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Journal ArticleDOI

Efficacy of human Lyme disease vaccine formulations in a mouse model.

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TLDR
These preparations of recombinant OspA effectively induced immunity to protect mice from Lyme disease when bitten by ticks collected from a field trial site.
Abstract
Although immunization with recombinant outer surface protein A (OspA) appears to protect mice against infection by the agent of Lyme disease, all reported experiments have involved formulations that would not be suitable for use in humans or have not used realistic challenges. This study was designed to determine whether vaccines prepared and used in a phase I human trial, including one currently being used for a phase II trial in sites with endemic Borrelia burgdorferi, conferred protection in the C3H/HeJ mouse model. The challenge was ticks collected from a major site of the trial. None of the vaccinated mice became infected or developed disease, whereas 60% of unvaccinated mice became infected. Spirochetes were destroyed within the guts of virtually all recovered challenge ticks. These preparations of recombinant OspA effectively induced immunity to protect mice from Lyme disease when bitten by ticks collected from a field trial site.

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Journal ArticleDOI

Hyporesponsiveness to vaccination with Borrelia burgdorferi OspA in humans and in TLR1- and TLR2-deficient mice

TL;DR: Data indicate that TLR1 and TLR2 are required for lipoprotein recognition and that defects in theTLR1/2 signaling pathway may account for human hyporesponsiveness to OspA vaccination.
Journal ArticleDOI

Circumvention of outer surface protein A immunity by host-adapted Borrelia burgdorferi.

TL;DR: Outer surface protein A (OspA), which is abundantly expressed in cultured Borrelia burgdorferi, appears to be down-regulated or masked following low-dose infection, and OspA immunization did not prevent infection, dissemination, or disease development with host-adapted spirochetes.
Journal ArticleDOI

The cost effectiveness of vaccinating against Lyme disease.

TL;DR: To determine the cost effectiveness of vaccinating against Lyme disease, a decision tree was used to examine the impact on society of six key components and the main measure of outcome was the cost per case averted.
Journal ArticleDOI

Vaccination against Lyme disease: past, present, and future.

TL;DR: The correlates of protection for this infectious disease, the pros and cons of past vaccination strategies, and new paradigms for future vaccine design that would include elements of both the vector and the pathogen are presented.
Journal ArticleDOI

Safety and Immunogenicity of an Outer Surface Protein A Vaccine in Subjects with Previous Lyme Disease

TL;DR: An OspA vaccine may be safe and immunogenic in patients with a history of Lyme disease, and of the patients, 93% developed high-titer OSpA antibodies.
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