The intergenic small non-coding RNA ittA is required for optimal infectivity and tissue tropism in Borrelia burgdorferi.

Post-transcriptional regulation via small regulatory RNAs (sRNAs) has been implicated in diverse regulatory processes in bacteria, including virulence. One class of sRNAs, termed trans-acting sRNAs, can affect the stability and/or the translational efficiency of regulated transcripts. In this study, we utilized a collaborative approach that employed data from infection with the Borrelia burgdorferi Tn library, coupled with Tn-seq, together with borrelial sRNA and total RNA transcriptomes, to identify an intergenic trans-acting sRNA, which we designate here as ittA for infectivity-associated and tissue-tropic sRNA locus A. The genetic inactivation of ittA resulted in a significant attenuation in infectivity, with decreased spirochetal load in ear, heart, skin and joint tissues. In addition, the ittA mutant did not disseminate to peripheral skin sites or heart tissue, suggesting a role for ittA in regulating a tissue-tropic response. RNA-Seq analysis determined that 19 transcripts were differentially expressed in the ittA mutant relative to its genetic parent, including vraA, bba66, ospD and oms28 (bba74). Subsequent proteomic analyses also showed a significant decrease of OspD and Oms28 (BBA74) proteins. To our knowledge this is the first documented intergenic sRNA that alters the infectivity potential of B. burgdorferi.

Recently, the sRNA transcriptome of B. burgdorferi was reported and 1,005 sRNA species were identified; many of these sRNAs are upregulated at 37˚C, a condition that models the mammalian host temperature in vitro [40]. Independently, a Luminex-based procedure for the detection of Signature-tagged mutagenesis (STM) clones of the transposon (Tn) library of B. burgdorferi strain B31, identified several intergenic non-coding regions that, when genetically inactivated, exhibited infectivity deficits [55]. Here we further characterize one of these intergenic sRNAs, that maps to the 17 kilobase linear plasmid (lp17) between bbd18 and bbd21, which was designated as SR0736 [40]. We have renamed SR0736 as ittA for infectivity-associated and tissue-tropic sRNA A. We independently inactivated this locus and showed that mutants lacking ittA are significantly attenuated and do not disseminate to additional skin sites or heart tissue. To our knowledge this is the first intergenic sRNA that has been linked to infectivity and pathogenesis of B. burgdorferi. Taken together, our data suggests that ittA exerts its effect by engaging several unlinked genetic targets and altering their production in a manner that is required for optimal infection and dissemination throughout the host.

Identification of sRNA associated with B. burgdorferi infectivity
Given the importance of sRNAs in other pathogenic bacteria [42,44] and the population of sRNAs in B. burgdorferi that are induced at conditions that mimic the mammalian host temperature in vitro [40], we sought to determine if a subset of intergenic trans-acting sRNAs in B. burgdorferi contributed to borrelial pathogenesis. Initially, we utilized a B. burgdorferi transposon (Tn) mutant library [55], coupled with Tn-seq analysis following mouse infection [56,57], to identify Tn insertions that mapped to intergenic (IG) regions or non-coding regions within the genome. We focused on intergenic Tn mutants that were represented in the initial in vitro grown inoculum used for infection but were substantially reduced following murine infection (Table 1). These data were overlapped with B. burgdorferi strain B31 sRNA annotations [40] to identify the Tn insertions that interrupted sRNAs. We identified eight such Tn mutants and tested their ability to establish infection as individual isolates by infecting C3H/HeN mice at a dose of 10 4 B. burgdorferi cells. After 21 days, a qualitative assessment of infectivity was determined ( Table 2). Five of eight sRNA Tn mutants displayed reduced infectivity relative to the parent strain, 5A18NP1 [58], with a reduction in culture positive sites ranging from 25% to 75% (Table 2). After this initial screen, we focused on the sRNA (SR0736; [40]) that maps between genes bbd18 and bbd21 of linear plasmid 17 (lp17), which demonstrated the most significantly attenuated phenotype of the strains evaluated (Tables 1 and 2). Based on the phenotype observed for B. burgdorferi cells that have a Tn insertion in the SR0736 sRNA, we designated SR0736 as ittA for infection-associated and tissue-tropic sRNA A.
Popitsch et al. identified ittA via deep sequencing and showed that the ittA-encoded sRNA was made at a higher level when B. burgdorferi is grown at 37˚C [40]. The sRNA and 5' end deep sequencing data indicate that ittA is a processed intergenic sRNA (Fig 1) [40,59]. The mapped primary 5' ends (transcriptional start sites) are upstream from the ittA sRNA with minimal read coverage of the precursor RNA, suggesting the ittA sRNA is initially transcribed as a larger transcript (130 nt) and cleaved or processed into a stable smaller transcript (70 nt) [ Fig 1A and 1B]. In addition, the distal 5' transcriptional start site for ittA overlaps with the transcription start site for bbd18 on the opposite DNA strand (Fig 1A and 1B).

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The ittA sRNA alters borrelial infectivity To independently test the role of the ittA sRNA in borrelial pathogenesis, we genetically interrupted ittA as depicted in Fig 2A. The parent strain is the B31 derivative ML23 that lacks the 25 kb linear plasmid [60]. Due to the absence of lp25, this strain is non-infectious in the murine model of experimental infection. However, when a region of lp25, containing the bbe22 gene, is provided in trans infectivity is restored and provides selective pressure for the maintenance of plasmids encoding it during experimental infection [61,62]. The shuttle vector pBBE22luc used here contains bbe22 and the firefly luciferase reporter that facilitates bioluminescent imaging as reported previously [61,63,64]. The ittA-encoding sRNA was insertionally inactivated in the B. burgdorferi strain ML23 (Fig 2A). Transformants were selected with streptomycin and PCR was employed to distinguish the parent from potential ittA::Str R mutant candidates (Fig 2B). The resulting ittA mutant strain was designated DM103. We then genetically restored the ittA sRNA in cis in strain DM103 by selecting for resistance to gentamicin and then screening for sensitivity to streptomycin (Fig 2A). Candidates predicted to encode ittA were vetted further using PCR ( Fig 2C). The ittA complement strain was designated DM113. Following the aforementioned The negative strand coverage is shown in blue and the positive strand coverage in green. The genomic context is illustrated below the coverage maps: black arrows indicate the annotated ORFs, the yellow box indicates the Northern probe used, and the wavy line is the proposed mature sRNA species as determined by RNA-seq and Northern blot analysis. The red box represents the antibiotic resistance marker that is inserted into the ittA sRNA locus to obtain strain DM103. The sRNA is encoded in the positive strand and has two primary 5' ends indicating transcriptional start sites (TSS) denoted by red arrows in the 5' end + track. The sequencing results show the sRNA is processed into its mature form visualized as the "green box" in the sRNA + strand track. B. The primary 5' TSS of ittA and gene bbd18. The bbd18 gene is encoded on the negative strand and is located upstream of ittA in lp17. The ittA sRNA has two primary 5' TSS; one of the TSS (nucleotide 11,689) overlaps with the bbd18 TSS (nucleotide 11,691) on the opposite strand, as observed in the 5'end-track. The sequencing results show the sRNA processed into its mature form. https://doi.org/10.1371/journal.ppat.1008423.g001

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The ittA sRNA alters borrelial infectivity screen of the ittA::Str R mutant strain DM103 and the complement strain DM113, both were transformed with pBBE22luc so they could be tested in the murine experimental model of infection using a firefly luciferase reporter [61,63,64]. Note that all strains maintained plasmid content identical to the parent strain.
To confirm that the ittA mutant and complement strains lacked and restored the ittA sRNA, respectively, both Northern blot and Reverse Transcriptase PCR (RT-PCR) were performed (Fig 3). Notably, the ittA sRNA was detected in the parent strain ML23 and the complement strain DM113 (Comp), but not in the mutant strain DM103 (ittA::Str R ), when either Northern blot (Fig 3A) or RT-PCR analysis was employed (Fig 3B).
Considering the nature of intergenic sRNAs (i.e., between two annotated genes), one concern in deleting the ittA sRNA is the potential polar effect this alteration might have on expression of flanking genes. Here, we focused on the only intact encoding genes in the region, bbd18 and bbd21. When RT-PCR was employed, no qualitative difference in bbd18 or bbd21  Table) were used to confirm the presence of the P flgB-Str R in the mutant (ittA:Str R ), relative to its parent strain by PCR. C. For the cis complementation of the ittA sRNA mutant strain, the P flgB-Str R cassette and the flanking region were replaced by the ittA sRNA sequence linked to a P flgB-Gent R cassette by a double crossover homologous recombination event. The resulting complement strain (Comp) was evaluated by PCR using primer pairs P5/P6, P1/P6 and P5/P4 (S7 Table). Note that the distances between genetic loci are not shown to scale. https://doi.org/10.1371/journal.ppat.1008423.g002

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The ittA sRNA alters borrelial infectivity transcripts were observed between the parent, mutant, or complement strains (S1 Fig). Note that both bbd19 or bbd20 are no longer annotated as intact ORFs and, consistent with this, no transcript was detected for bbd20 by RT-PCR for any of the strains. Taken together, these data indicate that the inactivation of the ittA sRNA exhibits no polar effects. In addition, the ML23 parent, the ittA mutant, and the cis complement strains all grew similarly, indicating that the loss of the ittA sRNA did not impair replication of these borrelial strains under in vitro growth conditions (S2 Fig).

The loss of ittA attenuates B. burgdorferi infectivity
We then evaluated the loss of the ittA-encoded sRNA on murine infectivity. To spatially and temporally track infection, C3H/HeN mice were inoculated at a 10 3 dose with the parent B. burgdorferi strain, the ittA mutant, and the complement. Light emission was quantified at the time points indicated in Fig 4. As a background control for luminescence, a single infected mouse was not given the luciferase substrate D-luciferin (leftmost mouse in each panel, Fig  4A). At the dose tested (10 3 B. burgdorferi cells), no signal is detected for any of the strains prior to day 4. At day 4, a clear signal is observed in mice infected with all three strains except for one mouse infected with the sRNA mutant strain (Fig 4A). Subsequently, the signal increased with a peak at day 7 and then decreased concomitant with the development of the adaptive immune response (Fig 4A; [65]). All strains displayed similar light emission until day 10 when the ittA::Str R strain exhibited a reduction in signal and retained lower light emission through 21 days, e.g., the duration of the infectivity analysis ( Fig 4A). Consistent with the images obtained, quantification of in vivo luminescence from the mice revealed significantly lower light emission by the ittA::Str R strain compared to the parent on days 10 and on day 14 of infection ( Fig 4B). The complement strain DM113 emitted light comparable to the parent strain on days 7, 14 and 21 ( Fig 4B). These results, as assessed by infectivity-based criterion used here, suggest that the ittA complement strain DM113 displays comparable in vivo complementation during experimental infection (Fig 4).
To further assess the phenotype of the ittA mutant and complement, the infected mice were sacrificed after 21 days and tissues cultured to qualitatively score for infection. As shown in

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The ittA sRNA alters borrelial infectivity burgdorferi strains was tracked following the infection of C3H/HeN mice with 10 3 of each B. burgdorferi isolate. Mice were infected for 21 days total with the parent (n = 5), ittA sRNA mutant (n = 5), and the ittA genetic complement (n = 4) and imaged on the time or day (d) listed on the left. For each image shown, the mouse on the far left (denoted with a '−') was infected with B. burgdorferi but did not receive D-luciferin to serve as a background control. Mice denoted with a '+' were infected with the strain indicated and treated with D-luciferin to promote light emission. All images were normalized to the same scale (in photons/sec; shown on the right). B. Quantification of in vivo luminescence images of mice infected at a dose of 10 3 of B. burgdorferi. Parent strain ML23/pBBE22luc is depicted as black circles, the ittA sRNA mutant DM103/pBBE22luc as red squares, and the genetic complement strain DM113/ pBBE22luc as blue triangles. Each time point represents the average value and the standard error from the four mice given D-luciferin substrate for the parent and sRNA mutant strains and three mice for the complement strain.

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The ittA sRNA alters borrelial infectivity Table 3, the ittA mutant that was needle inoculated on the ventral side (abdomen) is impaired in its ability to disseminate to peripheral ear skin and it is attenuated in its ability to disseminate and colonize heart tissue with overall infectivity reduced by 40%. In addition to this qualitative assessment of infection, we also scored for spirochete load using quantitative PCR (qPCR) analysis to enumerate borrelial genome copies relative to murine β-actin copies. As observed in Fig  5, the ittA mutant had significantly lower bacterial burden in all tissues analyzed relative to its parent and complemented strains with the notable exception of the inguinal lymph node. The complemented strain exhibited bacterial burden comparable to the parent strain, thus demonstrating complete in vivo complementation during infection. When taken together with the in vivo imaging data shown in Fig 4, these data suggest that the ittA sRNA is required for optimal tissue tropism and/or dissemination during B. burgdorferi experimental infection.

Transcriptional profile of the ittA mutant
Trans-acting sRNAs often regulate gene expression by base-pairing with target mRNAs, affecting their stability and/or translation. Given the infectivity defect observed, we hypothesized that ittA regulates the expression of gene(s) that are important for infectivity and, specifically, skin and heart tissue colonization. We performed RNA-seq to compare the global transcriptional profile of the parent and the ittA mutant in an unbiased manner under in vitro conditions that mimic mammalian-like conditions. It is important to note that the cultures used for this analysis were also utilized for the subsequent proteomic analysis described below.
In our transcriptional comparison we detected 1,343 transcripts total (S1 Table). From this group, we found 92 transcripts that exhibited more than +/-1.4-fold change and were statistically significant (P adj <0.05; S2 Table). Further evaluation showed that the ittA mutant exhibited statistically significant, 2-fold change expression of 19 transcripts when compared to the parent (Fig 6; shown as red spots; see S3 Table). Of the 19, 13 transcripts were upregulated in the sRNA mutant strain, including transcripts predicted to be involved in pathogenesis (vraA [bbi16] [66]), as well as bba66, a locus required for effective transmission from the tick vector to mice and expressed during mammalian infection [67,68]. In addition, there were 6 transcripts downregulated in the sRNA mutant strain, including ospD (bbj09), ospA (bba15), and oms28 (bba74) (Fig 6). It is important to note that 73 additional genes showed statistically significance (P adj <0.05) with a fold change range between +/-1.4 and +/-1.9 (Fig 6; shown as gold spots; see S4 Table). It is interesting to note that 64 of the significantly affected transcripts are from genes that are known to be BosR/RpoS regulated and 79.7% of them are upregulated in the ittA mutant. Overall, these results suggest that the ittA sRNA exerts a regulatory effect by either destabilizing or stabilizing several target transcripts or by indirectly altering the expression of these transcripts via an unknown regulatory mechanism. The net effect in the

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The ittA sRNA alters borrelial infectivity mutant cells lacking ittA is a dysregulation of several genes that may contribute to the decrease in fitness and in a reduction in infectivity potential observed.

qRT-PCR confirms differential expression of transcripts in the ittA mutant
We next utilized quantitative RT-PCR (qRT-PCR) to assess the expression of the candidate genes identified to validate our RNA-seq analysis (Fig 6) using the parent, ittA mutant, and complement strains grown in vitro under mammalian-like conditions. A constitutively expressed gene, flaB, which was not affected by any of strains tested in this study, was used for normalization [17,18]. As a control, we tested ospC and found that this transcript was not affected by the loss of ittA, as predicted. Five genes were tested, bba66, vraA, oms28 (bba74), ospD, and ospA (Fig 7). The qRT-PCR confirmed the upregulation or downregulation observed in the RNA-seq experiment for each gene (Figs 6 and 7) for the parent and ittA mutant. Unexpectedly, only bba66 was restored to wild type levels in the complemented strain (Fig 7). Notably, bbd18 was one of the 19 genes that were differentially regulated. Our qualitative assay demonstrated bbd18 was expressed in the mutant strain, but our RNA-seq data suggest it may be downregulated in the ittA mutant strain. We also attempted to quantify bbd18 transcripts by both qRT-PCR and Northern blot analysis but were not successful using in vitro grown B. burgdorferi. Therefore, it is unclear whether bbd18 expression is altered due to the ittA strain construction or ittA-dependent gene regulation.

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The ittA sRNA alters borrelial infectivity A limitation in the RNA expression data is that expression of genes differentially expressed in the ittA mutant was not restored in the complemented mutant. It is possible that ittA is not processed at native levels in the complemented strain. The Northern blot analysis of ittA demonstrated that the major sRNA species is the same size and comparable to steady-state levels relative to the parent strain. However, when the Northern blot was overexposed, several bands unique to the complement sample were detected in addition to the major product (S3 Fig).
Notably, several of these larger RNA transcripts differ between the parent and the complement strain, suggesting that these differences may affect the in vitro readouts tested. Furthermore, the downregulation of bbd18 in the ittA mutant strain may be affecting gene regulation independently of ittA. The volcano plot depicts log 2 fold change on the x-axis and False Discovery Rate adjusted p value (q -value) on the y-axis. The parent and ittA mutant strain were grown in biological triplicates in vitro using conditions that induce proteins important for mammalian infection. RNA was purified, and the samples subjected to RNA-seq. Single genes are depicted as dots. Of the transcripts, 19 achieved significance with p-value <0.05 and with greater than 2-fold change in the mutant relative to the parent strain. Of the differentially expressed genes, 13 were downregulated and 6 upregulated in the parent relative to the mutant. Yellow spots (73 total) are transcripts that achieved significance with a p-value <0.05 and a fold change range between +/-1.4 to 1.9. https://doi.org/10.1371/journal.ppat.1008423.g006

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The ittA sRNA alters borrelial infectivity ittA alters the borrelial proteome sRNAs often regulate translation initiation by occluding or releasing the ribosome binding site of transcripts [44,48,69]. In addition, sRNAs can bind within coding regions of transcripts resulting in regulatory effects. We hypothesized that ittA might modulate translation efficiency of some transcripts at the post-transcriptional level [44,48,69]. To address this, we used a global proteomic screen to identify and quantify the entire borrelial proteome of both the parent and the ittA mutant under conditions that mimic mammalian-like conditions (Fig 8). A total of 718 proteins were detected and are listed in S5 Table. Of the 718 proteins, 637 were classified with False Discovery Rate (FDR) of 1% and 81 with FDR of 5%.
The samples used for proteomic analyses were isolated from the same cultures as used for the RNA-seq analysis shown in Fig 6. From this assessment we found two proteins, OspD and Oms28, that were affected the most by the loss of ittA; specifically, they were decreased 2.3-

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The ittA sRNA alters borrelial infectivity and 2.1-fold, respectively, in the ittA mutant (Fig 8, red spots). In total, 69 proteins were significantly altered by the loss of ittA, but 67 of these proteins were in the range of fold change between 1.4-to 1.9-fold (Fig 8, gold and red spots, respectively, and S6 Table). Only one additional protein was made at a statistically higher level in the parent strain relative to the ittA mutant (BBG01); all other proteins that fit these criteria were made at higher levels in the ittA mutant (Fig 8 and S6 Table). Interestingly, one of the proteins upregulated with fold change of 1.9 in the ittA mutant is BBA66, as well as several additional RpoS-regulated surface proteins. Here a subset of RpoS-regulated proteins is synthesized at higher levels in the ittA mutant and thus may place the spirochetes at a selective disadvantage since their ectopic production may make them targets for antibody-mediated killing. Presumably this effect is amplified in vivo thereby mediating the phenotype observed. However, the complement corrects for this in vivo by rescuing the mutant in a manner that is not observed in vitro.
Since both the ospD and oms28 transcripts were downregulated in the ittA mutant strain in RNA-seq data and proteomic data (Figs 6 and 8), we hypothesize that ittA stabilizes these transcripts and thus allows for the increased translation of OspD and Oms28. We hypothesize that,

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The ittA sRNA alters borrelial infectivity in the absence of ittA, the ospD and oms28 transcripts are destabilized, resulting in reduced levels of OspD and Oms28 proteins. To determine levels of OspD and Oms28 proteins in the ittA mutant strain, we performed Western blot analysis of proteins lysates from parent, the ittA mutant, and the complement grown in vitro under mammalian-like conditions probed with polyclonal antibodies directed against OspD and Oms28. We observed lower levels of OspD and Oms28 in the sRNA mutant than the parent, consistent with the proteomic analysis ( Fig  9). Of note, the complement did not produce OspD to levels similar to that observed in the parent strain, consistent with the expression of ospD not being restored in the qRT-PCR analysis (Fig 7). For Oms28, the complement produced higher proteins levels than the mutant but not to the same level as the parent. These results demonstrate partial complementation of the ittA mutant relative to the parent strain using both qRT-PCR and Western immunoblot metrics of assessment.

Discussion
Small non-coding RNAs (sRNAs) have emerged as an additional mechanism for the regulation of transcript levels or protein function. Specifically, base-pairing sRNAs, such as trans-acting sRNAs, bind to transcripts and modulate their expression by either altering their stability or their ability to be translated [48,50,70]. Alternatively, protein-binding sRNAs can bind to cellular proteins and modify their activity [45,46,49]. Regulation via sRNAs is fast acting and functions as an additional layer in response to environmental signals [44,71]. Despite the significant effect on translation efficiency, it is important to note that the loss of a single sRNA species often has a limited effect on measurable phenotypes. This is likely due to the subtle effect of the sRNA-mRNA interaction and the lack of an absolute effect seen by this event; that is, transcripts are not entirely inhibited or activated depending on the relative abundance of these RNA molecules and the fine-tuning that is associated with the sRNA-mRNA transient interactions [72,73]. Modest phenotypes may also be due to redundancy, as a given mRNA can be regulated by multiple sRNAs; therefore, the elimination of a single sRNA may not drastically alter mRNA turnover or translation [44,72,73]. Nevertheless, sRNAs encoded by pathogenic bacteria are recognized as important players in adaptive responses with some identified as important effectors in regulatory pathways [44,69,74].

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The ittA sRNA alters borrelial infectivity Due to the enzootic nature of B. burgdorferi and its ability to quickly adapt to environmental factors encountered during their lifecycle, we hypothesized that B. burgdorferi use sRNAs to affect post-transcriptional regulatory processes that calibrate these responses. Recently, 1,005 sRNAs were identified in B. burgdorferi, suggesting that these spirochetes exploit this type of genetic regulation [40]. However, how B. burgdorferi utilizes these sRNA candidates remains largely unknown. In this study, we inactivated a trans-acting, intergenic (IG) sRNA, designated ittA, and demonstrated that this sRNA is required for optimal infection, as well as dissemination to and/or survival in distal tissues. It was further shown that transcript and protein production are affected when the ittA-encoded sRNA is not expressed in B. burgdorferi. To our knowledge, no other intergenic sRNA from B. burgdorferi has been characterized to this extent.
As a first step to link a B. burgdorferi trans-acting intergenic sRNA to an infectivity phenotype, mice were infected with the transposon library of B. burgdorferi strain B31 [55] and decreased infectivity was scored using Tn-seq [56]. These data were compared against the recently described B. burgdorferi sRNA-specific library to identify intergenic sRNA species that mapped to existing Tn mutants. We tested each identified intergenic sRNA Tn mutant individually using the experimental murine infection model. One sRNA mutant, initially described as SR0736 [40] and renamed ittA herein, exhibited the most severe infectivity defect. Subsequent in vivo imaging of an independently derived mutant in ittA confirmed the attenuated phenotype observed for the qualitative infectivity assessment (Table 3) relative to the parent and complement (Fig 4). The inactivation of ittA affected tissue tropism of B. burgdorferi where spirochetes were cultured out of peripheral ear skin and heart in less than 8% of the samples tested (Table 3). Even though the qualitative assessment of infection showed some degree of colonization in the remaining tissues (except the lymph node), the total bacterial load of B. burgdorferi was significantly lower for the ittA mutant relative to the parent and complement strains (Fig 5). These data indicate that ittA is needed for optimal borrelial colonization and/or dissemination. Furthermore, it is important to note that the ittA complement strain DM113 effectively restored infectivity in a manner indistinguishable from the parent using infection as our readout, indicating that the phenotype of the ittA mutant was due to its absence and not a second site mutation.
To globally assess the role of the ittA sRNA we used both transcriptomic and proteomic approaches to identify transcripts and proteins that are altered in its absence, respectively. Two proteins, OspD and Oms28 (BBA74), were produced at lower levels in the ittA mutant consistent with their respective transcripts being reduced in the mutant background. We hypothesize that the ittA sRNA might bind to the ospD and oms28 transcripts, prevents their degradation, and consequently enhances OspD and Oms28 translation. Whether this sRNA-mRNA interaction occurs and affects the ospD and oms28 transcripts directly, or if this effect is due to other ittA-regulated targets that indirectly affect this process, remains to be determined.
We aimed to validate five of the nineteen transcripts identified as being altered due to the loss of the ittA sRNA: ospA, ospD, oms28, vraA, and bba66. Of these five, bba66 and vraA have been associated with some aspect of mammalian-based virulence; four of these genes, including ospA, ospD, and oms28, as well as bba66, are expressed in the arthropod vector and some have significant phenotypes in this stage of the B. burgdorferi life cycle, particularly ospA and bba66 [67,68,[75][76][77][78][79][80][81]. OspA is a well characterized surface lipoprotein that functions as an adhesin in the midgut of Ixodes ticks [8,77,78,82]. BBA66 is a lp54 encoded surfaced expressed lipoprotein that is upregulated during nymph blood meal and is highly expressed in the mammal for an extended period of time, suggesting a role in persistence [68]. Needle inoculation of mice with B. burgdorferi bba66 mutants results in lower bacteria burden in joint tissue and

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The ittA sRNA alters borrelial infectivity significantly lower joint swelling relative to the parent strain, suggesting that BBA66 contributes to borrelial-mediated inflammation [67]. Mutants in bba66 are acquired by larvae and persist through molting, but were significantly impaired in their ability to infect mice when introduced by tick bite compared to that of mice fed upon by ticks seeded with wild type B. burgdorferi, suggesting a role for BBA66 in transmission [67]. Recently, an additional function of BBA66 was found, whereby BBA66 binds to the neuroglial and macrophage protein Daam1 [83]. Daam1 is in the formin family of proteins involved in regulating cytoskeletal reorganization in mammalian cells [84]. A prior study showed that Daam1 co-localized to pseudopods on macrophages that processed B. burgdorferi by coiling phagocytosis [85]. A more recent report showed that BBA66 mediated the attachment of B. burgdorferi to these cells via the Daam1 protein [83]. Interestingly, the bba66 mutant exhibited reduced levels of internalized B. burgdorferi while borrelial cells that produced greater amounts of BBA66 were phagocytosed more efficiently [83]. In the RNA-seq data shown (Fig 6), higher expression of bba66 was observed in the sRNA mutant compared to the parent. In addition, in Fig 8 and S6 Table, the mutant has a 1.9 fold change increase in protein abundance of BBA66 relative to the parent. It is tempting to speculate that the increase of bba66 expression in the sRNA mutant may lead to increased phagocytosis and local clearance of B. burgdorferi by macrophages as a result of BBA66-mediated binding of Daam1. This could help explain the lower bacteria burden in the majority of the mice tissues examined in the sRNA mutant, where BBA66 levels are predicted to be greater (Fig 4). In Fig 10, the predicted secondary structure of ittA and interaction with bba66 is displayed. Whether this sRNA-mRNA interaction occurs and affects bba66 transcript directly remains to be determined. Taken together, the dysregulation of bba66 expression may be an important factor in the phenotype observed for the ittA mutant (Figs 4 and 5).
In addition to BBA66, several BosR/RpoS-regulated genes and the proteins they encode are present in the ittA mutant in vitro at higher levels than the parent (Figs 6 and 8), suggesting that the loss of this sRNA leads to mis-regulation of surface exposed proteins during mammalian infection. Additional RpoS-regulated targets are subject to mis-regulation in the ittA mutant include OspC, DbpA, DbpB, and BBK32, which all contribute to borrelial pathogenesis [61,[86][87][88][89][90][91][92][93]. That these virulence-associated proteins are produced more in the mutant relative to the parent suggests that the defect here may be due to ectopic mis-regulation that place the spirochete at a selective disadvantage. Along these lines, previous studies have shown that the mis-regulation of ospC, in the form of constitutive expression, results in the clearance of B. burgdorferi in experimental infection [86,87]. It is thus likely that a coordinated mis-production of several of these proteins could have a detrimental synergistic effect that clears B. burgdorferi in experimentally infected mice.
One significant and confounding issue stemmed from the incomplete in vitro complementation of the ittA mutant. Notably, while the cis-acting complement restored infectivity to wild type levels as assessed by all in vivo metrics tested, e.g., in vivo imaging as well as both qualitative and quantitative measure of infected tissues, in vitro indicators were not fully reinstated. Surprisingly, during in vitro growth, several of the transcripts and proteins affected by the absence of the ittA sRNA were not restored to wild type levels in the complement. It is possible that factors impacting the genetic context for ittA (e.g. the presence of the downstream gentamicin cassette) or secondary genetic changes in the complemented strain may affect ittA sRNA expression, processing, or stability during in vitro culture conditions. The in vitro complement strain results indicate some caveat to the mutant or complement strain construction (discussed below). However, the in vivo data demonstrate that ittA is an important factor for infectivity. As mentioned previously, additional RNA species containing ittA sequences were detected by Northern blot analysis in the complemented strain. Additional experimentation is planned to resolve this issue.
Of the five targets tested for transcript levels, only bba66 was restored to wild type levels in the complemented strain. A predictive algorithm, IntaRNA (Freiburg RNA tools, [94]) indicated potential ittA binding site within the bba66 transcript with the 5' loop of the predicted ittA secondary structure. We hypothesize that the ittA-bba66 RNA interaction may lead to RNase-dependent degradation of the bba66 transcript (Fig 10), since bba66 is expressed in higher amounts in the ittA mutant than the parent and complement strains. Further study is needed to determine whether this mechanism is active in the case of bba66 regulation.

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The ittA sRNA alters borrelial infectivity At the protein level, we were limited by available antibody reagents and, of the two candidates tested, OspD, and Oms28, only Oms28 appeared partially restored to the levels observed in the parent strain in Western immunoblotting. Although the cis complementation strategy was designed to create as little a difference relative to the parent strain as possible, the addition of an additional antibiotic resistance marker may alter the expression of the ittA sRNA in a manner that yields an atypical regulatory response. In this regard, the Northern blot shown in Fig 3, when exposed longer, showed a unique unprocessed form of the ittA sRNA (S3 Fig). Whether this contributes to the complementation defect remains to be determined. Another possibility is that the overlap of the distal 5' transcription start site of ittA with the transcriptional start site of bbd18 on the opposite DNA strand (Fig 1) results in some interference that affects the ability of ittA to carry out its regulatory effect(s) or affects the levels of BBD18. The bbd18 transcript was down-regulated in the ittA mutant in our transcriptomics analysis ( Fig  6), but no significant difference in protein abundance was observed for BBD18 between the strains (S5 Table). Unfortunately, the transcriptomics data could not be validated for bbd18 because we could not detect the bbd18 transcript by Northern blot or qRT-PCR. BBD18 downregulates RpoS post-transcriptionally when overexpressed [33] and several RpoS-dependent genes are up-regulated in the ittA mutant strain. These RpoS-dependent genes may be affected by decreased levels of BBD18 and/or loss of ittA in the ittA mutant strain. This is consistent with the induction of several RpoS-regulated targets that are made at higher levels in the ittA mutant, including OspC, DbpB, and BBA66 (Fig 8). Why this complementation defect is limited to our in vitro studies but not observed in vivo is not clear. Further studies will be needed to address this experimental conundrum.
In conclusion, sRNA-mediated regulation has been proven to be complex but important in fine-tuning gene expression in many bacteria species [95,96]. Our findings indicate that the ittA sRNA is required for optimal infectivity and that its absence alters the expression and production of a number of genes and proteins, respectively. One possibility posits that ittA may help in a quick adaptive response that alters the translation efficiency in a number of transcripts. The effect of each gene regulated by ittA individually is subtle but collectively the net effect may result in the dysregulation of these targets, yielding a synergistic response that results in an attenuated phenotype. Here, there is an additional layer of complexity, seen in the form of tissue tropism, such that colonization at remote skin and cardiac tissue sites is impaired. This work thus suggests that sRNA-based regulation via ittA is important in maintaining appropriate levels of gene expression that promote B. burgdorferi colonization and dissemination during experimental infection.

Bacteria strains and culture conditions
Bacterial strains and plasmids used in this study are described in Table 4. Escherichia coli strains were grown aerobically at 37˚C in Luria Broth (LB). Concentration of antibiotics used in E. coli are as follows: kanamycin, 50 μg/ml; spectinomycin, 50 μg/ml; and gentamicin, 5 μg/ ml. B. burgdorferi strains were grown in BSK-II media supplemented with 6% normal rabbit serum (Pel-Freez Biologicals, Rogers, AR) under conventional microaerophilic conditions at 32˚C, pH 7.6, under 1% CO 2 atmosphere, or conditions that induce genes and gene products important in the mammalian environment, namely, 37˚C, pH 6.8, under 5% CO 2 atmosphere. Borrelia burgdorferi B31 ML23 [60] and derivative strains were grown under antibiotic selective pressure, dependent on genetic composition, with either kanamycin at 300 μg/ml, streptomycin at 50 μg/ml, or gentamicin at 50 μg/ml. B. burgdorferi 5A18NP1 [58] was grown in the

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The ittA sRNA alters borrelial infectivity presence of kanamycin at 300 μg/ml and the B. burgdorferi transposon mutants [55] were grown in the presence of both gentamicin at 50 μg/ml and kanamycin at 300 μg/ml.

Transposon mutagenesis screen
Transposon mutants were obtained from the arrayed B. burgdorferi library [55]. In order to conduct Tn-seq experiments, a single pool containing all of the Tn mutants was generated by combining sub-pools containing 70-80 individual Tn mutants each [55,99,100]. The Tn library was grown for 48 hours in the presence of kanamycin and gentamicin. Cell density was determined by dark-field microscopy. Groups of six 9-14 week old C3H/HeJ mice (Jackson laboratories) were injected in the right flank with 5x10 5 B. burgdorferi by needle inoculation. As a control to prevent in vitro growth defects from affecting the results of the in vivo screen, 5x10 5 organisms from the inoculum used to inject the mice were cultured in 12 ml BSK-II broth supplemented with kanamycin and gentamicin. The in vitro control cultures were

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The ittA sRNA alters borrelial infectivity grown for 3 days to parallel time in culture for the tissue cultures. The bacteria in the culture were collected using centrifugation for 20 minutes at 3,000 x g and the pellet frozen at -80˚C. The mice infected with the transposon library were sacrificed two weeks post-infection. The tibiotarsal joint closer to the inoculation site was removed under aseptic conditions. The tibiotarsal joints from each group of injected mice were cultured together in 12 ml of BSK-II broth supplemented with kanamycin and gentamicin. The cultures were checked daily for growth. When the density of the cultures reached late exponential phase, the bacteria were centrifuged and the pellet frozen as described above.
Genomic DNA was obtained from the frozen bacteria pellets using a DNeasy Blood and Tissue Kit (Qiagen, Valencia, CA) as per the manufacturer's instructions. For the in vivo samples, genomic DNA obtained from the organ cultures of different groups of infected mice were pooled in relative proportions such that each library for sequencing represented the bacteria recovered from 24 mice. For the in vitro control samples, DNA recovered from the cultures of the inoculums were pooled to match the groups of mice pooled to make each of the in vivo sample libraries. Libraries for sequencing were constructed as described previously [100]. Briefly, an aliquot of the genomic DNA was placed in a 2 ml microfuge tube and sheared by sonication. Cytosine tails (C-tails) were added to 1 μg sheared DNA using terminal deoxynucleotidyl transferase (TdT, Promega, Madison, WI). Transposon containing fragments were amplified in a PCR containing DNA from the TdT reaction as template and primers specific to the ColE1 site on the 5' end of the transposon, pMargent1 and the C-tail, olj376 (S7 Table). To prepare the DNA for sequencing and further amplify the transposon-genomic DNA junction, a nested PCR reaction was performed using DNA from the first PCR as a template, a primer specific to the transposon end, pMargent2 (S7 Table), and an indexing primer containing the specific sequences required for sequencing on an Illumina platform and where NNNNNN represents a six-base-pair barcode sequence allowing samples to be multiplexed in a single sequencing lane. Within an experiment, a unique indexing primer was used for each individual B. burgdorferi sample. A majority of the PCR products were between 200 and 600 bp. The sequencing libraries made from the in vitro and in vivo samples were pooled at equal concentrations prior to sequencing. The pooled libraries were sequenced on an Illumina HiSeq 2500 at the Tufts University Core Facility as 50 bp single-end reads using the custom sequencing primer pMargent3 and the standard Illumina index primer.
Sequence data analysis was performed as described previously [100]. Briefly, sequenced reads were aligned to the B. burgdorferi B31 genome using the short read aligner Bowtie. A custom script was then used to compile the resulting SAM files into a Microsoft Excel spreadsheet with the number of reads aligned to each site or annotated gene listed. The frequency of transposon mutants with insertions in a particular site or gene in the population was assessed by determining the number of sequence reads aligned to that mutant or gene as a percentage of all reads in a given sample.

Genetic inactivation of the B. burgdorferi ittA intergenic sRNA
The intergenic (IG) small regulatory RNA (sRNA) located between genes bbd18 and bbd21 in lp17 was insertionally inactivated via homologous recombination by replacing the 3' end of the sRNA (nucleotides 11,820-11,850) with the P flgB -aadA (streptomycin resistant; Str R ) antibiotic cassette [97]. This sRNA was designated SR0736 by Popitsch et al. [40]. Based on the data obtained herein, we renamed the SR0736 sRNA ittA. DNA sequences that flanked the ittA sRNA locus were amplified using PCR with PrimeSTAR GXL polymerase (Takara, Mountain View, CA). For the upstream fragment, 1280 bp were amplified using primers US-F and US-SpecR (see S7 Table). The 1266 bp fragment containing P flgB -Str R was PCR amplified from

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The ittA sRNA alters borrelial infectivity pKFSS1 [97] using the oligonucleotide primers pair US-SpecF and SpecDS-R (S7 Table). An additional 1,233 bp PCR product, which amplified sequences downstream from the ittA sRNA, was engineered with primers SpecDS-F and DS-R (S7 Table). All three fragments had 20 base pair overlap sequences and were assembled by overlap PCR [63,64,101].
For the creation of the sRNA cis complement strain, the P flgB -Str R cassette of the sRNA mutant was replaced on lp17 using the native ittA-containing sequence with a linked P flgB -Gent R marker downstream of the sRNA [98]. The US-F and compUS-gentR primers were used to PCR amplify the 1359 bp portion containing ittA (S7 Table). The 983 bp gentamicin cassette from pBSV2G [98] was produced using primers compUS-gentF and compgentDS-R (S7 Table). A 1171 bp region downstream from ittA was amplified using the primers compgent-DSF and compDS-R (S7 Table). As before, all three fragments had 20 base pair overlap sequences and were assembled by NEBuilder HiFi DNA Assembly Master Mix (New England Biolabs, Ipswich, MA). All constructs were verified by Sanger sequencing prior to transformation into the B. burgdorferi strain B31 derivative ML23 [60] or DM103.

Transformation of B. burgdorferi
B. burgdorferi were made competent for DNA transformation as previously described [63,64,91,102]. Prior to transformation via electroporation, all plasmid constructs were linearized with XhoI. Following antibiotic selection for the desired strain, putative transformants were tested for the presence of the genetic constructs using a PCR-based screen using primers from S7 Table. Subsequent mutant or complemented strains were tested for B. burgdorferi strain B31 plasmid content by PCR [18].

Infectivity studies and bioluminescent imaging
Infectivity studies were performed as previously described [61,63,64,91]. Briefly, 8-week-old C3H/HeN female mice were inoculated with 10 3 organisms of the B. burgdorferi parent strain ML23/pBBE22luc, the sRNA ittA::Str R strain DM103/pBBE22luc, or the genetic complement strain DM113/pBBE22luc, by intradermal injection in the abdomen skin. For the parent and complement strains, twelve mice were infected, for the sRNA inactivation strain, thirteen mice were infected.
The bioluminescent imaging was performed as done previously [61,63,64]. Briefly, five mice were imaged for the parent and mutant strains and four mice were imaged for the complement strain per experiment. The mice were injected intraperitoneally with 5 mg of D-luciferin dissolved in 100 μL of PBS 10 minutes prior to imaging with an IVIS Spectrum live animal imaging system (Caliper Life Sciences, Hopkinton, MA), with the exception of one mouse that was infected with each B. burgdorferi strain tested but did not receive D-luciferin substrate. This mouse served as a negative control for background luminescence [61]. Imaging of the mice was performed 1 hour and at 1, 4, 7, 10 14 and 21 days post-infection [61]. After 21 days, the mice were sacrificed and the ear, abdominal skin, inguinal lymph node, heart, bladder, and tibiotarsal joint tissues were collected from each mouse aseptically for in vitro cultivation. From each of these mice the remaining ear, inguinal lymph node, and tibiotarsal joint tissues were collected for qPCR analysis. For the abdominal skin, an adjacent piece of skin was collected for qPCR relative to that used for the cultivated sample. The heart of each mouse was aseptically divided vertically with a sterile scalpel and one half was used for culture and the other for qPCR. These samples were then prepared for qPCR analysis of B. burgdorferi burden as described previously [61,91].

RNA Isolation for conventional RT-PCR and qRT-PCR
Three independent cultures of B. burgdorferi strains ML23 [60] (parent), the sRNA mutant strain DM103, and the genetic complement strain DM113, were grown to mid-log phase of 5 x10 7 cells per ml at either mammalian-like conditions, defined as: 37˚C, pH 6.8, under 5% CO 2 or at conventional microaerophilic conditions of 32˚C, pH 7.6, under 1% CO 2 . The cultures were centrifuged at 4500 x g for 20 minutes at 4˚C, washed with 1 ml PBS, and centrifuged at 14,000 rpm for 15 minutes. The pellet was resuspended in 100 μl of sterile water and 300 μl of TRIzol (Invitrogen, Carlsbad, CA) was added prior to employing Direct-zol RNA Miniprep (Zymo Research, Irvine, Ca, USA) for total RNA isolation. The resulting RNA was treated with DNAse I (Roche, Indianapolis, IN) and RNAsin (Promega, San Luis Obispo, CA) to eliminate contaminating DNA and inhibit RNAse activity, respectively. To ensure that there was no contaminating genomic DNA in the cDNA reaction mixture, samples without reverse transcriptase were also included as controls. For conventional RT-PCR, 200 ng of total RNA from B. burgdorferi strains grown under conventional microaerophilic conditions were used to reverse transcribe into cDNA using primer sRNA R (S7 Table) and SuperScript III (Thermo Fisher Scientific, Waltham, MA). Primers sRNA F and sRNA R (S7 Table) were used to amplify ittA. For conventional RT-PCR of genes bbd18 and bbd21, 1 μg of total RNA from B. burgdorferi strains grown under mammalian-like conditions were used for reverse transcription into cDNA using random primers (Thermo Fisher Scientific, Waltham, MA) and SuperScript III (Thermo Fisher Scientific, Waltham, MA). Oligonucleotide primers for bbd18 and bbd21 (S7 Table) were used to amplify the genes.
For qRT-PCR analysis, 1 μg of total RNA from B. burgdorferi strains grown under mammalian-like conditions were used for reverse transcription into cDNA using random primers (Thermo Fisher Scientific, Waltham, MA) and SuperScript III (Thermo Fisher Scientific, Waltham, MA). Oligonucleotide primers from S7 Table were used to amplify specific B. burgdorferi strain B31 targets. Template cDNAs generated by the strains under the same conditions were normalized by using the constitutively expressed flaB gene as previously described [10,18] with the ΔΔC t method, in which the quantity of a given transcript is determined by the equation 2 -ΔΔCt , where C t is the cycle number of the detection threshold.

Northern blot analysis
Northern blotting of SR0736/ittA was conducted using the same probe described previously [40,103] from RNA extracted from B. burgdorferi strains grown under conditions that mimic mammalian-like conditions.

DNA extraction of B. burgdorferi from infected tissues and qPCR analysis
Total DNA was isolated from ear, abdominal skin, inguinal lymph node, heart, and tibiotarsal joint using Roche High Pure PCR template preparation kit (Roche, Indianapolis, IN) as previously described [63,64,91]. Total DNA of 100 ng was used for each qPCR reaction. Quantitative real-time PCR analysis was conducted using the Applied Biosystems StepOnePlus Real-Time PCR system. B. burgdorferi genome copies and mammalian cell equivalents were determined using oligonucleotide primers in S7 Table. RNA Sequencing (RNA-seq) Three independent cultures of B. burgdorferi cells were grown to mid-log phase of 5 x 10 7 cells per ml at 37˚C, pH 6.8 and 5% CO 2 , e.g., in vitro conditions that mimic mammalian-like

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The ittA sRNA alters borrelial infectivity infection. Cells were centrifuged at 4,500 x g for 30 minutes at 4˚C. Approximately 1 x 10 9 cells were lysed in 1ml of TRIzol (Invitrogen, Carlsbad, CA) and RNA extracted following manufacturer's instructions. RNA was checked for quality using the Agilent TapeStation 2200 standard RNA screen tape and quantified using the Qubit 2.0 Broad Range RNA assay. Total RNA was normalized between all samples for sequencing library preparation using the TruSeq Stranded Total RNA library preparation kit with ribosomal depletion. Each sample was uniquely barcoded, then the libraries were pooled at equal concentrations. Library pools were sequenced on a 2 x 75 bp paired-end sequencing run generating~15 million reads/sample by the Texas A&M Institute for Genome Sciences and Society (TIGSS).
After sequencing, a total of approximately 90.7 million 75 bp paired-end raw sequencing reads were checked to trim any adapter sequences and low quality bases using Trimmomatic [104]. Reads were scanned with a sliding window of 5 bp, cutting when the average quality per base drops below 20, then trimming reads at the beginning and end if base quality drops below 20, and finally dropping reads if the read length is less than 50. Thereafter, approximately 90 million filtered reads (99.2%) were mapped to the Borrelia burgdorferi strain B31 genome assembly (accession: GCF_000008685.2) using HISAT version 2.1.0 [105]. Average mapping rate was about 85.8% (S8 Table). Transcript wise counts were generated using featureCounts tool from the SUBREAD package [106]. In total, the transcripts of 1,343 B. burgdorferi genes were tracked in this analysis. Differentially expressed genes were identified using a 5% False Discovery Rate threshold and a 2-fold change cut off with DESeq2 [107].
The data accumulated from the RNA-seq analysis are available at BioProject via accession number PRJNA565255.

Tandem Mass Tags (TMT)
Three independent cultures of B. burgdorferi cells were grown to mid-log phase of 5 x 10 7 cells per ml at 37˚C, pH 6.8 and 5% CO 2 (note: the cells used here were the same as those used for RNA-seq). Cells were centrifuged at 4,500 x g for 30 minutes at 4˚C and washed twice with 10ml of cold PBS. Cells were resuspended in 50 mM triethylammonium bicarbonate (TEAB) and 5% SDS. Samples were quantified using Pierce BCA protein assay kit (Thermo Fisher Scientific, Waltham, MA) and 1.2 mg of protein was used for Tandem Mass tags (TMT) experiment. For this approach, protein extracts were isolated from the cells, reduced, alkylated, and proteolytically digested overnight. Samples were labeled with the TMT reagents in a 6-plex experiment and combined before sample fractionation and clean up. Labeled samples were analyzed by high-resolution Orbitrap LC-MS/MS. Identification and quantification of proteins was performed using Proteome Discoverer 2.2 software. The University of Texas Southwestern proteomics core performed the TMT analysis. A total of 718 B. burgdorferi proteins were detected in this analysis based on False Discovery Rates of less than 5%.
The TMT raw data was deposited to MassIVE using Proteomic Xchange Consortium with the data set number of PXD015685.

SDS PAGE and immunoblotting
Borrelia burgdorferi protein lysates were resolved on a 12.5% polyacrylamide gel, transferred to a PVDF membrane, and blocked using non-fat powdered milk as done previously [91,108]. Primary antibodies were used at the following dilutions: anti-Oms28 at 1:1000; anti-OspD at 1:5,000 and anti-FlaB at 1:5,000. Secondary antibodies with horseradish peroxidase (HRP) conjugates were used to detect immunocomplexes, specifically, anti-mouse Ig-HRP (Invitrogen, Carlsbad, CA, USA) or anti-rabbit Ig-HRP (GE Healthcare, Chicago, IL, USA) both diluted to 1:5,000. The membranes were washed extensively in PBS, 0.2% Tween-20, and developed using the Western Lighting Chemiluminescent Reagent plus system (Perkin Elmer, Waltham, MA, USA).

Statistical analysis
For real-time qPCR analysis, multiple unpaired t-test, one per tissue, were performed to analyze the strains and corrected for multiple comparisons using the Holm-Sidak method. For quantitative reverse transcription PCR (qRT-PCR), one-way ANOVA was performed to analyze the strains. For the analysis of in vivo luminescence of mice, two-way ANOVA was performed. For the proteome volcano plot, multiple unpaired t-test, one for each protein identified in the 1% False Discovery Rate (637 proteins), were performed between the strains and corrected for multiple comparisons by using the Holm-Sidak method. Significance was accepted when the p-values were less than 0.05 for all statistical analyses employed.

RNA target and structure prediction
The coding sequence of gene bba66 was subjected to RNA binding predictions using IntaRNA (Freiburg RNA Tools; [94] against the processed ittA sequence. Mfold was used to predict the secondary structure of ittA [109].

Ethics statement
Animal experiments were performed in accordance to National Institute of Health (NIH) Guide for Care and Use of Laboratory Animals. Animal experiments also followed the guidelines of the Association for Assessment and Accreditation of Laboratory Animal Care (AAA-LAC). Approval for animal procedures was given by Tufts University and Texas A&M University Institutional Animal Care and Use Committees (IACUC; protocols B2018-98 [Tufts] and 2015-0367 [Texas A&M]). Mice were euthanized in manner that conforms to the guidelines put forth by the AVMA and was approved by Tufts University and Texas A&M University IACUC.

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The ittA sRNA alters borrelial infectivity transcripts were differentially expressed between the groups at the +/-2-fold change cutoff. (XLSX) S4 Table. Differentially expressed transcripts with fold change in the range of (+/-1.4 to 1.9) in the parent versus the ittA mutant strains. Deseq2 analysis was employed to analyze the RNA-seq of parent and ittA mutant strains grown in vitro under mammalian-like conditions. A total of 73 transcripts were differentially expressed between the groups at the +/-1.4 to 1.9-fold change cutoff. The B. burgdorferi parent strain, the ittA sRNA mutant (ittA::Str R ) and the sRNA complement strain (Comp) were grown in conventional microaerophilic conditions of 32˚C, 1% CO 2 , pH 7.6 in triplicate in BSK-II media and enumerated by dark field microscopy daily out to day 9. No significant differences in growth were observed. Similar growth kinetics were observed between these three strains when the cells were grown at conditions of 37˚C, 5% CO 2 and pH 6. Three biological replicates of the B. burgdorferi parent strain, the sRNA mutant (ittA:: Str R ) and the sRNA complement strain (Comp), were grown in mammalian-like conditions, RNA was purified and the ittA probe was used for Northern blot analysis at longer exposure. The ittA mutant does not expressed ittA, as expected. The stable processed form of ittA is observed as the dark band underneath the 100 nucleotide marker. The parent and complement strains expression of ittA is comparable, but between 800 and 300 nucleotides, the complement strain exhibits additional bands that are missing in the parent strain and could possibly contribute to the partial complementation of the strain in vitro. The marker is shown in

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The ittA sRNA alters borrelial infectivity nucleotides at the left of the blot. (TIF)