Division of Infectious Diseases, Massachusetts General Hospital, Departments of Medicine and Microbiology, Harvard Medical School, Boston, Massachusetts.
J Infect Dis. 2024 Aug 14;230(Supplement_1):S51-S61. doi: 10.1093/infdis/jiae256.
The family Borreliaceae contains arthropod-borne spirochetes that cause two widespread human diseases, Lyme disease and relapsing fever. Lyme disease is a subacute, progressive illness with variable stage and tissue manifestations. Relapsing fever is an acute febrile illness with prominent bacteremia that may recur and disseminate, particularly to the nervous system. Clinical heterogeneity is a hallmark of both diseases. While human clinical manifestations are influenced by a wide variety of factors, including immune status and host genetic susceptibility, there is evidence that Borreliaceae microbial factors influence the clinical manifestations of human disease caused by this family of spirochetes. Despite these associations, the spirochete genes that influence the severity and manifestations of human disease are, for the most part, unknown. Recent work has identified lineage-specific expansions of lipoproteome-rich accessory genome elements in virulent clones of Borrelia burgdorferi. Using publicly available genome assemblies, it is shown that all Borreliaceae lineages for which sufficient sequence data are available harbor a similar pattern of strongly structured, lineage-specific expansions in their accessory genomes, particularly among lipoproteins, and that this pattern holds across phylogenetic scales including genera, species, and genotypes. The relationships among pangenome elements suggest that infrequent episodes of marked genomic change followed by clonal expansion in geographically and enzootically structured populations may account for the unique lineage structure of Borreliaceae. This analysis informs future genotype-phenotype studies among Borreliaceae and lays a foundation for studies of individual gene function guided by phylogenetic patterns of conservation, diversification, gain, and/or loss.
螺旋体科的Borreliaceae 包含节肢动物传播的螺旋体,这些螺旋体引起两种广泛存在的人类疾病,即莱姆病和回归热。莱姆病是一种亚急性、进行性疾病,具有不同的阶段和组织表现。回归热是一种伴有明显菌血症的急性发热性疾病,可能会复发和扩散,特别是到神经系统。临床异质性是这两种疾病的标志。虽然人类的临床表现受到多种因素的影响,包括免疫状态和宿主遗传易感性,但有证据表明Borreliaceae 微生物因素影响由该螺旋体家族引起的人类疾病的临床表现。尽管存在这些关联,但影响人类疾病严重程度和表现的螺旋体基因在很大程度上仍是未知的。最近的工作已经确定了在伯氏疏螺旋体的毒力克隆中,富含脂蛋白的辅助基因组元件的谱系特异性扩张。利用公开可用的基因组组装,表明所有 Borreliaceae 谱系,只要有足够的序列数据,其辅助基因组中都存在类似的强烈结构、谱系特异性扩张模式,特别是在脂蛋白中,这种模式在包括属、种和基因型在内的所有进化尺度上都存在。基因组元素之间的关系表明,频繁发生的明显基因组变化事件,随后在地理和动物媒介结构的种群中进行克隆扩张,可能是 Borreliaceae 独特谱系结构的原因。这种分析为 Borreliaceae 中的基因型-表型研究提供了信息,并为基于系统发育保守性、多样化、获得和/或丧失的个体基因功能研究奠定了基础。