Evidence map›Paper›PMID 34619078›Full record

ArticleCell2021

A selective antibiotic for Lyme disease.

Nadja Leimer, Xiaoqian Wu, Yu Imai, Madeleine Morrissette, Norman Pitt, Quentin Favre-Godal, Akira Iinishi, Samta Jain, Mariaelena Caboni, Inga V Leus and 18 more

Open access · greenAbstract read
In one paragraph

Article in Cell, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
7.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 58 citations in OpenAlex.

  1. Article
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  5. Formal description ofInternational journal of systematic and evolutionary microbiology · 2026
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  17. Establishment of the Nichols strain as the type strain ofInternational journal of systematic and evolutionary microbiology · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors at 5 institutions in 1 country.

Nadja LeimerAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA.
Xiaoqian WuAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA.
Yu ImaiAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA.
Madeleine MorrissetteAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA.
Norman PittAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA.
Quentin Favre-GodalAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA.
Akira IinishiAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA.
Samta JainAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA.
Mariaelena CaboniAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA.
Inga V LeusDepartment of Chemistry and Biochemistry, University of Oklahoma, Norman, OK 73019, USA.
Vincent BonifayDepartment of Chemistry and Biochemistry, University of Oklahoma, Norman, OK 73019, USA.
Samantha NilesAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA.
Rachel BargabosAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA.
Meghan GhiglieriAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA.
Rachel CorsettiAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA.
Megan KrumpochAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA.
Gabriel FoxAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA.
Sangkeun SonAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA.
Dorota KlepackiCenter for Biomolecular Sciences, University of Illinois at Chicago, Chicago, IL 60607, USA.
Yury S PolikanovDepartment of Biological Sciences, University of Illinois at Chicago, Chicago, IL 60607, USA.
Cecily A FreliechDivision of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, MA 02111, USA.
Julie E McCarthyDivision of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, MA 02111, USA.
Diane G EdmondsonDepartment of Pathology and Laboratory Medicine, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX 77225, USA.
Steven J NorrisDepartment of Pathology and Laboratory Medicine, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX 77225, USA.
Anthony D'OnofrioAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA.
Linden T HuDivision of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, MA 02111, USA.
Helen I ZgurskayaDepartment of Chemistry and Biochemistry, University of Oklahoma, Norman, OK 73019, USA.
Kim LewisAntimicrobial Discovery Center, Department of Biology, Northeastern University, Boston, MA 02115, USA. Electronic address: k.lewis@neu.edu.
Northeastern University · USTufts Medical Center · USUniversity of Oklahoma · USThe University of Texas Health Science Center at Houston · USUniversity of Illinois Chicago · US

Funding

Permeability Barriers of Gram-negative Pathogens and Approaches to Bypass ThemR01AI132836 · NIAID · UNIVERSITY OF OKLAHOMA · PI HELEN I ZGURSKAYA · 2017 to 2026
$4.3M
Development and Field Testing of a Novel Reservoir Targeted Antibiotic Against Borrelia burgdorferiR01AI152210 · NIAID · TUFTS UNIVERSITY BOSTON · PI HU, LINDEN T, LEWIS, KIM · 2020 to 2025
$3.9M
Factors Affecting longterm in vitro culture of Treponema pallidumR01AI141958 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Diane G Edmondson, STEVEN J. NORRIS · 2018 to 2026
$3.9M
Persister cells of Borrelia burgdorferiR01AI122286 · NIAID · NORTHEASTERN UNIVERSITY · PI HU, LINDEN T, LEWIS, KIM · 2016 to 2019
$2.3M
NIAID NIH HHS R01 AI122286NIAID NIH HHS R01 AI132836NIAID NIH HHS R01 AI141958NIAID NIH HHS R01 AI152210
6 · The paper itself

Abstract

Lyme disease is on the rise. Caused by a spirochete Borreliella burgdorferi, it affects an estimated 500,000 people in the United States alone. The antibiotics currently used to treat Lyme disease are broad spectrum, damage the microbiome, and select for resistance in non-target bacteria. We therefore sought to identify a compound acting selectively against B. burgdorferi. A screen of soil micro-organisms revealed a compound highly selective against spirochetes, including B. burgdorferi. Unexpectedly, this compound was determined to be hygromycin A, a known antimicrobial produced by Streptomyces hygroscopicus. Hygromycin A targets the ribosomes and is taken up by B. burgdorferi, explaining its selectivity. Hygromycin A cleared the B. burgdorferi infection in mice, including animals that ingested the compound in a bait, and was less disruptive to the fecal microbiome than clinically relevant antibiotics. This selective antibiotic holds the promise of providing a better therapeutic for Lyme disease and eradicating it in the environment.

Indexed as

AnimalsAnti-Bacterial AgentsBorrelia burgdorferiCalibrationCinnamatesDrug Evaluation, PreclinicalFecesFemaleHEK293 CellsHep G2 CellsHumansHygromycin BLyme DiseaseMiceMicrobial Sensitivity TestsMicrobiotaAnti-Bacterial AgentsCinnamateshygromycin AHygromycin BantibioticB. burgdorferiLyme diseasemicrobiomeSpirochetestransport

Identifiers

PMID34619078
PMCPMC8526400
OpenAlexW3202017886

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.