Bulk and single-nucleus RNA sequencing highlight immune pathways induced in individuals during an tick bite.

Ticks are hematophagous arthropods that use a complex mixture of salivary proteins to evade host defenses while taking a blood meal. Little is known about the immunological and physiological consequences of tick feeding on humans. Here, we performed the first bulk and single-nucleus RNA sequencing (snRNA-seq) of skin and blood of four persons presenting with naturally acquired, attached ticks. Pathways and individual genes associated with innate and adaptive immunity were identified based on bulk RNA sequencing, including interleukin-17 signaling and platelet activation pathways at the site of tick attachment or in peripheral blood. snRNA-seq further revealed that the Hippo signaling, cell adhesion, and axon guidance pathways were involved in the response to an bite in humans. Features of the host response in these individuals also overlapped with that of laboratory guinea pigs exposed to and which acquired resistance to ticks. These findings offer novel insights for the development of new biomarkers for exposure and anti-tick vaccines for human use.