The Journal of Experimental Medicine
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Published 11 February 2002. doi:10.1084/jem.20011870
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*Lyme Disease
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© Rockefeller University Press, 0022-1007/2002/2/415/ $5.00
The Journal of Experimental Medicine, Volume 195, Number 4, February 18, 2002 415-422


Original Article

An Immune Evasion Mechanism for Spirochetal Persistence in Lyme Borreliosis

Fang Ting Liang, Mary B. Jacobs, Lisa C. Bowers and Mario T. Philipp

Department of Parasitology, Tulane Regional Primate Research Center, Tulane University Health Sciences Center, Covington, LA 70433

Address correspondence to Mario T. Philipp, Tulane Regional Primate Research Center, Tulane University Health Sciences Center, 18703 Three Rivers Rd., Covington, LA 70433. Phone: 985-871-6221; Fax: 985-871-6390; E-mail: philipp{at}tpc.tulane.edu

Borrelia burgdorferi, the Lyme disease spirochete, persistently infects mammalian hosts despite the development of strong humoral responses directed against the pathogen. Here we describe a novel mechanism of immune evasion by B. burgdorferi. In immunocompetent mice, spirochetes that did not express ospC (the outer-surface protein C gene) were selected within 17 d after inoculation, concomitantly with the emergence of anti-OspC antibody. Spirochetes with no detectable OspC transcript that were isolated from immunocompetent mice reexpressed ospC after they were either cultured in vitro or transplanted to naive immunocompetent mice, but not in OspC-immunized mice. B. burgdorferi persistently expressed ospC in severe combined immune-deficient (SCID) mice. Passive immunization of B. burgdorferi–infected SCID mice with an anti-OspC monoclonal antibody selectively eliminated ospC-expressing spirochetes but did not clear the infection. OspC-expressing spirochetes reappeared in SCID mice after the anti-OspC antibody was eliminated. We submit that selection of surface-antigen nonexpressers is an immune evasion mechanism that contributes to spirochetal persistence.

Key Words: Borrelia burgdorferi • OspC • chronic infection • immune evasion • immune selection


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