Title : Advancing serodiagnosis of tick-borne borreliosis
Abstract:
Species of spirochete bacteria of the genus Borrelia termed Lyme disease Borreliae (LDB) cause Lyme disease (LD) and others of the relapsing fever Borreliae (RFB) group cause tick-borne relapsing fever (TBRF). Clinical diagnosis of LD relies heavily on serodiagnosis, notably a cumbersome two-tier test procedure. We recently described immunoblot tests (IBs) with recombinant proteins from LDB and RFB for the serodiagnosis and differentiation of LD and TBRF, which showed many suspected LD patients to have TBRF in different continents. We also developed a US FDA-approved one-step IB test for LD. Both findings significantly advance the serodiagnosis of LD and TBRF.