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. 2020 Nov 9;10:19340. doi: 10.1038/s41598-020-75051-3

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© The Author(s) 2020

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Pathogen and peptide distribution. (A) Pathogen peptides were found in the urine of 40% of non-acute tick borne disease patients (cut off > 2 peptides per organism). 32% of patients had urinary peptides deriving from 1 pathogen. 7% of patients presented peptides from two pathogens and less than 1% from three pathogens. (B) Borrelia peptides were found in 48/148 patients, Babesia peptides in 17/148, Ehrlichia peptides in in 2/148, Anaplasma peptides in 1/148, and Bartonella peptides 4/148. (C) OspC was the most represented protein in the peptide repertoire derived from acute Lyme borreliosis and non-acute tick-borne disease patients. While 109 peptides were identified once, multiple peptides were identified for Outer surface protein C, Variable large protein, Transcription elongation factor GreA, UTP—glucose-1-phosphate uridylytransferase (15, 4, 4, 3, and 3 peptide hits, respectively).