“…The second category, lipoproteins, have a lipid moiety anchored to the inner leaflet of the OM and a periplasmic protein moiety. It is the outer membrane spanning proteins of many pathogenic bacteria, which are known to mediate essential steps in pathogenesis, such as adhesion (46,47), invasion (48)(49)(50)(51)(52), and serum resistance (53)(54)(55)(56). In contrast, most studies on pathogenesis and immunity in Lyme disease have focused on B. burgdorferi lipoproteins, such as OspA (5)(6)(7)(8)(9)(10)14), whose principle cellular location appears to be subsurface (12).…”