4.6 Review

Complement evasion by Borrelia burgdorferi: it takes three to tango

Journal

TRENDS IN PARASITOLOGY
Volume 29, Issue 3, Pages 119-128

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.pt.2012.12.001

Keywords

complement; Borrelia; Lyme; borreliosis; Ixodes; tick; regulators

Categories

Ask authors/readers for more resources

The complement system is one of the major innate defense mechanisms Borrelia burgdorferi sensu lato has to overcome to establish an infection of mammalian hosts and to cause Lyme borreliosis in humans. Borrelia prevents complement-mediated killing during host colonization through (i) recruitment of host complement regulators by Borrelia, (ii) evasion mechanisms by Borrelia itself, and (iii) exploitation of tick proteins by Borrelia. These interactions with complement can be host species-specific. This review provides an overview of interactions between Borrelia, tick, and host leading to evasion of complement-mediated killing.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Infectious Diseases

Diagnostic performance of the ZEUS Borrelia VlsE1/pepC10 assay in European LB patients: a case-control study

M. E. Baarsma, A. Vrijlandt, J. Ursinus, H. L. Zaaijer, S. Jurriaans, A. P. van Dam, J. W. Hovius

Summary: This study compared the diagnostic parameters of the ZEUS Borrelia VlsE1/pepC10 assay and C6-ELISA in European patients with Lyme borreliosis, healthy blood donors, and potentially cross-reactive controls. The specificity of both assays was similar in healthy blood donors, but C6-ELISA appeared to have slightly higher sensitivity in patients with early localized or disseminated Lyme borreliosis. The VlsE1/pepC10 assay showed significantly higher specificity in sera with potentially cross-reactive antibodies.

EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES (2022)

Article Immunology

Borrelia burgdorferi Is a Poor Inducer of Gamma Interferon: Amplification Induced by Interleukin-12

Frederik R. van de Schoor, Hedwig D. Vrijmoeth, Michelle A. E. Brouwer, Hadewych J. M. ter Hofstede, Heidi L. M. Lemmers, Helga Dijkstra, Collins K. Boahen, Marije Oosting, Bart-Jan Kullberg, Joppe W. Hovius, Cees C. van den Wijngaard, Frank L. van de Veerdonk, Mihai G. Netea, Leo A. B. Joosten

Summary: This study investigates the regulation of interferon-gamma (IFN-gamma) during early Lyme borreliosis (LB) and provides insights into the host response to B. burgdorferi. The study finds that the addition of interleukin-12 (IL-12) amplifies the IFN-gamma response in cells exposed to B. burgdorferi, and the response is significantly higher in LB patients. The study also identifies a single nucleotide polymorphism associated with increased IFN-gamma production.

INFECTION AND IMMUNITY (2022)

Article Parasitology

No molecular detection of tick-borne pathogens in the blood of patients with erythema migrans in Belgium

Laurence Geebelen, Tinne Lernout, Katrien Tersago, Sanne Terryn, Joppe W. Hovius, Arieke Docters van Leeuwen, Steven Van Gucht, Niko Speybroeck, Hein Sprong

Summary: This study investigates the occurrence and clinical manifestation of tick-borne infections in Belgium. Only a small number of patients with fever after a tick bite were identified. Although no tick-borne pathogens were detected, their presence cannot be ruled out due to the limited number of patients and current limitations in methodologies.

PARASITES & VECTORS (2022)

Article Infectious Diseases

Pharmacodynamics of Ceftriaxone, Ertapenem, Fosfomycin and Gentamicin in Neisseria gonorrhoeae

Ursa Gubensek, Myrthe de Laat, Sunniva Foerster, Anders Boyd, Alje Pieter van Dam

Summary: This study assessed the impact of different antimicrobials on the growth of N. gonorrhoeae using time-kill assays. The results showed that ceftriaxone, ertapenem, and fosfomycin exhibited time-dependent activity, while gentamicin demonstrated concentration-dependent activity. These findings have implications for the treatment of N. gonorrhoeae infections.

ANTIBIOTICS-BASEL (2022)

Article Public, Environmental & Occupational Health

An intervention in general practice to improve the management of Lyme borreliosis in Denmark

Fredrikke Christie Knudtzen, Thoger Gorm Jensen, Nanna Skaarup Andersen, Isik Somuncu Johansen, Joppe W. Hovius, Sigurdur Skarphedinsson

Summary: By conducting an educational intervention in general practice, we aimed to improve outcomes related to Lyme borreliosis, such as increasing hospital referrals, examining cerebrospinal fluid tests, decreasing serum-B. burgdorferi antibody tests, shortening delay in Lyme neuroborreliosis patients, and increasing knowledge among general practitioners. The intervention led to an increase in LB awareness and referrals, but had no effect on clinical outcomes of LNB.

EUROPEAN JOURNAL OF PUBLIC HEALTH (2022)

Article Parasitology

Self-reported symptoms and health complaints associated with exposure to Ixodes ricinus-borne pathogens

Tal Azagi, Margriet Harms, Arno Swart, Manoj Fonville, Dieuwertje Hoornstra, Lapo Mughini-Gras, Joppe W. Hovius, Hein Sprong, Cees van den Wijngaard

Summary: The study found associations between the presence of tick-borne pathogens in ticks feeding on humans and self-reported symptoms. However, due to the subjective nature of such reports and the fact that infection was determined in the ticks and not in the patient samples, further prospective studies utilizing diagnostic modalities should be performed before any clinical outcome can be causally linked to infection with tick-borne pathogens.

PARASITES & VECTORS (2022)

Article Infectious Diseases

Diagnostic parameters of cellular tests for Lyme borreliosis in Europe (VICTORY study): a case-control study

M. E. Baarsma, Freek R. van de Schoor, Stefanie A. Gauw, Hedwig D. Vrijmoeth, Jeanine Ursinus, Nienke Goudriaan, Calin D. Popa, Hadewych J. M. ter Hofstede, Mariska M. G. Leeflang, Kristin Kremer, Cees C. van den Wijngaard, Bart-Jan Kullberg, Leo A. B. Joosten, Joppe W. Hovius

Summary: This study assessed the sensitivity and specificity of three cellular tests for Lyme borreliosis and found that they had lower specificity compared to serological tests, leading to a high number of false-positive results. Therefore, these cellular tests are currently not suitable for clinical use.

LANCET INFECTIOUS DISEASES (2022)

Article Immunology

Identifying platelet-derived factors as amplifiers of B. burgdorferi-induced cytokine production

Mariska Kerstholt, Freek R. van de Schoor, Marije Oosting, Simone J. C. F. M. Moorlag, Yang Li, Martin Jaeger, Wouter A. van der Heijden, Rahajeng N. Tunjungputri, Jessica C. dos Santos, Brenda Kischker, Hedwig D. Vrijmoeth, M. E. Baarsma, Bart-Jan Kullberg, Mihaela Lupse, Joppe W. Hovius, Cees C. van den Wijngaard, Mihai G. Netea, Quirijn de Mast, Leo A. B. Joosten

Summary: This study reveals that B. burgdorferi infection decreases cytokine production in cells and lowers glycolysis. MFAP3L gene is found to influence lactate production and mediate this effect through ERK2 activation and platelet degranulation. Platelet-derived factors, such as CXCL7, play important roles in B. burgdorferi-induced cytokine production.

CLINICAL AND EXPERIMENTAL IMMUNOLOGY (2022)

Review Microbiology

Persistent Borrelia burgdorferi Sensu Lato Infection after Antibiotic Treatment: Systematic Overview and Appraisal of the Current Evidence from Experimental Animal Models

Y. L. Verschoor, A. Vrijlandt, R. Spijker, R. M. van Hest, H. Ter Hofstede, K. van Kempen, A. J. Henningsson, J. W. Hovius

Summary: Lyme borreliosis is a diverse and debilitating disease caused by spirochetes transmitted by ticks. Antibiotic treatment is the common approach, but there is debate about the persistence of the infection after treatment. Animal studies provide insufficient evidence for the persistence of viable and infectious spirochetes after adequate antibiotic treatment, but Borrelial nucleic acids may persist.

CLINICAL MICROBIOLOGY REVIEWS (2022)

Article Microbiology

CD55 Facilitates Immune Evasion by Borrelia crocidurae, an Agent of Relapsing Fever

Gunjan Arora, Geoffrey E. Lynn, Xiaotian Tang, Connor E. Rosen, Dieuwertje Hoornstra, Andaleeb Sajid, Joppe W. Hovius, Noah W. Palm, Aaron M. Ring, Erol Fikrig

Summary: This study identifies CD55 as a novel host binding partner of Borrelia crocidurae and Borrelia persica, the causative agents of relapsing fever in Africa and Eurasia. CD55, present on erythrocytes, plays a role in immune evasion and infection. Soluble recombinant CD55 inhibits erythrocyte rosette formation, and CD55-deficient mice have lower pathogen load and elevated proinflammatory cytokine and complement factor C5a levels.
Article Medicine, General & Internal

Prevalence of fluoroquinolone resistance-associated mutations in Mycoplasma genitalium among clients of two sexual health centres in the Netherlands: a cross-sectional study

Joyce F. Braam, Helene C. A. Zondag, Alje P. van Dam, Henry J. C. de Vries, Clarissa Vergunst, David Hetem, Maarten F. Schim van der Loeff, Sylvia M. Bruisten

Summary: The prevalence of fluoroquinolone resistance-associated mutations (QRAMs) in Mycoplasma genitalium (MG) among clients of two sexual health centres in the Netherlands was 9%. The most prevalent mutations were found in the parC gene (S83I and D87N) and factors associated with the presence of QRAM included men who have sex with men and Asian origin.

BMJ OPEN (2022)

Article Multidisciplinary Sciences

Low prevalence of current and past SARS-CoV-2 infections among visitors and staff members of homelessness services in Amsterdam at the end of the second wave of infections in the Netherlands

Ellen J. Generaal, D. K. (Daniela) van Santen, Sophie Campman, Marjolein Booij, Dylan Price, Marcel M. Buster, Christa P. van Dijk, Anders Boyd, Sylvia Bruisten, Alje van Dam, Mariken van der Lubben, Yvonne T. H. P. van Duijnhoven, Maria Prins

Summary: There is a low prevalence of past and current SARS-CoV-2 infections among homeless people and staff in Amsterdam, Netherlands. This may be attributed to the implemented shelter policies, limited activities, and compliance with preventive measures. However, vaccine hesitancy and mistrust among visitors and staff could hinder vaccination uptake.

PLOS ONE (2023)

Letter Health Care Sciences & Services

Concerns about the external validity of the study 'prevalence of persistent symptoms after treatment for Lyme borreliosis: A prospective observational cohort study'-authors-reply

Cees C. van den Wijngaard, Jeanine Ursinus, Hedwig D. Vrijmoeth, Hans Knoop, Albert Wong, Leo A. B. Joosten, Joppe W. Hovius, Bart Jan Kullberg

LANCET REGIONAL HEALTH-EUROPE (2022)

Article Primary Health Care

Knowing the entire story - a focus group study on patient experiences with chronic Lyme-associated symptoms (chronic Lyme disease)

M. E. Baarsma, S. A. Claassen, H. E. van der Horst, J. W. Hovius, J. M. Sanders

Summary: This study combines medical and communication science approaches to assess the experiences of patients with chronic Lyme-associated symptoms (CLD) and their interactions with the healthcare system. The findings suggest that patients often feel misunderstood and neglected, and their symptoms significantly impact their daily lives. The study highlights the importance of improving doctor-patient communication and provides potential ways to address the issues faced by CLD patients.

BMC PRIMARY CARE (2022)

No Data Available