The Factor H-Binding Site of CspZ as a Protective Target against Multistrain, Tick-Transmitted Lyme Disease

Ashley L Marcinkiewicz1, Ilva Lieknina2, Xiuli Yang3

  • 1Division of Infectious Diseases, Wadsworth Center, New York State Department of Health, Albany, New York, USA.

Insights

A modified Borrelia burgdorferi protein, CspZ-YA, shows promise as a Lyme disease vaccine. Unlike the original CspZ protein, CspZ-YA effectively protects mice from infection without triggering harmful immune responses against host factors.

Area of Science:

  • Microbiology
  • Immunology
  • Vaccine Development

Background:

  • * *Borrelia burgdorferi sensu lato* causes Lyme disease.
  • * The spirochete produces CspZ protein to evade host complement system via binding to factor H (FH).
  • * Vaccination with CspZ protein has not proven effective against Lyme disease.

Purpose of the Study:

  • * To evaluate the efficacy of a modified CspZ protein (CspZ-YA) lacking FH-binding activity as a Lyme disease vaccine candidate.
  • * To compare the immune response and protective efficacy of CspZ-YA vaccination against wild-type CspZ vaccination.

Main Methods:

  • * Mice were immunized with either CspZ or CspZ-YA.
  • * Vaccinated mice were infected with *Borrelia burgdorferi sensu lato* via tick feeding.
  • * Sera from vaccinated mice were analyzed for spirochete elimination activity, FH-binding blocking, and anti-FH antibody production.

Main Results:

  • * Immunization with CspZ-YA protected mice against infection by multiple spirochete genotypes.
  • * Sera from CspZ-YA-vaccinated mice showed enhanced spirochete elimination and blocked CspZ FH-binding more effectively than sera from CspZ-vaccinated mice.
  • * CspZ vaccination, but not CspZ-YA, induced antibodies against host factor H.

Conclusions:

  • * CspZ-YA is a promising candidate for a Lyme disease vaccine.
  • * The lack of anti-FH antibody production in response to CspZ-YA contributes to its protective efficacy.
  • * This study provides mechanistic insights for developing a CspZ-based Lyme disease vaccine.