau S red stain (Eltest GmbH, Bonn, Germany;
0.5 % Ponceau S in 1 % acetic acid). Membranes were blocked with 3 % skim milk in
phosphate buffered saline (PBS: 137 mM NaCl, 2.67 mM KCl, 3.2 mM Na2HPO4, 1.47 mM
KH2PO4, pH 7.4) for 2 h at room temperature. The blocking solution was discarded and then
the membrane was washed with PBST (PBS containing 0.05 % Tween-20) three times for 10
min each. The membrane was dried and cut into 3 mm strips which were further incubated for

28
1 hour at room temperature or at 4 ˚C overnight in T. uilenbergi positive and negative serum
at a dilution of 1:200 and in RGS-His antibody (mouse anti His-tag antibody, Qiagen, Hilden,
Germany) at a dilution of 1:2000 in dilution buffer (1 % skim milk, 0.1 % Tween-20 in PBS).
After washing three times with PBS containing 0.05 % Tween-20, immuno-detection was
performed with alkaline phosphatase (AP)-conjugated rabbit anti-sheep IgG (Dianova,
Hamburg, Germany) or AP-conjugated rabbit anti-mouse antibody (Dianova, Hamburg,
Germany) at dilutions of 1:5000 and 1:20000, respectively in dilution buffer. Then the
membranes were incubated for 1 h at room temperature with platform shaking washed as
described above. After the last washing step in PBST, the membranes were washed once in
PBS for 10 min then equilibrated in alkaline phosphatase (AP) buffer (100 mM Tris HCl pH
9.5, 5 mM MgCl2, 100 mM NaCl) for 5 min. Freshly prepared substrate solution was added,
which contained 0.33 mg/ml Nitroblue tetrazolium (NBT; Roth, Karlsruhe, Germany) and
0.165 mg/ml 5-bromo-4-chloro-3-indolyl phosphate (BCIP; Roth, Karlsruhe, Germany) in AP
buffer. After bands were visible color development was stopped by rinsing the membranes in
a stop solution containing 20 mM EDTA.
3.3.4 Silver staining of SDS gels
Silver staining was performed using the BioRad silver staining kit (BioRad, Munich,
Germany). The gels were first fixed for at least 30 min or overnight in 100 ml of fixative
(40 % methanol, 10 % acetic acid), then placed in 50 ml of freshly prepared oxidizer solution
for 5 min, followed by rinsing with 200 ml distilled water for 15 min until the gels became
almost colorless. Distilled water was changed during the first 5 min. Thereafter, the gels were
placed in 100 ml silver stain reagent (Bio-Rad ) for 20 min and then rinsed for a maximum of
30 s in 200 ml H2O, which was also frequently changed. The gels were then placed in 50 ml
developing solution ((BioRad, Munich, Germany) until they turned yellowish brown
(approximately 1 min). The solution was poured off and replaced with 50 ml fresh developing
reagent ((BioRad, Munich, Germany). Development continued until the required degree of
staining was obtained (5-15 min). The reaction was finally stopped in a stopping solution
(5 % acetic acid) for 15 min.

29
3.4 Enzyme-linked immunosorbent assay (ELISA)
The classical antigen-antibody reaction of the immune system represents the basis for an
ELISA. Depending on the setup of the detection system an ELISA is able to detect either
antigen or antibodies whereby, due to the objective of this study, only the setup for the
detection of antibodies is described here.
Serial dilution of different components necessary for the indirect enzyme linked
immunosorbent assay (iELISA) was performed. In order to avoid discrepancies due to
different titers of the antiserum, the optimum dilution was considered to be the highest
dilution of antigen/conjugate that still saturated the plate and gave maximum contrast in terms
of optical density (OD) between known positive and known negative serum samples.
The amount of coated antigen that will successfully bind to antibodies and that in turn can
be detected with an optimal optical density was determined. To obtain the maximum
differences in the OD values between the positive and negative controls, various titration
protocols were checked on a 96-well ELISA plate. Different antigen concentrations (10
µg/ml, 5 µg/ml, 2.5 µg/ml, 1.25 µg/ml and 0.625 µg/ml) in coating buffer (0.05 M
carbonate/bicarbonate buffer, pH 9.6) were titrated against different serum dilutions (1:50,
1:100, 1:200, 1:400, 1:800, 1:1600 ) and different conjugate dilutions (1:10,000, 1:7500,
1:5000). All incubations were performed in 100 µl per well. Other variable conditions
included different coating times, different blocking agents (3 % BSA, 5 % fish gelatin, 2 %
casein, 20 % rabbit serum) and different Tween-20 concentrations (0.05 %, 0.1 %, 0.5 %) in
the washing buffer. The final protocol which gave the maximum OD differences between
positive and negative serum controls and at the same time the lowest background is
summarized as follows:
3.4.1 Coating of the plate
ELISA plates (Nunc Maxisorp, Glostrup, Denmark) were labeled and noted in the right
position of letters A-H and numbers 1-12. The plate was placed with A at the top left hand
corner and the 8 wells labeled by letters A-H were referred to as rows. The 12 wells labeled
by numbers 1-12 were referred to as columns. The antigen was diluted in special coating
buffer at a high pH of 9.6 not containing other proteins that might compete with the target
antigen for attachment to the plastic solid phase. Recombinant protein was diluted in
carbonate/bicarbonate buffer (pH 9.6) (Sigma, Deisenhofen, Germany) to a final
concentration of 4 µg/ml. The total amount of 100 µl of diluted antigen was pipetted with an 8

30
channel pipette from a clean trough or a fresh Petri dish to prevent cross contamination. The
plates were sealed to prevent evaporation of the coating solution and then incubated at room
temperature overnight.
3.4.2 Washing the plate
Washing was used to separate bound and unbound (free/unwanted) reagents. After
incubation, any excess antigen was removed by flooding the wells with PBS (pH 7.4) and
emptying them using a Bio-Tek 405 automated ELISA washer (Bio-Tek Instruments GmbH,
Bad Friedrichshall, Germany). Three cycles of pouring and immediate aspirating of 250 µl
washing buffer were performed. In all subsequent washing steps the plates were washed by a
buffer composed of 0.05 M PBS, pH 7.4 and 0.5 % v/v Tween 20 (Roth, Karlsruhe,
Germany). Every washing step consisted of three flooding/aspiration cycles and residual wash
buffer was removed by inversion and tapping the plate on paper towels.
3.4.3 Blocking of the non-specific binding sites
The remaining protein-binding sites of the plates were blocked after the first washing step
using a blocking buffer containing 3 %(w/v) bovine serum albumin (BSA) (Sigma,
Deisenhofen, Germany) in PBS (pH 7.4). Blocking buffer was prepared, added to a clean
trough and 200 µl were transferred to each well of the microtiter plate using the multichannel
pipette fitted with 8 tips. The plates were then covered and incubated for 2 h at room
temperature on an orbital shaker (Janke and Kunkel IKA-Werk, Staufen, Germany).
3.4.4 Addition of serum (Primary Antibody)
After the blocking step, the plates were washed as described above. Test serum samples
were diluted 1:400 in dilution buffer composed of PBS containing 0.1 % Tween 20, 1 % BSA
(pH 7.4) and 50 µg/ml of E. coli lysate prior to application to the plate. The lysate was
prepared from E. coli M15 (pREPL4) strain containing an intact pQE vector without any insert
after induction with 1 mM IPTG and growth for 4 hrs. The pH of the buffer was adjusted to
7.4. Diluted sera were incubated at room temperature under orbital shaking for at least 30 min
for the absorption of non-specific antibodies. Aliquots of 100 µl of the diluted and absorbed
sera were added per each well. Test sera were applied in duplicates and control positive (C+)
and control negative (C-) sera were always applied in 4 replicates. Four wells were used for
conjugate control (CC), which received no serum but only the second antibody. The plates
were covered and incubated for 2 h at room temperature on an orbital shaker, followed by a

31
washing step consisting of two steps with soaking cycles for 10 min in between.
3.4.5 Addition of the conjugate
The conjugate (peroxidase-labeled rabbit anti-sheep antibody; Dianova, Hamburg,
Germany) was diluted 1:10000 in dilution buffer similar to the serum dilution buffer (PBS
containing 0.1 % Tween 20 and 1 % BSA; pH 7.4) but omitting the E. coli lysate. The
conjugate was added to all wells in an amount of 100 µl per well. The plates were again
covered and incubated at room temperature for 2 h under orbital shaking conditions. After
incubation, a washing step which consisted of three single washing steps with soaking cycles
of 10 min in between was performed and after the last soaking step, the plate was washed
another time as described.
3.4.6 Addition of substrate/chromogen solution
The chromogen solution was prepared by dissolving 480 mg of TMB (3,3',5,5'-
tetramethylbenzidine; Sigma, Deisenhofen, Germany) in 10 ml of acetone, then adding 90 ml
of absolute ethanol. This solution was stored in a dark place at room temperature.
The substrate buffer was prepared by dissolving 6.3 g citric acid in 1 liter H2O and H2O2
was added to a final concentration of 0.003 %.
The substrate/chromogen solution was prepared for one plate by adding 500 µl TMB
solution to 10 ml substrate buffer containing H2O2. After carefully mixing the solution, 100µl
were added to each plate and color development was allowed to take place for 10 min before
100 µl of 1M (phosphoric acid ) were added to each well to stop the reaction. The stop
solution was applied to the wells in the same order like the substrate/chromogen solution to
ensure the maximum similarity in color development between the wells.
3.4.7 Expression of results
The absorbance at 450 nm was measured using an ELISA reader (Asys Hitech GmbH,
Eugendorf, Austria). The OD values of twenty five known negative serum samples which
were collected from a slaughterhouse in Bad Bramstedt, Germany were expressed as percent
positivity (PP) of the internal positive control by dividing the average OD value of the two
replicates by the average OD values of the four replicates of the positive control and
multiplying by one hundred. The ELISA cut-off value, which would serve as the threshold
between positive and negative sera was determined as the mean PP value obtained when
testing negative control sera samples plus two standard deviations. The variation between the

32
results were estimated by repetition of six plates in two days (three plates every day),
measuring the standard deviation under the same conditions and procedures of ten duplicates
of C++PP, C+PP, C-PP and CcPP (percentage positivity of a highly positive, a positive and a
negative serum as well as the conjugate control). To find suitable internal positive and
negative controls, sera collected from experimentally infected animals at different time points
post infection were tested in indirect ELISA. Of the eight experimentally infected animals
four sheep (no 1207, 1250, 1240 and 1229) were infected by ticks collected from Lintan,
China and four sheep (no 2203, 1219, 1237 and 1236) were inoculated with infected blood.
The sera were collected from all sheep pre-infection as negative controls. In addition, controls
including blank control (PBS only), known negative sera (negative control), serum plus
conjugate without antigen (blocking control) and antigen plus conjugate without serum
(conjugate control) were tested.

33
3.5 Development of a Lateral flow device for detection of
T. annulata infection
3.5.1 Components of the T. annulata lateral flow device (Ta-LFD)
The complete lateral flow device was constructed of four main elements containing
different reagents. The analytical region consists of the detection membrane with a band of
absorbed protein (rTaSP) as test line and a band with rabbit-anti-TaSP antibody as control
line. Furthermore, the sample application pad, the conjugate pad containing colloidal gold
conjugated to TaSP and the absorbent pad (wick) are part of the analytical region (Fig. 7).
Fig. 7 Structure of a lateral flow strip: (A, B) Schematic representation of the lateral flow strip. A
lateral flow strip typically consists of four elements: a sample pad, a conjugate pad, a membrane
containing test and control lines and an absorbent pad. C) Lateral flow device after assembling and
packaging.
The chromatography strips were prepared separately, whereby the general manufacturing
processes for production of the strips include the following steps: preparation of colloidal
gold conjugate, application of reagents onto the analytical membrane and pads, assembly of
membrane, conjugate pad, sample pad, and absorbent pad onto a support backing, then cutting
the prepared master cards into strips of determined length and width and strip packaging (Fig.
8).

34
Fig. 9 Outline of the procedure for the development of a lateral flow device for the detection of
T. annulata infection (TaLFD)
3.5.2 Identification of TaSP
The TaSP protein was previously identified by screening of a T. annulata complementary
DNA library with anti-schizont antiserum. The TaSP-gene is present as a single copy gene
within the parasite genome and is expressed in both, the sporozoite and schizont stage of the
parasite. The N-terminal part contains a predicted signal peptide and the C-terminal section
encodes membrane spanning regions. The comparison of a number of cDNA clones showed
that both these sequence regions are conserved while the central region shows both size and
amino acid sequence polymorphism (Schnittger et al., 2002).
3.5.3 Purification and Repurification
Recombinant expression and purification of the predicted extracellular domain of TaSP
(rTaSP, aa 25-156) was performed as described before (Schnittger et al. 2002). Histidine
tagged recombinant protein was expressed in M15 E. coli and purified using Ni-NTA agarose
beads (QiaExpressionist protocols; Qiagen, Hilden, Germany). Briefly, the cells were

35
harvested and pelleted and the pelleted cells resuspended in 5 ml of sonication buffer (50 mM
NaH2PO4, 300 mM NaCl, pH 8) and sonicated for 25 cycles (Branson Sonifier 250 with
Microtip, Branson, Schwaebisch Gmuend, Germany) with a duty cycle of 30, a control output
of 3, one min burst and 30 seconds cooling. The lysate was centrifuged at 10,000xg for 40
min at 4°C and the supernatant was transferred into a new 50 ml tube to which 6 ml of 50 %
Ni-NTA agarose (Qiagen, Hilden, Germany) previously equilibrated with sonication buffer
were added. The tube was incubated overnight at 4°C under rotation and the contents were
added into a column and allowed to drain. The Ni-NTA agarose in the column was then once
washed with 20 ml of sonication buffer, twice with 10 ml of washing buffer (50 mM
NaH2PO4, 300 mM NaCl and 20 mM Imidazole, pH 8) and then the protein was eluted from
the column using 8 ml of an elution buffer (50 mM NaH2PO4, 300 mM NaCl and 250 mM
Imidazole, pH 8). The purified recombinant protein was re-purified using the Äkta prime high
system (Amersham Bioscience, Uppsala, Sweden) with 5 ml HiTrap columns packed with Ni-
Sepharose 6 Fast Flow (GE Healthcare Europe GmbH, Freiburg, Germany). The Ni-
chromatography was carried out according to the manufacturer’s instructions using the
following chromatography program: (i) washing the column with 5-10 column volume (cv)
H2O with a flow rate of 5 ml/min; (ii) equilibration with 10 cv application buffer (20 mM
Tris-HCl, pH 8.0, 8 M urea, 0.5 M NaCl and 5 mM Imidazole); (iii) application of the sample
to the column with a flowrate of 1 ml/min; (iv) washing with 20 cv washing buffer (20 mM
Tris-HCl, pH 8.0, 8 M urea, 0.5 M NaCl and 5 mM Imidazole) at a flow rate of 3 ml/min until
the absorbance at OD280 is constant; (v) collection of 1 ml fractions after application of 1 cv
elution buffer (20 mM Tris-HCl, pH 8.0, 8 M urea, 0.5 M NaCl, 1 M Imidazole) with a linear
gradient of 500 mM to 1 M Imidazole until the protein peak appears at a flow rate of 1
ml/min.
3.5.4 Dialysis and concentration of protein samples
In order to obtain salt-free protein the purified and pooled fractions were dialyzed at 4°C
for 24 h against PBS using high retention seamless cellulose tubing (Sigma-Aldrich,
Steinheim, Germany) with a wide cut off of 12.4 kDa. The average or maximum pore size of a
dialysis membrane determines the molecular-weight cutoff (MWCO) of the molecules that
can diffuse through it. The dialysis procedure was performed according to the manufacturer's
instructions. Briefly, pre-wet cellulose tubes were washed in water for 3-4 hour to remove the
glycerol, then treated with a 0.3 % (w/v) solution of sodium sulfide at 80 ˚C for 1 min
followed by acidification with a 0.2 % (v/v) solution of sulfuric acid. Afterwards they were

36
rinsed with hot water. Five ml of protein fraction were loaded in a treated tube and then
dialysed against 5 liters of dialysis buffer (PBS) at 4 ˚C overnight. After 24 hours dialysis
buffer was changed for a second turn. For concentration or exchanging buffer of protein
solutions ultra centrifugation was applied. For this purpose, the Ultracel Centricon-YM-30
column with a cut off of 30 kDa or the Amicon Ultra-4 column with a cut off of 10 kDa (both
from Millipore, Schwalbach, Germany) were used according to a protocol of the
manufacturer. The dialyzed and concentrated protein bands were analyzed for the presence of
protein in Western blot using anti-histidine antibody (RGS-HisTM
mouse anti-histidine
antibody, Qiagen, Hilden, Germany), T. annulata-positive serum and anti-TaSP antiserum as
described previously (section 3.3.3).
3.6 Conception of the T. annulata Lateral flow device (Ta-LFD)
3.6.1 Equipment used for constructing and assembling the lateral flow
device
The XY1164 TK platform with BioJet Quanti 3000 and AirJet Quanti 3000 dispensers
(Bio-Dot Ltd., West Sussex, UK) were used for membrane blotting and conjugate dispensing.
An air drying oven (Weiss-Gallenkamp, United Kingdom) was used for drying the blotted
membrane and conjugate pad. The BioDot cutter (Bio-Dot Ltd., West Sussex, UK) was used
to cut the assembled master cards into strips. A packaging machine (Weiss-Gallenkamp,
United Kingdom) was used to assemble the device.
3.6.2 Materials used for making the test strips
Colloid gold particles with a diameter of 40 nm were purchased from DCN (Diagnostic
Consulting Network, Carlsbad, CA, USA). Hi-flow nitrocellulose membranes (Cat no.
R90N93558-Hf1350, Millipore Corp., Bedford, MA, USA) were used. Cellulose filters
(Millipore Corp., Bedford, MA, USA) were used as sample pads and filters from Whatman,
UK were used as conjugate pads. Filter paper (Millipore Corp., Bedford, MA, USA) was used
for the absorbent pads. Double-sided adhesive tapes (G&L Precision Die Cutting, Inc. San
Jose, CA, USA) were used for making adhesive layers on the backing plate.

37
3.6.3 Buffers
200 mM borate buffer, pH 9
0.1 M sodium carbonate (Na2CO3)
10 % BSA (1 mg + 10 ml distilled water )
Conjugate buffer (0.05M TBS, 1 % BSA, 0.02 % NaCl, 0.01 % Triton-X100)
3.6.4. Reagents
As conjugate reagent served rTaSP which was conjugated with colloidal gold. It was
expressed, purified and dialyzed against PBS as mentioned before and stored at -20 ˚C till
used. The test line reagent was also rTaSP which is recognized by antibodies against T.
annulata in serum from infected animals. For the control line, rabbit anti-TaSP antibodies
were used. These antibodies were prepared by immunization of a rabbit with recombinant
TaSP (Schnittger et al., 2002) and subsequent purification of specific IgG antibodies by
affinity chromatography (HYDRA®-gelmatrix, Charles River Laboratories, Kisslegg,
Germany). The specific antibodies were applied to the control line at a concentration of 2
mg/ml parallel to the rTaSP test line.
3.6.5 The procedure to set up the Ta-LFD
Designing and development of a lateral flow test strip is complicated and requires the
attentive analysis on the selection of the optimal conditions and material.
3.6.5.1 Conjugation of rTaSP to colloidal gold particles
Purified rTaSP was used as the mobile phase by coupling it to 40 nm colloidal gold
particles using a proprietary method and was stored at 4°C until use.
3.6.5.2 Membrane blotting
Nitrocellulose membranes were cut into 2.5 x 30 cm2
strips and put on a XY1164 TK
platform (Bio-Dot Ltd., West Sussex, UK) (Fig. 10). Fifty µl of rTaSP solution were
dispensed linearly to 30 cm of the membrane at a concentration of 2 mg/ml for the test line
and the same amount and concentration of rabbit anti-TaSP antibody was dispensed to the
control line. The blotted membrane was then dried at 37 ˚C for 45 min in the Forced Air
Drying Oven (Weiss-Gallenkamp, United Kingdom) and the blotted membrane was finally
sealed in a plastic bag and stored at 2-8 ˚C until use.

38
3.6.5.3 Preparation of the conjugate pads
To prepare the conjugate pads, special ﬁlters (Whatman, UK) were cut into 1.5 x 30 cm
strips. The antigen/gold conjugate was sprayed onto the conjugate filter using the Bio-Dot air-
brush equipment (Bio-Dot Ltd., West Sussex, UK) at a volume of 1 µl/mm filter. The filters
were dried at room temperature for 45 min and then stored in sealed foil sachets together with
desiccants at 2-8 ˚C until required.
3.6.5.4 Assembly of the master card
The present material was assembled manually to the lateral flow strip master card. The
blotted membrane was stamped to the middle of the adhesive backing card and then the
conjugated and the sample pads were affixed sequentially next to the membrane with a 1-2
mm overlap at the end of the sample pad. The absorbent pad was fixed to the distal end of the
membrane with a 1-2 mm overlap.
3.5.6.5 Slitting and cutting the master card
To form individual final test strips the assembled master cards were cut into 0.8 cm wide
strips using the BioDot cutter (Bio-Dot Ltd., West Sussex, UK).
Fig. 10 The XY1164 TK platform with Bio-Dot air-brush equipment
(Bio-Dot Ltd., West Sussex, UK)

39
3.5.6.6 Cassette (device) assembly
The test strips were placed onto the bottom part of the cassette manually. Then the
cassette cover was welded or snapped to the bottom part to complete the assembly.
3.7 Detection of T. annulata infection
During the assay performance, 20 µl of bovine sera mixed with 160 µl of chase buffer
were applied to the sample pad. The strips were then placed horizontally for 8 to 10 min to
observe the results. When a test is run, the sample is added to the the sample pad at the
proximal end of the strip. The treated sample then migrates through this region towards the
conjugate pad, where the TaSP antigen bound to colloidal cold has been immobilized. The
sample re-mobilizes the dried conjugate and the antibodies in the sample interact with the
conjugate. A complex is formed which migrates to the next section of the strip, which is the
reaction matrix. The complex will react with the immobilized TaSP antigen on the test line to
form the coloured band. The excess complex or, if the sample does not contain T. annulata
antibodies, the free conjugate will migrate along the membrane towards the control line where
it will interact with immobilized anti-TaSP antibodies. The rest of the solution is entrapped in
the absorbent pad/wick. If both, the test and the control line, show colour, the sample is
considered as positive. If only the control line but not the test line is coloured the test serum is
considered to be negative (Fig. 11).

40
Fig. 11 The diagram illustrates the mechanism of the Ta-LFD. (A) LFD prior to addition of serum to the
strip. (B) Addition of sample (in chase buffer). The sample re-mobilizes the dried conjugate and the T.
annulata antibodies in the sample interact with the conjugate antigen forming a complex. (C) Formation
of two colored lines indicates a positive result. (D) Formation of one colored line indicates a negative
result.

41
3.8 Evaluation of the Ta-LFD by testing sera from
experimentally infected animals and field sera
To assess the strip test positive serum samples from animals experimentally infected with
T. annulata, previously generated at the Free University Berlin, Germany, were tested by the
Ta-LFD. Furthermore, the Ta-LFD assay was applied to diagnose T. annulata infection in a
total of 90 field serum samples collected at random from cattle in Sudan in areas where
tropical theileriosis is known to be endemic. The results using the Ta-LFD were compared to
results obtained by other serological tests, in order to calculate the sensitivity and specificity
of the test. The tests used for comparison were IFAT as the gold standard for serological
detection of T. annulata infection, and an indirect ELISA and a competitive ELISA based on
the same recombinantly expressed TaSP protein as used for the Ta-LFD. The specificity and
sensitivity were calculated using the following formulas:
Specificity (Sp= (# of samples negative in both tests/total numbers of negative samples in
the reference test) x 100)
Sensitivity (Se= (# of samples positive in both tests/total numbers of positive samples in
the reference test) x 100)
To investigate potential cross-reactivity of the TaLFD, sera from animals experimentally
infected with B. bovis, B. bigemina, Trypanosoma brucei, Anaplasma marginale, T. mutans
and T. parva were tested.
To calculate the degree of agreement between the Ta-LFD and compared tests using
Intercooled Stata 6.0 (StataCorp LP, College Station, TX, USA) and SPSS 11.5.0 for
Windows (SPSS Inc., Chicago, IL, USA), the Kappa test (Cohen's kappa measure of
association) was applied (Thomas et al. 1988). Interpretation of kappa can be rated as follows:
kappa less than 0.0: "poor" agreement; between 0.0 and 0.20: "slight" agreement; between
0.21 and 0.40: "fair" agreement; between 0.41 and 0.60: "moderate" agreement; between 0.61
and 0.80: "substantial" agreement; and between 0.81 and 1.00: "almost perfect" agreement
(Landis and Koch 1977). Hypothesis tests of whether kappa is significantly greater than 0 are
based on standard errors derived from approximations to its variance (Bishop et al. 1975).

Result and publication
Publication1
42
4 Results
4.1 Publication 1
PARASITOLOGY RESEARCH (2010) 107: 517-524
Identification of clone-9 antigenic protein of
Theileria uilenbergi and evaluation of its application for
serodiagnosis
Jassim Abdo1
, Zhijie Liu1,2
, Hong Yin², Birgit Kullmann1
, Jabbar S. Ahmed1
, Ulrike
Seitzer1
*
1
Division of Veterinary Infection Biology and Immunology, Research Center Borstel,
23845 Borstel, Germany
²Key Laboratory of Veterinary Parasitology of Gansu Province, Key Laboratory of
Grazing Animal Diseases MOA, State Key Laboratory of Veterinary Etiological Biology,
Lanzhou Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Lanzhou
730046, China
*corresponding author
Ulrike Seitzer
Division of Veterinary Infection Biology and Immunology
Research Center Borstel
23845 Borstel
Germany
Tel. +49 (0)4537 188413
Fax +49 (0)4537 188627
email useitzer@fz-borstel.de

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Abstract
The pathogenic protozoan parasite T. uilenbergi is one of the causative agents of
theileriosis in small ruminants in China. The infection results in great economical losses in the
northwest part of China. Efforts are underway to establish an ELISA based on a T. uilenbergi
immunodominant recombinantly expressed protein using different approaches in order to
perform epidemiological studies in the area. In this study we describe the potential use of the
clone-9 protein for this purpose, which was identified as a potential immunogenic piroplasm
protein by random sequencing of cDNA library clones followed by bioinformatic analyses.
The clone-9 gene was partially recombinantly expressed and used for the development of an
indirect enzyme-linked immunosorbent assay (ELISA) for the detection of circulating
antibodies in sera of T. uilenbergi-infected sheep. No cross reactivity was observed in serum
from animals infected with T. lestoquardi. The cut-off was calculated at 48.6 % percent
positivity using 25 serum samples from uninfected animals. A total of 101 field samples
collected from an endemic area in China were used to evaluate the clone-9 ELISA for its use
in the field.
Introduction
T. uilenbergi and T. luwenshuni are highly pathogenic protozoan parasites for small
ruminants in China (Ahmed et al. 2006). The disease caused by these parasites is one of the
major limitations for the development of the sheep and goat industry, mainly concerning
exotic animals in northwestern China (Ahmed et al. 2002; Luo and Yin 1997). Both parasites
are transmitted by the three host tick Haemaphysalis qinghaiensis and by Haemaphysalis
longicornis (Yin et al. 2002; Li et al. 2007; Li et al. 2009). T. luwenshuni and T.uilenbergi
were previously described as Theileria sp. 1 (China) and Theileria sp. 2 (China.), respectively
(Yin et al. 2007). Molecular phylogenetic studies indicated that they are most closely related
to the T. buffeli and T. sergenti group (Schnittger et al. 2000; Schnittger et al. 2003).
Different methods to detect infection with T. uilenbergi or T. luwenshuni are used and
have been developed, ranging from conventional methods depending on the detection of the
merozoites in Giemsa stained thin blood smears by light microscopy and clinical symptoms to
molecular based technologies. Although the application of Giemsa stained blood smears are
suitable for the detection of acute cases, it requires experienced personnnel and furthermore is
not practical for epidemiological studies. A polymerase chain reaction (PCR) is
a recently described molecular technique to detect T. luwenshuni and T. uilembergi in both

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transmitting ticks and in the ovine host (Sun et al. 2008; Yin et al. 2008), however it is
expensive, requires a high degree of expertise and cannot be used to detect subclinical
infection. A reverse line blot (RLB) assay was also developed which specifically identifies
different ovine Theileria and Babesia parasites (Schnittger et al. 2004; Altay et al. 2008).
However, this method requires an expensive and complex protocol requiring experienced
laboratory personnel. Recently, a loop mediated isothermal amplification (LAMP) method
was developed with high sensitivity and specific detection of T. uilenbergi and T. luwenshuni
parasite DNA (Liu et al. 2008a), which still needs to be validated in the field. In comparison
to DNA-based methods, serological methods such as the enzyme-linked immunosorbent assay
(ELISA) have the advantage of being less expensive, easier to perform, and are of high
applicability in large scale epidemiological studies. Several efforts have been made to identify
antigenic proteins of the parasites (Miranda et al. 2006b, Miranda et al. 2004) suitable for
development of serological assays. Indirect ELISAs for the detection of ovine theileriosis in
China have been established, one based on crude merozoite material (Gao et al. 2002) and
another on the partially recombinantly expressed T. lestoquardi heat shock protein 70 (rTIHSP
70) (Miranda et al. 2006a). There is still, however, a need for improvement, since on the one
hand, the crude antigen ELISA is difficult to standardize, requires infection of animals for
antigen preparation and is potentially cross-reactive with other related pathogens. On the other
hand, the rTIHSP 70 gene used for the recombinant protein ELISA originated from T.
lestoquardi and bears the risk of cross reactivity with other piroplasms infecting small
ruminants. In an attempt to identify T. uilenbergi specific antigens, a cDNA library of the
piroplasm stage of this parasite was recently established (Liu et al. 2008b). The availability of
this source of information was exploited in two ways. First, immunoscreening using serum
from infected animals led to the identification of a T. uilenbergi specific protein (TuIP) which
has been applied for ELISA development (Liu et al. 2010). Second, application of random
sequencing of selected clones followed by bioinformatic analyses was performed to identify
potential immunogenic parasite antigens. The latter approach led to the identification of
potential antigenic proteins belonging to a gene family (clone-2 family) suitable for
development of serological tools (Liu et al. 2008b). In this study, we describe the application
of the expressed predicted 173 amino acid antigenic region of clone-9, which is a member of
the clone-2 gene family, in the development of an indirect ELISA for the serological detection
of infection with T. uilenbergi.

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Origin of serum samples
Sera were collected from sheep experimentally infected with T. uilenbergi in the
experimental animal facility of the Lanzhou Veterinary Research Institute, Lanzhou, China.
Sheep were bought from a theileria and other protozoa free area. Two groups of 4 animals
each were either infected by attraction with 200 H. qinghaiensis ticks collected from a
T. uilenbergi endemic area (tick-infected group, animals # 1229, #1207, #1240, #1250) or by
innoculation with 8 ml of blood with 4 % parasitemia (blood-infected group, animals #1219,
#1236, #1237, #2203) (Seitzer et al. 2008). Sequential sera were collected post infection on
days 14, 19, 26, and 30. Sera collected before experimental infection were used as negative
sera. Furthermore, 25 sera collected from a slaughterhous in Germany were used as negative
sera and T. lestoquardi positive sera were from an endemic region in Sudan (Bakheit et al.,
2006). One hundred and one field samples were collected from an endemic area in China.
Bioinformatic analyses and subcloning of clone-9 predicted antigenic region
Searches for sequence identities were performed using the Basic Local Alignment Search
Tool (BLAST) provided at NCBI
(http://blast.ncbi.nlm.nih.gov/Blast.cgi?CMD=Web&PAGE_TYPE=BlastHome). The SignalP
3.0 prediction server was used to analyze for the presence of potential signal sequences
(Bendtsen et al. 2004) (http://www.cbs.dtu.dk/services/SignalP/). Prediction of
transmembrane helices in proteins was performed using the TopPred server
(http://mobyle.pasteur.fr/cgi-bin/portal.py?form=toppred) and the TMHMM Server v. 2.0
(http://www.cbs.dtu.dk/services/TMHMM/). Prediction of antigenic peptides was performed
using the method of Kolaskar and Tongaonkar (1990) provided online by the Cancer Vaccine
Center, Dana-Farber Cancer Institute, Harvard Medical School
(http://bio.dfci.harvard.edu/Tools/antigenic.pl).
The clone-9 gene (Genbank accession: EU016504) is a T. uilenbergi gene identified in
complementary DNA and gDNA by PCR amplification (Liu et al. 2008b). The region
corresponding to aa 14-162 excluding the predicted signal sequence was subcloned into the
pQE32 expression vector (Qiagen, Hilden, Germany) using the Bam HI and Hind III
restriction sites resulting in an open reading frame of 519 nucleotides and yielding a histidine-
tagged recombinant protein of 172 amino acids with a predicted molecular weight of 18 kDa.

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Expression and purification of clone-9b
For purification under denaturing conditions the Ni-NTA Spin kit (Qiagen, Hilden,
Germany) was used. Overnight cultures (5 ml) of clone-9b were used to inoculate 100 ml of
LB/Car/Kan (LB medium containing 100 µg/ml carbenicillin and 25 µg/ml kanamycin). At an
OD600 value of 0.6, induction of expression was made by adding IPTG (final concentration
of 1 mM) and the cultures incubated at 37 ºC for another 4-5h, under shaking. Cells were
harvested by centrifugation at 4000 x g for 20 min and the pellet was stored at -20°C. The cell
pellet was thawed for 15 min on ice and resuspended in lysis buffer (B) (100 mM NaH2PO4,
10 mM Tris-HCl, 8 M urea, pH 8.0) at 5 ml per gram wet weight. Cells were left to lyse under
rotation or stirring for 15-60 min at room temperature. Lysate was cleared from debris by
centrifugation at 20000 x g for 20 min at 4°C.The supernatant was mixed gently with 50 %
Ni-NTA (1 ml of 50 % slurry + 4ml of cleared lysate) and shaken on a rotary shaker at 200
rpm for 1h .The mixture was applied to the Ni-NTA spin columns previously equilibrated with
buffer B. This was followed by three washing steps with 600 µl of wash buffer C (100 mM
NaH2PO4, 10 mM Tris HCl, 8 M urea, pH 6.3) and the protein was eluted from the column
twice with 200 µl of elution buffer (100 mM NaH2PO4, 10 mM TrisHCl, 8 M urea, pH 4.5).
Protein content was determined using the BioRad Micro-DC assay kit (Biorad, Munich,
Germany).
SDS-PAGE and Western-blot
Expression of recombinant protein was verified by Western-blots. Briefly, sodium dodecyl
sulphate-polyacrylamide gel electrophoresis (SDS-PAGE) was carried out using 12 %
polyacrylamide gels under reducing conditions. The samples were prepared by adding a 4x
sample loading buffer (180 mM TrisHCl, pH 6.8, 40 % glycerol (v/v), 4 % SDS (w/v), 0.04 %
bromphenol blue (w/v), 100 mM DTT) and heating at 98°C for 5 min. The gels were placed
into the running chamber filled with running buffer (25 mM Tris, 192 mM glycine, 0.1 %
SDS). Electrophoresis was carried out as follows: 50 Volts for 5 min, 100 Volts for 10 min and
200 Volts for 45 min. For specific detection of protein expression, gels were blotted onto
nitrocellulose membranes (Schleicher und Schüll, Dassel, Germany) and blocked by
incubation with 3 % skim milk in phosphate buffered saline (PBS: 137 mM NaCl, 2.67 mM
KCl, 3.2 mM Na2HPO4, 1.47 mM KH2PO4, pH 7.4) for 2 h. The membrane was dried and
cut into 3 mm strips. T. uilenbergi positive serum and negative sheep serum were added at a
dilution of 1:200, RGS-His antibody (mouse anti His-tag antibody, Qiagen, Hilden, Germany)
at a dilution of 1:2000 in dilution buffer (1 % skim milk, 0.1 % Tween-20 in PBS) and

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incubated overnight at 4ºC or 1 h at room temperature. After washing 3 times with a 0.05 %
Tween-20 in PBS solution, immuno-detection was performed with alkaline phosphatase (AP)
conjugated rabbit anti-sheep IgG (Dianova, Hamburg, Germany) or AP conjugated rabbit anti-
mouse antibody (Dianova, Hamburg, Germany), at dilutions of 1:5000 and 1:20,000,
respectively, in dilution buffer and incubated for 1h at room temperature with platform
shaking. Bands were detected after washing and application of BCIP/NBT substrate (Biomol,
Hamburg, Germany). To test for specificity, T. lestoquardi and Babesia sp. positive sera
(1:200) were used.
Silver staining
Silver staining of gels was performed to assess the quality of purified recombinant protein,
staining using the BioRad silver staining kit (BioRad, Munich, Germany). Gels were first
fixed for at least 30 min or overnight in 100 ml of a fixative solution (40 % methanol, 10 %
acetic acid). The gels were then placed in 50 ml freshly prepared oxidizer solution for 5 min
and then rinsed in 200 ml distilled H2O for 15 min until they became almost colourless.
Distilled H2O was changed during the first 5 min. Thereafter, the gels were placed in 100 ml
silver stain reagent for 20 min, and then rinsed for a maximum of 30 s in 200 ml H2O, while
H2O was also frequently changed. The gels were then placed in 50 ml developing solution
until they turned yellowish brown (approximately 1 min). The solution was poured off and
replaced with 50 ml fresh developing reagent. Development continued until the required
degree of staining was obtained (5-15 min.). The reaction was finally stopped in a stopping
solution (5 % acetic acid) for 15 min.
Enzyme-linked immunosorbent assay (ELISA)
To obtain the maximum differences in the OD values between positive and negative
control sera (positive serum 1229P and negative serum 1229N), antigen was diluted two-fold
from a concentration of 10 µg/ml to 0.625 µg/ml in coating buffer (0.05 M
carbonate/bicarbonate buffer, pH9.6). Serum diluted two-fold from 1:50 to 1:1600 and
different conjugate dilutions (1:10000,1:7500,1:5000) were used. All incubations were
performed in 100 µl/well. Other variable conditions tested were coating time, blocking agents
(3 % BSA, 5 % fish gelatine, 2 % casein, 20 % rabbit serum) and different Tween-20
concentrations in the wash buffer (0.05 %, 0.1 %, 0.5 %). The final protocol which gave the
maximum positive negative OD differences and simultaneously the lowest background is
summarized as follows:

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Recombinant protein (4 µg/ml) in carbonate bicarbonate buffer (pH 9.6) (Sigma,
Deisenhofen, Germany) was added 100 µl each into the well of a 96-well plate (Nunc
Maxisorp, Nunc, Glostrup, Denmark), the plate was covered and incubated at room
temperature overnight. Plates were then washed in 0.05 M PBS (pH 7.4) in 3
dispensing/aspiration cycles using a Bio-Tek 405 automated ELISA plate washer (Biotek
instruments, Bad Friedrichshall, Germany) and then blocked with 3 % w/v BSA (bovine
serum albumin, Sigma, Deisenhofen, Germany) in PBS (pH 7.4) for 2 h under orbital shaking.
Subsequent washing steps were performed using PBS containing 0.05 % (v/v) Tween 20
(PBST, pH 7.4). Serum was diluted 1:400 in dilution buffer (PBS containing 0.1 % Tween 20
and 1 % BSA, pH 7.4) with 50 µg/ml of E. coli lysate prior to application to the plate.
Absorption with lysate prepared from E. coli M15 (pREPL4) strain transfected with the
pQE32 vector (Qiagen, Hilden, Germany) and induced with IPTG was performed to minimize
reactivity of the sera with E.coli antigens present in the coated recombinant antigen. Plates
were incubated for 2 h at room temperature on an orbital shaker, followed by a washing step
consisting of two steps with soaking in between for 10 min. The conjugate (horse radish
peroxidase (HRPO)-labeled rabbit anti-sheep antibody (Dianova, Hamburg, Germany) was
diluted 1:10,000 in a buffer similar to the serum diluent buffer but omitting the E. coli lysate.
After incubation, a washing consisting of three washing steps with soaking cycles in between,
where 250 µl/well of the washing buffer were dispensed and left for 10 min on the orbital
shaker, was performed. After the last soaking step, the plate was again washed as described.
Colour development was induced by adding a substrate composed of TMB and H2O2 in citric
acid buffer (pH 4.0) (Sigma, Deisenhofen, Germany). Colour was allowed to develop for 10
min before 100 µl/well of 1 M phosphoric acid were added to stop the reaction. The
absorbance at 450 nm was measured using an ELISA reader (Asys Hitech GmbH, Eugendorf,
Austria). Controls included blanks (PBS only), known negative sera (negative control), serum
plus conjugate without antigen (blocking control), antigen plus conjugate without serum
(conjugate control).
The OD values of twenty five sera samples of uninfected sheep were expressed as percent
positivity (PP) of the internal positive control by dividing the average OD value of the two
replicates by the median value of OD values of the four replicates of the positive control, and
multiplying by one hundred. The ELISA cut-off value, which would serve as a threshold
between the positive and the negative sera was determined as the mean PP value obtained
when testing negative control sera samples plus two-fold standard deviation or as the mean PP
obtained from the negative sera multiplied by two.

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Results
Bioinformatic analysis of clone-9 gene
Clone-9 was obtained by random PCR amplification and sequencing from a cDNA
expression library constructed from the piroplasm stage of T. uilenbergi (GenBank Accession
EU16504) (Liu et al. 2008b). The gene fragment was 699 bp in size with an apparent
complete open reading frame (ORF) of 519 nucleotides encoding a protein of 172 amino acids
with a predicted mol. wt. of 22 kDa. Searching of the GenBank database using BLASTP
algorithm showed highest identities with the ToLocg 1 gene of T. orientalis (GenBank
accession BAD08223.1; Identities = 69/145 (47 %), Positives = 88/145 (60 %), Gaps = 9/145
(6 %) and with a hypothetical protein TP03_0363 of T. parva strain Muguga (GenBank
accession EAN31100.1; Identities = 63/179 (35 %), Positives = 82/179 (45 %), Gaps = 21/179
(11 %), indicating a gene of Theileria origin.
Analysis using Signal P 3.0 server prediction showed that the gene contains a signal
peptide with a most likely cleavage site between position 17 and 18 using both neural
networks (NN) and hidden Markov models (HMM) (Bendtsen et al. 2004). Prediction of
transmembrane regions indicated a high probability between aa region 126-146 using both
prediction servers. Antigenic peptide prediction indicated that the protein contained 6
antigenic determinants, including the signal peptide, from amino acid (aa) positions 4-19, 21-
45, 48-67, 76-109, 111-147 and 150-167.
The predicted signal peptide was excluded for recombinant protein expression (aa 14-162)
using the PCR approach described in the methods section.
Expression and purification of clone-9b recombinant protein (rc9b)
After induction of expression, a protein band of approximately 18 kD was observed in
Coomassie-stained SDS-gels (Fig. 1). Before and after purification, a band of also approx. 18
kDa was detected in Western blots using the anti-his-antibody for detection of the expressed
protein (Fig. 1).
Immunoreactivity of sera from three T. uilenbergi infected sheep was investigated by
Western blotting (Fig. 2), resulting in observation of a band corresponding in size to the his-
tagged rc9b of approx. 18 kD. No reactivity was observed with serum from an animal infected
with T. lestoquardi nor from uninfected sheep (Fig. 2). In addition, no cross reactivity was
observed with Babesia sp. (data not shown).

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Establishment of the rc9b indirect ELISA
The optimal dilutions of antigen coating, serum samples and conjugate were
checkerboard-titrated using known positive and negative serum samples diluted twofold from
1:150 to 1:600, while conjugate was diluted at 1:7,500, 1:5,000 and 1:10,000, and antigen was
tested at concentrations diluted two-fold from 10 µg/ml to 0.625 µg/ml. The optimal antigen
concentration was determined at 4 µg/ml, and since the serum sample dilution at 1:600 and
conjugate dilution at 1:10,000 gave the maximum contrast of the OD value between positive
and negative samples, these conditions were used in all subsequent experiments (data not
shown).
The internal quality control was assessed by testing two positive samples 1229P (C+(1))
and 1236P (C+(2)) and negative sample 1229N (C-) in five different plates on two different
days (Fig. 3). Similar values for the samples were obtained throughout for PP values of
positive controls (C+(1) and C+(2)), conjugate control (Cc) and negative control (C-). The
average PP value of the two positive controls C+(1) and C+(2) was 88.42±2.77 with a
maximum of 91.09 PP and a minimum of 84.40 PP and average of 66.20±2.23 with a
maximum of 68.70 PP and a minimum of 62.67 PP, respectively. The negative control C- had
an average of 3.88±1.00 PP with a maximum of 4.8 PP and a minimum of 3.10 PP.
The cut-off of the rc9b ELISA was defined as the mean PP value of 25 negative serum
samples plus two times the standard deviation or as the mean PP obtained from the negative
sera multiplied by two. The average PP value obtained from these samples was 26.40, while
the calculated standard deviation was 9.01, resulting accordingly in a value of 44.4 PP and
52.8 PP, respectively. A mean value of 48.61 PP cut-off value was used for subsequent
analyses.Regarding the specificity of the ELISA, sera from animals infected with
T. lestoquardi, Babesia sp. or T. annulata analyzed by the rc9b ELISA proved to be negative
(data not shown).
Analysis of the antibody response in experimentally infected animals using rc9b
ELISA
To monitor the antibody response of animals experimentally infected with T. uilenbergi
against rc9b, the serum samples from different time points during infection from eight
individual sheep were investigated. Among these animals, four (No. 2203, 1236, 1237 and
1219) were infected by inoculation of blood infected with Lintan strain, and another four (No.
1250, 1240, 1229 and 1207) were infected by feeding 200 H. qinghaiensis ticks from an

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endemic region (Seitzer et al., 2008). Infection of the animals was verified according to the
observation of the parasites in blood smears. The results of the ELISA demonstrated that the
infection with infected blood induced a steep rise in antibodies binding to rc9b in less than 14
days and remained on a high level from there on until at least 30 days post infection. Tick
infestation on the other hand required up to 19 days to produce measurable antibodies reacting
with rc9b, and titres rose continuously over the time period investigated but did not reach as
high levels as in the other group (Fig. 4). Despite this difference in magnitude of response, in
both infection models the rc9b ELISA was able to detect specific antibodies more than three
months post infection. This indicates that the test is a suitable tool for monitoring of persistent
infections with T. uilenbergi.
Detection of circulating anti-rc9b antibodies in field samples from theileriosis
endemic regions
A preliminary assessment for the use of the rc9b indirect ELISA in the field was carried
out by testing 101 samples collected in an endemic region in China. As shown in figure 5, a
total of 82 serum samples showed PP above the calculated threshold, giving a prevalence rate
of 81.18 %.
To further assess the diagnostic potential of the rc9b ELISA, 80 serum samples were also
analyzed using the rTuIP ELISA as previously described (Liu et al. 2010) and compared to the
results obtained with the rc9b ELISA. The concordance of the two analyses is shown in Table
1. A total of 64 sera were positive and 4 were negative in both tests. Three samples positive
using the rc9b ELISA were negative using the rTuIP ELISA, and nine samples that were
negative using the rc9b ELISA were negative using the other test. Accordingly, the sensitivity
of the rc9b ELISA was calculated to be 87.7 % and the specificity 57.1 % in comparison with
the rTuIP ELISA. The agreement between the two tests was 85 %.
Discussion
Detection of infection with Theilria uilenbergi and T. luwenshuni, the causative pathogens
for theileriosis of sheep and goats in northwestern China (Yang 1958), is conventionally
performed based on clinical signs and the detection of piroplasms in Giemsa stained blood
smears (Gao et al. 2002), both approaches being not reliable for specific pathogen detection or
identification of infected animals not showing clinical signs. In the last years, efforts have
been successfully made to establish diagnostic methods based on detection of parasite DNA
(PCR (Yin et al, 2008), RLB (Schnittger et al, 2004) and LAMP (Liu et al, 2008a)) as well as

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serological assays based on the identification of immunogenic parasite proteins to be used for
development of recombinant protein based indirect ELISA (Miranda et al, 2004, 2006a,
2006b; Liu et al, 2008b, 2010). In the latter case, the establishment of an ELISA based on a T.
uilenbergi or T. luwenshuni specific protein was largely hampered by a lack of knowledge of
these two pathogens. A significant step forward to aid in the identification of suitable antigens
was made through the establishment of a T. uilenbergi merozoite cDNA library (Liu et al,
2008b). The availability of this library was exploited in two ways, firstly by screening for
immunodominant antigens using sera from T. uilenbergi infected sheep, which led to the
identification of the T. uilenbergi immunodominant protein (TuIP) and the successful
establishment of an ELISA based on the partial recombinant expression of TuIP (Liu et al,
2010). Secondly, randomly selected clones from the library were sequenced and analyzed
using different bioinformatic servers for the presence of antigenic determinants, leading to the
identification of the potentially antigenic clone-2 gene family (Liu et al, 2008b).
In this study, clone-9, which is a member of the clone-2 gene family, was studied for its
suitability to be used in the establishment of an indirect ELISA. Interestingly, the sequence of
clone-9 gave only a limited number of hits using Blast-searches, the highest identity being
only moderate (47 %) with the ToLocg 1 gene of T. orientalis and 35 % with a hypothetical
protein of T. parva. Since also no further data is available on the ToLocg 1 gene, information
gained from these searches was minimal. Nonetheless, theilerial origin of the gene was
confirmed, and the finding also fits well to previous investigations indicating that T.
uilenbergi is most closely related to the T. buffeli/orientalis/sergenti complex (Schnittger et al,
2003).
Concerning the possible structure and function of clone-9, bioinformatic analyses
predicted the presence of a signal peptide, transmembrane region and six antigenic
determinants, indicating that the clone-9 protein may represent a parasite membrane protein
exposed to the infected host and thus potentially inducing a humoral immune response. To
verify this prediction, clone-9 was recombinantly expressed in E. coli in order to analyze sera
from T. uilenbergi infected animals for the presence of anti-clone-9 antibodies. For
expression, the signal peptide carrying one of the antigenic determinants was excluded to
improve expression levels, the remaining determinants except the last 5 aa of the N-terminal
150-167 aa antigenic determinant were included.
Testing in Western blot indeed indicated that antibodies against rc9b were present in sera
from T. uilenbergi infected animals, prompting the establishment of an indirect ELISA
system, since this method has been used extensively for parasitic diseases and is the

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serological method of choice for epidemioligcal surveys due to its practicability in examining
large sample sizes and relative low cost (Bidwell et al. 1978; Ruitenberg et al. 1977). The
optimized rc9b ELISA procedure effectively detected specific antibodies in T. uilenbergi
experimentally infected sheep applying an established threshold calculated from values
obtained from sera from uninfected sheep. Interestingly, experimental infection by
innoculation with infected blood resulted in an earlier and steeper rise in anti-rc9b antibody
titres than experimental infection with ticks carrying the pathogen. This perhaps reflects that
clone-9 is an antigen expressed in later stages of the parasite life cycle in the host, possibly
the merozoite stage, as the cDNA library from which the gene was isolated was generated
from this stage. This assumption will have to be clarified in future investigations.
Although absence of cross reactivity with related piroplasms could be ascertained
(T. lestoquardi, Babesia sp.), due to unavailability testing of sera from the most closely related
and very similar T. luwenshuni was not performed. However, some cross-reactivity is to be
expected, as a clone-2 family-like gene has been identified in T. luwenshuni (GenBank:
ACE86412.1) with high identity to clone-9 (84 %). Future investigations will need to identify
clone-2 family genes in T. luwenshuni and to perform comparative analyses of these
sequences for regions likely to be specific to T. uilenbergi or T. luwenshuni, which may then
be used for the development of specific serological assays for these two pathogens. It is
highly likely that members of this family are antigenic and induce a humoral immune
response, since besides clone-9 in this study, clone-2 was also shown to be reactive with sera
from infected animals (Liu et al, 2008a). To date, no such two tests are available, although the
indirect ELISA based on the TuIP protein shows some promise of being able to differentiate
between T. uilenbergi and T. luwenshuni (Liu et al, 2010).
The suitability of the rc9b ELISA for testing of field sera was established using field sera
collected from an endemic region in China. The rc9b ELISA showed an agreement of 85 % in
comparison with another recently established ELISA for detection of ovine theileriosis in
China based on a different recombinantly expressed antigen (TuIP). The reason for the
observed differences is not clear to date, being possibly due to the levels of the respective
specific antibodies present. This discrepancy will also be the subject of further studies aiming
to continually improve the serodiagnostics of ovine theileriosis in China.
In summary, the approach of using random sequencing of clones and bioinformatic tools
to predict antigenicity was successful in identifying an antigenic protein from a merozoite
cDNA library of T. uilenbergi suitable for the establishment of an indirect ELISA to be used
in serology. Moreover, the identification of a gene family with potential antigenicity holds the

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possibility of identifying antigens suitable for the development of serological tools able to
discriminate between infection with the closely related T. uilenbergi and T. luwenshuni, to
which future studies will be aimed at.
Acknowledgements
This study was supported in part by the EU-funded Coordinated Action "Integrated
Consortium on Ticks and Tick-borne Diseases" (ICTTD-3), project number 510561. Zhijie
Liu is the recipient of a DAAD scholarship.
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Bakheit MA, Seitzer U, Ahmed JS (2006) A new recombinant protein-based ELISA for the
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Li Y, Luo J, Liu Z, Guan G, Gao J, Ma M, Dang Z, Liu A, Ren Q, Lu B, Liu J, Zhao H, Li J,
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antigenic proteins. Ann NY Acad Sci 1149:214-217.
Liu Z, Hou J, Bakheit MA, Salih DA, Luo J, Yin H, Ahmed JS, Seitzer U (2008a)
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(2010) Identification of Theileria uilenbergi immunodominant protein for
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Ahmed JS (2000) Phylogenetic analysis by rRNA comparison of the highly
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Figures
Figure 1 Confirmation of recombinant Clone 9b expression. Coomassie staining of lysate of
transformed (lanes 1 & 3) and untransformed E.coli cells (lanes 2 & 4) before (lanes 1 & 2) and 3 h
after induction of expression (lanes 3 & 4). A protein band of approx. 18 kDa is observed in lane 3.
Silver stain (lanes 5 & 6) and Western blot (lanes 7 & 8) of lysate of E. coli cells expressing rc9b
before (lanes 5 & 7) and after purification (lanes 6 & 8). Detection of the approx. 18 kDa his-tagged
recombinant protein in Western blot was with anti-His-antibody.
Figure 2 Specificity of immunoreactivity of sera from T. uilenbergi infected sheep with rc9b. Western
blot with rc9b was incubated with serum from T. uilenbergi infected sheep (lanes 2-4), resulting in
visualization of a band corresponding in size (~18 kD) to the his-tagged protein as detected by anti-
his-tag antibody (lane 1). No immunoreactivity was observed neither with serum from uninfected
sheep (lanes 5 & 6) nor from an animal infected with T. lestoquardi (lane 7). Lane 8 represents the
secondary anit-sheep-IgG antibody control

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Figure 3 Internal quality control results of measuring five different plates on two different days. C+(1)
and C+(2), mean PP value of the positive sera, C-, mean PP value of negative control, Cc, mean PP
value of conjugate control. The standard deviations are indicated by vertical bars
Figure 4 Humoral response of eight T. uilenbergi infected animals over time as assessed by the rc9b
ELISA post infection. A) Sheep No. 1207, 1250, 1240 and 1229 were infected by infested ticks
collected from Lintan County. B) Sheep No. 1219, 2203, 1236 and 1237 were infected by innoculation
with 8 ml of blood with 4 % parasitemia (Lintan isolate).

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Figure 5 Percent positivity of 101 random field sera samples using the calculated threshold of 48.6 %.
Table 1 Comparison of the rTuIP ELISA (Liu et al. 2010) and the rc9b ELISA using 80 serum samples
from China
Test rTuIP ELISA
Positive Negative Total
rc9b
ELISA
Positive 64 3 67
Negative 9 4 13
Total 73 7 80

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4.2 Publication 2
PARASITOLOGY RESEARCH (2010) ONLINE FIRST
Development and laboratory evaluation of a lateral flow
device (LFD) for the serodiagnosis of Theileria annulata
infection
Jassim Abdo1
, Therese Kristersson2
, Ulrike Seitzer1
, Stefanie Renneker1
, Malik Merza2
,
Jabbar Ahmed1
*
1
Division of Veterinary Infection Biology and Immunology, Research Center Borstel, 23845
Borstel, Germany
²Svanova Biotech AB, Uppsala Science Park, Glunten, S-751 83 Uppsala, Sweden
*corresponding author
Jabbar Ahmed
Veterinary Infection Biology and Immunology
Research Center Borstel
Parkallee 22
23845 Borstel
Germany
Tel +49-(0)4537-188428
Fax +49-(0)4537-188627
email jahmed@fz-borstel.de

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Abstract
Several DNA-based and serological tests have been established for the detection of T.
annulata infection, including polymerase chain reaction, reverse line blot and loop-mediated
isothermal amplification, indirect ELISA and competitive ELISA. In this study we have
applied knowledge from the development and application of a recombinant protein based
indirect ELISA and competitive ELISA to establish a rapid test for point of care diagnosis of
T. annulata infection in the field to be used by the veterinarian. For the development of a
lateral flow test, the recombinantly expressed T. annulata surface protein (TaSP) was applied
as the test antigen and anti-TaSP antiserum as the control line. TaSP antigen conjugated to
colloidal gold particles was used as the detection system for visualization at the test line for
the binding of anti-TaSP antibody present in the serum of infected animals. The developed
test specifically detected antibodies in the serum of animals experimentally infected with T.
annulata and showed no cross-reactivity with serum from animals infected with other tested
bovine pathogens (Trypanosoma brucei, Anaplasma marginale, B. bigemina, B. bovis, and T.
parva). Testing of field samples was compared to results obtained by other serological tests,
resulting in a sensitivity and specificity of 96.3 % and 87.5 % compared to IFAT, of 98.7 %
and 81.8 % compared to indirect ELISA and of 100 % and 47.6 % compared to competitive
ELISA. In conclusion, a rapid test for the detection of T. annulata infection (T. annulata
lateral flow device – Ta-LFD) has been developed which is easy to perform, delivers results
to be read with the naked eye within 10 minutes, and is suitable for the detection of infection
in field samples.
Introduction
T. annulata causes tropical theileriosis in cattle, which is transmitted by ticks of the genus
Hyalomma (Uilenberg 1981). It is an intracellular protozoan parasite that induces a spectrum
of disease symptoms and is highly pathogenic to cattle. The disease occurs over a wide
geographic area ranging from Southern Europe and extends to Southern Russia, the Middle
East, Central Asia, China, India, Northern Africa and Sudan, Eritrea and Mauritania.
(McCosker 1979; Dolan 1989; Minjauw and McLeod 2000).
Several methods for the diagnosis of T. annulata infection are available which are
however not well suited for direct testing in the field. Primarily, these include the routine
clinical diagnosis for theileriosis and the microscopic detection of parasites from sampled
blood smears. Although the microscopic examination of blood smears is uncomplicated and is

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of value for the detection of acute cases, it has limited value for chronic cases because of the
low number of parasitaemia in those animals and additionally, it is difficult to differentiate
between piroplasm species according to morphology (Hooshmand-Rad 1974; Friedhoff
1997).
Research in molecular biology has delivered precise tools for the detection of parasite
DNA and a number of PCR-based assays with high sensitivity and specificity for the
diagnosis of T. annulata in the bovine host have been developed, including PCR (d'Oliveira et
al. 1995; Shayan et al. 1998; Kirvar et al. 2000; Habibi et al. 2007) and reverse line blotting
(RLB) to detect and differentiate all known Theileria and Babesia species on the basis of
differences in their 18S subunit rRNA gene sequences (Gubbels et al. 1999; Schnittger et al.
2004). These techniques require equipped laboratories, are expensive and impractical for field
diagnosis. Recently, a loop-mediated isothermal amplification (LAMP) assay was developed
and evaluated for diagnosis of tropical theileriosis, which operated at high specificity,
efficiency and rapidity (Salih et al. 2008), but which has not been validated in the field yet.
Serological tests are ideally suited for epidemiological studies. The indirect fluorescence
antibody test (IFAT) has successfully been used to detect antibodies against T. annulata
infection in cattle (Burridge and Kimber 1973) and has been reported to be more sensitive
than examination of blood smears (Dhar and Gautam 1977; Darghouth et al. 1996). However,
it has the major drawback of cross-reactivity between different Theileria species (Burridge et
al. 1974). In recent years efforts have been made to develop and validate an indirect ELISA
(iELISA) based on recombinantly expressed antigens, such as the Tams1 (Gubbels et al.
2000) and the TaSP antigen (Bakheit et al. 2004). Especially the immunodominant antigen
TaSP (T. annulata surface protein) (Schnittger et al. 2002) has proved to be highly suitable
for detection of T. annulata specific antibodies (Bakheit et al. 2004; Seitzer et al. 2007, 2008),
and it has been validated in the field (Salih et al. 2005) and used for epidemiological studies
(Salih et al. 2007a, b; Mohammad Al-Saeed et al. 2010). Furthermore, a competitive ELISA
(cELISA) based on the TaSP antigen to increase specificity of the detection of circulating
antibodies against TaSP was recently established and validated (Renneker et al. 2008, 2009).
ELISAs are the method of choice for epidemiological studies and large scale
investigations, however the applications are time-consuming, labor-intensive and also require
professional personnel, special laboratory materials and equipment. Hence, a convenient,
rapid and sensitive diagnostic test, such as an immunochromatographic test that does not
require instrumentation or specially trained personnel, would be extremely valuable for the
use in both clinical and field applications for the diagnosis of tropical theileriosis. Given the

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high suitability of the TaSP antigen for serodiagnosis of T. annulata infection, the following
study was performed to establish an immunochromatographic strip test (lateral flow device;
LFD) on the basis of this protein for use as a rapid point of care assay.
Preparation of recombinant TaSP
Recombinant expression and purification of the predicted extracellular domain of TaSP
(rTaSP, aa 25-156) was performed as described before (Schnittger et al. 2002). This first
round of purified recombinant protein was applied to re-purification using the Äkta prime
high system (Amersham Bioscience, Uppsala, Sweden) using 5 ml HiTrap columns packed
with Ni Sepharose 6 Fast Flow (GE Healthcare Europe GmbH, Freiburg, Germany). The Ni-
chromatography was carried out according to the manufacturer's instructions using the
following chromatography programme: (1) washing of the column with 5-10 column volume
(cv) H2O with a flow rate of 5 ml/min; (2) equilibration with 10 cv application buffer (20 mM
Tris-HCl pH 8.0, 8 M urea, 0.5 M NaCl, 5 mM imidazole); (3) application of the sample to
the column with a flowrate of 1 ml/min; (4) washing with 20 cv washingbuffer (20 mM Tris-
HCl pH 8.0, 8 M urea, 0.5 M NaCl, 5 mM imidazole) at a flow rate if 3 ml/min until the
absorbance at A280 is constant; (5) collection of 1 ml fractions after application of 1 cv elution
buffer (20 mM Tris-HCl pH 8.0, 8 M urea, 0.5 M NaCl, 1 M imidazole) with a linear gradient
of 500 mM to 1 M imidazole until the protein peak appears at a flow rate of 1 ml/min.
Collected fractions were analyzed for the presence of protein in Western blot using anti-
histidine antibody (RGS-HisTM
mouse anti-histidine antibody, Qiagen, Hilden, Germany), T.
annulata-positive serum samples and anti-TaSP antiserum (Schnittger et al. 2002). A protein
band of approximately 41 kDa was observed (Fig. 1). Purity was assessed by Coomassie gel
staining, and protein concentration was determined using the BioRadMicro-DC Assay kit
(BioRad, Munich, Germany). Fractions containing the protein were pooled, dialyzed against
PBS (phosphate buffered saline, 137 mM NaCl, 10 mM Na2HPO4, 2.7 mM KCl) and
adjusted to a concentration of 0.2 mg/ml. This re-purified protein was used in all experiments
with Western blot and LFD.
Sera from experimentally infected animals and field sera
Serum samples from animals experimentally infected with T. annulata were previously

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generated at the Free University Berlin, Germany (Ahmed et al. 1989) and the University of
Utrecht (kindly provided by Frans Jongejan). Serum from animals experimentally infected
with B. bovis, B. bigemina or Anaplasma marginale were kindly provided by Jiansan Wu,
Qingdao, China.
Serum samples from animals experimentally infected with Trypanosoma brucei or T.
parva were kindly provided by Dirk Geysen, Antwerp, Belgium. Serum containing antibodies
against T. mutans was from Svanova Biotech, Uppsala, Sweden. Ninety field serum samples
were collected at random from cattle in Sudan (Bakheit et al. 2004) in areas where tropical
theileriosis is known to be endemic. Sera from T. lestoquardi-infected animals were from
Sudan (Bakheit et al. 2006). Results obtained with the Ta-LFD were compared to previously
generated data using IFAT, indirect ELISA or cELISA (Bakheit et al. 2004; Renneker et al.
2008). The specificity and sensitivity were calculated using the following formulas:
specificity (Sp=(#samples negative in both tests/total number of negative samples in the
reference test)*100), sensitivity (Se=(#samples positive in both tests/total number of positive
samples in the reference test)*100). The Kappa test (Cohen's kappa measure of association)
was used to calculate the degree of agreement between the Ta-LFD and compared tests using
Intercooled Stata 6.0 (StataCorp LP, College Station, Texas, USA), and SPSS 11.5.0 for
Windows (SPSS Inc., Chicago, Illinois USA) (Thomas et al. 1988). Interpretation of kappa
can be rated as follows: kappa less than 0.0 "poor" agreement; between 0.0 and 0.20 "slight"
agreement; 0.21 and 0.40 "fair" agreement; between 0.41 and 0.60 "moderate" agreement;
between 0.61 and 0.80 "substantial" agreement; and between 0.81 and 1.00 "almost perfect"
agreement (Landis and Koch 1977). Hypothesis tests of whether kappa is significantly greater
than 0 are based on standard errors derived from approximations to its variance (Bishop et al.
1975).
Components of the T. annulata lateral flow device (Ta-LFD)
Adsorption of rTaSP and anti-TaSP antibody to the membrane
Recombinant T. annulata surface protein (rTaSP) was used as the solid-phase antigen in
the test line by jetting it linearly onto the membrane (Hi-flow membrane no. R90N93558-
Hf1350, Millipore, USA) at a concentration of 2 mg/ml using Bio-Dot air-brush equipment
(Bio-Dot Ltd., West Sussex, UK). Fifty microliters of the TaSP solution were added per 30
cm of the membrane. The control line comprised rabbit anti-TaSP antibody, prepared by
immunization of a rabbit with the recombinant TaSP (Schnittger et al. 2002) and subsequent

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purification of specific IgG antibodies by affinity chromatography (HYDRA®-gelmatrix,
Charles River Laboratories, Kisslegg, Germany), which were applied to the control line at a
concentration of 2 mg/ml parallel to the rTaSP test line (test band). The membranes were then
dried at 37°C for 45 min and stored in sealed foil sachets until use.
Conjugation of rTaSP to gold micro particles
Purified rTaSP labeled with colloidal gold was used as the mobile phase by coupling to 40
nm colloidal gold particles using a proprietary method and storing at 4°C until use.
Adsorption of gold/rTaSP conjugate to filters
The gold/Ab conjugate was sprayed onto the conjugate filter (Whatman, UK) using Bio-
Dot air-brush equipment (Bio-Dot Ltd., West Sussex, UK) at a volume of 1 µl/mm filter. The
filters were dried at room temperature for 45 min and then stored in sealed foil sachets until
required.
Assembly of the strip test device
Sequentially, the membrane, absorbent pad, conjugate pad and sample pad were
assembled on an adhesive card and cut into 0.8 cm wide strips with a BioDot cutter (Bio-Dot
Ltd., West Sussex, UK). The membrane strips were assembled into a device as described
previously (Brüning et al. 1999; Ferris et al. 2009).
Results
Optimum antigen concentration and sample buffer
The system for the lateral flow device was optimized by determining the physical and
chemical conditions for maximum sensitivity of detecting a positive sample while assuring a
negative signal for negative serum. These studies showed that the optimum concentration of
rTaSP for binding to microspheres and the nitrocellulose was 0.2µg/µl and 2mg/ml,
respectively. In addition, different sample volumes were tested and 180 µl were chosen as the
optimal sample volume to solubilize the conjugate and to facilitate capillary flow.
T. annulata lateral flow device (Ta-LFD) test operation
During the assay performance, 20 µl of bovine sera mixed with 160 µl of chase buffer

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were applied to the sample pad. This resulted in rehydration of the air-dried rTaSP-conjugated
and dyed gold particles and their migration by capillary action along the nitrocellulose
membrane representing the reaction matrix. If anti-TaSP antibodies were present in the
sample then the antibody-rTaSP-conjugate complex was captured by the immobilised rTaSP
on the membrane at the ‘T’ (test) line and resulted in their accumulation, which could be
visualised as a red line to signify a positive result. Excess (or unbound) rTaSP-labelled gold
particles continued to migrate along the device until being captured by the immobilised rabbit
anti-TaSP antibody and the formation of a red ‘C’ (control) line, to validate the test. The rest
of the liquid is entrapped in the wick or absorbent pad. The results could be judged within 8-
10 min and were recorded as shown in figure 2.
Sensitivity and specificity of the Ta-LFD
The sensitivity and specificity of the Ta-LFD were determined by detecting anti-TaSP
specific antibodies in field sera using the optimized conditions and comparing the results with
data obtained by investigation of the serum samples using IFAT, iELISA and cELISA
(Bakheit et al. 2004; Renneker et al. 2008). In comparison to IFAT as the reference test, the
sensitivity and specificity of the Ta-LFD were 96.34 % (79/82) and 87.5 % (7/8), respectively
(Table 1). Seventy-nine samples were positive and 7 negative in both tests, whereas 1 was
positive using the Ta-LFD but negative using IFAT and 3 were negative using Ta-LFD but
positive using IFAT. The relative agreement was calculated to be 95.5 % (kappa = 0.75;
substantial agreement; p<0.0000). Using the iELISA as the reference method, 78 samples
were positive and 9 negative in both tests. Two samples were positive using the Ta-LFD and
negative using iELISA, and only 1 sample was negative in the Ta-LFD test but positive in the
iELISA, leading to a calculated sensitivity and specificity of the Ta-LFD of 98.7 % (78/79)
and 81.1 % (9/11), respectively. The relative agreement was 96.6 % (kappa =0.83; almost
perfect agreement; p<0.0000). Lastly, results using the Ta-LFD test were compared to results
obtained with competitive ELISA as the reference test. Here, 69 samples were positive and 10
negative in both tests, whereas 11 samples were positive using the Ta-LFD and negative using
cELISA, resulting in a sensitivity and specificity of 100 % (68/68) and 47.6 % (10/21),
respectively with an agreement of 86.6 (kappa =0.56; moderate agreement; p<0.0000).
Serum from a cattle experimentally infected with T. annulata was collected at 2, 3, 4 and
5 weeks post infection and tested by indirect ELISA (Bakheit et al. 2004), competitive ELISA
(Renneker et al. 2008) and Ta-LFD. Comparable results were obtained with the three tests,
indicating that the Ta-LFD can detect infection 3 weeks post infection (Table 2).

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Testing for possible cross-reactivity of the Ta-LFD was performed using sera from
animals experimentally infected with B. bovis, B. bigemina, Trypanosoma brucei, Anaplasma
marginale, T. mutans and T. parva as well as serum from an animal testing positive in an
ELISA for detection of infection with T. lestoquardi (Bakheit et al. 2006). No cross-reactivity
was observed in comparison to the T. annulata positive and negative controls (Fig. 3).
Discussion
Lateral flow immunoassays are well established as a valuable tool in medical, veterinary,
food, agricultural, environmental and industrial diagnostics. Immunochromatographic tests
have also been developed for the diagnosis of many protozoan diseases, such as babesiosis
(Huang et al. 2004b; Kim et al. 2007, 2008), malaria (Mills et al. 1999), cryptosporidiosis
(Chan et al. 2000), leishmaniasis (Reithinger et al. 2002), coccidiosis (Liao et al. 2005),
toxoplasmosis (Huang et al. 2004a), and trypanosomosis (Houghton et al. 2009). Regarding
the serodiagnosis of infection with T. annulata, there have been several reports in the last
years, including IFAT (Burridge and Kimber 1973; Dhar and Gautam 1977; Darghouth et al.
1996), indirect ELISA (Gubbels et al. 2000; Bakheit et al. 2004) and competitive ELISA
(Renneker et al. 2008). Besides having cross-reactivity problems for instance using IFAT
(Burridge et al. 1974), these methods, involve complex procedures that require expensive
laboratory materials, equipment and trained personnel. Thus, although the ELISA assays are
specific and highly suitable for large scale epidemiological studies carried out in the
laboratory, these methods are unsuited for rapid diagnosis for use by the veterinarian in the
field. In the present study, we thus developed a new rapid immunochromatographic strip
assay for the detection of infection with T. annulata (Ta-LFD) based on the same protein
(TaSP) which was used in the previously established ELISA assays (Bakheit et al. 2004;
Renneker et al. 2008). The application of this Ta-LFD is simpler, more convenient, and
provides results very rapidly to be judged with the naked eye compared to the standard
serodiagnostic tests, and can be applied by veterinarians in the field especially in countries
where laboratories are less well equipped.
Several critical aspects in the establishment of an LFD need to be considered, such as the
quality of antigen and/or antibody, pretreatment of the sample, and conjugate pad or
membrane properties (Zhang et al. 2006). In the establishment of the Ta-LFD, the quality of
TaSP used was crucial for the sensitivity and specificity of the assay, indicating that
purification and consistency of supply are important to minimize non-specific binding effects.
In addition, to maximize the adsorption of proteins, these should be applied to the membrane

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in buffers that are preferably free of salt, surfactants and sugars (Mansfield et al. 2005;
Millipore Technical Publication "Rapid Lateral Flow Test Strips: Considerations for Product
Development" available at http://www.millipore.com/techpublications/tech1/tb500en00).
Therefore, TaSP was re-purified and respective fractions were pooled and dialyzed against
PBS, to ensure that it exhibits sufficient sensitivity, specificity, purity and stability to execute
the performance requirements of the completed product.
For evaluation of the Ta-LFD, the results of testing field sera from a tropical theileriosis
endemic region in Sudan using the Ta-LFD assay were compared to those obtained by
indirect and competitive TaSP ELISA. These comparisons showed that the Ta-LFD had a
significant correlation with all other tests (IFAT, iELISA, cELISA), the highest agreement
existing between the Ta-LFD and iELISA (96.7 %), then with IFAT (95.5 %) and cELISA
(86.6 %), indicating that the use of the Ta-LFD would be reliable for use in the field. The
comparison also showed that the Ta-LFD had a high sensitivity compared to the respective
reference tests, ranging from 100 % to 98.7 % and 96.34 % compared to the cELISA, iELISA
and IFAT, respectively. Thus, only a minor number of samples detected as positive in the
reference tests were tested negative with Ta-LFD. The specificity of the Ta-LFD compared to
the reference tests was also high, ranging from 87.5 % for the IFAT to 81.8 % for the iELISA
and 47.6 % for the cELISA. The latter value is due to the fact that 11 samples testing negative
in the cELISA were positive using the Ta-LFD, a discrepancy which was also observed when
comparing the cELISA to the iELISA (Renneker et al. 2008). This is perhaps attributable to
the fact that detection of T. annulata infection using the cELISA relies on the inhibition of
binding of a monoclonal antibody to an epitope of the TaSP protein by antibodies in the test
serum, which may not be present in sufficient amounts in selected samples giving false
negative results.
In conclusion, the developed Ta-LFD for serological detection of infection with T.
annulata required no sophisticated equipment to be carried out and delivered easy to read and
interpretable results with the naked eye after 10 minutes of application of the sample. The
newly established test is sensitive and specific and may be regarded as a suitable diagnostic
tool for the detection of theileriosis in cattle under field conditions. Considering also that the
completely assembled Ta-LFD is stable when stored without refrigeration, this rapid test
should be easily applicable by veterinarians as a point of care diagnostic assay.

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Acknowledgements
This study was supported in part by the EU-funded Coordinated Action "Integrated
Consortium on Ticks and Tick-borne Diseases" (ICTTD-3), project number 510561.
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Figures
Figure 1 Purification of recombinant TaSP protein.
A) Recombinantly expressed and purified rTaSP was subjected to re-purification using column
chromatography as described in the methods section. Collected fractions (lanes 1-22) were analyzed
by silverstaining (top panel) and Western blot using anti-TaSP antiserum (bottom panel). Fractions 11
to 13 were pooled for further use.
B) The pooled fractions were analyzed in silver staining (lane 1) and were tested for reactivity with
anti-TaSP antiserum (lane 2) and two sera from T. annulata infected cattle (lanes 3 and 4). Sera from
uninfected cattle were tested in lanes 5 and 6. Lane 7: anti-bovine secondary antibody control. Lane 8:
anti-rabbit secondary antibody control.

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Figure 2 Test strip and assembled T. annulata lateral flow device (Ta-LFD)
Setup of the test strip (1-3) showing the nitrocellulose strip with the control line (C) and test line (T)
and the lower and upper affixed sample, conjugate and absorbent pads. The assembled LFD device (4-
6) correspondingly shows a sample window, test window and control window. Application of serum
from an uninfected animal (1, 4) results in only the control line becoming visible; application of
serum from an infected animal (2, 5) or anti-TaSP antiserum as control (3, 6) results in also the test
line becoming visible.

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Figure 3 Testing for cross reactivity using the Ta-LFD
Serum from animals infected with Trypanosoma brucei, Anaplasma marginale, B. bigemina, B. bovis,
T. lestoquardi and T. parva were tested in the Ta-LFD. Serum from an uninfected animal was used as
the negative control and serum from an animal infected with T. annulata as the positive control. C:
control line. T: test line.

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Table 1 Comparison of T. annulata lateral flow device (Ta-LFD) with indirect fluorescent antibody
assay (IFAT), indirect ELISA (iELISA) and competitive ELISA (cELISA) as the reference tests for
detection of anti-T. annulata antibodies in 90 field samples collected from cattle in an endemic region
in Sudan.
Table 2 Detection of anti-TaSP specific antibodies in one cattle experimentally infected with T.
annulata in serum taken at weekly intervalls post infection (p. i.) using indirect ELISA (iELISA),
competitive ELISA (cELISA) and Ta-LFD. + indicates a positive result, - a negative result.
iELISA cELISA Ta-LFD
2 weeks p.i. - - -
3 weeks p.i. - + +
4 weeks p.i. + + +
5 weeks p.i. + + +
Reference Test
IFAT iELISA cELISA Total
Positive Negative Positive Negative Positive Negative
Ta-
LFD
Positive 79 1 78 2 69 11 80
Negative 3 7 1 9 0 10 10
Total 82 8 79 11 69 21 90
Sensitivity 96.34% 98.7 % 100%
Specificity 87.5% 81.8% 47.6%
Agreement 95.5% (kappa =
7.2; p<0.0000)
96.7% (kappa =
0.83; p<0.0000)
86.6% (kappa =
0.56; p<0.0000)

Discussion
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5 Discussion
In the frame of this work two diagnostic tests for the detection of antibodies were
successfully developed: An indirect ELISA for the detection of antibodies against ovine
Theileriosis (T. uilenbergi) and a rapid Lateral Flow Device for the detection of antibodies
against Tropical Theileriosis (T. annulata). The recombinant protein based ELISA was
achieved as an improvement to existing serological tests for the detection of infection with
T. uilenbergi and was developed using a bioinformatics approach. Regarding the rapid test,
the aim was to develop a diagnostic assay suitable for application in the field for diagnosis of
tropical theileriosis. The achievement of this goal was reached by implementing components
previously used for serological detection of T. annulata infection with an indirect ELISA.
The developed diagnostic tools are discussed in two sections below.
5.1 Development of a recombinant protein based indirect
ELISA for the detection of antibodies against T. uilenbergi
Theileria species infective to small ruminants in China have been previously classified as
two species, namely T. luwenshuni and T. uilenbergi, utilizing phylogenetic studies on 18S
ribosomal RNA genes (Ahmed et al., 2006; Yin et al., 2007). More recently a new isolate of
Theileria sp. was identified in Xinjiang Province of China, and studies of phylogenetic
relationship of this isolate based on the 18S rRNAgene inferred that this species belongs to
the cluster of T. ovis (Li et al., 2010). T. luwenshuni and T. uilenbergi cause the most severe
tick-borne disease of small ruminants in China (Luo and Yin 1997; Schnittger et al., 2000b,
2000c). In the past, ovine theileriosis in China was reported to be caused by infection with T.
lestoquardi, which was widely known as the only species that causes malignant theileriosis of
sheep and goats (Friedhoff et al., 1997). Regarding serology and morphology, T. lestoquardi
exhibits many similarities with T. annulata (Brown et al., 1998) and their close phylogenetic
relation was confirmed by investigation of the 18S rRNA (Katzer et al., 1998). Furthermore,
phylogenetic analysis of the determined nucleotide sequences of small subunit ribosomal
RNA (srRNA) of T. lestoquardi and the Chinese Theileria parasites showed that the latter
were clearly divergent from T. lestoquardi and T. annulata and that they belong to different
clades within the phylogenetic tree (Schnittger et al., 2000b). The Chinese parasites were
most closely related to the T. buffeli/orientalis/sergenti complex (Schnittger et al., 2003)

Discussion
78
which has the common characteristic to display a less marked leukocytic phase without being
able to transform their host cells. Moreover, it was noticed that animals infected with
T. uilenbergi often die before piroplasms could be observed in blood smears (Ahmed et al.,
2006). In fact, sheep and goats infected with T. luwenshuni and T. uilenbergi exhibit a short
schizont stage and pathogenesis is related to tissue injuries and anemia caused by the
merozoites that infect erythrocytes. This fact implies that the piroplasm stage of the parasite
seems to be the most pathogenic to the host animal and accordingly play an essential role in
the pathogenesis of the disease (Yin et al., 2003). It is also thought that this stage has the most
effect on the host’s immune system leading to production of antibodies as well as activation
of T-cells. Since to date all attempts to establish schizont infected cell lines of T. uilenbergi
and T. luwenshuni as a source of biological material have failed (Yin et al., 2007), the
construction of a cDNA library from the merozoite stage was performed by isolation and
purification of mRNA from blood of animals experimentally infected with T. uilenbergi (Liu
et al., 2008a). This library was used as a tool to identify genes expressed in the merozoite
stage which may represent promising candidates for the development of specific diagnostic
tests and vaccines.
Different strategies were used to identify specific antigens of T. uilenbergi using this
cDNA library. The first strategy was to screen using sera from T. uilenbergi-infected sheep,
leading to the identification of the T. uilenbergi immunodominant protein (TuIP) which was
successfully used to establish an ELISA for the detection of antibodies (Liu et al., 2010). The
second approach consisted of random selection and sequencing of clones from the library
followed by sequence analysis for the presence of antigenic determinants with the help of
different bioinformatic servers, leading to the identification of the potentially antigenic clone-
2 gene family (Liu et al. 2008a).
To this date, little is known about the sequences contained in the genome of T. luwenshuni
and T. uilenbergi parasites. Research has displayed high identity between most known
heterologous genes of T. uilenbergi and other Theileria species. These comprise TcD, which
shows 88 % identity to a putative T. annulata membrane protein (TaD), TcSP partial cDNA,
showing 94 % identity to T. annulata surface protein (TaSP), TcSE partial cDNA, showing
99 % identity to a secretory protein of T. annulata (TaSE) and Tc Clone-5, showing 100 %
identity to T. lestoquardi Clone-5 on the genomic level (Miranda et al., 2006b). Additionally,
TcHSP70 was identified as a homologue of T. lestoquardi TlHSP70, which was obtained
through immunological screening of a T. lestoquardi schizont cDNA library (Miranda et al.,
2006a, 2006b). Thus, the TuIP and the clone-2 gene family (including clone-9) identified in

Discussion
79
T. uilenbergi using the merozoite cDNA library represented proteins appearing to be unique
to T. uilenbergi using BLAST analysis of known sequences. Taking into consideration that
bioinformatic analyses indicated that clone-9 may be an antigenic protein, this supported the
notion to further characterize the clone 9b recombinant protein and use it for the development
of a serological test.
Interestingly, the sequence of clone-9 gave only a limited number of hits using BLAST-
searches, the highest identity being only moderate (47 %) with the ToLocg 1 gene of T.
orientalis and 35 % with a hypothetical protein of T. parva. Since also no further data are
available on the ToLocg 1 gene, information gained from these searches was minimal.
Nonetheless, Theilerial origin of the gene was confirmed and the finding also fits well to
previous investigations indicating that T. uilenbergi is most closely related to the
T. buffeli/orientalis/sergenti complex (Schnittger et al., 2003).
Bioinformatic analyses showed that members of the clone-2 gene family (clone 2, clone 9
and clone 26) could encode potential immunodominant proteins (Liu et al., 2008a). In this
study, further bioinformatic analyses of clone 9 were performed and revealed the presence of
a signal peptide, a transmembrane region and six antigenic determinants indicating that this
protein may represent a parasite membrane antigen which induces a humoral immune
response.
To verify this prediction, clone-9 was recombinantly expressed in E. coli in order to
analyze sera from T. uilenbergi-infected animals for the presence of antibodies which can
recognize recombinant expressed clone 9. For expression, the signal peptide carrying one of
the antigenic determinants was excluded to improve expression levels. The remaining
determinants except the last 5 aa of the N-terminal 150-167 aa antigenic determinant were
included.
Immunoreactivity of recombinant clone 9b (rc9b) was assessed by Western blot. The gene
fragment encoded a protein of 172 amino acids with a predicted molecular weight of 22 kDa.
Investigation in Western blot indeed indicated that antibodies against rc9b were present in
sera from T. uilenbergi-infected animals, suggesting that the infected animals produce
antibodies against this parasite protein. Furthermore, cross-reactivity with positive sera of T.
lestoquardi and Babesia sp. infected animals was not observed.
These results suggested that this clone has the potential to be used for the development of
a serological diagnostic test, enabling the establishment of an indirect ELISA system, since
this method has been used extensively for the detection of parasitic diseases and is the
serological method of choice for epidemiological surveys due to its practicability in

Discussion
80
examining large sample sizes at relatively low cost (Ruitenberg et al. 1977; Bidwell et al.,
1978). Moreover, in contrast to crude antigen, the use of a recombinantly expressed protein
allows to develop and perform a diagnostic test under standardized conditions.
Although the absence of cross-reactivity with related piroplasms could be ascertained (T.
lestoquardi, Babesia sp.), testing of sera from the most closely related and very similar
T. luwenshuni was not performed due to unavailability of positive serum samples. It will be
interesting in the future to find out whether the protein can be used to differentiate between
the two parasites infecting small ruminants in China. Some cross-reactivity is to be expected,
as a clone-2 family-like gene has been identified in T. luwenshuni (Genbank ACE86412.1)
with high identity to clone-9 (84 %). Future investigations will be needed to identify clone-2
family genes in T. luwenshuni and to perform comparative analyses of these sequences for
regions likely to be specific to T. uilenbergi or T. luwenshuni, which may then be used for the
development of specific serological assays for these two pathogens.
In this study, the optimized rc9b ELISA procedure effectively detected specific antibodies
against T. uilenbergi in experimentally infected sheep applying an established threshold
calculated from values obtained from sera from uninfected sheep. Interestingly, experimental
infection by inoculation with infected blood resulted in an earlier and steeper rise in anti-rc9b
antibody titers than experimental infection with ticks carrying the pathogen. This perhaps
reflects that clone-9 is an antigen expressed in later stages of the parasite life cycle in the host,
possibly the merozoite stage, as the cDNA library from which the gene was isolated was
generated from this stage. This assumption will have to be clarified in future investigations.
The suitability of the rc9b ELISA for testing of field sera was established using field sera
collected from an endemic region in China. The rc9b ELISA showed an agreement of 85 % in
comparison with another recently established ELISA for detection of ovine theileriosis in
China based on a different recombinantly expressed antigen (TuIP). The reason for the
observed differences is not clear to date, being possibly due to the levels of the respective
specific antibodies present. This discrepancy will also be the subject of further studies aiming
to continually improve the serodiagnostics of ovine theileriosis in China.

Discussion
81
5.2 Development of an LFD for the detection of antibodies
against T. annulata
In the last decades, lateral flow immunoassays have gained a wide approval. Many
features made these assays popular such as simplicity of the test design, quick and easy
detection of the results usually without the help of any instrument, rapid identification of
analytes at the point of care and the low-cost powerful technology. The lateral flow
immunoassays are valuable tools in medical, food, agricultural, environmental, industrial
diagnostics as well as in veterinary medicine (O’Farrell, 2009). For the diagnosis of many
protozoan diseases several assays have been developed, e.g. for babesiosis (Huang et al.,
2004a; Kim et al., 2007, 2008), malaria (Mills et al., 1999), cryptosporidiosis (Chan et al.,
2000), leishmaniasis (Reithinger et al., 2002), coccidiosis (Liao et al., 2005), toxoplasmosis
(Huang et al., 2004b) and trypanosomosis (Houghton et al., 2009).
The diagnosis of different tick-borne protozoan diseases is similar. For clinical apparent
cases of animals infected with T. annulata, demonstration of parasites by blood or lymph
node biopsy smears stained with Romanowsky stain remains the quickest and most frequently
executed method of diagnosis. However, this method is limited to the detection of acute cases
and has restricted value for chronic cases of long-lasting carriers because of the low number
of parasitaemia and in addition, it is difficult to differentiate between piroplasm species
according to morphology (Hooshmand-Rad, 1974; Friedhoff, 1997).
In recent years several methods have been developed and used for the direct diagnosis of
tropical theileriosis such as PCR (d'Oliveira et al., 1995), RLB (Gubbels et al. 1999), and
loop-mediated isothermal amplification (LAMP) (Salih et al., 2008). Regarding the
serodiagnosis, several approaches have been reported, including IFAT (Burridge and Kimber,
1973; Dhar and Gautam, 1977; Darghouth et al., 1996), indirect ELISA (Gubbels et al., 2000;
Bakheit et al., 2004) and competitive ELISA (Renneker et al., 2008).
All these tests allow the evidence of infection with T. annulata but have different
disadvantages in terms of costs, feasibility, low throughput or cross-reactivity, complex
procedures and the requirement of trained personnel.
A number of T. annulata genes have been cloned, sequenced and expressed including
TaSP (Schnittger et al., 2002), TaD (Schneider et al., 2004), TaSE (Schneider et al., 2003) and
TamtHSP70 (Schnittger et al., 2000b,2000c). Several recent publications verify that among
these genes TaSP is highly antigenic and thus suitable for the development of diagnostic tools
for tropical theileriosis (Seitzer et al., 2007; 2008)

Discussion
82
The main goal of the second part of this work was the development of a new rapid lateral
flow immunoassay for the detection of infection with T. annulata (Ta-LFD) based on the
same protein (TaSP) that was used in previously established ELISA assays (Bakheit et al.
2004; Renneker et al. 2008). The application of this Ta-LFD is simpler and more convenient,
provides results that can very rapidly be judged by the naked eye compared to the standard
serodiagnostic tests, and can be applied by veterinarians in the field especially in countries
where laboratories are less well equipped.
Recombinant TaSP was produced as described (Schnittger et al. 2002) and expression was
verified and quality assessed by Western blots and silver staining, respectively. In fact, the
quality of TaSP is very important for the sensitivity and specificity of the assay.
To minimize nonspecific binding effects and at the same time maximize the adsorption of
proteins, they should be applied to the membrane in buffers that are preferably free of salt,
surfactants, and sugars (Mansfield, 2005). Regarding the recombinantly expressed TaSP, it
was repurified and respective fractions were pooled and dialyzed against PBS to ensure that it
exhibited sufficient sensitivity, specificity, purity and stability to execute the performance
requirements of the completed product.
For evaluation of clinical and field utility of the Ta-LFD, the results of the Ta-LFD were
compared with those obtained by IFAT and indirect as well as competitive TaSP-ELISA.
Field sera from a region endemic for tropical theileriosis in Sudan were been used for this
purpose and the comparisons showed that the Ta-LFD had a significant correlation with all
other tests (IFAT, iELISA, cELISA). The highest agreement was obtained between the Ta-
LFD and iELISA (96.7 %), followed by IFAT (95.5 %) and cELISA (86.6 %), indicating that
the Ta-LFD would be reliable when using it in the field. It could also be shown that the Ta-
LFD had a high sensitivity compared to the respective reference tests, ranging from 100 % to
98.7 % and 96.34 % compared to the cELISA, iELISA and IFAT, respectively. Thus, only a
minor number of samples detected as positive in the reference tests were tested negative with
Ta-LFD. The specificity of the Ta-LFD compared to the reference tests was also high, ranging
from 87.5 % for the IFAT to 81.8 % for the iELISA and 47.6 % for the cELISA. The latter
value is due to the fact that 11 samples that were classified as negative in the cELISA were
positive using the Ta-LFD, a discrepancy which was also observed when comparing the
cELISA to the iELISA (Renneker et al. 2008). It can be speculated that since detection of
T. annulata infection using the cELISA relies on the inhibition of binding of a monoclonal
antibody to an epitope of the TaSP protein by antibodies in the test serum, there may not be
sufficient amounts present in selected samples, thus giving false-negative results.

Discussion
83
Investigation of serum samples of animals infected with closely related and other parasites
such as T. parva, Babesia bigemina, Babesia bovis, Anaplasma marginale and Trypanosoma
brucei did not show any positive result meaning that there is no cross-reactivity observable.
Taken together, the Ta-LFD is applicable as a diagnostic tool for the detection of T.
annulata infection in the field but further validation with serum samples from different
regions endemic for tropical theileriosis should be taken into consideration to ascertain its
reliability under different conditions.
5.3 Conclusion
On the basis of the novel protein clone-9b which has been described in the frame of
this study an indirect ELISA was developed for the successful detection of antibodies against
T. uilenbergi. In future studies, this protein might be applicable for the development of a rapid
test such as a Lateral Flow Device for the detection of T. uilenbergi infection.
For the detection of antibodies against T. annulata a Lateral Flow Device named Ta-
LFD has been successfully developed on the basis of the recombinant protein TaSP. This
diagnostic test has been validated by evaluation of field sera and is an assay which may be
used by veterinarians for the diagnosis of tropical theileriosis in the field.

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Summary
94
7 Summary
In the frame of this study, an indirect recombinant protein based ELISA to detect
antibodies against T. uilenbergi and an immunochromatographic strip test as a rapid point of
care test for the diagnosis of tropical theileriosis caused by T. annulata have been developed.
The pathogenic protozoan parasite T. uilenbergi is one of the causative agents of
theileriosis in small ruminants in China and the infection results in great economical losses in
the northwest part of China. Efforts have been undertaken to establish an ELISA based on a
T. uilenbergi immunodominant recombinantly expressed protein using different approaches in
order to perform epidemiological studies in the area. In this study the potential use of the
clone-9b protein for this purpose is described. The protein was identified as a potential
immunogenic piroplasm protein specific to T. uilenbergi by random sequencing of cDNA
library clones followed by bioinformatic analyses. The clone-9 gene was partially
recombinantly expressed and used for the development of an indirect enzyme-linked
immunosorbent assay (ELISA) for the detection of circulating antibodies in sera of T.
uilenbergi-infected sheep. No cross reactivity was observed in serum from animals infected
with T. lestoquardi. The cut-off was calculated at 48.6 % percent positivity using 25 serum
samples from uninfected animals. The suitability of the rc9b ELISA for testing of field sera
was established using field sera collected from an endemic region in China. The rc9b ELISA
showed an agreement of 85 % in comparison with another recently established ELISA for
detection of ovine theileriosis in China based on a different recombinantly expressed antigen
(TuIP).
Regarding the second part of this thesis, several DNA-based and serological tests have
been established for the diagnosis of infection with T. annulata. These include polymerase
chain reaction, reverse line blot and loop-mediated isothermal amplification as methods for
the direct detection of parasite DNA, and indirect and competitive ELISA. In this study
knowledge from the development and application of a recombinant protein based indirect
ELISA and competitive ELISA using the T. annulata surface protein (TaSP) was applied to
set up a rapid test for point of care diagnosis of T. annulata infection in the field to be used by
the veterinarian. The developed test specifically detected antibodies in the serum of animals
experimentally infected with T. annulata and showed no cross-reactivity with serum from
animals infected with other tested bovine pathogens (Trypanosoma brucei, Anaplasma

Summary
95
marginale, Babesia bigemina, Babesia bovis and T. parva). Testing of field samples was
compared to results obtained by other serological tests, resulting in a sensitivity and
specificity of 96.3 % and 87.5 % compared to IFAT, of 98.7 % and 81.8 % compared to
indirect ELISA and of 100 % and 47.6 % compared to competitive ELISA. In conclusion, a
rapid test for the detection of T. annulata infection has been developed which is easy to
perform, delivers results to be read with the naked eye within 10 minutes, and is suitable for
the detection of T. annulata infections in field samples.

Zusammenfassung
96
8 Zusammenfassung
Im Rahmen dieser Arbeit wurde zum einen ein indirekter ELISA für die Detektion von
Antikörpern gegen T. uilenbergi entwickelt, welcher auf einem rekombinant exprimierten
Parasitenantigen basiert. Zum anderen wurde ein immun-chromatographischer 'Strip-Test' als
Schnelltest für die Diagnose der tropischen Theileriose produziert.
Die Infektion mit dem pathogenen Protozoon T. uilenbergi ist eine Ursache von
Theileriose bei kleinen Wiederkäuern in China. Die Infektion resultiert in großen
ökonomischen Verlusten im nordwestlichen Teil von China. Daher gibt es Bemühungen, einen
ELISA auf der Basis eines immundominanten, rekombinant exprimierten Proteins von
T. uilenbergi zu etablieren um epidemiologische Studien in diesem Gebiet durchzuführen. Im
Rahmen der vorliegenden Arbeit wurde der Einsatz des Klon-9b Proteins für diesen Zweck
untersucht. Das Protein wurde als ein potentielles, immunogenes Protein des
Piroplasmenstadiums des Parasiten durch Sequenzieren von Stichproben von Klonen einer
cDNA Bibliothek und bioinformatischen Analysen identifiziert. Das Klon-9 Gen wurde
partiell rekombinant exprimiert und für die Entwicklung eines indirekten Enzym-gekoppelten
Immunadsorptionstests (ELISA) zum Nachweis von zirkulierenden Antikörpern in Seren von
T. uilenbergi-infizierten Schafen verwendet (rc9b ELISA). Dabei wurde keine
Kreuzreaktivität mit Seren von Tieren, die mit T. lestoquardi infiziert waren beobachtet. Der
Schwellenwert (cut-off) von 48,6 % Positivität wurde mit Hilfe von 25 Serumproben von
nicht-infizierten Tieren ermittelt. Die Eignung des rc9b ELISA für die Untersuchung von
Feldseren wurde mittels der Analyse von Proben, die aus einem Endemiegebiet in China
stammten, etabliert. Dabei zeigte der rc9b ELISA eine Übereinstimmung von 85 % mit einem
anderen ELISA für die Detektion von oviner Theileriose in China.
T. annulata ist die Ursache der bovinen tropischen Theileriose und verursacht
Erkrankungen und einen Verlust der Produktivität bei einheimischen Rinderrassen und
schwere, oft letal endende Erkrakungen bei importierten und hochgezüchteten Rindern.
Verschiedene DNA-basierte Tests wie die Polymerase-Ketten-Reaktion, der Reverse-line Blot
und die 'loop mediated isothermal amplification' (LAMP) sind für die Detektion einer
Infektion mit T. annulata etabliert worden. Ebenso serologische Tests wie der indirekte und
der kompetitive ELISA. In dieser Arbeit ist das Wissen über die Entwicklung eines indirekten
bzw. kompetitven ELISA, die auf rekombinant hergestelltem T. annulata surface protein'
(TaSP) basieren, angewendet worden, um einen Schnelltest für den Einsatz unter

Zusammenfassung
97
Feldbedingungen durch den Tierarzt für die Diagnose einer Infektion mit T. annulata zu
entwickeln. Der Test ermöglichte die spezifische Detektion von Antikörpern im Serum von
experimentell mit T. annulata infizierten Tieren und zeigte keine Kreuzreaktivität mit Serum
von Tieren, die mit anderen Erregern experimentell infiziert waren (Trypanosoma brucei,
Anaplasma marginale, Babesia bigemina, Babesia bovis und T. parva). Die Untersuchung
von Feldseren wurde mit Ergebnissen verglichen, die durch andere serologische Tests
ermittelt wurden. Dieser Vergleich resultierte in einer Sensitivität bzw. einer Spezifität von
96,3 % bzw. 87,5 % mit dem IFAT als Referenztest, von 98,7 % bzw. 81,8 % mit dem
indirekten ELISA als Referenztest und 100 % bzw. 47,6 % mit dem kompetitiven ELISA als
Referenztest. Es wurde also ein Schnelltest für den Nachweis einer Infektion mit T. annulata
entwickelt, der einfach durchzuführen ist und Ergebnisse liefert, die mit dem bloßen Auge
innerhalb von zehn Minuten zu lesen sind und der geeignet ist, die Infektion in Feldseren zu
detektieren.

Abbreviations
98
9 Abbreviations
AP Alkaline phosphatase
APS Ammoniumperoxide sulfate
BCIP 5- Bromo-4-chloro-3-indolyl phosphate
BLAST The Basic Local Alignment Search Tool
Bp Base pair
BSA Bovine serum albumin
C9 Clone 9
cDNA Complimentary deoxyribonucleic acid
cELISA Competitive enzyme linked immmunosorbent assay
DNA Deoxyribonucleic acid
DNase Deoxynuclease
dNTP Deoxynucleotide triphosphates
DTT Dithiotreitol
EDTA Ethylene diamine tetra-acetic acid
ELISA Enzyme linked immmunosorbent assay
HCG Human chorionic gonadotropin
HRP Horseradish peroxidase
HSP Heat shock protein
ICT Immunochromatographic test
IFAT Indirect fluorescent antibody test
IFN-γ Interferon gamma
IL Interleukin
IPTG Isopropyl-beta-D-thiogalactopyranoside
kDa Kilo Dalton
LAMP Loop-mediated isothermal amplification
LB medium Luria Bertani medium (broth)
LFA Lateral flow assay
LFD Lateral flow device
LVRI Lanzhou Veterinary Research Institute
MW Molecular weight
NBT Nitroblue tetrazolium

Abbreviations
99
NC Nitrocellulose
Ni-NTA Nickel-nitrilotriacetic acid
OD Optical density
ORF Open reading frame
P.i. Post infection
PBS Phosphate buffered saline
PBST Phosphate buffered saline with Tween20
PCR Polymerase chain reaction
PP Percent positivity
RLB Reverse line blot
RNA Ribonucleic acid
RNase Ribonuclease
rRNA Ribosomal RNA
SDS-PAGE Sodium dodecyl sulphate – polyacrylamide gel electrophoresis
SPAG-1 sporozoite antigen
TaD T. annulata membrane protein
Tams-1 Theileria annulata merozoite surface protein
TaSE T. annulata secretory protein
TaSP Theileria annulata Surface protein
TBE Tris/Boric acid/EDTA
TBS Tris buffered saline
TE Tris EDTA buffer
TEMED N,N,N’,N’-tetramethylethylenediamine
TMB 3,3',5,5'-Tetramethylbenzidine
TNF Tumour necrosis factor
Tris Tris(hydroxymethyl)amino-methane
UV Ultra violet
v/v Volume per volume
w/v Weight per volume
WB Western-blot
X-Gal 5-bromo-4-chloro-3-indolyl-beta-D-galactopyranoside
x g Gravity force

Curriculum vitae and publications
100
10 Curriculum Vitae
Full Name: Jasim Mohammed Abdo
Nationality: Iraqi
Date and place of birth: 10.07.1970, Zamar / Mosul, IRAQ
Marital status: Married
Languages: Kurdish, Arabic and English
Contact jassimvet@yahoo.ca
Education
- 1975-1981: Wana Primary School, Nineueh (Mosul), IRAQ
- 1981-1987: Al-Markaazia Secondary School for Boys, Nineueh (Mosul), IRAQ
- 1987-1993: College of Veterinary Medicine, University of Mosul, IRAQ
Qualifications
- Bachelor of Veterinary Science (1993) University Mosul IRAQ
- Master of Veterinary Science (2003) University of Mosul IRAQ
Employment and Responsibilities
- Since March 2005: Teaching Assistant Instructor at the Department of Parasitology,
Faculty of Veterinary Medicine, University of Dohuk, IRAQ
- Since August 2007: PhD student, Research Center Borstel, Germany
- January 2009: Instructor in a Technical Workshop "Diagnostic tools for Avian influenza"
organized by the EU-ConFluTech project by Research Center Dohuk IRAQ and the
Research Center Borstel, Germany
Workshops and courses attended
February 3-5, 2007: Technical workshop on “Molecular Diagnostic Tools” organized by the
Dohuk Research Center – Faculty of Veterinary Medicine and the Research Center Borstel,
Germany.

Curriculum vitae and publication
101
April 14-18, 2008: Technical workshop on "Technology Transfer of Molecular Diagnostic
Tools" organized by Lanzhou Veterinary Research Institute Lanzhou, Gansu, PR China and
the Research Center Borstel, Germany
June 9-13, 2008: "Technical Workshop on Bioinformatics " organized by EU-FB6 INCO-
DEV INCOME EU-FP6 PRIORITY ConFluTech, Research Center Borstel, Germany
September 15-26, 2008: A course held at "Regional Training Course on Rapid Diagnosis of
Avian Influenza (Bird Flu)" organized by IAEA/FAO in cooperation with European Union
ConFluTech Project held at Federal Center for Animal Health, FGI-ARRIAH, Vladimir, the
Russian Federation
June 17-19, 2009: Participation in “International Conference on Intracellular Niches of
Microbes” held in Research Center Borstel.
June 29-July 3, 2009: Participation in 10th Biennial Conference of the Society for Tropical
Veterinary Medicine held in Luebeck, Germany and presented a poster entitled “Identification
of clone-9 antigenic protein of T. uilenbergi and evaluation of its application for
serodiagnosis”.
November 30-December 4, 2009: "Technical Workshop on Epidemiological Tools" organized
within the EU funded ConFluTech and Arbo-Zoonet project by the Faculty of Veterinary
Medicine, Free University of Berlin and the Research Center Borstel, Germany
July 19-24, 2010: Technical workshop 'Tick identification workshop' organized by the
Turkish Ministry of Agriculture, Pendik Veterinary Control Research Institute, and the EU
funded projects ICTTD-3 and Arbo-Zoonet
July 26-30, 2010: Participation in 'Integrated control of Ticks and Tick- Borne Diseases in a
Globalized World, Istanbul, Turkey funded by the European commission FP6 (ICTTD-3)

Curriculum vitae and publication
102
Publications
1) Renneker S, Abdo J, Ahmed JS, Seitzer U. Field validation of a competitive ELISA
for detection of Theileria annulata infection. Parasitol Res. 2009 Dec;106(1):47-53.
2) Liu Z, Wang Z, Yin H, Luo J, Zhang B, Kullmann B, Abdo J, Salih D, Ahmed J,
Seitzer U. Identification of Theileria uilenbergi immunodominant protein for
development of an indirect ELISA for diagnosis of ovine theileriosis. Int J Parasitol.
2010 Apr;40(5):591-8
3) Mohammad Al-Saeed AT, Omer LT, Abdo J, Habibi G, Salih DA, Seitzer U, Ahmed J.
Epidemiological studies on tropical theileriosis (Theileria annulata infection of cattle)
in Kurdistan Region, Iraq. Parasitol Res. 2010 Jan;106(2):403
4) Abdo J, Liu Z, Yin H, Kullmann B, Ahmed JS, Seitzer U. Identification of clone-9
antigenic protein of Theileria uilenbergi and evaluation of its application for
serodiagnosis. Parasitol Res. 2010 Aug;107(3):517-24
5) Abdo J, Kristersson T, Seitzer U, Renneker S, Merza M, Ahmed J. Development and
laboratory evaluation of a lateral flow device (LFD) for the serodiagnosis of Theileria
annulata infection. Parasitol Res. 2010 Aug 3. [Epub ahead of print]

Acknowledgements
103
11 Acknowledgements
First of all, I would like to express my utmost gratitude to my supervisor Prof. Dr. Jabbar
Sabir Ahmed for the opportunity to carry out my PhD in his division at the Research Center
Borstel, and for his kind supervision and enormous motivation during my research work. I am
grateful for his encouragement.
My sincere gratitude goes to my second supervisor Prof. Dr. Kurt Pfister for his kind
evaluation of my thesis and the opportunity to obtain my PhD in the Faculty of Veterinary
Medicine at Ludwig Maximillians University in Munich.
I am very grateful to Prof. Dr. Ulrike Seitzer for being an excellent supervisor, for many
great ideas and suggestions and for her support during all stages of my PhD work and critical
correction of the thesis.
Special thanks go to Dr. Malik Merza and Ms. Therese Kristersson for their expertise,
advice, technical help, and kindness in allowing me to come and work with them at Svanova
Biotech AB in Uppsala, Sweden.
The accomplishment of this work gives me an opportunity to express my sincere gratitude
to all members of the Division of Veterinary Infection Biology and -Immunology at the
Research Center Borstel; I would like to acknowledge the technical help of Ms. Birgit
Kullmann and Ms. Doreen Beyer.
My thanks to Ms. Marisa Boettger from the Division of Clinical Molecular Allergology
for the help in re-purification of the recombinant protein using the Äkta prime high system.
My thanks and greetings also go to my PhD colleagues Dr. Zhijie Liu, Dr. Stefanie
Renneker and Monika Mackiewicz for their help and useful discussions.
Furthermore I would like to appreciate the useful discussions with Dr. Diaeldin Salih,
Dr. Awadia Ali, Heike Mueller and my friend and companion Dr. Mahdi Abdulla.
A big thank you to Gudrun Lehwark-Yvetot and again to Birgit Kullmann for their help in
many aspects of daily life in Germany. .

Acknowledgements
104
To all my friends in Borstel, thanks for your brotherhood and sympathy and for creating a
happy atmosphere of life, which I will never forget.
Finally, I want to thank my parents, brothers and sisters for their support and patience
through all three and half years, which I really appreciate.
And to you, my wife and my children, the twins Youssef and Dareen, many thanks for
your patience and support. It is now bearing fruit, be proud of that.
Jasim Abdo

Final dissertation 240211

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Final dissertation 240211