Borrelia burgdorferi, the causative agent of Lyme disease in the United States, is able to persist in the joint, heart, skin, and central nervous system for the lifetime of its mammalian host. Borrelia species achieve dissemination to distal sites in part by entry into and travel within the bloodstream. Much work has been performed in vitro describing the roles of many B. burgdorferi outer surface proteins in adhesion to host cell surface proteins and extracellular matrix components, although the biological relevance of these interactions is only beginning to be explored in vivo. A need exists in the field for an in vivo model to define the biological roles of B. burgdorferi adhesins in tissue-specific vascular interactions. We have developed an in vivo model of vascular interaction of B. burgdorferi in which the bacteria are injected intravenously and allowed to circulate for 1 h. This model has shown that the fibronectin binding protein BB0347 has a tropism for joint tissue. We also have shown an importance of the integrin binding protein, P66, in binding to vasculature of the ear and heart. This model also revealed unexpected roles for Borrelia adhesins BBK32 and OspC in bacterial burdens in the bloodstream. The intravenous inoculation model of short-term infection provides new insights into critical B. burgdorferi interactions with the host required for initial survival and tissue colonization.
Borrelia burgdorferi, the causative agent of Lyme disease in the United States, is a vector-borne disease transmitted via the bite of an Ixodes scapularis tick (1, 2). Human infection with this bacterium often results in debilitating chronic arthritis, carditis, and/or neurologic symptoms if left untreated (3, 4). Upon entry into the host, Lyme disease Borrelia spirochetes are able to disseminate into the tissues and persist in the joints, heart, skin, and central nervous system (1). It is likely that Borrelia spp. are able to achieve rapid dissemination within the host by entry into and travel within the bloodstream. Colonization of specific host tissues is thought to occur through interactions of the bacteria with host cells of the microvasculature. A large variety of vascular beds are available in the host, determined by the size and type of vessel, as well as the organ with which they are associated (5, 6). One possible mechanism of B. burgdorferi attachment to various vascular beds and bacterial extravasation at particular tissue sites is through preferential interactions of various adhesive outer surface proteins on the bacterial surface with different types of endothelial cell surface proteins, carbohydrates, and/or extracellular matrix components. It has been shown that adhesion of B. burgdorferi to the vasculature occurs in a series of interactions (7). We hypothesize that the action of vascular binding and tissue colonization is not a random event but rather is determined by adhesion of B. burgdorferi surface proteins to tissue bed-specific endothelial cell (EC) surface receptors, such as VCAM1 on liver ECs,...