Evolution of Northeastern and Midwestern Borrelia burgdorferi, United States
2010

Evolution of Borrelia burgdorferi

Sample size: 47 publication Evidence: moderate

Author Information

Author(s): Dustin Brisson, Mary F. Vandermause, Jennifer K. Meece, Kurt D. Reed, Daniel E. Dykhuizen

Primary Institution: University of Pennsylvania

Hypothesis

Differences in animal ecology or human behavior may account for differences in human incidence in the 2 regions.

Conclusion

The study suggests that the differences in human Lyme disease incidence between the Northeast and Midwest are likely due to ecological or behavioral factors rather than significant evolutionary divergence of the bacteria.

Supporting Evidence

  • The per capita incidence of human Lyme disease in the northeastern United States is more than twice that in the Midwest.
  • B. burgdorferi populations in the Northeast and Midwest are geographically isolated, enabling evolutionary divergence in human invasiveness.
  • The study found that B. burgdorferi populations in the Northeast and Midwest shared a recent common ancestor.

Takeaway

This study looks at why more people get Lyme disease in the Northeast than in the Midwest, finding that it might be because of how people and animals behave rather than big changes in the bacteria.

Methodology

The study analyzed the evolutionary and demographic histories of Borrelia burgdorferi using phylogenetic frameworks and genetic sequencing from isolates derived from skin biopsy specimens.

Limitations

The evolutionary history of B. burgdorferi in the Midwest is comparatively understudied, and the study may not account for all ecological factors influencing Lyme disease incidence.

Participant Demographics

Isolates were derived from skin biopsy specimens of 47 adult patients who had erythema migrans.

Statistical Information

P-Value

p<0.01

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3201/eid1606.090329

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