Tick-host interaction: a synthesis of current concepts.

Ixodid ticks are recognized world-wide as major vectors of arboviruses, rickettsiae, spirochaetes and parasitic protozoa of man and domestic animals. Some ticks also inject a debilitating, sometimes fatal, paralytic toxin in their saliva. All these factors are transmitted via the salivary glands and mouthparts of the feeding tick. Tick feeding is a prolonged and complex process. Major developmental events occurring within the tick during feeding, as well as extensive tick-host interactions, all influence the likelihood of pathogen transmission. In this review, Reuben Kaufman discusses the sequence and complexity of these interactions.