Human granulocytic ehrlichiosis (HGE) is a potentially fatal, tick-borne disease caused by a bacterium related or identical to Ehrlichia phagocytophila. To identify and characterize E. phagocytophila group-specific protein antigen genes, we prepared and screened HGE agent and Ehrlichia equi genomic DNA expression libraries using polyclonal equine E. equi antibodies. Two clones, one each from HGE agent and E. equi, that were recognized specifically by antibodies to the E. phagocytophila group ehrlichiae had complete open reading frames of 3,693 and 3,615 nucleotides, respectively. The two clones were 96.6% identical and predicted a protein with at least 11 tandemly repeated ankyrin motifs. Thus, the gene was named ank (for ankyrin). When the encoded protein, named AnkA, was expressed in Escherichia coli, it was recognized by antibodies from rabbits and mice immunized with the HGE agent, sera from humans convalescent from HGE, and sera from horses convalescent from HGE and E. equi infection. Monospecific AnkA antibodies reacted with proteins in HGE agent immunoblots, and AnkA monoclonal antibodies detected cytoplasmic antigen in E. phagocytophila group bacteria and also detected antigen associated with chromatin in infected but not uninfected HL-60 cell cultures. These results suggest that this Ehrlichia protein may influence host cell gene expression.Human granulocytic ehrlichiosis (HGE) is an emerging tickborne infection with manifestations ranging from no symptoms to death (1, 6, 9). Most patients are mildly to moderately affected, with fever, headache, myalgias, leukopenia, thrombocytopenia, and elevations in serum hepatic transaminases. The causative microorganism, named the HGE agent, is a member of the Ehrlichia phagocytophila group, which also includes E. phagocytophila and Ehrlichia equi in a tight phylogenetic cluster, probably representing a single species (10,25,26).The E. phagocytophila group has been characterized mainly through analysis of genes encoding the 16S rRNA and the groESL operon (2, 9, 25, 26). These genes are highly conserved and are therefore unlikely to reveal the phylogenetic and pathogenetic differences that could account for the diversity of clinical findings and the diversity of mammalian hosts in ehrlichial infection. The E. phagocytophila group has also been shown to possess specific genes that, unlike conserved genes, can be useful for phylogenetic comparisons among animal and human strains (4, 10). Moreover, studying the function of the proteins encoded by species-specific genes may provide insights into the pathogenetic potential of granulocytic ehrlichiae.In recent months, several groups have cloned genes from the HGE agent (14,19,24,28), including a 2,244-nucleotide (nt) gene encoding a 160-kDa protein antigen with multiple ankyrin motifs. However, to date no function has been attributed to any of the proteins encoded by these genes. The goals of the present work were to identify genes specific to E. phagocytophila group ehrlichiae and to begin elucidating their role in the i...