Evidence map›Paper›PMID 41593365›Full record

ArticleNature microbiology2026

Babesia divergens host cell egress is mediated by essential and druggable kinases and proteases.

Brendan Elsworth, Caroline D Keroack, Yasaman Rezvani, Aditya S Paul, Keare A Barazorda, Niel C Bauer, Jacob A Tennessen, Samantha A Sack, Cristina K Moreira, Marc-Jan Gubbels and 3 more

Abstract read
In one paragraph

Article in Nature microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Establishment of a stable transfection and gene targeting system inFrontiers in cellular and infection microbiology · 2023
    Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Brendan ElsworthDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Caroline D KeroackDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Yasaman RezvaniDepartment of Mathematics, University of Massachusetts Boston, Boston, MA, USA.
Aditya S PaulDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, USA.ORCID http://orcid.org/0000-0003-4123-7410
Keare A BarazordaDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Niel C BauerDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Jacob A TennessenDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Samantha A SackDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Cristina K MoreiraDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Marc-Jan GubbelsDepartment of Biology, Boston College, Chestnut Hill, MA, USA.ORCID http://orcid.org/0000-0002-2769-8600
Marvin J MeyersDepartment of Chemistry, Saint Louis University, Saint Louis, MO, USA.ORCID http://orcid.org/0000-0001-5484-619X
Kourosh ZarringhalamDepartment of Mathematics, University of Massachusetts Boston, Boston, MA, USA.ORCID http://orcid.org/0000-0002-5108-8108
Manoj T DuraisinghDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA, USA. mduraisi@hsph.harvard.edu.ORCID http://orcid.org/0000-0001-8534-5515

Funding

Comparative systems biology of apicomplexan cell divisionR01AI167570 · NIAID · BOSTON COLLEGE · PI Manoj T Duraisingh, Marc-Jan Gubbels · 2022 to 2026
$6.5M
Dissecting transcriptional mechanisms underlying Toxoplasma stage transition through in vitro evolutionR21AI150090 · NIAID · BOSTON COLLEGE · PI GUBBELS, MARC-JAN, ZARRINGHALAM, KOUROSH · 2020 to 2021
$441k
Developing comparative chemical genomics and genetic validation tools for Babesia spp.R21AI153945 · NIAID · HARVARD SCHOOL OF PUBLIC HEALTH · PI DURAISINGH, MANOJ T · 2020 to 2021
$439k
American Heart Association (American Heart Association, Inc.) 17POST33410556American Heart Association (American Heart Association, Inc.) 19PRE34380106Department of Health | National Health and Medical Research Council (NHMRC) APP1148392NIAID NIH HHS R01 AI167570NIAID NIH HHS R21 AI150090NIAID NIH HHS R21 AI153945U.S. Department of Health & Human Services | National Institutes of Health (NIH) 1R21AI150090U.S. Department of Health & Human Services | National Institutes of Health (NIH) 1R21AI153945, 1R01AI167570-01
6 · The paper itself

Abstract

Egress from host cells is fundamental for the spread of infection by apicomplexan parasites, including Babesia species. These tick-borne pathogens represent emerging zoonoses, but treatment options are limited. Here, using microscopy, transcriptomics and chemical genetics, we identified signalling, proteases and gliding motility as key drivers of egress by Babesia divergens. We developed reverse genetic tools in B. divergens to perform a knockdown screen of putative mediators of egress, identifying kinases and proteases involved in distinct steps of egress (aspartyl protease (ASP) 3 and kinases cGMP-dependent protein kinase (PKG) and calcium-dependent protein kinase (CDPK4)) and invasion (ASP2, ASP3 and PKG) of red blood cells. Inhibition of egress stimulates additional rounds of intracellular replication, indicating that exit from the replication cycle is uncoupled from egress. Chemical genetics validated PKG, CDPK4, ASP2 and ASP3 as druggable targets in Babesia spp. and identified promising compounds for babesiosis treatment. Taken together, egress in B. divergens more closely resembles egress in Toxoplasma gondii than in the more evolutionarily related Plasmodium spp.

Indexed as

BabesiaPeptide HydrolasesProtein KinasesAnimalsCyclic GMP-Dependent Protein KinasesErythrocytesGene Knockdown TechniquesHumansProtozoan ProteinsCyclic GMP-Dependent Protein KinasesPeptide HydrolasesProtein KinasesProtozoan Proteins

Identifiers

PMID41593365
PMCPMC12872469

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.