Interaction of primary mast cells with Borrelia burgdorferi (sensu stricto): role in transmission and dissemination in C57BL/6 mice

Abstract Background Borrelia burgdorferi (sensu lato), the causative agent of Lyme borreliosis is a bacterium transmitted by hard ticks, Ixodes spp. Bacteria are injected into the host skin during the tick blood meal with tick saliva. There, Borrelia and saliva interact together with skin cells such as keratinocytes, fibroblasts, mast cells and other specific immune cells before disseminating to target organs. Methods To study the role of mast cells in the transmission of Lyme borreliosis, we isolated mouse primary mast cells from bone marrow and incubated them in the presence of Borrelia burgdorferi (sensu stricto) and tick salivary gland extract. We further analyzed their potential role in vivo, in a mouse model of deficient in mast cells (Kit wsh−/− mice). Results To our knowledge, we report here for the first time the bacteria ability to induce the inflammatory response of mouse primary mast cells. We show that OspC, a major surface lipoprotein involved in the early transmission of Borrelia, induces the degranulation of primary mast cells but has a limited effect on the overall inflammatory response of these cells. In contrast, whole bacteria have an opposite effect. We also show that mast cell activation is significantly inhibited by tick salivary gland extract. Finally, we demonstrate that mast cells are likely not the only host cells involved in the early transmission and dissemination of Borrelia since the use of mast cell deficient Kit wsh−/− mice shows a limited impact on these two processes in the context of this mouse genetic background. Conclusions The absence of mast cells did not change the replication rate of Borrelia in the skin. However, in the absence of mast cells, Borrelia dissemination to the joints was faster. Mast cells do not control skin bacterial proliferation during primary infection and the establishment of the primary infection, as shown in the C57BL/6 mouse model studied. Nevertheless, the Borrelia induced cytotokine modulation on mast cells might be involved in long term and/or repeated infections and protect from Lyme borreliosis due to the development of a hypersensitivity to tick saliva

Tekenbeet: dilemma’s in de huisartsenpraktijk

Tick bites are common, and an estimated 1 in 15 individuals bitten by a tick consult their general practitioner. In 2009, there were 93,000 consultations for tick bites in the Netherlands, a threefold increase compared with 1994. About 10% of ticks in the Netherlands are infected with Borrelia burgdorferi, which causes Lyme's disease, but the prevalence of infected ticks may be higher in certain areas. The risk of Lyme's disease is small if the tick is removed within 24 hours. Erythema migrans, the classical first stage of Lyme's disease, is treated with antibiotics depending on the clinical symptoms. A skin reaction that develops within a few days, that is smaller than 5 cm, and which disappears rapidly is a hypersensitivity reaction that is not caused by Lyme's disease. Serological investigations are only necessary if skin signs are unclear but tests are only sensitive enough to prove/disprove infection after 6 weeks. Post-exposure prophylaxis is not necessary after every tick bite but can be given if the tick has been attached for longer than 24 hours. Once-only administration of antibiotics reduces the risk of Lyme's disease.</p