title: Molecular typing of Borrelia burgdorferi from Lyme disease patients by PCR-restriction fragment length polymorphism analysis.
abstract: Ninety-three Borrelia burgdorferi isolates obtained from erythema migrans lesions or blood of Lyme disease patients in Westchester County, N.Y., between 1991 and 1994 were characterized by PCR-restriction fragment length polymorphism (PCR-RFLP) analysis of the 16S-23S rRNA gene spacer. All isolates could be classified into three distinct RFLP types. Among the 82 skin biopsy isolates studied, 21 (25.6%) were type 1, 37 (45.1%) were type 2, and 21 (25.6%) were type 3. Three (3.7%) cultures contained a mixture of two isolates with distinct RFLP types. The 11 isolates cultured from blood showed a similar predominance of RFLP type 2 (6 of 11; 54.5%) relative to types 1 (2 of 11; 18.2%) and 3 (3 of 11; 27.3%). For one patient both skin and blood isolates were cultured, and RFLP analysis revealed that these isolates differed from one another. This study demonstrates that there is genotypic heterogeneity in B. burgdorferi strains infecting Lyme disease patients, and this typing approach may allow differentiation of isolates with various degrees of pathogenic potential.
authors.affiliation: Department of Biochemistry and Molecular Biology, New York Medical College, Valhalla 10595, USA.
authors.forename: D
authors.initials: D
authors.lastname: Liveris
authors.forename: G P
authors.initials: GP
authors.lastname: Wormser
authors.forename: J
authors.initials: J
authors.lastname: Nowakowski
authors.forename: R
authors.initials: R
authors.lastname: Nadelman
authors.forename: S
authors.initials: S
authors.lastname: Bittker
authors.forename: D
authors.initials: D
authors.lastname: Cooper
authors.forename: S
authors.initials: S
authors.lastname: Varde
authors.forename: F H
authors.initials: FH
authors.lastname: Moy
authors.forename: G
authors.initials: G
authors.lastname: Forseter
authors.forename: C S
authors.initials: CS
authors.lastname: Pavia
authors.forename: I
authors.initials: I
authors.lastname: Schwartz
mesh_terms: D015373:Bacterial Typing Techniques; D001769:Blood / Q000382:microbiology; D015748:Borrelia burgdorferi Group / Q000145:classification* / Q000235:genetics* / Q000472:pathogenicity; D015787:Erythema Chronicum Migrans / Q000453:epidemiology / Q000382:microbiology; D005069:Evaluation Studies as Topic; D006801:Humans; D008193:Lyme Disease / Q000453:epidemiology / Q000382:microbiology*; D017720:Molecular Epidemiology; D009518:New York / Q000453:epidemiology; D016133:Polymerase Chain Reaction / Q000379:methods*; D012150:Polymorphism, Restriction Fragment Length; D012867:Skin / Q000382:microbiology; D014774:Virulence / Q000235:genetics