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Cultivation Methods of Spirochetes from Borrelia burgdorferi Sensu Lato Complex and Relapsing Fever Borrelia
Published on: November 25, 2022
Persistent brain infection and disease reactivation in relapsing fever borreliosis
Christer Larsson1, Marie Andersson, Jenni Pelkonen
1Department of Molecular Biology, Umeå University, SE-901 87 Umeå, Sweden.
Abstract:
Relapsing fever, an infection caused by Borrelia spirochetes, is generally considered a transient, self-limiting disease in humans. The present study reveals that murine infection by Borrelia duttonii can be reactivated after an extended time as a silent infection in the brain, with no bacteria appearing in the blood and spirochete load comparable to the numbers in an infected tick. The host cerebral gene expression pattern is indistinguishable from that of uninfected animals, indicating that persistent bacteria are not recognized by the immune system nor cause noticeable tissue damage. Silent infection can be reactivated by immunosuppression, inducing spirochetemia comparable to that of initial densities. B. duttonii has never been found in any host except man and the tick vector. We therefore propose the brain to be a possible natural reservoir of the spirochete. The view of relapsing fever as an acute disease should be extended to include in some cases prolonged persistence, a feature characteristic of the related spirochetal infections Lyme disease and syphilis.
Insights
Borrelia duttonii causes relapsing fever but can persist silently in the brain. Immunosuppression can reactivate this infection, suggesting the brain may be a reservoir for Borrelia spirochetes.
Area of Science:
- Infectious Diseases
- Neuroscience
- Microbiology
Background:
- Relapsing fever, caused by Borrelia spirochetes, is typically a self-limiting human infection.
- The potential for prolonged, asymptomatic infection and reservoirs remains incompletely understood.
Purpose of the Study:
- To investigate the long-term behavior of Borrelia duttonii infection in a murine model.
- To determine if the central nervous system can act as a reservoir for Borrelia spirochetes.
- To explore the conditions under which silent infections can be reactivated.
Main Methods:
- Murine model of Borrelia duttonii infection.
- Monitoring of spirochetemia and bacterial load in blood and brain tissue.
- Analysis of host cerebral gene expression.
- Induction of immunosuppression to assess infection reactivation.
Main Results:
- Borrelia duttonii established a silent infection in the brain, undetectable in blood.
- Cerebral gene expression in infected mice was similar to uninfected controls, indicating immune evasion.
- Immunosuppression reactivated the infection, leading to significant spirochetemia.
- The brain is proposed as a potential natural reservoir for Borrelia duttonii.
Conclusions:
- Borrelia duttonii can establish persistent, silent infections in the brain.
- The central nervous system may serve as a reservoir for Borrelia spirochetes.
- Relapsing fever may involve prolonged persistence, similar to Lyme disease and syphilis.
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