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Study finds changes in Lyme bacteria

Discovery expected to improve treatment

Tuesday, September 28, 2004

BY ANGELA STEWART
Star-Ledger Staff

New Jersey researchers have discovered unique genetic elements associated with different strains of Lyme disease, which could aid vaccine development and improve diagnosis, according to a study released today.

Led by scientists at the UMDNJ-New Jersey Medical School in Newark, the study focused on the genetic makeup of the bacteria that causes Lyme, including the proteins. The findings may help explain why some people get a mild form of the disease while others experience major complications, such as neurological problems, said Steven E. Schutzer, an immunologist at the UMDNJ-New Jersey Medical School who served as principal investigator of the study.

To the scientists' surprise, said Schutzer, they dicovered that the bacteria that cause Lyme disease (Borrelia burgdorferi) do indeed mate and exchange genetic material, a process that may lead to infection.

"Before this, scientists were unaware that the Lyme disease bacteria could modify themselves so rapidly," he said. "The implication is that the bacteria may produce a more disseminated infection in the patient that results in infection involving multiple parts of the body."

The study appears in the journal, Proceedings of the National Academy of Sciences. It was funded by the Jackson-based Lyme Disease Association Inc., the National Institutes of Health and the Howard Hughes Medical Institute.

Pat Smith, association president, said the study "opens up a whole new world of possibilities" for Lyme patients in the areas of diagnosis and treatment.

"If scientists could figure out how they could possibly disrupt the ability of the organism to exchange this genetic material, maybe the disease would be a lot less virulent than it is," she said.

Lyme is a tick-borne illness that peaks in the spring and summer months. It is sometimes characterized by a red bull's-eye rash surrounding the tick bite. But diagnosis is a problem, since Lyme can mimic other diseases and not everyone gets the classic rash.

To conduct their study, Schutzer and his team identified and studied strains associated with Lyme disease in the United States. They then performed sequencing to determine the genetic compositions of each Lyme strain.

"This study really lays out all the different proteins of Borrelia, and as a result of that, we know we have a much larger group of substances to use for both a vaccine and (as targets) in helping diagnose the disease," said Benjamin J. Luft, chair of the Department of Medicine at the State University of New York at Stony Brook and a senior author on the study.

New Jersey ranks third in the nation in Lyme cases, with 2,887 reported last year to the Centers for Disease Control and Prevention. However, the actual number is believed to be much higher because many cases go unreported.

Angela Stewart writes about health care. She can be reached by e-mail at astewart@starledger.com or at 973 392-4178

Copyright 2004 The Star-Ledger.