Fate Of Borrelia burgdorferi DNA In Tissues Of Infected Mice After Antibiotic Treatment

• Published in: The Journal of infectious diseases Vol. 170; no. 5; pp. 1312 - 1316
• Main Authors: Malawista, Stephen E., Barthold, Stephen W., Persing, David H.
• Format: Journal Article
• Language: English
• Published: United States The University of Chicago Press 01.11.1994; University of Chicago Press
• Subjects: Animals; Anti-Bacterial Agents - therapeutic use; Antibiotics; Antigens, Bacterial; Antigens, Surface - genetics; Bacterial Outer Membrane Proteins - genetics; Bacterial Vaccines; Borrelia burgdorferi; Borrelia burgdorferi Group - genetics; Ceftriaxone - therapeutic use; Ciprofloxacin - therapeutic use; Concise Communications; DNA; DNA, Bacterial - analysis; Female; Infections; Inoculation; Lipoproteins; Lyme disease; Lyme Disease - drug therapy; Lyme Disease - microbiology; Male; Mice; Mice, Inbred C3H; Polymerase Chain Reaction; Spirochaetales; Tissue culture techniques; Urinary bladder
• ISSN: 0022-1899; 1537-6613
• DOI: 10.1093/infdis/170.5.1312

Persistence of Borrelia burgdorferi DNA in tissues following antibiotic treatment was evaluated in C3H mice inoculated intradermally with 103 B. burgdorferi N40 or sterile medium. Half of the infected mice and all of the uninfected mice were treated with ceftriaxone 15 days after inoculation for 5 days. Ear and urinary bladder samples were collected on days 20, 30, and 60 after inoculation for culture and for extraction of DNA and amplification of specific spirochetal DNA by polymerase chain reaction (PCR). PCR primers were specific for a 280-bp portion of a highly conserved region ofthe gene encoding outer surface protein (Osp) A of B. burgdorferi and for a 328-bp part of the OspB gene. There was excellent concordance between culture and PCR for ears (35/36 mice) and bladders (33/36). Both tissues became uniformly negative at the earliest interval tested after antibiotic treatment. Thus, the ability to amplify B. burgdorferi DNA quickly disappeared from tissues that had become culture-negative after antibiotic treatment, suggesting that serial study of PCR-positive tissues and fluids may be useful for evaluating the efficacy of antibiotic therapy in human Lyme disease.