Medscape's weekly email newsletter covering Infectious Diseases had this
bulletin which may help explain why some Lymies do not suffer with the
arthritic symptoms.

DECORIN-BINDING PROTEINS IMPORTANT IN LYME DISEASE PATHOGENESIS
The paucity of arthritis in transgenic mice deficient in decorin suggests
that decorin-binding proteins on the spirochetes that cause Lyme disease
play an important role in their pathogenesis, according to a report in the
April issue of the Journal of Clinical Investigation. Go to
http://id.medscape.com/35554.rhtml

=== Here is the text of the abstract you'll find there ===============

Decorin-Binding Proteins Important in Lyme Disease Pathogenesis
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WESTPORT, CT (Reuters Health) Mar 28 - The paucity of arthritis in
transgenic mice deficient in decorin suggests that decorin-binding proteins
on the spirochetes that cause Lyme disease play an important role in their
pathogenesis, according to a report in the April issue of the Journal of
Clinical Investigation.

Borrelia burgdorferi, the causative agent of Lyme disease, binds to host
collagen by way of decorin adhesins - proteoglycan molecules that are
ubiquitously associated with the host's collagen tissues, through its
decorin-binding proteins A and B, the authors explain.

Dr. Eric L. Brown from Texas A&M University System Health Science Center in
Houston and colleagues used transgenic mice lacking one (Dcn(+/-)) or both
(Dcn(-/-)) decorin genes to investigate the role of decorin and
decorin-binding proteins in the pathology of Lyme disease.

Decorin-deficient mice had consistently lower percentages of B. burgdorferi
blood cultures a week after infection than did wild-type mice, the authors
report, though these differences disappeared after 14 days.

Similarly, significantly fewer Borrelia were recovered from the joints of
Dcn(-/-) mice (47% culture-positive) than from normal mice (90%
culture-positive), the report indicates. Dcn(+/-) mice had intermediate
rates of joint culture-positivity (72%).

Moreover, the researchers note, both the incidence and severity of arthritis
were reduced in animals lacking decorin.

The resistance to the development and severity of Lyme disease could be
somewhat overcome by increasing the size of the spirochete inoculum, the
investigators observe.

Decorin deficiency had no apparent impact, however, on the humoral or
cellular immune responses to the B. burgdorferi, the results indicate.

"The interactions between Borrelia and decorin play a significant role in
the colonization process, as is evidenced by the increased resistance in
Dcn(-/-) mice to the Lyme spirochete," Dr. Brown told Reuters Health. "If
the colonization process can be delayed or stopped, resolution of disease
will be more rapid."

"We are currently developing a second-generation Lyme vaccine based on the
decorin binding protein A (DbpA) and two other Borrelia adhesins," Dr. Brown
said.



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