NYMC Faculty Publications

Evidence for Strain-Specific Immunity in Patients Treated for Early Lyme Disease

Author Type(s)

Faculty

DOI

10.1128/IAI.01451-13

Journal Title

Infection and Immunity

First Page

1408

Last Page

1413

Document Type

Article

Publication Date

4-1-2014

Department

Pathology, Microbiology and Immunology

Keywords

Borrelia burgdorferi, Cohort Studies, Humans, Lyme Disease, Models, Statistical, Recurrence, Species Specificity, United States

Disciplines

Medicine and Health Sciences

Abstract

Lyme disease, caused by Borrelia burgdorferi, is the most commonly reported vector-borne disease in the United States. Many patients treated for early Lyme disease incur another infection in subsequent years, suggesting that previous exposure to B. burgdorferi may not elicit a protective immune response. However, identical strains are almost never detected from patients who have been infected multiple times, suggesting that B. burgdorferi exposure may elicit strain-specific immunity. Probabilistic and simulation models assuming biologically realistic data derived from patients in the northeastern United States suggest that patients treated for early Lyme disease develop protective immunity that is strain specific and lasts for at least 6 years.

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