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Infection and Immunity, November 2007, p. 5185-5190, Vol. 75, No. 11
0019-9567/07/$08.00+0 doi:10.1128/IAI.00913-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
Maintenance of Antibody to Pathogen Epitopes Generated by Segmental Gene Conversion Is Highly Dynamic during Long-Term Persistent Infection
,
Yan Zhuang,
James E. Futse,
Wendy C. Brown,
Kelly A. Brayton, and
Guy H. Palmer*
Programs in Vector-Borne Diseases and Immunology, Department of Veterinary Microbiology and Pathology, Washington State University, Pullman, Washington
Received 5 July 2007/
Returned for modification 14 August 2007/
Accepted 17 August 2007

ABSTRACT
Multiple bacterial and protozoal pathogens utilize gene conversion
to generate rapid intrahost antigenic variation. Both large-
and small-genome pathogens expand the size of the variant pool
via a combinatorial process in which oligonucleotide segments
from distinct donor loci are recombined in various combinations
into expression sites. Although the potential combinatorial
diversity generated by this segmental gene conversion mechanism
is quite large, the functional variant pool depends on whether
immune responses against the recombined segments are generated
and maintained, regardless of their specific combinatorial context.
This question was addressed by tracking the
Anaplasma marginale variant population and corresponding segment-specific immunoglobulin
G (IgG) antibody responses during long-term infection. Antibody
was induced early in
A. marginale infection, predominately against
the surface-exposed hypervariable region (HVR) rather than against
the invariant conserved flanking domains, and these HVR oligopeptides
were most immunogenic at the time of acute bacteremia, when
the variant population is derived via recombination from a single
donor locus. However antibody to HVR oligopeptides was not consistently
maintained during persistent infection, despite reexpression
of the same segment, although in a different combinatorial context.
This dynamic antibody recognition over time was not attributable
to the major histocompatibility complex haplotype of individual
animals or use of specific
msp2 donor alleles. In contrast,
the position and context of an individual oligopeptide segment
within the HVR were significant determinants of antibody recognition.
The results unify the genetic potential of segmental gene conversion
with escape from antibody recognition and identify immunological
effects of variant mosaic structure.

INTRODUCTION
Bacterial and protozoal pathogens that establish persistent
infection by sequential generation of antigenic variants most
commonly rely on gene conversion events that recombine complete
or partial donor sequences into active expression sites (
3,
7,
8,
10-
12,
22,
29,
30). The taxonomic diversity of pathogens
that utilize gene conversion, from alphaproteobacteria and spirochetes
to apicomplexan protozoa, and the over-20-fold range in their
genomic capacities illustrate the broad utility of this basic
mechanism (
23). Both large- and small-genome pathogens use a
combinatorial mechanism in which unique donor oligonucleotide
segments can be recombined in different orders and combinations
to generate a tremendous number of potential variants—from
hundreds for bacteria to millions for the large-genome African
trypanosomes (
8,
23). Despite the broad utility of segmental
gene conversion, the immunologic consequences of this mechanism
remain largely unexplored, and thus there is a major gap in
knowledge as to whether the potential combinatorial sequence
variant pool realistically represents an actual antigenically
variant pool. Specifically, if the immune response recognizes
and maintains memory for epitopes encoded by an individual recombined
oligonucleotide segment regardless of its combinatorial context,
this would dramatically reduce the number of true antigenic
variants compared to the number of potential variants generated
by segmental gene conversion.
To date, this question has been difficult to address due to both a lack of complete knowledge of the potential variant donor sequence repertoire and an insufficient collection of sequential antigenic variants to track segmental usage along with the immune response over time. We approach this question by study of Anaplasma marginale during long-term persistent infection in calves, a natural ruminant reservoir host. A. marginale is a prototypical antigenically variant bacterial pathogen that establishes persistent infection in the bloodstream and evades clearance by sequential emergence of distinct surface variants (24). The variation primarily occurs in the immunodominant major surface protein 2 (MSP2) within an extracellular domain, the hypervariable region (HVR) (13-15). Unique variants are generated by gene conversion events in which the complete expression site HVR or an oligonucleotide segment within the expression site HVR is replaced using chromosomal donor sequences, termed MSP2 functional pseudogenes (Fig. 1) (7, 8). The St. Maries strain of A. marginale contains five distinct chromosomal msp2 functional pseudogenes and a single expression site (6). The pseudogene sequences represent essentially the full repository for variant generation, as the only other mechanism, mutation associated with mismatch repair, accounts for only approximately 2% of the variation (16). Consequently, this afforded the opportunity to examine the development and maintenance of the antibody response against the full potential set of recombined oligopeptide segments during long-term A. marginale persistent infection. In the present study, we utilized a large data set, in which the specific recombined segments of >600 MSP2 variants were identified during persistent infection and immunoglobulin G (IgG) antibody binding to the encoded polypeptides was tracked using >700 individual binding assays to resolve whether the potential combinatorial sequence variant pool represents an equivalent antigenically variant population.

MATERIALS AND METHODS
Variant tracking during A. marginale infection.
The 613 MSP2 variants in the study were derived from a larger
set of 1,333 variant sequences previously reported (
16). Briefly,
infection was initiated in each of four individual Holstein
calves (983, 985, 990, and 995) by transmission feeding of
Dermacentor andersoni infected with the St. Maries strain of
A. marginale.
The variant populations at peak bacteremia (10
9 organisms per
ml) and at 4, 6, 8, and 11 months postinfection (persistent
bacteremia; bacteremia at all time points was

10
7 organisms
per ml) were determined by specific amplification of the single
msp2 expression site and sequencing the expression site copy
as previously described in detail (
7,
16). A minimum of 30 clones
were sequenced at each time point, an approach that provides
a 95% confidence level that any variant present at a frequency
of >10% in the population will be detected and that allowed
determination of the proportional representation of each specific
variant within the oligoclonal variant population (
28). Each
expression site HVR sequence was mapped either in its entirety
to one of the five unique
msp2 functional pseudogenes or as
individual segments to its respective donor pseudogene (
16)
using the complete genome sequence of the St. Maries strain
(GenBank accession no. CP000030). The composition of the expression
site HVR for each of the 613 variants was denoted by the oligopeptide
corresponding to each segment in an N-terminal-to-C-terminal
direction (Table
1).
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TABLE 1. Loci, designations, and sequences of the oligopeptides representing the complete repertoire of potential HVR segments
|
Measurement of HVR segment-specific antibodies.
The complete repertoire of HVR segments encoded by five unique
msp2 functional pseudogenes was represented by 18 overlapping
30-mer synthetic peptides (Fig.
1A; Table
1). The invariant
N- and C-terminal MSP2 domains were represented by an additional
16 overlapping 28- to 30-mer peptides (Fig.
1B; Table
2). Sera
were obtained from each infected animal within 2 weeks following
each time point when the variant composition was determined
by sequencing the expression site HVR. Immulon II 96-well enzyme-linked
immunosorbent assay (ELISA) plates were coated with 1 µg
of peptide per well in coating buffer (50 mM Na
2CO
3, pH 9.6)
overnight at 4°C, washed with phosphate-buffered saline
(PBS) containing 0.05% (vol/vol) Tween 20, and then blocked
with PBS containing 5% (wt/vol) milk and 0.05% (vol/vol) Tween
20 for 1 h. Sera were diluted in blocking buffer, and 50 µl/well
was added to triplicate wells. Following washing, 50 µl
of a 1:500 dilution of recombinant protein G-horseradish peroxidase
(Zymed) was added per well, and the plates were incubated for
1 h at room temperature. After additional washes, binding of
protein G was detected using KPL SureBlue microwell peroxidase
substrate at 100 µl/well for 15 min and then stopped with
100 µl of 1% hydrochloric acid. The optical density at
450 nm (OD
450) was determined for triplicate samples, and positive
binding was defined statistically as exceeding the mean plus
3 standard deviations of the OD
450 of preinfection serum from
the same animal and exceeding three times the absolute mean
value of the OD
450 of the test serum with the control peptide
P1 (which was more than the mean value at OD
450 plus 3 standard
deviations). All sera were tested at a minimal dilution of 1:10
before being classified as negative for a specific oligopeptide
segment. Antibody to the invariant protein MSP5 was measured
by ELISA as previously described in detail (
32).
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TABLE 2. Loci, designations, and sequences of the oligopeptides representing the conserved expression site domains
|
Determination of major histocompatibility complex class II (MHC-II) haplotypes.
The bovine lymphocyte class II haplotypes were determined by
PCR-restriction fragment length polymorphism analysis of exon
2 as previously described (
9) and classified as defined previously
(
19). The class II
DRB3 haplotypes were as follows: animal 983,
22/23; animal 985, 16/22, animal 990, 23/24; animal 995,
DRB3 8/22.

RESULTS
The IgG antibody response is preferentially directed against the MSP2 HVR and is highly dynamic during persistent A. marginale infection.
The MSP2 variant population was identified during acute bacteremia
and throughout persistent infection in each of four animals.
Initially we confirmed that each potential HVR segment (Fig.
1A) was indeed expressed in each animal by examination of the
sequenced expression site variants at each time point. Each
HVR segment was expressed at a minimum of three different time
points, including at least two during long-term persistent infection.
We then determined when IgG to each HVR segment and the conserved
domains first arose and whether these antibodies were maintained
during persistent infection. The highest percentage of HVR-specific
antibodies was detected at the time of acute infection, during
which antibody to 81% ± 13% of the individual HVR oligopeptides
was detected. This is consistent with prior observations that
a strong IgG antibody response develops at the time of peak
A. marginale bacteremia and is associated with initial control
of acute infection (
21,
26). If this HVR segment-specific antibody
response were to be maintained and expanded, this would be expected
to limit the utility of segmental gene conversion as an escape
mechanism. However, the percentages of segment-specific antibodies
to the HVR oligopeptides during persistent infection were significantly
lower (
P < 0.05): 43% ± 16%, 39% ± 10%, and
39% ± 15% at 8, 11, and 24 months of infection, respectively
(Fig.
2). Antibody to only 28% of the individual HVR oligopeptides
was continuously maintained throughout persistent infection
compared with 62% for the HVR oligopeptides which were recognized
by antibody at some time points but not consistently. This dynamic
antibody response was specific to the HVR segments, as indicated
by the induction of antibody to an invariant diagnostic antigen
(MSP5) (
18,
32) at the time of acute bacteremia and maintenance
of antibody binding at all time points in all animals. In contrast,
IgG antibody reactivity to the conserved domain MSP2 peptides
was very limited: no peptide induced antibody in all persistently
infected animals despite continual exposure, and only one peptide
(P14) was recognized by antibody at all time points in a single
animal (C983).
The dynamics of segment-specific IgG antibody do not correlate with expression of segments within the HVR.
To test whether maintenance of segment-specific antibody during
persistent infection directly reflected the frequency and level
of HVR segment expression, we calculated the proportional representation
of each segment within the oligoclonal population of variants
at each time point and compared this to the magnitude of the
segment-specific antibody response (see Table S1 in the supplemental
material) using partial-correlation analysis (
34). Partial-correlation
analysis allows assessment of the strength of the relationship
between two variables (in this case, segment expression and
antibody binding) after removing the effects of other variables
(in this case, the individual animal, peptide, and time) that
may generate spurious correlation or mask true correlation.
Although there was strong correlation for specific segments
in the variant population, there was no overall agreement between
proportional usage of the HVR segments and antibody reactivity
(Table
3). This lack of agreement held true when the segmental
repertoire of each
msp2 donor pseudogene was examined separately
or when the complete segmental repertoire was analyzed as a
group (Table
3). This relationship was observed during infection
of each individual animal and was independent of MHC haplotype
(Table
2). These results indicated that the dynamic response
was not simply linked to recent antigen exposure but suggested
that the progression of segmental combinatorial diversity during
infection, which generates increasingly complex MSP2 mosaics
(
16), was involved.
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TABLE 3. Partial correlationsa for the relationship between proportional representation of segments in expressed variants and the presence of segment-specific IgG antibody
|
The dynamics of segment-specific IgG antibody are linked to position within and composition of the expressed HVR.
We hypothesized that the dynamic antibody response to specific
oligopeptide segments was attributable to the context of the
segment within the expressed HVR. This hypothesis is consistent
with recognition early in infection, when segments are presented
in the context of an intact recombined pseudogene donor (
7,
16,
28), but with variable recognition during long-term persistent
infection, when segments are recombined in a mosaic fashion
with segments derived from distinct pseudogene donors (
16).
First, we identified the positions within the HVRs of those
oligopeptide segments to which antibody was developed and maintained
(28% of the total segmental repertoire) versus those to which
antibody was dynamic during infection (62% of the total repertoire).
Each segment was assigned a position within the HVR as N terminal,
N middle, C middle, or C terminal. Maintenance of antibody throughout
infection was associated with position within the HVR, as 50%
of the segments in the N terminus were uniformly bound by antibody
versus only 6% at the HVR C terminus (Table
4). This pattern
was consistent regardless of the specific donor pseudogene.
We then asked whether the HVR context of an individual segment,
either flanked by segments derived from the same donor pseudogene
or within a mosaic, was associated with the presence or absence
of segment-specific antibody. Two contiguous segments from donor
pseudogene

1, I.1 and I.2, were selected for analysis based
on the following criteria: (i) they were recognized by antibody
obtained at the time of acute infection and thus were identified
as being immunogenic; (ii) antibody binding during persistent
infection was not consistently linked to expression during persistent
infection; (iii) there were a sufficient number of variants
in which each segment was expressed, either in the context of
its donor pseudogene or as a mosaic with specific C-terminal
segments, to provide statistical power; and (iv) the analyzed
variant population was distributed among animals with distinct
MHC types. Importantly, the absence of antibody binding to these
two segments, I.1 and I.2, despite their high proportional representation
in the total variant population at specific time points in each
animal (Fig.
3), demonstrated that the lack of association between
segment expression and antibody response cannot be attributable
to inaccurate sampling of the variant population. Throughout
persistent infection, the lack of antibody against these oligopeptide
segments was significantly associated with the presence of specific
C-terminal segments in a mosaic structure as opposed to the
development of antibody when segments I.1 and I.2 were present
within the context of their donor pseudogene (Fig.
4). This
association was statistically significant (
P < 0.001) for
both segments I.1 and I.2.
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TABLE 4. Relationship of the position of an individual segment within the HVR and maintenance of antibody reactivitya
|

DISCUSSION
This large data set of 613 variants and 748 antibody binding
analyses throughout persistent infection provides a link between
the molecular mechanism of generating novel variants via segmental
gene conversion and immune evasion. The overlapping HVR oligopeptides
used in this mapping study were selected to encompass the complete
donor repertoire (
6) and to represent the mean oligopeptide
length (29 ± 13 amino acids) encoded by
msp2 segments
recombined during persistent
A. marginale infection (
16). While
these oligopeptides cannot represent all conformational B-cell
epitopes created by unique HVR combinations, MSP2 oligopeptide
epitopes have been previously shown to be surface exposed, and
development of variant-specific peptide IgG antibody has been
shown to be associated with variant clearance (
13-
15). Thus,
induction and continual maintenance of antibody to these epitopes
would preclude later reuse of the segment, which is required
to generate the number of MSP2 variants theoretically required
for long-term persistent infection and actually identified in
vivo (
8,
16). While
A. marginale is limited by its small genome
size (1.2 Mb) in its capacity to encode full-length variants
and thus is highly dependent on the combinatorial diversity
generated by segmental gene conversion, a very similar mechanism
has been shown to occur in African trypanosomes despite the
much greater genomic capacity (
4,
5,
30).
Trypanosoma brucei and
Trypanosoma equiperdum have both been shown to express variable
surface glycoproteins (VSG) derived from a mosaic of different
vsg segments recombined into an expression site (
17,
27,
31).
Whether the same VSG oligopeptide is commonly expressed in different
contexts, encoded as part of a full-length recombined
vsg and
later as a segment within a
vsg mosaic, is currently unknown
and awaits completion of the genome sequence and tracking of
a larger repertoire of variants over time. However, one may
hypothesize that, as is found for
A. marginale, frequent reappearance
of an immunogenic VSG segment would be in the absence of continuously
maintained specific antibody.
Individual MSP2 HVR segments were most immunogenic early in A. marginale infection, when they are expressed in the context of the complete pseudogene. This may represent a structural effect on immunogenicity or, not mutually exclusive, an effect of the higher bacteremia levels during acute infection. We have recently shown that MSP2 variants with HVRs derived from a single donor pseudogene, designated simple variants, have a marked in vivo fitness advantage compared to complex variants with mosaic HVRs (25). Combined with the present data, this suggests that there is an association between the MSP2 HVR structure and both in vivo growth fitness and immunogenicity. Thus, simple variants have a clear but, due to their immunogenicity, short-lived in vivo fitness advantage. In contrast, the complex variants are at a fitness disadvantage (2 to 6 log10 fewer bacteria) compared to simple variants during acute bacteremia (24) but may compensate with lower immunogenicity and long-term persistence. Specifically, there was significantly less antibody recognition of N-terminal epitopes when the epitope-bearing segment was recombined in a mosaic with flanking regions derived from different msp2 donor pseudogenes. As N-terminal segments are the most immunogenic early in infection, this suggests that the context can produce a marked effect on intrinsic immunogenicity and is consistent with repeated reappearance of a segment in a new HVR context.
The immunologic mechanism underlying this dynamic antibody response during persistent infection represents a significant gap in knowledge. A leading hypothesis is that persistent infection repeatedly stimulates short-lived plasma cells, which predominately remain in the spleen and have a 3- to 4-day half-life prior to undergoing apoptosis, rather than long-lived plasma cells which traffic to the bone marrow (20). Short-lived antibody and failure to maintain immunity are also features of Plasmodium sp. infection (33), which shares the common features of antigenic variation and persistence within the bloodstream. The requirements for transition to long-lived plasma cells are not completely understood. However, antigen-specific CD4+ T lymphocytes clearly provide some of the signals for this transition. Consistent with this hypothesis is the observation with A. marginale that, although robust CD4+ T-cell responses specific to both the HVR and conserved domains can be induced by MSP2 immunization (1), these cannot be consistently detected during actual infection (2). Dissecting the mechanism underlying the short-lived antibody responses, both from a structural basis of the HVR and the immunologic basis, will further enhance our understanding of how highly antigenically variant pathogens persist within the infected host. Furthermore, development of new immunization strategies that induce long-lived antibody responses may hold new promise for vaccine development against the numerous pathogens that use this mechanism of persistence.

ACKNOWLEDGMENTS
This research was supported by NIH R01 AI44005 and USDA-ARS-CRIS
5348-32000-016-00D.
The statistical assistance of Marc Evans and assistance with MHC haplotyping by Junzo Norimine is gratefully acknowledged, as is the technical assistance of James Allison, Ralph Horn, and Bev Hunter.

FOOTNOTES
* Corresponding author. Mailing address: 402 Bustad Hall, Washington State University, Pullman, WA 99164-7040. Phone: (509) 335-6033. Fax: (509) 335-8529. E-mail:
gpalmer{at}vetmed.wsu.edu 
Published ahead of print on 4 September 2007. 
Supplemental material for this article may be found at http://iai.asm.org/. 
Editor: R. P. Morrison

REFERENCES
1 - Abbott, J. R., G. H. Palmer, C. J. Howard, J. C. Hope, and W. C. Brown. 2004. Anaplasma marginale major surface protein 2 CD4+-T-cell epitopes are evenly distributed in conserved and hypervariable regions (HVR), whereas linear B-cell epitopes are predominantly located in the HVR. Infect. Immun. 72:7360-7366.[Abstract/Free Full Text]
2 - Abbott, J. R., G. H. Palmer, K. A. Kegerreis, P. F. Hetrick, C. J. Howard, J. C. Hope, and W. C. Brown. 2005. Rapid and long-term disappearance of CD4+ T lymphocyte responses specific for Anaplasma marginale major surface protein-2 (MSP2) in MSP2 vaccinates following challenge with live A. marginale. J. Immunol. 174:6702-6715.[Abstract/Free Full Text]
3 - Al-Khedery, B., and D. R. Allred. 2006. Antigenic variation in Babesia bovis occurs through segmental gene conversion of the ves multigene family, within a bidirectional locus of active transcription. Mol. Microbiol. 59:402-414.[CrossRef][Medline]
4 - Barry, J. D., L. Marcello, L. J. Morrison, A. F. Read, K. Lythgoe, N. Jones, M. Carrington, G. Blandin, U. Bohme, E. Caler, C. Hertz-Fowler, H. Renauld, N. El-Sayed, and M. Berriman. 2005. What the genome sequence is revealing about trypanosome antigenic variation. Biochem. Soc. Trans. 33:986-989.[CrossRef][Medline]
5 - Berriman, M., E. Ghedin, C. Hertz-Fowler, G. Blandin, H. Renauld, D. C. Bartholomeu, N. J. Lennard, E. Caler, N. E. Hamlin, B. Haas, U. Bohme, L. Hannick, M. A. Aslett, J. Shallom, L. Marcello, L. Hou, B. Wickstead, U. C. Alsmark, C. Arrowsmith, R. J. Atkin, A. J. Barron, F. Bringaud, K. Brooks, M. Carrington, I. Cherevach, T. J. Chillingworth, C. Churcher, L. N. Clark, C. H. Corton, A. Cronin, R. M. Davies, J. Doggett, A. Djikeng, T. Feldblyum, M. C. Field, A. Fraser, I. Goodhead, Z. Hance, D. Harper, B. R. Harris, H. Hauser, J. Hostetler, A. Ivens, K. Jagels, D. Johnson, J. Johnson, K. Jones, A. X. Kerhornou, H. Koo, N. Larke, S. Landfear, C. Larkin, V. Leech, A. Line, A. Lord, A. Macleod, P. J. Mooney, S. Moule, D. M. Martin, G. W. Morgan, K. Mungall, H. Norbertczak, D. Ormond, G. Pai, C. S. Peacock, J. Peterson, M. A. Quail, E. Rabbinowitsch, M. A. Rajandream, C. Reitter, S. L. Salzberg, M. Sanders, S. Schobel, S. Sharp, M. Simmonds, A. J. Simpson, L. Tallon, C. M. Turner, A. Tait, A. R. Tivey, S. Van Aken, D. Walker, D. Wanless, S. Wang, B. White, O. White, S. Whitehead, J. Woodward, J. Wortman, M. D. Adams, T. M. Embley, K. Gull, E. Ullu, J. D. Barry, A. H. Fairlamb, F. Opperdoes, B. G. Barrell, J. E. Donelson, N. Hall, C. M. Fraser, et al. 2005. The genome of the African trypanosome Trypanosoma brucei. Science 309:416-422.[Abstract/Free Full Text]
6 - Brayton, K. A., L. S. Kappmeyer, D. R. Herndon, M. J. Dark, D. L. Tibbals, G. H. Palmer, T. C. McGuire, and D. P. Knowles, Jr. 2005. Complete genome sequencing of Anaplasma marginale reveals that the surface is skewed to two superfamilies of outer membrane proteins. Proc. Natl. Acad. Sci. USA 102:844-849.[Abstract/Free Full Text]
7 - Brayton, K. A., D. P. Knowles, T. C. McGuire, and G. H. Palmer. 2001. Efficient use of a small genome to generate antigenic diversity in tick-borne ehrlichial pathogens. Proc. Natl. Acad. Sc.i USA 98:4130-4135.[Abstract/Free Full Text]
8 - Brayton, K. A., G. H. Palmer, A. Lundgren, J. Yi, and A. F. Barbet. 2002. Antigenic variation of Anaplasma marginale msp2 occurs by combinatorial gene conversion. Mol. Microbiol. 43:1151-1159.[CrossRef][Medline]
9 - Brown, W. C., T. C. McGuire, D. Zhu, H. A. Lewin, J. Sosnow, and G. H. Palmer. 2001. Highly conserved regions of the immunodominant major surface protein 2 of the genogroup II ehrlichial pathogen Anaplasma marginale are rich in naturally derived CD4+ T lymphocyte epitopes that elicit strong recall responses. J. Immunol. 166:1114-1124.[Abstract/Free Full Text]
10 - Centurion-Lara, A., R. E. LaFond, K. Hevner, C. Godornes, B. J. Molini, W. C. Van Voorhis, and S. A. Lukehart. 2004. Gene conversion: a mechanism for generation of heterogeneity in the tprK gene of Treponema pallidum during infection. Mol. Microbiol. 52:1579-1596.[CrossRef][Medline]
11 - Criss, A. K., K. A. Kline, and H. S. Seifert. 2005. The frequency and rate of pilin antigenic variation in Neisseria gonorrhoeae. Mol. Microbiol. 58:510-519.[CrossRef][Medline]
12 - Dai, Q., B. I. Restrepo, S. F. Porcella, S. J. Raffel, T. G. Schwan, and A. G. Barbour. 2006. Antigenic variation by Borrelia hermsii occurs through recombination between extragenic repetitive elements on linear plasmids. Mol. Microbiol. 60:1329-1343.[CrossRef][Medline]
13 - Eid, G., D. M. French, A. M. Lundgren, A. F. Barbet, T. F. McElwain, and G. H. Palmer. 1996. Expression of major surface protein 2 antigenic variants during acute Anaplasma marginale rickettsemia. Infect. Immun. 64:836-841.[Abstract]
14 - French, D. M., W. C. Brown, and G. H. Palmer. 1999. Emergence of Anaplasma marginale antigenic variants during persistent rickettsemia. Infect. Immun. 67:5834-5840.[Abstract/Free Full Text]
15 - French, D. M., T. F. McElwain, T. C. McGuire, and G. H. Palmer. 1998. Expression of Anaplasma marginale major surface protein 2 variants during persistent cyclic rickettsemia. Infect. Immun. 66:1200-1207.[Abstract/Free Full Text]
16 - Futse, J. E., K. A. Brayton, D. P. Knowles, Jr., and G. H. Palmer. 2005. Structural basis for segmental gene conversion in generation of Anaplasma marginale outer membrane protein variants. Mol. Microbiol. 57:212-221.[CrossRef][Medline]
17 - Kamper, S. M., and A. F. Barbet. 1992. Surface epitope variation via mosaic gene formation is potential key to long-term survival of Trypanosoma brucei. Mol. Biochem. Parasitol. 53:33-44.[CrossRef][Medline]
18 - Knowles, D., S. Torioni de Echaide, G. Palmer, T. McGuire, D. Stiller, and T. McElwain. 1996. Antibody against an Anaplasma marginale MSP5 epitope common to tick and erythrocyte stages identifies persistently infected cattle. J. Clin. Microbiol. 34:2225-2230.[Abstract]
19 - Lewin, H. A., G. C. Russell, and E. J. Glass. 1999. Comparative organization and function of the major histocompatibility complex of domesticated cattle. Immunol. Rev. 167:145-158.[CrossRef][Medline]
20 - Manz, R. A., A. E. Hauser, F. Hiepe, and A. Radbruch. 2005. Maintenance of serum antibody levels. Annu. Rev. Immunol. 23:367-386.[CrossRef][Medline]
21 - Murphy, F. A., J. W. Osebold, and O. Aalund. 1966. Kinetics of the antibody response to Anaplasma marginale infection. J. Infect. Dis. 116:99-111.[Medline]
22 - Norris, S. J. 2006. Antigenic variation with a twist—the Borrelia story. Mol. Microbiol. 60:1319-1322.[CrossRef][Medline]
23 - Palmer, G. H., and K. A. Brayton. 2007. Gene conversion is a convergent strategy for pathogen antigenic variation. Trends Parasitol. 23:408-413.[CrossRef][Medline]
24 - Palmer, G. H., W. C. Brown, and F. R. Rurangirwa. 2000. Antigenic variation in the persistence and transmission of the ehrlichia Anaplasma marginale. Microbes Infect. 2:167-176.[CrossRef][Medline]
25 - Palmer, G. H., J. E. Futse, C. K. Leverich, D. P. Knowles, Jr., F. R. Rurangirwa, and K. A. Brayton. 2007. Selection for simple major surface protein 2 variants during Anaplasma marginale transmission to immunologically naive animals. Infect. Immun. 75:1502-1506.[Abstract/Free Full Text]
26 - Palmer, G. H., F. R. Rurangirwa, K. M. Kocan, and W. C. Brown. 1999. Molecular basis for vaccine development against the ehrlichial pathogen Anaplasma marginale. Parasitol. Today 15:281-286.[CrossRef][Medline]
27 - Roth, C., F. Bringaud, R. E. Layden, T. Baltz, and H. Eisen. 1989. Active late-appearing variable surface antigen genes in Trypanosoma equiperdum are constructed entirely from pseudogenes. Proc. Natl. Acad. Sci. USA 86:9375-9379.[Abstract/Free Full Text]
28 - Rurangirwa, F. R., D. Stiller, D. M. French, and G. H. Palmer. 1999. Restriction of major surface protein 2 (MSP2) variants during tick transmission of the ehrlichia Anaplasma marginale. Proc. Natl. Acad. Sci. USA 96:3171-3176.[Abstract/Free Full Text]
29 - Santoyo, G., and D. Romero. 2005. Gene conversion and concerted evolution in bacterial genomes. FEMS Microbiol. Rev. 29:169-183.[CrossRef][Medline]
30 - Taylor, J. E., and G. Rudenko. 2006. Switching trypanosome coats: what's in the wardrobe? Trends Genet. 22:614-620.[CrossRef][Medline]
31 - Thon, G., T. Baltz, C. Giroud, and H. Eisen. 1990. Trypanosome variable surface glycoproteins: composite genes and order of expression. Genes Dev. 4:1374-1383.[Abstract/Free Full Text]
32 - Torioni de Echaide, S., D. P. Knowles, T. C. McGuire, G. H. Palmer, C. E. Suarez, and T. F. McElwain. 1998. Detection of cattle naturally infected with Anaplasma marginale in a region of endemicity by nested PCR and a competitive enzyme-linked immunosorbent assay using recombinant major surface protein 5. J. Clin. Microbiol. 36:777-782.[Abstract/Free Full Text]
33 - Wykes, M., and M. F. Good. 2006. Memory B cell responses and malaria. Parasite Immunol. 28:31-34.[CrossRef][Medline]
34 - Zar, J. H. 1996. Biostatistical analysis, 3rd ed. Prentice-Hall, Inc., Upper Saddle River, NJ.
Infection and Immunity, November 2007, p. 5185-5190, Vol. 75, No. 11
0019-9567/07/$08.00+0 doi:10.1128/IAI.00913-07
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