Maria A. Diuk-Wasser, Yi-Pin Lin, Ngoc Thien Thu Nguyen, Nancy A. Nowak, Robert J. Linhardt, Fuming Zhang, Peter Kraiczy, Thomas M. Hart, Sanjay Ram, and Samuels, D. Scott
Borrelia burgdorferi sensu lato (Bbsl), the causative agent of Lyme disease, establishes an initial infection in the host’s skin following a tick bite, and then disseminates to distant organs, leading to multisystem manifestations. Tick-to-vertebrate host transmission requires that Bbsl survives during blood feeding. Complement is an important innate host defense in blood and interstitial fluid. Bbsl produces a polymorphic surface protein, CspA, that binds to a complement regulator, Factor H (FH) to block complement activation in vitro. However, the role that CspA plays in the Bbsl enzootic cycle remains unclear. In this study, we demonstrated that different CspA variants promote spirochete binding to FH to inactivate complement and promote serum resistance in a host-specific manner. Utilizing a tick-to-mouse transmission model, we observed that a cspA-knockout B. burgdorferi is eliminated from nymphal ticks in the first 24 hours of feeding and is unable to be transmitted to naïve mice. Conversely, ectopically producing CspA derived from B. burgdorferi or B. afzelii, but not B. garinii in a cspA-knockout strain restored spirochete survival in fed nymphs and tick-to-mouse transmission. Furthermore, a CspA point mutant, CspA-L246D that was defective in FH-binding, failed to survive in fed nymphs and at the inoculation site or bloodstream in mice. We also allowed those spirochete-infected nymphs to feed on C3-/- mice that lacked functional complement. The cspA-knockout B. burgdorferi or this mutant strain complemented with cspA variants or cspA-L246D was found at similar levels as wild type B. burgdorferi in the fed nymphs and mouse tissues. These novel findings suggest that the FH-binding activity of CspA protects spirochetes from complement-mediated killing in fed nymphal ticks, which ultimately allows Bbsl transmission to mammalian hosts., Author summary Lyme disease, the most common vector-borne disease in the United States, is caused by the bacterium, Borrelia burgdorferi. This bacterium is transmitted to humans via the bite of a tick, and then spreads from the bite site to multiple tissues. Tick-to-human transmission of this bacterium requires bacterial survival in fed ticks because the blood and body fluid that ticks consume contain complement, an important mechanism that kills bacteria. To prevent host cell damage by this powerful mechanism, vertebrate animals produce factor H to inhibit complement. Lyme disease bacteria produce a surface protein CspA that binds to factor H to inhibit complement, but the role that CspA-mediated factor H-binding activity plays in tick-to-human transmission remains unexplained. To investigate this, we infected mice with Lyme disease strains that were identical except for the CspA variant or mutant with no factor H-binding ability they produced. We found that the factor H-binding activity of CspA appears to prevent the bacteria from being killed by complement in fed nymphal ticks. Such ability further facilitates bacterial transmission to mice. These results will promote the development of strategies against CspA to intervene in Lyme disease bacterial transmission from ticks to humans.