1 Division of the genus Borrelia into two genera (corresponding to Lyme disease and relapsing fever 2 groups) reflects their genetic and phenotypic distinctiveness and will lead to a better understanding of 3 these two groups of microbes (Margos et al. (2016) There is inadequate evidence to support the 4 division of the genus Borrelia. Int. J. Syst. Evol. Microbiol. doi: 10.1099/ijsem.0.001717) 5 6 Alan G. Barbour1, Mobolaji Adeolu2 and Radhey S. Gupta2* 7 1 8 Biology, University of California Irvine, Irvine, California, USA 9 2 10 Departments of Medicine, Microbiology & Molecular Genetics, and Ecology & Evolutionary Department of Biochemistry and Biomedical Sciences, McMaster University, Hamilton, Ontario, Canada. 11 12 * Corresponding Author 13 Department of Biochemistry and Biomedical Sciences, McMaster University, Hamilton, Ontario, 14 Canada. Email: [email protected] 15 16 17 The members of the family Borreliaceae include species that are the causative agents of Lyme 18 disease (LD) and others that are the agents of tick- and louse-borne relapsing fever (RF) [1-3]. Recent 19 phylogenetic and comparative analyses of protein sequences from Borreliaceae genomes have 20 provided compelling evidence that the Borreliaceae species in fact comprise two genetically distinct 21 groups and that they can be reliably distinguished on numerous independent molecular characteristics 22 [4]. Based on these phylogenetic/genomic studies, as well as supporting phenotypic characteristics, 23 Adeolu and Gupta [4] proposed the division of the genus Borrelia into two genera. In that proposal an 24 emended genus Borrelia retained all the species known to cause the clinically and epidemiologically 25 distinctive disorder of RF, while all agents of LD, as well as closely-related species not known to cause 26 human disease, were placed into a new genus, Borreliella [4]. This latter group has been widely 27 referred to as "Borrelia burgdorferi sensu lato", which has functioned as a short-hand for 28 distinguishing this increasingly numerous but cohesive group from all other Borrelia species. Although 29 the family Borreliaceae also contains the species Cristispira pectinis with a validly published name 30 [5,6], there is no cultured isolate or sequence information available for this species. Thus, for all 31 practical purposes, the family Borreliaceae was originally comprised of only of a single genus, 32 Borrelia, which is now split into two genera, reflecting the long standing recognition of two groups 1 33 within it, i.e "B. burgdorferi sensu lato" (also termed the “Lyme disease group of spirochetes” or 34 “Lyme disease Borrelia”) and the RF clade. 35 Margos et al. [7] in a Letter to the Editor in the IJSEM criticized the splitting the family 36 Borreliaceae into two genera on three major grounds: (i) The evidence based on genomic 37 characteristics distinguishing the two proposed groups was preliminary. (ii) Some Borreliaceae species 38 do not adhere to the typical phenotypic patterns of the LD and RF groups, thus blurring the distinction 39 between the groups of disease agents. (iii) This division would have various “adverse consequences”. 40 While recognizing that a name change for a medically-important microbe is never to be taken lightly, 41 we respectfully disagree with the conclusions of Margos et al. [7] and discuss point-by-point the issues 42 raised in their letter. We show that much of the criticism of splitting the family Borreliaceae into two 43 genera is unfounded. 44 45 A. Genomic evidence for the cohesiveness of the family Borreliaceae and for the presence of two 46 distinct groups within this family 47 The phylogram presented in Figure 1 of Borreliaceae species for which there are genome 48 sequences, summarizes and updates the evidence for two cohesive groups/genera within the family. 49 The tree is based on concatenated sequences of 762 proteins comprising the core proteins in the 50 genomes of Borreliaceae species. The tree is very similar in topology and branch support to the earlier 51 tree that was based on 25 conserved proteins from fewer species [4]. As can be seen, the Borreliaceae 52 species form two distinct clades, which are resolved with high (~100%) statistical support, 53 corresponding to the RF and the LD group of species. Although all Borreliaceae species studied to 54 date have a similar G+C nucleotide contents of ~29% for their chromosomes, 5 B. burgdorferi sensu 55 lato species had significantly higher CG dinucleotide contents for a given G+C content than 8 RF 56 group species, including B. miyamotoi and B. anserina [2]. 57 Figure 1 also summarizes and maps the different molecular markers that were identified 58 previously [4], namely, conserved signature insertions/deletions (CSIs) and conserved signature 59 proteins (CSPs), which are either specifically characteristic of all Borreliaceae species or uniquely 60 characteristic of one or the other of the two observed clades. Margos et al. [7] in their critique did not 61 acknowledge the greater than 100 molecular markers that were described for the family Borreliaceae 62 and they also overlooked 38 other described CSIs (Table 4 of Adeolu and Gupta [4]article), which 63 distinguish the LD and the RF groups of Borreliaceae species. 64 65 A gauge of the utility of a categorization protocol is whether the distinguishing criteria (i.e., the “rules”) hold as new organisms are characterized and then become candidates for taxonomic 2 66 classification. Since the publication of the paper describing the proposed split of the genus Borrelia, 67 genome sequences for 5 additional Borreliaceae species (viz. B. coriaceae, B. finlandensis, B. 68 japonica, B. mayonii and B. chilensis) became available. B. coriaceae groups with the RF clade, and 69 the other four species group in the LD clade (Figure 1). We examined the distribution (i.e. 70 presence/absence) of different described molecular markers in these species. Significantly, all of the 71 described CSIs and CSPs specific for the family Borreliaceae as a whole are present in all 5 of these 72 species. Likewise, all of the CSIs and CSPs for the RF group are present in B. coriaceae, but they are 73 lacking in B. finlandensis, B. japonica, B. mayonii and B. chilensis. The complementary pattern is 74 observed for the distribution of molecular markers that are specific for the LD group of Borreliaceae 75 species. Sequence information for one representative updated CSI each for the LD and RF group of 76 species is presented in Figure 2. Based on these results, the described molecular markers are not only 77 specific for the two groups of Borreliaceae species, but they continue to exhibit a high degree of 78 predictive ability to be found in any new species belonging or related to these groups. 79 Margos et al.[7] also criticised the Adeolu and Gupta [4] article for excluding information for a 80 newly-described but relatively uncharacterized group of Borreliaceae species that use reptiles as 81 reservoir hosts. However, this reading of the article is incorrect. The 16S rRNA phylogram (Figure 2) 82 in the Adeolu and Gupta [4] article in fact includes B. turcica, which constitutes the species from this 83 group with validly published name and its position was indicated to be indeterminate based on the 84 presented results. However, in the phylogenetic tree presented by Margos et al. [7], which includes B. 85 turcica and other related reptile-associated strains of Borreliaceae without taxonomic standing, these 86 species/strains exhibit the same pattern of branching as described by Takano et al. [8], which was 87 acknowledged by Adeolu and Gupta [4]. It should be noted though that in other recent studies [9,10], 88 the position of the REP-associated Borrelia species with respect to its branching position was found to 89 be variable. Thus, further studies based on whole genome data are needed to clarify the position of B. 90 turcica and the ‘reptile group’ of strains. 91 But let us prospectively consider how more sequence information, as it becomes available, for 92 this newly-identified group of Borreliaceae spirochetes (or, for that manner, any new species related to 93 this family) might affect the proposed division for this family. Any new species belonging to the 94 family Borreliaceae could exhibit one of the three branching patterns noted below. The distribution 95 patterns of the described signatures for three possible branching patterns involving a new species can 96 be predicted as follows: 97 1. The species branches either within the LD group or as an outgroup of this clade. In this 98 case, it is predicted that the sequenced strain (as seen for B. finlandensis, B. japonica, B. 3 99 mayonii and B. chilensis) will contain either some or all of the signatures specific for the LD 100 group, but generally none for the RF group, indicating that the strain is related to the LD group 101 of species. The addition of B. finlandensis, B. japonica, B. mayonii and B. chilensis are 102 examples of this branching pattern (Figure 1). 103 2. 104 clade, such a strain (as seen with B. coriaceae) is expected to contain either some or all of the 105 signatures for the RF clade, but generally none for the LD group. The addition of B. coriaceae 106 is an example of this branching pattern (Figure 1). 107 3. 108 in phylogenetic trees. While harboring at least some of the signatures for the family 109 Borreliaceae it does not contain any of the signatures specific for the LD or the RF clades. In 110 this case, further comparative genomic studies on this group of species/strains need be carried 111 out to identify molecular markers specific for this clade. Depending upon the other genetic and 112 phenotypic characteristics of these species/strains, consideration that they may form a separate 113 genus within the family Borreliaceae would be warranted. The new species/strain branches either within the RF group or as an outgroup of this The sequenced species/strain forms outgroup of both the LD and RF groups of species 114 115 Based upon the distribution pattern of the described signatures in any new species, it should be 116 possible to establish, in all cases, whether the newly-described species is a part of the described LD or 117 RF groups, or, alternatively, it forms a clade that is distinct from these two groups. Thus, in contrast to 118 the assertion of Margos et al. [7] that, as new Borreliaceae species are discovered the distinction 119 between the two groups will become increasingly blurred, we predict that the molecular markers 120 described here will prove instrumental in unambiguously establishing the relationship of newly 121 identified species to either the RF or the LD groups of species and that this can provide insights into 122 the biology of these organisms. The notion that there is a smooth continuum of species out there--with 123 all possible permutations in current existence, waiting only to be discovered--does not reflect the 124 general experience of evolutionary biology. 125 Margos et al. [7] also questioned the signature value of a few of the CSPs, because they are 126 lacking in an isolated species. However, the loss of a gene in a particular species, which is otherwise 127 uniquely shared by all other members of the group, does not significantly diminish its value as a 128 signature or diagnostic characteristic for the group. Additionally, they also critiqued the Adeolu and 129 Gupta [4] article on the grounds that a number of CSPs that distinguish between the two groups of 130 Borreliaceae are of unknown function at the time of annotation and, for that reason, are of limited 131 utility as useful signatures. However, this contention appears to reflect a misunderstanding of the 4 132 earlier work on CSPs for other groups of prokaryotes, including Alphaproteobacteria, Actinobacteria, 133 the PVC superphylum, Halobacteria, and Chlamydiae [11-15]. Most of these CSPs were of unknown 134 function at the time they were first characterized, however further studies have shown them to be 135 highly reliable molecular markers for these groups, and biochemical studies on them are leading to 136 discovery of novel and important functions that were hitherto unrecognized [16-20]. Thus, not 137 knowing the function of a conserved protein that is uniquely shared by a given group of species should 138 not be a cause for criticism. Rather, it should be recognized as an opportunity and a challenge, as 139 indicated below, to understand its function and why it is uniquely present in one group of organisms 140 but not another [21]. 141 Margos et al. [7] present a figure showing high synteny between the chromosomes of B. 142 burgdorferi and both an example from the LD group and an example from the RF group (A similar 143 analysis had earlier been published by one of us [2]. However, this was principally a demonstration of 144 conservation of gene order and indirect evidence of the rarity of chromosome rearrangements, such as 145 inversions and large duplications, in these taxa. This is plausibly attributable to the absence or rarity of 146 insertion sequences, transposable elements, or lysogenic phages in the chromosome or, alternatively, to 147 imposed constraints from the linear organization of their chromosomes [22]. Moreover, the analysis by 148 Margos et al. [7] excludes the multiple plasmids that are present in different Borreliaceae species 149 which make up approximately one-third of overall genetic content. One of the distinguishing features 150 of the RF group of species, inlcuding B. anserina (GenBank accession number CP014325), is the 151 presence of large linear plasmids (megaplasmid) of 90-190 kb, which have limited synteny and 152 similarity with any single plasmid of a LD group species [23]. The chromosomes and megaplasmids in 153 the RF clade appear to be co-evolving [2]. 154 More informative than chromosome gene order for inferring evolutionary relationships are 155 genome-wide pairwise comparisons of genes and proteins that species have in common. Adeolu and 156 Gupta [4] previously reported pairwise comparisons of the genomic average nucleotide identity (ANI) 157 values between species from the RF group and those in the LD group. ANI is a widely accepted 158 criterion for determining the genomic relatedness of species at species and genus levels [24-26]. The 159 ANI analysis showed that the species from the RF clade are distinct from those in the LD clade and the 160 differences in ANI values between the two groups support their placement into two distinct genera [4]. 161 In Figure 3, we present here an average amino acid (AAI) similarity matrix for all Borreliaceae species 162 for which genomes have been sequenced and are publicly available. The Borreliaceae species again 163 form two distinct groups, corresponding to the two proposed genera. 5 164 165 In conclusion, all the different lines of evidences based on genome sequence data strongly support the existence of two distinct and cohesive groups within the family Borreliaceae. 166 167 B. Phenotypic traits distinguishing the relapsing fever group and the Lyme disease group of 168 spirochetes 169 Here, we review the informative phenotypic traits of "Borrelia burgdorferi sensu lato", which 170 either singly or in combination, serve to distinguish this clade from the original members of the genus 171 Borrelia (i.e. the RF clade), which mostly comprise the several different species that cause relapsing 172 fever but also include the long-recognized agents of avian spirochetosis (B. anserina) and bovine 173 borreliosis (B. theileri), as well the more recently described disease agents, like B. miyamotoi. Margos 174 et al. [7] contend that the genus Borrelia prior to the proposed split was “cohesive” due to their “shared 175 spirochaetal morphology” and “common vector-borne style”, but then list exceptions to this broad 176 statement. 177 An obvious difference between the two clades, and one of undoubted medical and public health 178 relevance, is that one cluster includes all the known species that cause Lyme disease and the other 179 cluster includes all the known species that cause relapsing fever [1-3]. The differences in the diseases 180 that occur in humans have their counterparts in natural and experimental infections in mammalian 181 hosts [3,27-30]. In comparison to infections by the RF group of species (including B. anserina and B. 182 miyamotoi), infections caused LD group species tend to be chronic and with higher persistent densities 183 of spirochetes in tissues rather than the blood [31-33]. During RF in humans and experimental animal 184 models, spirochetes in unconcentrated blood are usually detectable by light microscopy of thin blood 185 smears. In fact, this is still the most common method for laboratory diagnosis of relapsing fever 186 [34,35]. 187 The newly-described LD agent B. mayonii was reported to reach higher densities in the blood 188 of infected patients than was observed during infections with B. burgdorferi [36], but Pritt et al.’s 189 estimated cell densities for B. mayonii in the blood of 104-105 per milliliter are at least two orders of 190 magnitude lower than what is commonly observed during relapsing fever in humans and animal 191 models. Moreover, contrary to the reported findings in some human cases, B. mayonii spirochetes were 192 not detected by Dolan et al. [37] in the blood of experimentally-infected mice while they persistently 193 had spirochetes in skin tissue and remained infectious for ticks. This pattern of few or no spirochetes in 194 the blood while they persist in the tissues fits the phenotypes of other LD species. In our opinion, 195 Margos et al.'s [7] statement that “B. mayonii produced high spirochetal blood densities, akin to that 196 seen following infection with species of the RF group” is not an accurate interpretation of the 6 197 literature. Contrary to Margos et al.’s [7] assertion the “symptomology [sic] that differentiates [human 198 infection from] RF spirochaetes from [human infection from] the LB group of spirochaetes” has not 199 been further “blurred”. 200 Two vector-related traits that stand out for differentiating between the two groups of 201 spirochetes are the location of the spirochetes in an unfed tick at the time that the blood meal 202 commences [38,39], and the maintenance of the spirochete in nature by transovarial transmission [40- 203 42]. 204 The vectors for the RF group of species represent a variety of arthropods, including the body 205 louse, argasid (or soft) ticks, and the two major types, prostriate and metastriate, of ixodid (or hard) 206 ticks [3,41,43]. Except for the special case of B. recurrentis, which is not transmitted by its louse 207 vector through saliva [39], all the other RF group species that have been investigated to this point are 208 disseminated from the midgut to the salivary glands before the subsequent molt and the next blood 209 meal. This is of medical and ecological importance, because it means transmission of the pathogen to 210 the host can begin soon after feeding begins. These include species that are transmitted by either 211 argasid, prostriate, or metastriate ticks: B. duttonii in Ornithodoros moubata [44], B. anserina in Argas 212 spp. [45], B. theileri in Rhipicephalus (Boophilus) microplus [46], B. crocidurae in Ornithodoros spp. 213 [47], B. hermsii in O. hermsi [48], B. turicatae in O. turicata [49,50], and B. miyamotoi in Ixodes 214 scapularis (personal communication, Linda Bockenstedt, Yale University). We note that this 215 characteristic of the RF clade holds even for Borrelia spp. transmitted by hard ticks, which are slow- 216 feeding in contrast to the rapid-feeding soft ticks, such as Ornithodoros and Argas spp. 217 This characteristic contrasts with the findings for B. burgdorferi sensu lato, for which the only 218 known competent vectors are certain species of the prostriate genus Ixodes. In their consensus 219 summary of a workshop on the relationship between the pathogen and its arthropod vector, Burgdorfer 220 et al. [51] wrote that “...the Lyme disease spirochete in its Ixodes vectors remains in the midgut, where 221 it aggregates near the microvillar brush border and in the intercellular spaces of the gut epithelium”. 222 Subsequent studies have confirmed this (reviewed in [38,39]). Previous reports of dissemination of a 223 Lyme disease agent in unfed ticks were before B. miyamotoi was discovered and may have been 224 misidentification of B. miyamotoi as B. burgdorferi or other Lyme disease agent by non-specific stains 225 or cross-reactive polyclonal antisera. 226 Most species in the RF group feature transovarial transmission in their tick vectors; this 227 phenomenon has not been documented in any member of B. burgdorferi sensu lato to date [40-42]. 228 Transovarial transmission has been shown for RF group species transmitted by hard ticks as well as 229 soft ticks. These include B. theileri in the metastriate tick R. microplus [46], B. miyamotoi in the 7 230 prostriate I. scapularis [52], and B. lonestari in the metastriate Amblyomma americanum [53]. Older 231 reports of transovarial transmission of B. burgdorferi sensu lato in Ixodes spp. ticks are attributable to 232 misidentification of B. miyamotoi for a Lyme disease species [42]. Transovarial maintenance is of 233 medical and ecological importance, because it confers the capacity for larval ticks to transmit the 234 pathogen to humans and other vertebrates. 235 We end this survey with a consideration of morphologic differences that were observed 236 between the “Lyme disease spirochetes” and other Borrelia spp. In their 1984 paper Schmid et al. [54] 237 noted that “the Lyme disease spirochetes differ from Borrelia spp. morphologically”. Johnson et al. 238 [55] and Hovind-Hougen [56] distinguished between the new spirochetes and known Borrelia spp. in 239 the number of insertion points for flagella they had at their ends. While ultrastructural morphology is 240 infrequently used at present in descriptions of bacteria, a literature review reveals that even as 241 additional species were added to the B. burgdorferi sensu lato cluster, the original observation of 242 comparatively fewer flagella in “Lyme disease spirochetes” than in other Borrelia spp. has generally 243 held up. The most commonly reported values for flagella at one end of cells of B. burgdorferi sensu 244 lato is 7-8, within a range of 4-12, for the following species: B. burgdorferi [3,57-60]; B. afzelii and B. 245 garinii [58-60]; B. sinica [61]; and B. japonica [62]. 246 Except for B. anserina, which was reported to have 7-8 flagella at an end [59], all other 247 examples of RF group species that have been adequately examined by ultrastructural criteria have had 248 an estimated 15-30 flagella at one end. These include B. recurrentis [57,59], B. hermsii [63,64], B. 249 microti [59,65], and B. persica [66]. B. recurrentis was reported to have 8 flagella at each end, but the 250 insertion points are not well visualized in the figure that was provided [67]. 251 In conclusion, the phenotypic differences between the RF and LD clades, including the diseases 252 that members cause, and the ecological and medical significances of these differences are greater than 253 what Margos et al.[7] claim in their letter. 254 255 256 C. Possible adverse consequences of the reclassification of members of the Family Borreliaceae Margos et al. [7] write of “adverse consequences of splitting the genus Borrelia”. There is only 257 limited space in this venue to address these undocumented assertions. Suffice it to say that there are 258 counter-arguments about the "adverse consequences" of continued dependence on "Borrelia 259 burgdorferi sensu lato" as a genus proxy for an expanding group of species, only a few of which are 260 truly associated with human disease. 261 262 But we first anticipate another potential criticism: allusion to the attempted split of the medically-important genus Chlamydia into two genera, Chlamydia and Chlamydophila [68], as an 8 263 argument against splitting Borreliaceae species. But the analogy between the taxonomic circumstances 264 for these two sets of pathogens can be taken only so far. The evidence in favor of this split of 265 Chlamydia was comparatively weak [69]. The two proposed genera exhibit a high level of similarity in 266 their 16S rRNA gene sequences and no consistent phenotypic differences [70,71]. 267 In another, more recent example of name change for a medically-important organism, the 268 species Clostridium difficile was transferred to a new genus, Clostridioides, based primarily on its 269 branching in a separate clade in the 16S rRNA tree and some protein trees from that corresponding to 270 the type species of the genus Clostridium butyricum [72,73]. The only other molecular evidence used 271 in support of the reclassification of C. difficile was a number of CSIs that Gupta and Gao [74] 272 previously described for the “Clostridium sensu stricto” clade that were absent in C. difficile. 273 In comparison to the Chlamydia and Clostridium proposals, the case for the existence of two 274 cohesive groups within the genus Borrelia is much stronger. From the presented evidence, it is clear 275 that the members of the family Borreliaceae comprise two distinct groups differing from each other in 276 numerous genetic and genomic characteristics, phenotypic characteristics, and in the diseases they 277 cause in humans and other animals. As stated above, prior to the proposal for the split, the genus 278 Borrelia was functionally treated as different two groups, with the LD group pervasively referred to as 279 “B. burgdorferi sensu lato” or “Lyme disease Borrelia” to distinguish those species from the RF agents 280 and other Borrelia species [1,2,75]. Thus, the proposal for splitting the family Borreliaceae into two 281 groups only formalizes the existence of two de facto cohesive groups within this family, which were 282 already widely recognized [1,2,75]. 283 Before addressing specific concerns, we also highlight some benefits of a clarification of 284 phylogenetic relationships for better understanding the microbiology and ecology of these pathogens. 285 Extensive work on these sequence-based characteristics markers on other groups of prokaryotes have 286 shown that these markers possess high degree of predictive ability to be identified in other group 287 members, for which no sequence information may be available at the time (reviewed in [76,77]. With 288 the more explicit division of the Borreliaceae species into two genus level groups, attention can be 289 focused on unique genetic and molecular characteristics that differentiate the two groups of microbes 290 [78]; the described characteristics in other groups of bacteria have been found to play important and 291 generally essential roles [79]. For Borreliaceae species, some of the CSIs that distinguish between the 292 RF and LD groups are in proteins, such as the flagellar motor switch protein FliM, chemotaxis proteins 293 CheY and CheW, and cell shape determining protein MreB [4], that may be determinants of the 294 aforementioned morphological differences between Borreliaceae species. 9 295 Margos et al.[7] write that “splitting the genus does not provide any assistance as far as clinical 296 evaluation is concerned” and further that “[it] does not help end user communities including in clinical 297 medical practice, public health, or those studying the ecology of the bacteria”. They more 298 provocatively write that this “division complicates an already complicated situation which will serve 299 only to lead to further confusion among scientists, clinicians, public health authorities and the general 300 public.” These claims are not developed or documented in the Letter. Many journal readers, especially 301 the majority who are not specialists in the field of LD, may be mystified about what the "complicated 302 situation" is. One could reasonably make the counter-argument that timely diagnosis and treatment of 303 RF, a Neglected Tropical Disease (http://journals.plos.org/plosntds) and an infection with a higher 304 mortality rate than LD [35], is hindered by the “confusion” from the plethora of Borrelia species 305 names and the mistaken assumption that if it is a "Borrelia", it means Lyme disease. 306 That said, we acknowledge the argument for retaining the genus name Borrelia for the LD 307 group of species, if for no other reason than the most commonly-known species in the genus is B. 308 burgdorferi. However, B. anserina is the type species of the genus Borrelia and is part of the RF clade 309 (Figure 1). Hence, according to the rules governing the description of any new genus, the genus name 310 Borrelia must be retained for the RF clade [1,80,81]. The splitting of a genus into subgenera is also 311 avoided in prokaryotic systematics and none appear to have been proposed for over 35 years. Thus, the 312 only option available was to place the LD group of Borreliaceae species into a new genus to indicate 313 their distinctness from the RF group of species. The similarity of the name Borreliella to the original 314 name of the genus Borrelia, makes it unlikely that the species with the new names (e.g. Borreliella 315 burgdorferi) could be confused with an unrelated species. We note that it remains “B. burgdorferi” in 316 abbreviation for the scientific and medical literature and as a stand-alone complete name (as in "E. 317 coli") in news media and for the general public. Furthermore, the name Borreliaceae for the family 318 allows researchers, clinicians, and epidemiologists working in the LD area to continue using the term 319 “borreliosis", e.g. “Lyme borreliosis” and “neuroborreliosis”, to describe the disease and its 320 manifestations. 321 Finally, we recognize the inconvenience and disruptions that for a while follow a taxonomic 322 name change in a medically-important group of microbes, but ultimately medical progress and public 323 health advancement are best served by openness to scientific findings. Thus, the division of 324 Borreliaceae species into two distinct genera, which reflects the underlying genetic and phenotypic 325 diversity of this group, should prove greatly advantageous for progress of biomedical and ecological 326 studies on these microbes in the long run. 327 10 328 Acknowledgements: We thank Jorge Benach, Sven Bergström, George Chaconas, Michel Drancourt, 329 Job Lopez, Richard Marconi, Tara Moriarty, Steven Norris, Vartul Sangal, Tom Schwan and Iain 330 Sutcliffe for reading earlier versions of the manuscript and for comments and suggestions they 331 provided. We thank Seema Alnazar for assistance in updating information for the CSIs. 332 11 333 Reference List 334 335 336 337 338 339 1. Wang G, Schwartz I. Genus II. Borrelia Swellengrebel 1907, 582AL. In: Brenner DJ, Krieg NR, Garrity GM, Staley JT, eds. 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The Tables referred 556 to in this figure are from Adeolu & Gupta [4]. Figure 1. Phylogram and summary of the molecular markers that are specific for the members of the 557 558 Figure 2. Updated information for conserved signature indels in (A) glucose-6-phosphate isomerase 559 and (B) GTP binding protein which are specific for the Lyme disease (LD) and Relapsing fever (RF) 560 clades. Sequence information for the following four species (viz. B. coriaceae, B. finlandensis, B. 561 japonica, B. mayonii and B. chilensis), which have become available since the Adeolu and Gupta [4] 562 publication has been added to the sequence alignments and the new species are found to contain the 563 CSIs specific for the LD or the RF clade as predicted. 564 565 Figure 3. An average amino acid identity (AAI) matrix showing the average proportion of identical 566 aligned amino acid positions in 762 conserved core proteins widely distributed among the sequenced 567 members of the family Borreliaceae. Individual cells in the matrix are shaded in a continuous gradient 568 ranging from white at the lowest AAI values (0.69) to dark gray at the highest AAI values (0.98). 569 570 18
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