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Adherence to the surface of the host cell is the precondition for the parasitism and pathogenicity of this parasite.<jats:italic> Trichomonas vaginalis<\/jats:italic> adhesion protein 33 (TvAP33) plays a key role in the process of adhesion, but how this protein mediates the adhesion and pathogenicity of <jats:italic>T. vaginalis<\/jats:italic> to host cells is unclear.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The expression of TvAP33 in trophozoites was knocked down by small interfering RNA. VK2\/E6E7 cells and mice infected with <jats:italic>T. vaginalis<\/jats:italic> were used to evaluate the pathogenicity of <jats:italic>T. vaginalis<\/jats:italic>. We constructed a complementary DNA library of VK2\/E6E7 cells and screened the protein molecules interacting with TvAP33 by the yeast two-hybrid system. The interaction between TvAP33 and BNIP3 (Bcl-2 interacting protein 3) was analyzed by co-immunoprecipitation and colocalization.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Following knockdown of TvAP33 expression, the number of <jats:italic>T. vaginalis<\/jats:italic> trophozoites adhering to VK2\/E6E7 cells decreased significantly, and the inhibition of VK2\/E6E7 cell proliferation and VK2\/E6E7 cell apoptosis and death induced by <jats:italic>T. vaginalis<\/jats:italic> were reduced. Animal challenge experiments showed that the pathogenicity of trophozoites decreased following passive immunization with TvAP33 antiserum or blocking of the TvAP33 protein. Immunofluorescence analysis revealed that TvAP33 could bind to VK2\/E6E7 cells. Eighteen protein molecules interacting with TvAP33 were identified by the yeast two-hybrid system. The interaction between TvAP33 and BNIP3 was further confirmed by co-immunoprecipitation and colocalization. When the expression of both TvAP33 and BNIP3 in trophozoites was knocked down by small RNA interference, the number of <jats:italic>T. vaginalis<\/jats:italic> adhering to VK2\/E6E7 cells and the inhibition of VK2\/E6E7 cell proliferation were significantly lower compared to trophozoites with only knockdown of TvAP33 or only BNIP3. Therefore, the interaction of TvAP33 and BNIP3 in the pathogenesis of <jats:italic>T. vaginalis<\/jats:italic> infecting host cells is not unique and involves other molecules.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Our study showed that the interaction between TvAP33 and BNIP3 mediated the adhesion and pathogenicity of <jats:italic>T. vaginalis<\/jats:italic> to host cells, providing a basis for searching for drug targets for <jats:italic>T. vaginalis<\/jats:italic> as well as new ideas for the prevention and treatment of trichomoniasis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Graphical Abstract<\/jats:title>\n                \n              <\/jats:sec>","DOI":"10.1186\/s13071-023-05798-x","type":"journal-article","created":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T13:04:38Z","timestamp":1687352678000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["The interaction between adhesion protein 33 (TvAP33) and BNIP3 mediates the adhesion and pathogenicity of Trichomonas vaginalis to host cells"],"prefix":"10.1186","volume":"16","author":[{"given":"Zhenchao","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yangyang","family":"Deng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanxin","family":"Sheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoxiao","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuhua","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fakun","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Pan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaowei","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenke","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuai","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingyong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuefang","family":"Mei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,6,21]]},"reference":[{"key":"5798_CR1","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1186\/s13071-018-2753-4","volume":"11","author":"Z Zhang","year":"2018","unstructured":"Zhang Z, Kang L, Wang W, Zhao X, Li Y, Xie Q, et al. 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