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Increased severity of disease and persistence of symptoms have been recently reported in some patients with simultaneous infection of Borrelia burgdorferi and Babesia microti in the northeastern and northern midwest United States. This study used a murine model to examine whether defined disease conditions such as arthritis and carditis differed in severity in mice infected solely with B. burgdorferi and in mice coinfected with B. microti and B. burgdorferi. C3H.HeJ and BALB/c mice cohorts were coinfected or singly infected and then monitored experimentally for 15 and 30 days after inoculation. Carditis and arthritis was determined by blinded histopathologic evaluation of myocardium and tibiotarsal joints. Cytokine measurements were made on lymph node and spleen supernatants for interferon-γ interleukin (IL)-4, IL-10, and IL-13. No differences were observed for C3H.HeJ mice cohorts; however, coinfected BALB/c mice had a significant increase in arthritis severity at day 30. This clinical observation was correlated with a significant reduction in expression of the cytokines IL-10 and IL-13. [ABSTRACT FROM AUTHOR]

Thirty isolates of Borrelia burgdorferi sequentially cultured from 15 naturally infected white-footed mice (Peromyscus leucopus) were examined for variability in protein and plasmid profiles. Heterogeneity was detected in OspB and OspC and in proteins between 18.0 and 28.0 kDa by PAGE. Plasmid profiles were heterogeneous in the first isolate from 11 mice (73%) and between the first and last sequential isolate from 13 mice (87%). Comparison of the first and last isolates showed increased expression of OspC in 6 mice (40%) and was associated in each case with a shift in mobility of a 16.0-kb plasmid, suggesting that regulatory elements of ospC may reside on this plasmid. Hybridization studies suggested that individual mice may have been infected by a heterogeneous population of spirochetes and that changes in the protein and plasmid profiles between the first and last sequential isolates from some mice may have been the result of clonal selection. [ABSTRACT FROM PUBLISHER]