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.

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.

Related Concept Videos

Brain Abscess l: Introduction01:26

Brain Abscess l: Introduction

A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...
Encephalitis l: Introduction01:19

Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
Rocky Mountain Spotted Fever01:26

Rocky Mountain Spotted Fever

Rocky Mountain Spotted Fever (RMSF) is a severe tick-borne illness caused by Rickettsia rickettsii, a Gram-negative, coccobacillary bacterium. This pathogen is an obligate intracellular parasite, requiring a host cell for replication. Transmission occurs through the bite of an infected tick. In the United States, the most important vectors are Dermacentor variabilis (American dog tick) and Dermacentor andersoni (Rocky Mountain wood tick), though other tick species may also serve as vectors.
Toxoplasmosis01:28

Toxoplasmosis

Toxoplasmosis, a zoonotic disease caused by the protozoan Toxoplasma gondii, poses significant public health challenges globally due to its high seroprevalence and varied clinical manifestations. As an obligate intracellular parasite, T. gondii can infect all warm-blooded vertebrates, but felids are its only definitive hosts, shedding unsporulated oocysts into the environment. Humans typically acquire the infection through ingestion of tissue cysts in undercooked meat or oocysts from...
Tuberculosis01:23

Tuberculosis

Tuberculosis (TB) remains a significant global health concern, primarily targeting the lungs and spreading through airborne transmission. Infection begins when aerosolized droplet nuclei, expelled by an individual with active TB, are inhaled by another person. These microscopic particles carry Mycobacterium tuberculosis, the causative agent of TB. Upon reaching the alveoli, the bacilli are engulfed by alveolar macrophages. However, due to their specialized lipid-rich cell wall, these pathogens...
Encephalitis ll: Pathophysiology01:26

Encephalitis ll: Pathophysiology

Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...