Babesia divergens was cultivated in RPMI 1640 (25 mM HEPES) supplement
ed with 10 % human serum (RPMI-10 % HS) with a high percentage of para
sitized erythrocytes (PPE) (greater than or equal to 40 %). Standardiz
ation of in vitro tests, purification of exoantigens, biochemical stud
ies and the safety of the culture handler motivated the development of
a serum-free defined medium. Removal of serum greatly reduced the PPE
but, after a period of adaptation, the culture was continuous and the
parasite was able to develop a 3 % routine PPE. Addition of vitamins
or reduced glutathione in basal medium (RPMI) did not improve the PPE.
The Supplementation of basal medium with lipidic carrier (Albumax I o
r bovine serum albumin-Cohn's fraction V) promoted the growth of B. di
vergens with high PPE (> 30 %) close to those obtained in RPMI-10 % HS
. Neither protein nor lipid fractions alone were able to restore the g
rowth of B. divergens. Nevertheless, the whole lipid fraction from ser
um or Albumax I added to delipidated albumin partially restored the gr
owth (7 % PPE), indicating that the presentation of specific lipids by
a carrier is crucial for the parasite. All the data indicate that Alb
umax I can replace human serum offering the advantages of safety, stan
dardization for chemosensitivity tests, and exoantigen purification.