title: The emergence of Lyme disease.
abstract: Since its identification nearly 30 years ago, Lyme disease has continued to spread, and there have been increasing numbers of cases in the northeastern and north central US. The Lyme disease agent, Borrelia burgdorferi, causes infection by migration through tissues, adhesion to host cells, and evasion of immune clearance. Both innate and adaptive immune responses, especially macrophage- and antibody-mediated killing, are required for optimal control of the infection and spirochetal eradication. Ecological conditions favorable to the disease, and the challenge of prevention, predict that Lyme disease will be a continuing public health concern.
authors.affiliation: Center for Immunology and Inflammatory Diseases, Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA. asteere@partners.org
authors.forename: Allen C
authors.initials: AC
authors.lastname: Steere
authors.forename: Jenifer
authors.initials: J
authors.lastname: Coburn
authors.forename: Lisa
authors.initials: L
authors.lastname: Glickstein
mesh_terms: D000818:Animals; D006801:Humans; D008193:Lyme Disease / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013987:Ticks / Q000382:microbiology