Evidence map›Paper›PMID 40623106›Full record

ArticlePLoS pathogens2025

Bacterial and host enzymes modulate the pro-inflammatory response elicited by the peptidoglycan of Lyme disease agent Borrelia burgdorferi.

Joshua W McCausland, Zachary A Kloos, Irnov Irnov, Nicole D Sonnert, Junhui Zhou, Rachel Putnik, Elizabeth A Mueller, Allen C Steere, Noah W Palm, Catherine L Grimes and 1 more

Abstract read
In one paragraph

Article in PLoS pathogens, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Characterization ofMicroorganisms · 2026
    Article
  6. Article
  7. Review
  8. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Joshua W McCauslandSarafan ChEM-H Institute, Stanford University, Stanford, California, United States of America.
Zachary A KloosMicrobiology Program, Yale University, New Haven, Connecticut, United States of America.
Irnov IrnovSarafan ChEM-H Institute, Stanford University, Stanford, California, United States of America.
Nicole D SonnertMicrobiology Program, Yale University, New Haven, Connecticut, United States of America.
Junhui ZhouDepartment of Chemistry and Biochemistry, University of Delaware, Newark, Delaware, United States of America.
Rachel PutnikDepartment of Chemistry and Biochemistry, University of Delaware, Newark, Delaware, United States of America.
Elizabeth A MuellerSarafan ChEM-H Institute, Stanford University, Stanford, California, United States of America.
Allen C SteereCenter for Immunology and Inflammatory Diseases, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, United States of America.
Noah W PalmDepartment of Immunology, Yale University School of Medicine, New Haven, Connecticut, United States of America.
Catherine L GrimesDepartment of Chemistry and Biochemistry, University of Delaware, Newark, Delaware, United States of America.
Christine Jacobs-WagnerSarafan ChEM-H Institute, Stanford University, Stanford, California, United States of America.ORCID 0000-0003-0980-5334

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007205 · NIGMS · YALE UNIVERSITY · PI KAZMIERCZAK, BARBARA I · 1985 to 2019
$42.9M
Chemistry-Biology Interface Predoctoral Training Grant 2024-2029T32GM133395 · NIGMS · UNIVERSITY OF DELAWARE · PI Catherine Leimkuhler Grimes · 2019 to 2026
$3.7M
Peptidoglycan Fragment Library to Investigate Innate Immune ResponsesR01GM138599 · NIGMS · UNIVERSITY OF DELAWARE · PI GRIMES, CATHERINE LEIMKUHLER, REINECKER, HANS-CHRISTIAN · 2020 to 2023
$2.0M
Peptidoglycan Fragment Library to Investigate Innate Immune ResponsesR01AI191445 · NIAID · UNIVERSITY OF DELAWARE · PI Catherine Leimkuhler Grimes, HANS-CHRISTIAN REINECKER · 2025 to 2026
$1.6M
NIAID NIH HHS R01 AI191445NIGMS NIH HHS R01 GM138599NIGMS NIH HHS T32 GM007205NIGMS NIH HHS T32 GM133395
6 · The paper itself

Abstract

The spirochete Borrelia burgdorferi causes Lyme disease. In some patients, an excessive, dysregulated proinflammatory immune response can develop in joints leading to persistent arthritis even after antibiotic therapy. In such patients, persistence of antigenic B. burgdorferi peptidoglycan (PGBb) fragments within joint tissues may contribute to immunopathogenesis pre- and post-antibiotic treatment. In live B. burgdorferi cells, the outer membrane shields the polymeric PGBb sacculus from exposure to the immune system. However, unlike most diderm bacteria, B. burgdorferi releases PGBb turnover products into its environment due to the absence of recycling activity. In this study, we identified the released PGBb fragments using a mass spectrometry-based approach. By characterizing the l,d-carboxypeptidase activity of B. burgdorferi protein BB0605 (renamed DacA), we found that PGBb turnover largely occurs at sites of PGBb synthesis. In parallel, we demonstrated that the lytic transglycosylase activity associated with BB0259 (renamed MltS) releases PGBb fragments with 1,6-anhydro bond on their N-acetylmuramyl residues. Stimulation of human cell lines with various synthetic PGBb fragments revealed that 1,6-anhydromuramyl-containing PGBb fragments are poor inducers of a NOD2-dependent immune response relative to their hydrated counterparts found in the polymeric PGBb isolated from dead bacteria. We also showed that the activity of the human N-acetylmuramyl-l-alanine amidase PGLYRP2, which reduces the immunogenicity of PGBb material, is low in joint (synovial) fluids relative to serum. Altogether, our findings suggest that MltS activity helps B. burgdorferi evade PG-based immune detection by NOD2 during growth despite shedding PGBb fragments and that PGBb-induced immunopathology likely results from host sensing of PGBb material from dead (lysed) spirochetes. Additionally, our results suggest the possibility that natural variation in PGLYRP2 activity may contribute to differences in susceptibility to PG-induced inflammation across tissues and individuals.

Indexed as

Borrelia burgdorferiLyme DiseasePeptidoglycanBacterial ProteinsHost-Pathogen InteractionsHumansInflammationBacterial ProteinsPeptidoglycan

Identifiers

PMID40623106
PMCPMC12279116

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.