title: Central and peripheral nervous system infection, immunity, and inflammation in the NHP model of Lyme borreliosis.
abstract: The relationship between chronic infection, antispirochetal immunity, and inflammation is unknown in Lyme neuroborreliosis. In the nonhuman primate model of Lyme neuroborreliosis, we measured spirochetal density in the nervous system and other tissues by polymerase chain reaction and correlated these values to anti-Borrelia burgdorferi antibody in the serum and cerebrospinal fluid, and to inflammation in tissues. Despite substantial presence of Borrelia burgdorferi, the causative agent of Lyme borreliosis, in the central nervous system, only minor inflammation was present there, though skeletal and cardiac muscle, which contained similar levels of spirochete, were highly inflamed. Anti-Borrelia burgdoferi antibody was present in the cerebrospinal fluid but was not selectively concentrated. All infected animals developed anti-Borrelia burgdorferi antibody in the serum, but increased amplitude of antibody was not predictive of higher levels of infection. These data demonstrate that Lyme neuroborreliosis is a persistent infection, that spirochetal presence is a necessary but not sufficient condition for inflammation, and that antibody measured in serum may not predict the severity of infection.
authors.affiliation: Department of Neurosciences, UMDNJ-New Jersey Medical School, Newark 07103, USA. pachner@umdnj.edu
authors.forename: A R
authors.initials: AR
authors.lastname: Pachner
authors.forename: D
authors.initials: D
authors.lastname: Cadavid
authors.forename: G
authors.initials: G
authors.lastname: Shu
authors.forename: D
authors.initials: D
authors.lastname: Dail
authors.forename: S
authors.initials: S
authors.lastname: Pachner
authors.forename: E
authors.initials: E
authors.lastname: Hodzic
authors.forename: S W
authors.initials: SW
authors.lastname: Barthold
mesh_terms: D000818:Animals; D015748:Borrelia burgdorferi Group / Q000276:immunology; D001921:Brain / Q000276:immunology / Q000473:pathology; D002494:Central Nervous System Infections / Q000276:immunology* / Q000473:pathology*; D004195:Disease Models, Animal; D008193:Lyme Disease / Q000276:immunology* / Q000473:pathology*; D008253:Macaca mulatta; D008297:Male; D051379:Mice; D008809:Mice, Inbred C3H; D010523:Peripheral Nervous System Diseases / Q000276:immunology* / Q000382:microbiology / Q000473:pathology*; D013144:Spirochaetales / Q000276:immunology / Q000378:metabolism