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Strnad M, Rudenko N, Rego RO. Pathogenicity and virulence of Borrelia burgdorferi. Virulence 2023; 14:2265015. [PMID: 37814488 PMCID: PMC10566445 DOI: 10.1080/21505594.2023.2265015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 09/25/2023] [Indexed: 10/11/2023] Open
Abstract
Infection with Borrelia burgdorferi often triggers pathophysiologic perturbations that are further augmented by the inflammatory responses of the host, resulting in the severe clinical conditions of Lyme disease. While our apprehension of the spatial and temporal integration of the virulence determinants during the enzootic cycle of B. burgdorferi is constantly being improved, there is still much to be discovered. Many of the novel virulence strategies discussed in this review are undetermined. Lyme disease spirochaetes must surmount numerous molecular and mechanical obstacles in order to establish a disseminated infection in a vertebrate host. These barriers include borrelial relocation from the midgut of the feeding tick to its body cavity and further to the salivary glands, deposition to the skin, haematogenous dissemination, extravasation from blood circulation system, evasion of the host immune responses, localization to protective niches, and establishment of local as well as distal infection in multiple tissues and organs. Here, the various well-defined but also possible novel strategies and virulence mechanisms used by B. burgdorferi to evade obstacles laid out by the tick vector and usually the mammalian host during colonization and infection are reviewed.
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Affiliation(s)
- Martin Strnad
- Biology Centre CAS, Institute of Parasitology, České Budějovice, Czech Republic
- Faculty of Science, University of South Bohemia, Branišovská, Czech Republic
| | - Natalie Rudenko
- Biology Centre CAS, Institute of Parasitology, České Budějovice, Czech Republic
| | - Ryan O.M. Rego
- Biology Centre CAS, Institute of Parasitology, České Budějovice, Czech Republic
- Faculty of Science, University of South Bohemia, Branišovská, Czech Republic
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Guo Z, Zhao N, Chung TD, Singh A, Pandey I, Wang L, Gu X, Ademola A, Linville RM, Pal U, Dumler JS, Searson PC. Visualization of the Dynamics of Invasion and Intravasation of the Bacterium That Causes Lyme Disease in a Tissue Engineered Dermal Microvessel Model. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2022; 9:e2204395. [PMID: 36156464 PMCID: PMC9762293 DOI: 10.1002/advs.202204395] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 09/06/2022] [Indexed: 06/16/2023]
Abstract
Lyme disease is a tick-borne disease prevalent in North America, Europe, and Asia. Despite the accumulated knowledge from epidemiological, in vitro, and in animal studies, the understanding of dissemination of vector-borne pathogens, such as Borrelia burgdorferi (Bb), remains incomplete with several important knowledge gaps, especially related to invasion and intravasation into circulation. To elucidate the mechanistic details of these processes a tissue-engineered human dermal microvessel model is developed. Fluorescently labeled Bb are injected into the extracellular matrix (ECM) to mimic tick inoculation. High resolution, confocal imaging is performed to visualize the sub-acute phase of infection. From analysis of migration paths no evidence to support adhesin-mediated interactions between Bb and ECM components is found, suggesting that collagen fibers serve as inert obstacles to migration. Intravasation occurs at cell-cell junctions and is relatively fast, consistent with Bb swimming in ECM. In addition, it is found that Bb alone can induce endothelium activation, resulting in increased immune cell adhesion but no changes in global or local permeability. Together these results provide new insight into the minimum requirements for Bb dissemination and highlight how tissue-engineered models are complementary to animal models in visualizing dynamic processes associated with vector-borne pathogens.
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Affiliation(s)
- Zhaobin Guo
- Institute for NanobiotechnologyJohns Hopkins University3400 N Charles StBaltimoreMD21218USA
| | - Nan Zhao
- Institute for NanobiotechnologyJohns Hopkins University3400 N Charles StBaltimoreMD21218USA
| | - Tracy D. Chung
- Institute for NanobiotechnologyJohns Hopkins University3400 N Charles StBaltimoreMD21218USA
- Department of Biomedical EngineeringJohns Hopkins University3400 N Charles StBaltimoreMD21218USA
| | - Anjan Singh
- Institute for NanobiotechnologyJohns Hopkins University3400 N Charles StBaltimoreMD21218USA
- Department of Biomedical EngineeringJohns Hopkins University3400 N Charles StBaltimoreMD21218USA
| | - Ikshu Pandey
- Institute for NanobiotechnologyJohns Hopkins University3400 N Charles StBaltimoreMD21218USA
- Department of Materials Science and EngineeringJohns Hopkins University3400 N Charles StBaltimoreMD21218USA
| | - Linus Wang
- Institute for NanobiotechnologyJohns Hopkins University3400 N Charles StBaltimoreMD21218USA
- Department of Biomedical EngineeringJohns Hopkins University3400 N Charles StBaltimoreMD21218USA
| | - Xinyue Gu
- Institute for NanobiotechnologyJohns Hopkins University3400 N Charles StBaltimoreMD21218USA
- Department of Applied Mathematics and StatisticsJohns Hopkins University3400 N Charles StBaltimoreMD21218USA
| | - Aisha Ademola
- Department of ChemistryUniversity of South Florida4202 E Fowler AveTampaFL33620USA
| | - Raleigh M. Linville
- Institute for NanobiotechnologyJohns Hopkins University3400 N Charles StBaltimoreMD21218USA
- Department of Biomedical EngineeringJohns Hopkins University3400 N Charles StBaltimoreMD21218USA
| | - Utpal Pal
- Department of Veterinary MedicineThe University of Maryland, College Park8075 Greenmead DrCollege ParkMD20740USA
| | - J. Stephen Dumler
- Joint Department of PathologySchool of MedicineUniformed Services University of the Health Sciences4301 Jones Bridge RdBethesdaMD20814USA
| | - Peter C. Searson
- Institute for NanobiotechnologyJohns Hopkins University3400 N Charles StBaltimoreMD21218USA
- Department of Biomedical EngineeringJohns Hopkins University3400 N Charles StBaltimoreMD21218USA
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Pietikäinen A, Åstrand M, Cuellar J, Glader O, Elovaara H, Rouhiainen M, Salo J, Furihata T, Salminen TA, Hytönen J. Conserved lysine residues in decorin binding proteins of Borrelia garinii are critical in adhesion to human brain microvascular endothelial cells. Mol Microbiol 2021; 115:1395-1409. [PMID: 33512032 DOI: 10.1111/mmi.14687] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 01/19/2021] [Accepted: 01/22/2021] [Indexed: 11/28/2022]
Abstract
Lyme borreliosis is a tick-borne disease caused by Borrelia burgdorferi sensu lato spirochetes (Lyme borreliae). When the disease affects the central nervous system, it is referred to as neuroborreliosis. In Europe, neuroborreliosis is most often caused by Borrelia garinii. Although it is known that in the host Lyme borreliae spread from the tick bite site to distant tissues via the blood vasculature, the adherence of Lyme borreliae to human brain microvascular endothelial cells has not been studied before. Decorin binding proteins are adhesins expressed on Lyme borreliae. They mediate the adhesion of Lyme borreliae to decorin and biglycan, and the lysine residues located in the binding site of decorin binding proteins are important to the binding activity. In this study, we show that lysine residues located in the canonical binding site can also be found in decorin binding proteins of Borrelia garinii, and that these lysines contribute to biglycan and decorin binding. Most importantly, we show that the lysine residues are crucial for the binding of Lyme borreliae to decorin and biglycan expressing human brain microvascular endothelial cells, which in turn suggests that they are involved in the pathogenesis of neuroborreliosis.
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Affiliation(s)
- Annukka Pietikäinen
- Institute of Biomedicine, Faculty of Medicine, University of Turku, Turku, Finland.,Laboratory Division, Clinical Microbiology, Turku University Hospital, Turku, Finland
| | - Mia Åstrand
- Structural Bioinformatics Laboratory, Biochemistry, Faculty of Science and Engineering, Åbo Akademi University, Turku, Finland.,National Doctoral Programme in Informational and Structural Biology, Faculty of Science and Engineering, Åbo Akademi University, Turku, Finland
| | - Julia Cuellar
- Institute of Biomedicine, Faculty of Medicine, University of Turku, Turku, Finland
| | - Otto Glader
- Institute of Biomedicine, Faculty of Medicine, University of Turku, Turku, Finland.,Doctoral Programme in Clinical Research, Turku, Finland
| | - Heli Elovaara
- Institute of Biomedicine, Faculty of Medicine, University of Turku, Turku, Finland
| | - Meri Rouhiainen
- Institute of Biomedicine, Faculty of Medicine, University of Turku, Turku, Finland.,Doctoral Programme in Clinical Research, Turku, Finland
| | - Jemiina Salo
- Institute of Biomedicine, Faculty of Medicine, University of Turku, Turku, Finland
| | - Tomomi Furihata
- Laboratory of Clinical Pharmacy and Experimental Therapeutics, School of Pharmacy, Tokyo University of Pharmacy and Life Sciences, Tokyo, Japan
| | - Tiina A Salminen
- Structural Bioinformatics Laboratory, Biochemistry, Faculty of Science and Engineering, Åbo Akademi University, Turku, Finland
| | - Jukka Hytönen
- Institute of Biomedicine, Faculty of Medicine, University of Turku, Turku, Finland.,Laboratory Division, Clinical Microbiology, Turku University Hospital, Turku, Finland
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Coburn J, Garcia B, Hu LT, Jewett MW, Kraiczy P, Norris SJ, Skare J. Lyme Disease Pathogenesis. Curr Issues Mol Biol 2020; 42:473-518. [PMID: 33353871 DOI: 10.21775/cimb.042.473] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Lyme disease Borrelia are obligately parasitic, tick- transmitted, invasive, persistent bacterial pathogens that cause disease in humans and non-reservoir vertebrates primarily through the induction of inflammation. During transmission from the infected tick, the bacteria undergo significant changes in gene expression, resulting in adaptation to the mammalian environment. The organisms multiply and spread locally and induce inflammatory responses that, in humans, result in clinical signs and symptoms. Borrelia virulence involves a multiplicity of mechanisms for dissemination and colonization of multiple tissues and evasion of host immune responses. Most of the tissue damage, which is seen in non-reservoir hosts, appears to result from host inflammatory reactions, despite the low numbers of bacteria in affected sites. This host response to the Lyme disease Borrelia can cause neurologic, cardiovascular, arthritic, and dermatologic manifestations during the disseminated and persistent stages of infection. The mechanisms by which a paucity of organisms (in comparison to many other infectious diseases) can cause varied and in some cases profound inflammation and symptoms remains mysterious but are the subjects of diverse ongoing investigations. In this review, we provide an overview of virulence mechanisms and determinants for which roles have been demonstrated in vivo, primarily in mouse models of infection.
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Affiliation(s)
- Jenifer Coburn
- Center For Infectious Disease Research, Medical College of Wisconsin, 8701 Watertown Plank Rd., TBRC C3980, Milwaukee, WI 53226, USA
| | - Brandon Garcia
- Department of Microbiology and Immunology, East Carolina University, Brody School of Medicine, Greenville, NC 27858, USA
| | - Linden T Hu
- Department of Molecular Biology and Microbiology, Vice Dean of Research, Tufts University School of Medicine, 136 Harrison Ave., Boston, MA 02111, USA
| | - Mollie W Jewett
- Immunity and Pathogenesis Division Head, Burnett School of Biomedical Sciences, University of Central Florida College of Medicine, 6900 Lake Nona Blvd. Orlando, FL 32827, USA
| | - Peter Kraiczy
- Institute of Medical Microbiology and Infection Control, University Hospital Frankfurt, Goethe University Frankfurt, Paul-Ehrlich-Str. 40, 60596 Frankfurt, Germany
| | - Steven J Norris
- Department of Pathology and Laboratory Medicine, University of Texas Medical School at Houston, P.O. Box 20708, Houston, TX 77225, USA
| | - Jon Skare
- Professor and Associate Head, Texas A and M University, 8447 Riverside Pkwy, Bryan, TX 77807, USA
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