Lyme disease Microchapters
Borrelia burgdorferi On the Web
American Roentgen Ray Society Images of Borrelia burgdorferi
Editor-In-Chief: C. Michael Gibson, M.S., M.D. ; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. , Ilan Dock, B.S. Template:Seealso Template:Seealso (a newly discovered Borrelia species that has been associated with Lyme disease)
Borrelia burgdorferi is species of bacteria of the spirochete class of the genus Borrelia. B. burgdorferi is predominant in North America, but also exists in Europe, and is the causative agent of Lyme disease. It is a zoonotic, vector-borne disease transmitted by ticks and is named after the researcher Willy Burgdorfer who first isolated the bacterium in 1982. B. burgdorferi is one of the few pathogenic bacteria that can survive without iron, having replaced all of its iron-sulphur cluster enzymes with enzymes that use manganese, thus avoiding the problem many pathogenic bacteria face in acquiring iron. B. burgdorferi infections have been linked to non-Hodgkin lymphomas.
- Lyme disease, or Lyme borreliosis, is caused by Gram negative spirochetal bacteria from the genus Borrelia, which has at least 37 known species, 12 of which are Lyme related, and an unknown number of genomic strains. Borrelia species known to cause Lyme disease are collectively known as Borrelia burgdorferi sensu lato complex.
- Borrelia are microaerophillic and slow-growing—the primary reason for the long delays when diagnosing Lyme disease—and have been found to have greater strain diversity than previously estimated. The strains differ in clinical symptoms and/or presentation as well as geographic distribution.
- Except for Borrelia recurrentis (which causes louse-borne relapsing fever and is transmitted by the human body louse), all known species are believed to be transmitted by ticks.
- On February 2016, a second, a new organism, B. mayonii, has been reported for causing Lyme disease (see B. mayonii here).
- Borrelia mayonii causes similar symptoms to Borrelia burgdorferi.
- However, unlike B. burgdorferi, B. mayonii may induce a quick onset of nausea and vomiting.
- The rash associated with this new organism is also different from the conventional, bulls-eye rash. The rash associated with B. mayonii has been reported as a diffuse rash, covering the entire body in "red spots."
Structure and growth
B. burgdorferi is a highly specialized, motile, two-membrane, spiral-shaped spirochete ranging from about 9 to 32 micrometers in length. It is often described as gram-negative and has an outer membrane with lipopolysaccharide (LPS), though it stains only weakly in the Gram stain. B. burgdorferi is a microaerophilic organism, requiring little oxygen to survive. It lives primarily as an extracellular pathogen, although it can also hide intracellularly (see Mechanisms of persistence section).
Like other spirochetes such as T. pallidum (the agent of syphilis), B. burgdorferi has an axial filament composed of flagella which run lengthways between its cell wall and outer membrane. This structure allows the spirochete to move efficiently in corkscrew fashion through viscous media, such as connective tissue. As a result, B. burgdorferi can disseminate throughout the body within days to weeks of infection, penetrating deeply into tissue where the immune system and antibiotics may not be able to eradicate the infection.
B. burgdorferi is very slow growing, with a doubling time of 12-18 hours (in contrast to pathogens such as Streptococcus and Staphylococcus, which have a doubling time of 20-30 minutes). Since most antibiotics kill bacteria only when they are dividing, this longer doubling time necessitates the use of relatively longer treatment courses for Lyme disease. Antibiotics are most effective during the growth phase, which for B. burgdorferi occurs in four-week cycles.
Outer surface proteins
OspA and OspB are by far the most abundant outer surface proteins.
The OspA and OspB genes encode the major outer membrane proteins of the B. burgdorferi. The two Osp proteins show a high degree of sequence similarity, indicating a recent evolutionary event. Molecular analysis and sequence comparison of OspA and OspB with other proteins has revealed similarity to the signal peptides of prokaryotic lipoproteins.Virtually all spirochetes in the midgut of an unfed nymph tick express OspA.
OspC is an antigen-detection of its presence by the host organism and can stimulate an immune response. While each individual bacterial cell contains just one copy of the gene encoding OspC, populations of B. burgdorferi have shown high levels of variation among individuals in the gene sequence for OspC. OspC is likely to play a role in transmission from vector to host, since it has been observed that the protein is only expressed in the presence of mammalian blood or tissue.
The functions of OspD are unknown.
In transmission to the mammalian host, when the nymphal tick begins to feed, and the spirochetes in the midgut begin to multiply rapidly, most spirochetes cease expressing OspA on their surface. Simultaneous with the disappearance of OspA, the spirochete population in the midgut begins to express a OspC. Upregulation of OspC begins during the first day of feeding and peaks 48 hours after attachment.
General Tick Life Cycle
A tick's life cycle is composed of four stages: hatching (egg), nymph (six legged), nymph (eight legged), and an adult.
Humans are most often targeted during the nymph and adult stages of the life cycle.
Life cycle is also dependent on seasonal variation.
Larva will infect the host from the summer until the following spring, at which point they will progress into the nymph stage.
A nymph will remain with the selected host until the following fall at which point it will progress into an adult.
Borrelia burgdoferi lifecycle
The life-cycle concept encompassing reservoirs and infections in multiple hosts has recently been expanded to encompass forms of the spirochete which differ from the motile corkscrew form, and these include cystic forms spheroplast-like, straighted non-coiled bacillary forms which are immotile due to flagellin mutations and granular forms coccoid in profile. The model of Plasmodium species Malaria with multiple parasitic profiles demonstrable in various host insects and mammals is a hypothesized model for a similarly complex proposed Borrelia spirochete life cycle.  
Whereas B. burgdorferi is most associated with deer tick and the white footed mouse, B. afzelii is most frequently detected in rodent-feeding vector ticks, B. garinii and B. valaisiana appear to be associated with birds. Both rodents and birds are competent reservoir hosts for Borrelia burgdorferi sensu stricto. The resistance of a genospecies of Lyme disease spirochetes to the bacteriolytic activities of the alternative immune complement pathway of various host species may determine its reservoir host association.
Urbanization and other anthropogenic factors can be implicated in the spread of the Lyme disease into the human population. In many areas, expansion of suburban neighborhoods has led to the gradual deforestation of surrounding wooded areas and increasing "border" contact between humans and tick-dense areas. Human expansion has also resulted in a gradual reduction of the predators that normally hunt deer as well as mice, chipmunks and other small rodents -- the primary reservoirs for Lyme disease. As a consequence of increased human contact with host and vector, the likelihood of transmission of Lyme to residents of endemic area has greatly increased. Researchers are also investigating possible links between global warming and the spread of vector-borne diseases including Lyme disease.
The deer tick (Ixodes scapularis, the primary vector in the northeastern U.S.) has a two-year life cycle, first progressing from larva to nymph, and then from nymph to adult. The tick feeds only once at each stage. In the fall, large acorn forests attract deer as well as mice, chipmunks and other small rodents infected with B. burgdorferi. During the following spring, the ticks lay their eggs. The rodent population then "booms." Tick eggs hatch into larvae, which feed on the rodents; thus the larvae acquire infection from the rodents. (Note: At this stage, it is proposed that tick infestation may be controlled using acaricides (miticide).
Adult ticks may also transmit disease to humans. After feeding, female adult ticks lay their eggs on the ground, and the cycle is complete. On the west coast, Lyme disease is spread by the western black-legged tick (Ixodes pacificus), which has a different life cycle.
The risk of acquiring Lyme disease does not depend on the existence of a local deer population, as is commonly assumed. New research suggests that eliminating deer from smaller areas (less than 2.5 hectares or 6.2 acres) may in fact lead to an increase in tick density and the rise of "tick-borne disease hotspots".
Differentiating B. burgdorferi from B. mayonii
|General information||B. burgdorferi||B. mayonii
|Transmission||Tick bite||Tick bite|
|Distribution in the USA||Northeast, Mid-Atlantic, and Midwest regions||Midwest region|
|Bacteria Concentration in Blood (Spirochetemia)||Lower||Higher|
|Early Symptoms||Fever, headache, rash, neck pain||Fever, headache, rash, neck pain|
|Late Symptoms and Complications||Joint pain and Arthritis||Joint pain and Arthritis|
|Nausea / Vomiting?||No||Yes|
|Rash Characteristics||Bull's-eye target lesion||Diffuse rash|
|Diagnosis||Serology or PCR||Serology or PCR|
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- "Public Health Image Library (PHIL)".
- Allen Steere
- Jorge Benach
- NCBI Borrelia Taxonomy Browser
- Borrelia Microbe Wiki Page
- Borrelia burgdoferi B31 Genome Page==External links==
- Atlas of Borrelia (images of spirochetal, spheroplast and granular forms)
- NCBI Taxonomy Browser - Borrelia
- Borrelia burgdoferi B31 Genome Page
- Borrelia Garinii PBi Genome Page
- Borrelia Afzelli PKo Gemonme Page
- CDC - Vector Interactions and Molecular Adaptations of Lyme Disease and Relapsing Fever Spirochetes Associated with Transmission by Ticks