Evidence map›Paper›PMID 37651316›Full record

ArticlePLoS pathogens2023

Whole genome sequencing of human Borrelia burgdorferi isolates reveals linked blocks of accessory genome elements located on plasmids and associated with human dissemination.

Jacob E Lemieux, Weihua Huang, Nathan Hill, Tjasa Cerar, Lisa Freimark, Sergio Hernandez, Matteo Luban, Vera Maraspin, Petra Bogovič, Katarina Ogrinc and 15 more

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
12.9field-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

38 citing papers in PubMed, 46 citations in OpenAlex.

  1. Xenodiagnosis to Search for Borrelia burgdorferi After Antibiotic Treatment of Lyme Disease: A Prospective Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
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  8. Lyme borreliosis.Nature reviews. Disease primers · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 8 institutions in 2 countries.

Jacob E LemieuxMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States of America.ORCID 0000-0002-2758-4005
Weihua HuangNew York Medical College, Valhalla, New York, United States of America.
Nathan HillMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States of America.
Tjasa CerarUniversity of Ljubljana, Ljubljana, Slovenia.
Lisa FreimarkBroad Institute of MIT and Harvard, Cambridge, Massachusetts, United States of America.
Sergio HernandezWadsworth Center, New York State Department of Health, Albany, New York, United States of America.
Matteo LubanMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States of America.
Vera MaraspinUniversity Medical Center Ljubljana, Ljubljana, Slovenia.
Petra BogovičUniversity Medical Center Ljubljana, Ljubljana, Slovenia.
Katarina OgrincUniversity Medical Center Ljubljana, Ljubljana, Slovenia.
Eva Ruzič-SabljičUniversity of Ljubljana, Ljubljana, Slovenia.
Pascal LapierreWadsworth Center, New York State Department of Health, Albany, New York, United States of America.
Erica Lasek-NesselquistWadsworth Center, New York State Department of Health, Albany, New York, United States of America.
Navjot SinghWadsworth Center, New York State Department of Health, Albany, New York, United States of America.
Radha IyerNew York Medical College, Valhalla, New York, United States of America.
Dionysios LiverisNew York Medical College, Valhalla, New York, United States of America.
Kurt D ReedUniversity of Wisconsin, Madison, Wisconsin, United States of America.
John M LeongTufts University School of Medicine, Boston, Massachusetts, United States of America.
John A BrandaMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States of America.
Allen C SteereMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States of America.
Gary P WormserNew York Medical College, Valhalla, New York, United States of America.
Franc StrleUniversity Medical Center Ljubljana, Ljubljana, Slovenia.
Pardis C SabetiMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States of America.
Ira SchwartzNew York Medical College, Valhalla, New York, United States of America.
Klemen StrleMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States of America.
Broad Institute · USNew York Medical College · USLjubljana University Medical Centre · SINew York State Department of Health · USHarvard University · USTufts University · USUniversity of Ljubljana · SIUniversity of Wisconsin–Madison · US

Funding

Viral Genomics: evolution, spread, and host interactionsU19AI110818 · NIAID · BROAD INSTITUTE, INC. · PI BIRREN, BRUCE W., NEAFSEY, DANIEL E · 2014 to 2024
$66.5M
West African Emerging Infectious Disease Research Center (WA-EIDRC)U01AI151812 · NIAID · SCRIPPS RESEARCH INSTITUTE, THE · PI ANDERSEN, KRISTIAN GRAUGAARD, GARRY, ROBERT F · 2020 to 2024
$13.2M
DETERMINANTS OF B BURGDORFERI HEMATOGENOUS DISSEMINATIONR01AI045801 · NIAID · NEW YORK MEDICAL COLLEGE · PI SCHWARTZ, IRA S. · 1999 to 2015
$4.9M
NUCLEIC ACID-BASED DIANOSTIC PROBES FOR LYME DISEASER01AR041511 · NIAMS · NEW YORK MEDICAL COLLEGE · PI SCHWARTZ, IRA S. · 1991 to 2009
$4.1M
Cellular and humoral immunity in Lyme arthritisR01AI144365 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI STEERE, ALLEN C · 2019 to 2023
$2.9M
Microbial Determinants of Clinical Heterogeneity in Lyme DiseaseR00AI148604 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI LEMIEUX, JACOB ERIC · 2022 to 2023
$500k
Defining Host Genetic Factors in Adverse Clinical Outcomes in Lyme DiseaseR21AI144916 · NIAID · WADSWORTH CENTER · PI LIN, YI-PIN, STRLE, KLEMEN · 2019 to 2020
$449k
Microbial genetic variation in the pathogenesis of Lyme DiseaseR21AI149278 · NIAID · WADSWORTH CENTER · PI LIN, YI-PIN, STRLE, KLEMEN · 2020 to 2021
$426k
Defining Microbial and Host Factors in Innate Immune Responses in Lyme ArthritisK01AR062098 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI STRLE, KLEMEN · 2012 to 2014
$398k
Microbial Determinants of Clinical Heterogeneity in Lyme DiseaseK99AI148604 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI LEMIEUX, JACOB ERIC · 2020 to 2021
$273k
Howard Hughes Medical InstituteNIAID NIH HHS K99 AI148604NIAID NIH HHS R00 AI148604NIAID NIH HHS R01 AI045801NIAID NIH HHS R01 AI144365NIAID NIH HHS R21 AI144916NIAID NIH HHS R21 AI149278NIAID NIH HHS U01 AI151812NIAID NIH HHS U19 AI110818NIAMS NIH HHS K01 AR062098NIAMS NIH HHS R01 AR041511
6 · The paper itself

Abstract

Lyme disease is the most common vector-borne disease in North America and Europe. The clinical manifestations of Lyme disease vary based on the genospecies of the infecting Borrelia burgdorferi spirochete, but the microbial genetic elements underlying these associations are not known. Here, we report the whole genome sequence (WGS) and analysis of 299 B. burgdorferi (Bb) isolates derived from patients in the Eastern and Midwestern US and Central Europe. We develop a WGS-based classification of Bb isolates, confirm and extend the findings of previous single- and multi-locus typing systems, define the plasmid profiles of human-infectious Bb isolates, annotate the core and strain-variable surface lipoproteome, and identify loci associated with disseminated infection. A core genome consisting of ~900 open reading frames and a core set of plasmids consisting of lp17, lp25, lp36, lp28-3, lp28-4, lp54, and cp26 are found in nearly all isolates. Strain-variable (accessory) plasmids and genes correlate strongly with phylogeny. Using genetic association study methods, we identify an accessory genome signature associated with dissemination in humans and define the individual plasmids and genes that make up this signature. Strains within the RST1/WGS A subgroup, particularly a subset marked by the OspC type A genotype, have increased rates of dissemination in humans. OspC type A strains possess a unique set of strongly linked genetic elements including the presence of lp56 and lp28-1 plasmids and a cluster of genes that may contribute to their enhanced virulence compared to other genotypes. These features of OspC type A strains reflect a broader paradigm across Bb isolates, in which near-clonal genotypes are defined by strain-specific clusters of linked genetic elements, particularly those encoding surface-exposed lipoproteins. These clusters of genes are maintained by strain-specific patterns of plasmid occupancy and are associated with the probability of invasive infection.

Indexed as

Borrelia burgdorferiLyme DiseaseGenotypeHumansPlasmidsWhole Genome Sequencing

Identifiers

PMID37651316
PMCPMC10470944
OpenAlexW4386324209

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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.