2016
DOI: 10.1016/j.meegid.2016.04.019
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Imbalanced presence of Borrelia burgdorferi s.l. multilocus sequence types in clinical manifestations of Lyme borreliosis

Abstract: In this study we used typing based on the eight multilocus sequence typing scheme housekeeping genes (MLST) and 5S-23S rDNA intergenic spacer (IGS) to explore the population structure of Borrelia burgdorferi sensu lato isolates from patients with Lyme borreliosis (LB) and to test the association between the B. burgdorferi s.l. sequence types (ST) and the clinical manifestations they cause in humans. Isolates of B. burgdorferi from 183 LB cases across Europe, with distinct clinical manifestations, and 257 Ixode… Show more

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Cited by 68 publications
(54 citation statements)
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“…However, our studies on LB are limited to the Bbss species. Further studies that include B. afzelii and B. garinii spirochetes, which cause different clinical manifestations of LB [91][92][93], are necessary to explore further dissemination pathways to better understand how Borrelia spp. interact with host cells.…”
Section: Discussionmentioning
confidence: 99%
“…However, our studies on LB are limited to the Bbss species. Further studies that include B. afzelii and B. garinii spirochetes, which cause different clinical manifestations of LB [91][92][93], are necessary to explore further dissemination pathways to better understand how Borrelia spp. interact with host cells.…”
Section: Discussionmentioning
confidence: 99%
“…species. These databases contain all our DNA sequences from (field) isolates, together with (reference) sequences from GenBank [ 47 , 48 ].…”
Section: Methodsmentioning
confidence: 99%
“…For the MLST analysis, we used the sequences in the Borrelia MLST databases ( http://pubmlst.org/borrelia ; accessed 19 Sept 2016). The data were updated with 613 additional sequences that were obtained from a variety of sources in Europe [ 42 ]. The sequences of individual housekeeping genes were concatenated, and those that differed by one or more nucleotides were assigned allele numbers.…”
Section: Methodsmentioning
confidence: 99%