A genetic analysis of Lyme disease could improve diagnosis and treatment

Aug. 19, 2024
As factors such as climate change help Lyme disease expand its geographic range, this research provides valuable tools and insights for combating this rising public health threat.

A genetic analysis of Lyme disease bacteria may pave the way for improved diagnosis, treatment and prevention of the tick-borne ailment.

By mapping the complete genetic makeup of 47 strains of Lyme disease-causing bacteria from around the world, the international team has created a powerful resource for identifying the specific bacterial strains that infect patients. Researchers said this could enable more accurate diagnostic tests and treatments tailored to the exact type or types of bacteria causing each patient’s illness.

Researchers said the genetic information uncovered in this study — which explains how the bacteria evolves and spreads and the genes are essential for survival — may help scientists develop more effective vaccines against Lyme disease.

Case numbers are increasing steadily, with 476,000 new cases each year in the US, and may grow faster with climate change, the study authors said.

The research team sequenced the complete genomes of Lyme disease bacteria representing all 23 known species in the group. Most of these hadn’t been sequenced before this effort. The National Institutes of Health-funded project included multiple strains of the bacteria most commonly associated with human infections and species not previously known to cause disease in humans.

By comparing these genomes, the researchers reconstructed the evolutionary history of Lyme disease bacteria, tracing the origins back millions of years. They discovered the bacteria likely originated before the breakup of the ancient supercontinent Pangea, explaining the current worldwide distribution.

The study also revealed how these bacteria exchange genetic material within and between species. This process, known as recombination, allows the bacteria to evolve rapidly and adapt to new environments. The researchers identified specific hot spots in the bacterial genomes where this genetic exchange occurs most frequently, often involving genes that help the bacteria interact with their tick vectors and animal hosts.

"By understanding how these bacteria evolve and exchange genetic material, we're better equipped to predict and respond to changes in their behavior, including potential shifts in their ability to cause disease in humans,” said Weigang Qiu, a professor of biology at City University of New York and senior author of the study.

To facilitate ongoing research, the team has developed web-based software tools (BorreliaBase.org) that allow scientists to compare Borrelia genomes and identify determinants of its ability to infect humans.

Looking ahead, the researchers plan to analyze more strains of Lyme disease bacteria, particularly from understudied regions. They also aim to investigate the functions of genes unique to disease-causing strains, which could reveal new targets for therapeutic interventions.

Rutgers release on Newswise