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borrelia garinii induces cxcl13 production in human monocytes through toll-like receptor 2.recent studies have suggested an important role for the b-cell-attracting chemokine cxcl13 in the b-cell-dominated cerebrospinal fluid (csf) infiltrate in patients with neuroborreliosis (nb). high levels of cxcl13 were present in the csf of nb patients. it has not been clear, however, whether high csf cxcl13 titers are specific for nb or are a characteristic of other spirochetal diseases as well. furthermore, the mechanisms leading to the observed cxcl13 expression have not been identified yet. ...200717562761
increasing the interaction of borrelia burgdorferi with decorin significantly reduces the 50 percent infectious dose and severely impairs dissemination.tight regulation of surface antigenic expression is crucial for the pathogenic strategy of the lyme disease spirochete, borrelia burgdorferi. here, we report the influence of increasing expression of decorin-binding protein a (dbpa), one of the most investigated spirochetal surface adhesins, on the 50% infectious dose (id(50)), dissemination, tissue colonization, pathogenicity, and persistence of b. burgdorferi in the murine host. our in vitro assays showed that increasing dbpa expression dramat ...200717562764
coordinated expression of borrelia burgdorferi complement regulator-acquiring surface proteins during the lyme disease spirochete's mammal-tick infection cycle.the lyme disease spirochete, borrelia burgdorferi, is largely resistant to being killed by its hosts' alternative complement activation pathway. one possible resistance mechanism of these bacteria is to coat their surfaces with host complement regulators, such as factor h. five different b. burgdorferi outer surface proteins having affinities for factor h have been identified: complement regulator-acquiring surface protein 1 (bbcrasp-1), encoded by cspa; bbcrasp-2, encoded by cspz; and three clo ...200717562769
grapefruit seed extract is a powerful in vitro agent against motile and cystic forms of borrelia burgdorferi sensu lato. 200717565468
[lymphadenopathy and absences].a 6-year-old boy presented with deterioration of general well-being during several weeks, headache and swelling of lymph nodes in the neck. in addition, the parents reported brief episodes resembling typical absence seizures. serological tests and the examination of cerebrospinal fluid revealed neuroborreliosis. at the same time, electroencephalography showed characteristic patterns of absence epilepsy. the boy's condition improved rapidly during a 2-week course of intravenous ceftriaxone and af ...200717566418
dominant epitopes of the c6 diagnostic peptide of borrelia burgdorferi are largely inaccessible to antibody on the parent vlse molecule.lyme borreliosis (lb) is a disease for which antibody-based detection assays are often required for diagnosis. the variable surface molecule vlse and ir6, one of its invariable regions, are commonly targeted by the antibody response in infected individuals. a series of enzyme-linked immunosorbent assays was performed to comparatively examine the antibody responses of north american lb patients (n = 37) to vlse and invariable segments of this molecule. both immunoglobulin m (igm) and igg response ...200717567769
lyme disease--united states, 2003-2005.lyme disease is caused by the spirochete borrelia burgdorferi and is transmitted to humans by the bite of infected blacklegged ticks (ixodes spp.). early manifestations of infection include fever, headache, fatigue, and a characteristic skin rash called erythema migrans. left untreated, late manifestations involving the joints, heart, and nervous system can occur. a healthy people 2010 objective (14-8) is to reduce the annual incidence of lyme disease to 9.7 new cases per 100,000 population in 1 ...200717568368
borreliosis: a rare and alternative diagnosis in travellers' febrile illness.we report a case of borreliosis mimicking uncomplicated malaria in a patient returning from mali. identification of spirochetes through examination of a thick blood smear completed by an acridine-orange quantitative buffy coat allowed the diagnosis of borreliosis. all symptoms rapidly resolved following tetracycline therapy. epidemiological and clinical features of borreliosis, diagnostic tools and management are discussed.200717574148
seroprevalence of borrelia burgdorferi sensu lato and anaplasma phagocytophilum in dogs with neurological signs.a retrospective cohort study was carried out to evaluate whether seropositivity for the tick-transmitted bacterial species borrelia burgdorferi sensu lato and/or anaplasma phagocytophilum was associated with one or more specific categories of nervous system disorders in dogs. a total of 248 dogs with nervous system disorders were serotested for these agents and categorised into six main diagnostic categories: degenerative diseases of the spine, epilepsy, inflammatory diseases, neoplasia, periphe ...200717575245
[investigation on the vectors of borrella burgdorferi and on the identification of the isolates along china-russia border in eastern heilongjiang province, china].to explore the fact that the east border of heilongjiang had been a lyme disease natural focus,we investigated the species and distribution of ticks and isolated bacteria from ticks and identified genomic species of borrelia burdorferi sensu lato. this study provided evidence for prevention and control of lyme disease.200717575937
point: antibiotic therapy is not the answer for patients with persisting symptoms attributable to lyme disease.it is not well understood why some patients develop a subjective syndrome that includes considerable fatigue, musculoskeletal aches, and neurocognitive dysfunction after receiving standard antibiotic courses for the treatment of lyme disease. some practitioners use the term "chronic lyme disease" and order prolonged courses of oral and parenteral antibiotics, believing that persistent infection with borrelia burgdorferi is responsible. however, well-performed prospective studies have found neith ...200717578771
counterpoint: long-term antibiotic therapy improves persistent symptoms associated with lyme disease.controversy exists regarding the diagnosis and treatment of lyme disease. patients with persistent symptoms after standard (2-4-week) antibiotic therapy for this tickborne illness have been denied further antibiotic treatment as a result of the perception that long-term infection with the lyme spirochete, borrelia burgdorferi, and associated tickborne pathogens is rare or nonexistent.200717578772
biochemical analysis of a common human polymorphism associated with age-related macular degeneration.age-related macular degeneration (amd) is the leading cause of irreversible blindness in developed countries. a large number of human genetic studies have associated a common variant (y402h) of complement factor h (cfh) with a highly significant increase in amd risk. cfh is a modular protein with 20 homologous short consensus repeats (scrs). the y402h variant is located in scr7 of both cfh and factor h-like protein 1 (fhl-1), a splice variant of cfh (containing scr1-7) with unique biochemical pr ...200717580967
european hedgehogs as hosts for borrelia spp., germany. 200717582907
marginal-zone lymphoma.the term marginal-zone lymphoma (mzl) encompasses three closely related lymphoma subtypes, namely the "low-grade b-cell lymphoma of malt type" currently named malt lymphoma, the "nodal marginal-zone b-cell lymphoma" and a provisional entity in the real classification named "primary splenic mzl with or without villous lymphocytes". these entities display different characteristics, with evident clinical and biological variations according to the organ where the lymphoma arises. marginal-zone b-cel ...200717583528
[beware of ticks]. 200717585544
[risk for infection by lyme disease cause in green surfaces maintenance workers in belgrade].lyme disease (ld) is a cosmopolitan disease from the group of zoonoses that in humans can affect skins, joints, heart and/or nervous system. research conducted in endemic areas, shows not only that the population, which lives or works in tick habitats, is in a high risk for getting infected by ld cause, but also that every enviroment itself is specific in regard to both vectors and b. burgdoferi species. in our enviroment, research of seropositivity to b. bugdorferi in persons exposed to vectors ...200717585546
duration of antibiotic treatment in disseminated lyme borreliosis: a double-blind, randomized, placebo-controlled, multicenter clinical study.despite rather strict recommendations for antibiotic treatment of disseminated lyme borreliosis (lb), evidence-based studies on the duration of antibiotic treatment are scarce. the aim of this multicenter study was to determine whether initial treatment with intravenous ceftriaxone (cro) for 3 weeks should be extended with a period of adjunct oral antibiotic therapy. a total of 152 consecutive patients with lb were randomized in a double-blind fashion to receive either amoxicillin (amox) 1 g or ...200717587070
insights into the complex regulation of rpos in borrelia burgdorferi.co-ordinated regulation of gene expression is required for the transmission and survival of borrelia burgdorferi in different hosts. the sigma factor rpos (sigma(s)), as regulated by rpon (sigma(54)), has been shown to regulate key virulence factors (e.g. ospc) required for these processes. as important, multiple signals (e.g. temperature, ph, cell density, oxygen) have been shown to increase the expression of sigma(s)-dependent genes; however, little is known about the signal transduction mecha ...200717590233
[infectious uveitis in infancy: borreliosis, tuberculosis, lues].infectious uveitis caused by borrelia, tuberculosis or syphilis is a rare condition, even in childhood. because these diseases can be treated successfully, knowledge of their diagnosis and therapy is highly important. the clinical aspects vary from simple conjunctivitis to endophthalmitis or neuro-ophthalmological diseases. the diagnosis of and therapy for borreliosis depend on the stage of the disease. the involvement of different organ systems or positive indirect tests (tuberculin skin test, ...200717594618
antigenicity and recombination of vlse, the antigenic variation protein of borrelia burgdorferi, in rabbits, a host putatively resistant to long-term infection with this spirochete.borrelia burgdorferi, the lyme disease pathogen, employs several immune-evasive strategies to survive in mammals. unlike mice, major reservoir hosts for b. burgdorferi, rabbits are considered to be nonpermissive hosts for persistent infection. antigenic variation of the vlse molecule is a probable evasion strategy known to function in mice. the invariable region 6 (ir6) and carboxyl-terminal domain (ct) of vlse elicit dominant antibody responses that are not protective, perhaps to function as de ...200717596185
genetic and physiological characterization of the borrelia burgdorferi orf bb0374-pfs-metk-luxs operon.the lyme disease spirochaete, borrelia burgdorferi, produces the luxs enzyme both in vivo and in vitro; this enzyme catalyses the synthesis of homocysteine and 4,5-dihydroxy-2,3-pentanedione (dpd) from a by-product of methylation reactions. unlike most bacteria, b. burgdorferi is unable to utilize homocysteine. however, dpd levels alter expression levels of a subset of b. burgdorferi proteins. the present studies demonstrate that a single b. burgdorferi operon encodes both of the enzymes respons ...200717600074
hidden in plain sight: borrelia burgdorferi and the extracellular matrix.borrelia burgdorferi, the tick-transmitted etiologic agent of lyme borreliosis, can colonize and persist in multiple tissue sites despite vigorous host immune responses. the extracellular matrix appears to provide a protective niche for the spirochete. recent studies in mice suggest that b. burgdorferi interacts in various ways with collagen and its associated molecules, exploiting molecular and structural features to establish microcolonial refugia. better knowledge of the genetic and structura ...200717600717
differential diagnoses of suspected lyme borreliosis or post-lyme-disease syndrome.the symptoms of lyme borreliosis are similar to those of a variety of autoimmune musculoskeletal diseases. persistence of complaints is frequently interpreted as unsuccessful antibiotic treatment of borrelia-associated infections. however, such refractory cases are rare, and re-evaluation of differential diagnoses helps to avoid the substantial risk of long-term antibiotic therapy. in this study, we analyzed patients who presented to our rheumatology unit with previous suspected or diagnosed lym ...200717605053
oedema of the metatarsal heads ii-iv and forefoot pain as an unusual manifestation of lyme disease: a case report.abstract: we report the case of a healthy 36 year old man who suffered from foot pain lasting for weeks, without having a specific medical history relating to it. the clinical evaluation was interpreted as a transfer metatarsalgia caused by a splayfoot. the radiographs revealed no pathology except the splayfoot deformity. due to persistent pain and swelling of the entire forefoot, after two weeks of conventional treatment, magnet resonance images (mri) and a blood sample were taken. the laborato ...200717620125
role of outer surface protein d in the borrelia burgdorferi life cycle.borrelia burgdorferi preferentially induces selected genes in mice or ticks, and studies suggest that ospd is down-regulated in response to host-specific signals. we now directly show that ospd expression is generally elevated within ixodes scapularis compared with mice. we then assessed the importance of ospd throughout the spirochete life cycle by generating ospd-deficient b. burgdorferi and examining the mutant in the murine model of tick-transmitted lyme borreliosis. the lack of ospd did not ...200717620358
the role of lizards in the ecology of lyme disease in two endemic zones of the northeastern united states.we examined the role of lizards in the ecology of lyme disease in new york and maryland. we collected data on vector tick infestations, measured lizard "realized" reservoir competence for the lyme disease spirochete borrelia burgdorferi, and estimated lizard population density. these data were incorporated into a model that predicts a host's ability to influence the prevalence of b. burgdorferi in the tick population, a primary risk factor in the epidemiology of lyme disease. published data on o ...200717626342
increased prevalence of borrelia burgdorferi infections in bernese mountain dogs: a possible breed predisposition.glomerulonephritis in dogs has been associated with b. burgdorferi infections. in bernese mountain dogs with glomerulonephritis antibodies against b. burgdorferi have been found in most dogs, raising the question if the breed is predisposed to infections with b. burgdorferi. the aim of this study was to determine the prevalence of antibodies against b. burgdorferi sensu lato in a well defined population of bernese mountain dogs and to compare this prevalence with data from dogs of other breeds.200717626630
isolation and characterization of chemotaxis mutants of the lyme disease spirochete borrelia burgdorferi using allelic exchange mutagenesis, flow cytometry, and cell tracking.constructing mutants by targeted gene inactivation is more difficult in the lyme disease organism, borrelia burgdorferi, than in many other species of bacteria. the b. burgdorferi genome is fragmented, with a large linear genome and 21 linear and circular plasmids. some of these small linear and circular plasmids are often lost during laboratory propagation, and the loss of specific plasmids can have a significant impact on virulence. in addition to the unusual structure of the b. burgdorferi ge ...200717628152
phosphorylation assays of chemotaxis two-component system proteins in borrelia burgdorferi.borrelia burgdorferi has a complex chemotaxis signal transduction system with multiple chemotaxis gene homologs similar to those found in escherichia coli and bacillus subtilis. the b. burgdorferi genome sequence encodes two chea, three chey, three chew, two cheb, two cher, but no chez genes. instead of chez, b. burgdorferi contains a different chey-p phosphatase, referred to as chex. the multiple b. burgdorferi histidine kinases (chea1 and chea2) and response regulators (chey1, chey2, and chey3 ...200717628153
lyme meningoradiculitis: prospective evaluation of biological diagnosis methods.the symptoms of lyme meningoradiculitis and the value of biological examinations in an endemic area were determined in a prospective study in which data were collected on all patients consecutively hospitalised for lyme meningoradiculitis at our institution during an 18-month period. specific antibody titres in the serum and cerebrospinal fluid (csf) were determined by vidas enzyme-linked-immunosorbent-assay (igg + igm), dade-behring enzyme immunoassay (eia) (igm; igg) and western blot analysis ...200717629757
human pathogenic borrelia spielmanii sp. nov. resists complement-mediated killing by direct binding of immune regulators factor h and factor h-like protein 1.borrelia spielmanii sp. nov. has recently been shown to be a novel human pathogenic genospecies that causes lyme disease in europe. in order to elucidate the immune evasion mechanisms of b. spielmanii, we compared the abilities of isolates obtained from lyme disease patients and tick isolate pc-eq17 to escape from complement-mediated bacteriolysis. using a growth inhibition assay, we show that four b. spielmanii isolates, including pc-eq17, are serum resistant, whereas a single isolate, pmew, wa ...200717635869
necrotizing granulomatous hepatitis as an unusual manifestation of lyme disease. 200717638077
environmental risk factors for mycosis fungoides.the rising incidence rates of mycosis fungoides (mf) call for an explanation. thus, environmental and lifestyle factors were speculated to play a role in the development of lymphoproliferative diseases. it is thought that continuous activation of skin t helper lymphocytes leads to malignant transformation of a specific clone. possible risk factors that have been implicated are occupational chemical exposure, radiation, drugs and infections. the carcinogenic process is probably multifactorial and ...200717641490
analysis of the rpos regulon in borrelia burgdorferi in response to mammalian host signals provides insight into rpos function during the enzootic cycle.borrelia burgdorferi (bb) adapts to its arthropod and mammalian hosts by altering its transcriptional and antigenic profiles in response to environmental signals associated with each of these milieus. in studies presented here, we provide evidence to suggest that mammalian host signals are important for modulating and maintaining both the positive and negative aspects of mammalian host adaptation mediated by the alternative sigma factor rpos in bb. although considerable overlap was observed betw ...200717645733
biochemical and functional characterization of salp20, an ixodes scapularis tick salivary protein that inhibits the complement pathway.ixodes ticks are vectors of several pathogens including borrelia burgdorferi. tick saliva contains numerous molecules that facilitate blood feeding without host immune recognition and rejection. we have expressed, purified, and characterized ixodes scapularis salivary protein 20 (salp20), a potential inhibitor of the alternative complement pathway that shares homology with the isac protein family. when analysed by sds-page and size exclusion chromatography, salp20 was approximately 48 kda, more ...200717651236
gene organization of a novel defensin of ixodes ricinus: first annotation of an intron/exon structure in a hard tick defensin gene and first evidence of the occurrence of two isoforms of one member of the arthropod defensin family.antimicrobial peptides (defensins) are effectors of the immune system. herein, we describe a novel ixodes ricinus defensin gene(s), analyse its structure and compare it with other known antimicrobial peptides from different tick species. for the first time, an intron/exon structure is discovered in a hard-tick defensin gene. the intron/exon genomic organization of the gene is similar to the organization in ornithodoros moubata, but not to that of the intronless defensins of dermacentor variabili ...200717651239
isolation, cultivation and identification of borrelia burgdorferi genospecies from ixodes ricinus ticks from the city of brno, czech republic.a total of 305 ticks (21 larvae, 243 nymphs, 19 females and 22 males) were collected by flagging of vegetation in suburban woods of pisarky park (city of brno) from july to october 2002. the midgut of each tick was dissected out and transferred individually into bsk-h medium. after cultivation, all specimens were examined by dark-field microscopy (dfm) for the presence of borreliae. out of 305 tick samples, 45 were (14.8%) dfm positive. the following polymerase chain reaction (pcr) then revealed ...200717655181
tick-host-pathogen interactions in lyme borreliosis.borrelia burgdorferi, the spirochetal agent of lyme borreliosis, is predominantly transmitted by ixodes ticks. spirochetes have developed many strategies to adapt to the different environments that are present in the arthropod vector and the vertebrate host. this review focuses on b. burgdorferi genes that are preferentially expressed in the tick and the vertebrate host, and describes how selected gene products facilitate spirochete survival throughout the enzootic life cycle. interestingly, b. ...200717656156
[ecological bases of the combination of natural foci of leptospirosis, tick-borne encephalitis, and ixodes tick-borne borrelioses in the ecosystems of a northern forest-steppe subzone in the tyumen region].in the context of the present-day teaching of parasitocenoses and the proposition that the pathogen's population is the only compulsory and specific component of a natural focus, the authors bring to light the ecological bases of the combination of natural foci of leptospirosis and tick-borne encephalitis, leptospirosis and ixodes tick-borne borrelioses. these foci are one-host population-combined. while analyzing the combination of the foci, it is expedient to consider in pairs since this provi ...200717657949
borrelia burgdorferi adhesins identified using in vivo phage display.borrelia burgdorferi, the agent of lyme disease, disseminates from the site of deposition by ixodes ticks to cause systemic infection. dissemination occurs through the circulation and through tissue matrices, but the b. burgdorferi molecules that mediate interactions with the endothelium in vivo have not yet been identified. in vivo selection of filamentous phage expressing b. burgdorferi protein fragments on the phage surface identified several new candidate adhesins, and verified the activity ...200717784908
is the presence of antibodies in csf sufficient to make a definitive diagnosis of lyme disease? 200717785661
relevance of the antibody index to diagnose lyme neuroborreliosis among seropositive patients.no consensual criteria exist to diagnose neuroborreliosis. the intrathecal anti-borrelia antibody index (ai) is a necessary criterion to diagnose neuroborreliosis in europe, but not in the united states. previous studies to determine the diagnostic value of the ai found a sensitivity ranging from 55% to 80%. however, these studies included only typical clinical cases of meningitis or meningoradiculitis, and none had a control group with csf anti-borrelia antibodies.200717785663
regulation of expression of the fibronectin-binding protein bbk32 in borrelia burgdorferi.the bbk32 protein binds to host extracellular ligand fibronectin and contributes to the pathogenesis of borrelia burgdorferi. here we showed that expression of the bbk32 gene is influenced by multiple environmental factors and that its regulation is governed by the response regulator rrp2 and rpon-rpos (sigma(54)-sigma(s)) sigma cascade in b. burgdorferi.200717873053
serum reactivity against borrelia burgdorferi ospa in patients with rheumatoid arthritis.lyme arthritis and rheumatoid arthritis share common clinical features and synovial histology. it is unclear whether they also share similar pathogenesis. previous studies have shown that the severity and duration of lyme arthritis correlate directly with serum concentrations of antibody against outer surface protein a (ospa) of the causative pathogen borrelia burgdorferi. we tested the sera of 68 subjects with rheumatoid arthritis, 147 subjects with other autoimmune diseases, and 44 healthy sub ...200717881508
feeding by the tick, ixodes scapularis, causes cd4(+) t cells responding to cognate antigen to develop the capacity to express il-4.effects of tick feeding on an early antigen-specific t cell response were studied by monitoring a clonotypic population of adoptively transferred t cell receptor (tcr) transgenic cd4 cells responding to a tick-associated antigen. when recipient mice were infested with pathogen-free ixodes scapularis nymphs several days prior to t cell transfer and intradermal injection of soluble cognate antigen at the feeding site, the clonotypic cd4 cells gained the ability to express the th2 effector cytokine ...200717883452
antigen biochips verify and extend the scope of antibody detection in lyme borreliosis.the antibody response of serum igm and igg of patients with neuroborreliosis and erythema migrans of lyme borreliosis (lb) was examined against a 41-kda flagellar antigen and an 8-mer synthetic ospc8 peptide (vaespkkp) derived from the c-terminus of outer surface protein c (ospc) from borrelia garinii. we developed a streptavidin-modified biochip-based immunodiagnosis and compared it with conventional methods such as enzyme-linked immunosorbent assay (elisa) and western blot (wb). the diagnostic ...200717888607
borrelia burgdorferi-associated primary cutaneous marginal-zone b-cell lymphoma: a case report.an association between borrelia burgdorferi with primary cutaneous b-cell lymphoma (pcbcl) has long been suspected but just recently, thanks to a polymerase chain reaction technique, it had been possible to demonstrate b. burgdorferi-specific dna in skin lesions of patients with different pcbcl subtypes. locating cases of pcbcl that are related to b. burgdorferi infection could be really important for therapeutic implications; in fact, there are several reports of pcbcl responding to antibiotic ...200717823520
lyme disease like syndrome associated lymphocytoma: first case report in brazil. 200717823716
screening dogs in ontario for borrelia burgdorferi and ehrlichia canis should be selective rather than routine. 200717824154
[tick bites, lyme disease and early summer meningoencephalitis. current indications concerning infection risks, prevention and therapy]. 200717844683
delineation of species-specific binding properties of the cspz protein (bbh06) of lyme disease spirochetes: evidence for new contributions to the pathogenesis of borrelia spp.borrelia burgdorferi cspz (tigr open reading frame designation, bbh06) is part of a functionally related group of proteins that bind one or more members of the factor h (fh) protein family. in this report we assess the conservation, distribution, properties, and ligand binding abilities of cspz from the three main borrelia species associated with lyme disease infections in humans. cspz (also referred to as bbcrasp-2 in the literature) was found to be highly conserved at the intraspecies level bu ...200717846117
ecological havoc, the rise of white-tailed deer, and the emergence of amblyomma americanum-associated zoonoses in the united states.two infectious diseases, and one presumably infectious disease, each vectored by or associated with the bite of the lone star tick (amblyomma americanum), were identified and characterized by clinicians and scientists in the united states during the 1980s and 1990s. these three conditions-human monocytic (or monocytotropic) ehrlichiosis (hme), ehrlichia ewingii ehrlichiosis, and southern tick-associated rash illness (stari)-undoubtedly existed in the united states prior to this time. however, th ...200717848069
fibrinolysis and host response in bacterial infections.the plasminogen activation system is part of the fibrinolysis which is tightly regulated and protected against dysfunction by various activators and inhibitors. however, microorganisms including bacteria, fungi and also parasites have been proven to interact in a specific manner with components of the fibrinolytic pathways. pathogenic bacteria are capable to subvert the function of proteases, activators or inhibitors for their own benefits including dissemination within the host and evasion of h ...200717849039
[diagnostic aspects of borrelia-infections in dogs].this paper discusses the problem of diagnosing borreliosis (lyme disease) in dogs. a prospective cohort study in the kempen district, a known borrelia focus in the netherlands, showed that dogs with the presumptive symptoms of borreliosis, episodic malaise and lameness, had significantly higher and longer lasting anti-borrelia igg titers than asymptomatic dogs. a small part of these dogs also had antibodies directed against the ir6 (c6) antigen which indicates persistent active borrelia infectio ...200717849909
anaplasma phagocytophilum-borrelia burgdorferi coinfection enhances chemokine, cytokine, and matrix metalloprotease expression by human brain microvascular endothelial cells.borrelia burgdorferi and anaplasma phagocytophilum coinfect and are transmitted by ixodes species ticks. clinical indicators suggest that a. phagocytophilum coinfection contributes to the severity, dissemination, and, possibly, sequelae of lyme disease. previous in vitro studies showed that spirochete penetration through human brain microvascular endothelial cells of the blood-brain barrier is facilitated by endothelial cell-derived matrix metalloproteases (mmps). a. phagocytophilum-infected neu ...200717898182
[is it useful in case of a tick bite to give one oral dose of 200mg doxycycline to prevent borrelia burgdorferi infection?]. 200717902565
evidence of a conjugal erythromycin resistance element in the lyme disease spirochete borrelia burgdorferi.we report the identification of isolates of borrelia burgdorferi strain b31 that exhibit an unusual macrolide-lincosamide (ml) or macrolide-lincosamide-streptogramin a (mls(a)) antibiotic resistance pattern. low-passage isolates were resistant to high levels (>100 microg/ml) of erythromycin, spiramycin and the lincosamides but were sensitive to dalfopristin, an analogue of streptogramin b. interestingly, the high-passage erythromycin-resistant strain b31 was resistant to quinupristin, an analogu ...200717905571
[total atrioventricular block following a tick bite].a 40-year-old man was referred to the cardiology outpatient clinic with dizziness, palpitations and shortness of breath. he remembered being bitten by a tick two to three years previously, but had not noticed a characteristic skin rash. the ecg showed a prominent first degree atrioventricular (av) block and ambulatory electrocardiographic monitoring showed an intermittent complete av block. a definitive pacemaker was implanted. antibodies to borrelia were found. the patient was treated with ceft ...200717907546
[role of various ixodes ticks as vectors of the causative agents of tick-borne encephalitis and borrelioses in the orenburg region]. 200717912831
a critical appraisal of "chronic lyme disease". 200717914043
molecular identification of bloodmeal source in ixodes ricinus ticks using 12s rdna as a genetic marker.we developed an efficient molecular method for the identification of the bloodmeal sources in the tick ixodes ricinus (l.), the european vector of the agents of lyme borreliosis and tick-borne encephalitis. an approximately 145-bp orthologous fragment of the vertebrate mitochondrial 12s rdna was used as a molecular marker to discriminate host vertebrate species. the method consists of a single run polymerase chain reaction amplification of the 12s rdna molecular marker by using nondegenerate pri ...200717915521
genetic basis for retention of a critical virulence plasmid of borrelia burgdorferi.the genome of borrelia burgdorferi is composed of one linear chromosome and approximately 20 linear and circular plasmids. although some plasmids are required by b. burgdorferi in vivo, most plasmids are dispensable for growth in vitro. however, circular plasmid (cp) 26 is present in all natural isolates and has never been lost during in vitro growth. this plasmid carries ospc, which is critical for mammalian infection. we previously showed that cp26 encodes essential functions, including the te ...200717919281
macromolecular crowding increases structural content of folded proteins.here we show that increased amount of secondary structure is acquired in the folded states of two structurally-different proteins (alpha-helical vlse and alpha/beta flavodoxin) in the presence of macromolecular crowding agents. the structural content of flavodoxin and vlse is enhanced by 33% and 70%, respectively, in 400 mg/ml ficoll 70 (ph 7, 20 degrees c) and correlates with higher protein-thermal stability. in the same ficoll range, there are only small effects on the unfolded-state structure ...200717919600
an octavalent lyme disease vaccine induces antibodies that recognize all incorporated ospc type-specific sequences.lyme disease is the most common vector-borne disease in north america and europe and, if untreated, has significant arthritic, cardiac, dermatological and neurological sequelae. there is no currently available human lyme disease vaccine. outer surface protein c, because of its antigenicity, protective ability, and expression characteristics has emerged as a promising second generation vaccine candidate; however, significant sequence heterogeneity has impeded its development. analyses of ospc seq ...200717921702
expression of the recombinant bacterial outer surface protein a in tobacco chloroplasts leads to thylakoid localization and loss of photosynthesis.bacterial lipoproteins play crucial roles in host-pathogen interactions and pathogenesis and are important targets for the immune system. a prominent example is the outer surface protein a (ospa) of borrelia burgdorferi, which has been efficiently used as a vaccine for the prevention of lyme disease. in a previous study, ospa could be produced in tobacco chloroplasts in a lipidated and immunogenic form. to further explore the potential of chloroplasts for the production of bacterial lipoproteins ...200717922845
separate base usages of genes located on the leading and lagging strands in chlamydia muridarum revealed by the z curve method.the nucleotide compositional asymmetry between the leading and lagging strands in bacterial genomes has been the subject of intensive study in the past few years. it is interesting to mention that almost all bacterial genomes exhibit the same kind of base asymmetry. this work aims to investigate the strand biases in chlamydia muridarum genome and show the potential of the z curve method for quantitatively differentiating genes on the leading and lagging strands.200717925038
[eosinophilic fasciitis associated with borrelia burgdorferi infection].eosinophilic fasciitis (shulman syndrome) is defined by the association of sclerodermatous skin changes involving underlying fascia and hypereosinophilia. while the aetiology is unknown, some observations suggest an infectious origin. we report the association of eosinophilic fasciitis with an infection involving borrelia burgdorferi.200717925693
clinicopathological features of primary cutaneous b-cell lymphomas from an academic regional hospital in central italy: no evidence of borrelia burgdorferi association.we reviewed the clinico-pathological features of 73 primary cutaneous b-cell lymphomas (pcbcls), diagnosed in 10 years in marche region in central italy, which included 16 marginal zone lymphomas (mzl), 33 follicle centre lymphomas (fcl) and 24 diffuse large b cell lymphomas (dlbcl). we also investigated the presence of borrelia burgdorferi in tissues by polymerase chain reaction. differences in age, sex, location site, response to therapy, disease recurrence and 5-year disease-specific survival ...200717926178
[a late revealing of a case of tick-born borreliosis].nowadays, many researchers believe that there is a firm ethiopathogenetic association between limited focal scleroderma and focal dermal atrophy, on the one part, and lyme borreliosis, on the other. reports on a possible role of borrelia bugdorferi in the ethiology of scleroderma, which appeared in press in the 90s of the last century, made it possible to confirm a case of tick-born borreliosis (tbb) described below after clinical and specific laboratory examination (antibody immunofluorescence ...200717926497
eeg with triphasic waves in borrelia burgdorferi meningoencephalitis.we describe a case of encephalopathy in which the clinical picture and triphasic waves in the eeg indicated a metabolic cause. however, the illness was caused by neuroborreliosis. the occurrence of triphasic waves in the eeg is a strong evidence of metabolic encephalopathy, but triphasic waves are not specific for metabolic encephalopathy. triphasic waves have been described in a number of non-metabolic encephalopaties and structural brain lesions. to our knowledge, this is the first report of t ...200717661801
clinical usefulness of intrathecal antibody testing in acute lyme neuroborreliosis.the aim of the study was to examine diagnostic sensitivity and temporal course of intrathecal borrelia burgdorferi (bb) antibody production in acute lyme neuroborreliosis (lnb). we recruited consecutive adult patients with lnb diagnosis based on strict selection criteria. serum and cerebrospinal fluid (csfs) were obtained, and clinical examination was performed pre-treatment, and 13 days and 4 months post-treatment. pre-treatment positive bb antibody index (ai) was detected in 34 of 43 (79%). al ...200717662007
gene conversion is a convergent strategy for pathogen antigenic variation.recent studies on three unrelated vector-borne pathogens, anaplasma marginale, borrelia hermsii and trypanosoma brucei, illustrate the central importance of gene conversion as a mechanism for antigenic variation, which results in subsequent evasion of the immune response and persistence in the reservoir host. the combination of genome sequence data and in vivo studies tracking variant emergence not only provides insight into the genetic mechanisms for variant generation and hierarchy in variant ...200717662656
[ecological and parasitological prerequisites for the spread of ixodes tick-borne borrelioses in the foci with various landscapes]. 200717663042
c-jun n-terminal kinase 1 is required for toll-like receptor 1 gene expression in macrophages.the regulation of innate immune responses to pathogens occurs through the interaction of toll-like receptors (tlrs) with pathogen-associated molecular patterns and the activation of several signaling pathways whose contribution to the overall innate immune response to pathogens is poorly understood. we demonstrate a mechanism of control of murine macrophage responses mediated by tlr1/2 heterodimers through c-jun n-terminal kinase 1 (jnk1) activity. jnk controls tumor necrosis factor alpha produc ...200717664270
comparison of an automated borrelia indirect chemiluminescent immunoassay (clia) with a vlse/c6 elisa and immunoblot. 200717558488
[could aspecific symptoms be related to borrelia infection?].chronic manifestations (knee arthritis, encephalomyelitis, axonal polyneuropathy) may occur in the late phase of lyme disease. contrasting with such well-defined manifestations, the "post-lyme syndrome" includes symptoms such as fatigue, algia, malaise, cognitive disorders, after treatment of a documented lyme disease. the analysis of clinical, neuropsychological, bacteriological, immunological, epidemiological, quality of life, and treatment data does not support the reality of such a syndrome. ...200717360137
[biologic diagnosis of lyme borreliosis].lyme borreliosis (lb) is a multisystemic infection transmitted by ticks. its diagnosis is based on clinical and biological criteria. these criteria could be different in europe than in the usa, because of the existence of multiples strains of borrelia in europe. in primary stage of lb, the diagnosis is often clinical. in the secondary stage, lb diagnosis is established with an elisa serology confirmed by a western blot. the interpretation criteria of these laboratory tests should follow european ...200717360138
ospc phylogenetic analyses support the feasibility of a broadly protective polyvalent chimeric lyme disease vaccine.using available borrelia outer surface protein c (ospc) sequences, a phylogenetic analysis was undertaken to delineate the number of antigenic domains required for inclusion in a broadly protective, chimeric, ospc-based lyme disease vaccine. the data indicate that approximately 34 would be required and that an ospc-based vaccinogen is feasible.200717360854
anti-p19 antibody treatment exacerbates lyme arthritis and enhances borreliacidal activity.considerable effort has been made to elucidate the mechanism of lyme arthritis. we focused on p19, a cell cycle-regulating molecule, because it is known to inhibit cell cycle division of t lymphocytes which may be responsible for the induction of arthritis. we show that anti-p19 antibody treatment enhances the inflammatory response normally detected at the tibiotarsal joints of borrelia burgdorferi-vaccinated and borrelia bissettii-challenged mice. specifically, anti-p19 antibody treatment augme ...200717360856
lyme disease followed by human granulocytic anaplasmosis in a kidney transplant recipient.we report the case of a kidney transplant recipient who developed lyme disease, followed by human granulocytic anaplasmosis (hga) 3 years later. a review of all previously published cases of lyme disease (3 cases), hga (5 cases), and human monocytic ehrlichiosis (hme) (5 cases) in transplant recipients is presented. manifestations of the cases reviewed were similar to those of non-transplant patients. there appeared to be no obvious correlation between immunosuppression and the occurrence of the ...200717313478
detection of dna from a range of bacterial species in the knee joints of dogs with inflammatory knee arthritis and associated degenerative anterior cruciate ligament rupture.mixtures of bacterial nucleic acids can often be detected in synovial joints affected with arthritis. we investigated the potential role of such mixtures of bacterial nucleic acids in the pathogenesis of arthritis in a naturally occurring canine model. dogs with a common inflammatory knee arthritis in which associated pathological degenerative anterior cruciate ligament (acl) rupture often develops were studied. synovial biopsies were obtained from 43 dogs with the naturally occurring acl ruptur ...200717320342
lyme borreliosis--an update.lyme borreliosis is the most common tick-borne, infectious disease in the northern hemisphere. disease manifestations in the united states and europe vary as a result of geographic distribution of different species within the genospecies borrelia burgdorferi sensu lato, which in turn are host-specific. certain toxigenic b. burgdorferi strains cause early disseminated disease. the ability of borrelial organisms to break down the extracellular matrix also promotes dissemination. b. burgdorferi are ...200717451386
tick-borne zoonotic bacteria in wild and domestic small mammals in northern spain.the prevalence and diversity of tick-borne zoonotic bacteria (borrelia spp., anaplasma phagocytophilum, coxiella burnetii, and spotted fever group rickettsiae) infecting 253 small mammals captured in the basque country (spain) were assessed using pcr and reverse line blot hybridization. trapping sites were selected around sheep farms (study 1, 2000 to 2002) and recreational parks (study 2, 2003 to 2005). the majority of the studied mammals (162) were wood mice (apodemus sylvaticus), but six othe ...200717693556
phenology of ixodes ricinus and infection with borrelia burgdorferi sensu lato along a north- and south-facing altitudinal gradient on chaumont mountain, switzerland.questing ixodes ricinus l. ticks were collected monthly from 2003 to 2005 on the north- and south-facing slopes of chaumont mountain in neuchâtel, switzerland, at altitudes varying from 620 to 1,070 m. on the south-facing slope, questing tick density was higher than on the north-facing slope, and it decreased with altitude. density tended to increase with altitude on the north-facing slope. saturation deficit values higher than 10 mmhg and lasting for >2 mo were often recorded on the south-facin ...200717695026
resolution of chronic hepatitis c following parasitosis.an inefficient cellular immune response likely leads to chronic hepatitis c virus (hcv) infection. resolution of chronic hcv infection in the absence of treatment is a rare occurrence. we report the case of a 39-year old white male with a 17-year history of chronic hcv infection, who eradicated hcv following a serious illness due to co-infection with babesia (babesiosis), borriela borgdorferi (lyme disease) and ehrlichia (human granulocytic ehrlichiosis). we hypothesize that the cellular immune ...200717696260
[lyme arthritis, lyme carditis and other presentations potentially associated to lyme disease].lyme disease or lyme borreliosis is the most common tick-transmitted disease in the northern hemisphere and is caused by borrelia burgdorferi spirochetes. lyme disease commonly begins with a characteristic skin lesion, erythema migrans. weeks or months later, the patients may have neurologic, joint, or cardiac abnormalities. some patients may still present persistent deep fatigue and various unspecific symptoms after standard courses of antibiotic treatment for lyme disease. this constellation o ...200717698309
antibodies to recombinant decorin-binding proteins a and b in the cerebrospinal fluid of patients with lyme neuroborreliosis.cerebrospinal fluid (csf) and serum samples from 34 patients with proven neuroborreliosis (nb) and 22 patients with suspected neuroborreliosis (snb) from finland were analysed for antibodies to decorin-binding proteins a (dbpa) and b (dbpb). antibodies to recombinant protein antigens originating from borrelia burgdorferi sensu stricto, b. afzelii, or b. garinii species were studied by enzyme-linked immunosorbent assay (elisa). of the 34 patients with nb, 100% of the csf and 88% of the serum samp ...200717701715
[concentration of sfas and sfasl in the supernatant of pbmc culture from the patients with late lyme borreliosis].persistent, inadequate inflammatory response present in late lyme borreliosis may be driven by activated t lymphocytes. we estimated synthesis of extracellular proteins: soluble fas receptor (sfas) and its ligand (sfasl), which might protect t lymphocytes from physiologic apoptosis, in the peripheral blood mononuclear cell (pbmc) culture from patients with late borreliosis.200717702439
[clinical forms of neuroborreliosis--the analysis of patients diagnosed in department of infectious diseases and neuroinfection medical academy in bialystok between 2000-2005].increased morbidity of viral tick borne encephalitis since the 90's indicates growing risk of rother tick borne diseases, including neuroborreliosis. analysis of demographical, epidemiological and clinical data of patients hospitalised in departament on infectious diseases and neuroinfections in years 2000-2005 revealed that among patients with lyme disease 13% were with neuroborreliosis with broad spectrum of neurologic symptoms as cranial nerves paresis (mainly n.vii), as well concentration an ...200717702440
[prevalence of borreliosis among forestry workers in kujawsko-pomorskie voivodeship].prevalence and clinical manifestation of borreliosis were analyzed. evaluation of frequency of anti-borrelia burgdorferi in sera collected from forestry workers were performed too.200717702441
[diagnostic difficulties in neuroborreliosis in children].analysis of clinical picture in children hospitalized because of suspicion of neuroborreliosis and evaluation of usefulness of testing serum and cerebrospinal fluid (csf) for specific antibodies.200717702442
[eye involvement of borrelia aetiology].we present a case of eye involvement -- intermediate uveitis -- during tick-borne borreliosis in a 10-year-old boy. ophthalmologic examination revealed impaired vision, apparent thick floating whitish opacity in the vitreous humour of the left eye and fine fibres in the vitreous humour of the right eye. sonographic examination confirmed hyperechogenic opacity in the vitreous humour. an autoimmune process was suspected but not confirmed. serological examination showed igg antibodies against three ...200717703406
[treatment and follow up of disseminated and late lyme disease].the aim of this review was to analyze the current strategies of treatment and follow-up of disseminated and late lyme borreliosis. a comprehensive search was performed using the medline database. only relevant reviews, expert guidelines and randomized controlled clinical trials were selected and, if necessary, open trials. major drugs used in these studies were amoxicillin, doxycycline, penicillin g, and ceftriaxone. oral administration of antibiotics was preferred in lyme arthritis whereas pare ...200717707605
interstitial granuloma annulare and borreliosis: a new case. 200717714142
the role of vlse antigenic variation in the lyme disease spirochete: persistence through a mechanism that differs from other pathogens.the linear plasmid, lp28-1, is required for persistent infection by the lyme disease spirochete, borrelia burgdorferi. this plasmid contains the vls antigenic variation locus, which has long been thought to be important for immune evasion. however, the role of the vls locus as a virulence factor during mammalian infection has not been clearly defined. we report the successful removal of the vls locus through telomere resolvase-mediated targeted deletion, and demonstrate the absolute requirement ...200717714442
[microbiological and pharmacological data useful for the treatment of lyme disease. treatment and follow up of early lyme disease (erythema migrans)].the aim of this review was first to analyze the microbiological and pharmacological criteria used to choose a treatment for lyme disease. the determination of borrelia burgdorferi sensu lato susceptibility to antibiotics is difficult, especially because of the lack of standardization in the methods used. in vitro data is helpful to determine lyme treatment but discrepancies between in vitro and in vivo results highlight the need to confirm this data by clinical trials. the second part is an anal ...200717714902
early disseminated borreliosis with multiple erythema migrans and elevated liver enzymes: case report and literature review.a 69-year-old man presented with multiple livid maculae and infiltrated urticarial plaques, as well as elevated liver enzymes. based on typical clinical picture, histopathology and positive pcr from a skin biopsy, we diagnosed an early disseminated infection with borrelia afzelii presenting with multiple erythema migrans (erythemata migrantia) and a subclinical hepatitis. during antibiotic treatment with intravenous ceftriaxone, the maculae and plaques vanished almost completely and the liver en ...200717721649
[the information value of detection of borrelia antibodies in the healthy blood donors and in the population at risk].geographic differences of particular species of ticks and variant strains of borrelias impede the comparison of local and foreign experience. the authors tried to support some literary observations with their own results and designed a study aimed at determination of anti-borrelia antibodies (ab) in the selected population samples. the goal of the study was to find and statistically evaluate: a) difference in distribution of values of ab in the sample of probands from the risk and non-risk envir ...200717722848
[clinical spectrum of neuroborreliosis].lyme disease is a multisystem infectious disease with a wide variety of symptoms involving the skin as well as nervous, musculosceletal and cardiovascular systems. lyme disease is caused by spirochaete borrelia burgdorferi transmitted by ixodes tics in endemic regions. the diverse manifestations of neuroborreliosis require it to be included in differential diagnosis of many neurological disorders. the paper reviews the spectrum of clinical symptoms of nervous system involvement in early and late ...200717726871
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