General Information of Disease (ID: DISO70G5)

Disease Name Lyme disease
Synonyms
Bannworth's syndrome; Lyme disease; Borreliella burgdorferi infectious disease; Borrelia burgdorferi infection; Borreliella burgdorferi caused disease or disorder; Lyme borreliosis; neurological Lyme disease; neuroborreliosis; Bannwarth syndrome; Borreliella burgdorferi disease or disorder; Borrelia; Lyme neuroborreliosis
Disease Class 1C1G: Lyme borreliosis
Definition Lyme disease (named after the towns in the USA where the disease was first identified) is a bacterial infection caused by Borrelia burgdorferi.
Disease Hierarchy
DIS8ZVFW: Primary bacterial infectious disease
DISFY0K2: Tick-borne infectious disease
DIS76DJE: Leptospira infection
DISEM33Q: Infectious disease
DISO70G5: Lyme disease
ICD Code
ICD-11
ICD-11: 1C1G
ICD-10
ICD-10: A69.2
ICD-9
ICD-9: 88.81
Expand ICD-11
'1C1G
Expand ICD-10
'A69.2
Expand ICD-9
88.81
Disease Identifiers
MONDO ID
MONDO_0019632
MESH ID
D008193
UMLS CUI
C0024198
MedGen ID
44213
Orphanet ID
91546
SNOMED CT ID
23502006

Drug-Interaction Atlas (DIA) of This Disease

Drug-Interaction Atlas (DIA)
This Disease is Treated as An Indication in 4 Approved Drug(s)
Drug Name Drug ID Highest Status Drug Type REF
Demeclocycline DMZEPFJ Approved Small molecular drug [1]
Lyme disease vaccine DMCHW8R Approved NA [1]
LYMErix DMJXWOY Approved NA [2]
OspA lipoprotein DMF5ZB3 Approved Vaccine [3]
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This Disease is Treated as An Indication in 3 Clinical Trial Drug(s)
Drug Name Drug ID Highest Status Drug Type REF
PF-07307405 DMOCO1F Phase 3 Vaccine [4]
VLA15 DMMACXS Phase 2 Vaccine [5]
VLA15-101 DMDNVJY Phase 1 NA [6]
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This Disease is Treated as An Indication in 1 Investigative Drug(s)
Drug Name Drug ID Highest Status Drug Type REF
VGV-L DMP8QJL Investigative NA [7]
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Molecular Interaction Atlas (MIA) of This Disease

Molecular Interaction Atlas (MIA)
This Disease Is Related to 13 DTT Molecule(s)
Gene Name DTT ID Evidence Level Mode of Inheritance REF
CDK5R1 TTBYM6V moderate Altered Expression [8]
DCN TTB3XAN moderate Altered Expression [9]
ELK3 TT5OJMV moderate Biomarker [10]
CD300A TTI2YFK Strong Biomarker [11]
EPHA5 TTV9KOD Strong Biomarker [12]
FHL1 TTI7ENL Strong Biomarker [13]
IFNL1 TTM624L Strong Altered Expression [14]
IL12A TTRTK6Y Strong Altered Expression [8]
MAZ TT059DA Strong Biomarker [15]
RAB22A TTAJ746 Strong Biomarker [16]
RNMT TTG45HY Strong Biomarker [17]
TLR1 TTW14D0 Strong Genetic Variation [18]
TLR2 TTY7ZHS Strong Biomarker [19]
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⏷ Show the Full List of 13 DTT(s)
This Disease Is Related to 1 DME Molecule(s)
Gene Name DME ID Evidence Level Mode of Inheritance REF
NT5C2 DE1DOKJ moderate Genetic Variation [20]
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This Disease Is Related to 44 DOT Molecule(s)
Gene Name DOT ID Evidence Level Mode of Inheritance REF
CCNH OTKDU3SR moderate Biomarker [21]
CD8B OTMZ1T7J moderate Biomarker [21]
EBPL OT59J1GY moderate Biomarker [10]
HNRNPD OT5UO1FA moderate Biomarker [21]
NUP37 OTPZH72U moderate Biomarker [21]
AK6 OT84OHHP Strong Biomarker [22]
ATP6V0D1 OT9GU2NW Strong Biomarker [23]
BLZF1 OT5QD8FG Strong Biomarker [24]
CANX OTYP1F6J Strong Biomarker [25]
CD180 OTITK5E6 Strong Biomarker [26]
CD1B OT4D5EG7 Strong Biomarker [27]
CD48 OT83ZNPP Strong Biomarker [28]
CDCA5 OTZLCQ5U Strong Altered Expression [8]
CDK5R2 OTNUTLPU Strong Biomarker [23]
CPVL OTOJL31C Strong Biomarker [29]
DCTN3 OTQOSUES Strong Biomarker [30]
DYNC1H1 OTD1KRKO Strong Biomarker [30]
EEF1A1 OT00THXS Strong Biomarker [31]
ENO2 OTRODL0T Strong Biomarker [32]
EXOSC1 OTB1QQJJ Strong Biomarker [33]
FAM20C OTW5YZ7X Strong Biomarker [34]
FCN2 OTTHJBKZ Strong Altered Expression [8]
GCHFR OTEOT8GI Strong Altered Expression [8]
HACD1 OTEC7EP7 Strong Biomarker [35]
IFIT3 OTPGHZB9 Strong Genetic Variation [36]
KARS1 OT0EU4SV Strong Biomarker [37]
KRT10 OTSVRD3Q Strong Biomarker [38]
MLIP OTMT7AII Strong Biomarker [22]
MNAT1 OTXLOYCB Strong Altered Expression [8]
NELFCD OTOLTZPU Strong Biomarker [39]
NOP53 OTA2YKO6 Strong Genetic Variation [36]
NRSN1 OT1KKXC8 Strong Altered Expression [40]
POLD3 OTEQEFQ2 Strong Biomarker [41]
PPP1R14A OTQODWZB Strong Altered Expression [42]
PTGES3 OTPPQWI0 Strong Biomarker [43]
R3HCC1L OT776PX2 Strong Biomarker [28]
RAB5A OTFR2KM4 Strong Biomarker [16]
RHBDL2 OTJPJ8N6 Strong Biomarker [44]
RHOBTB2 OT2DATFX Strong Biomarker [45]
RRP1 OT4A8HR3 Strong Biomarker [46]
SELENOK OTKM7N7P Strong Biomarker [47]
SENP6 OT05LLF4 Strong Biomarker [48]
SRI OT4R3EAC Strong Genetic Variation [49]
TMED10 OTUXSHH7 Strong Biomarker [43]
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⏷ Show the Full List of 44 DOT(s)

References

1 Drugs@FDA. U.S. Food and Drug Administration. U.S. Department of Health & Human Services. 2015
2 Trusted, scientifically sound profiles of drug programs, clinical trials, safety reports, and company deals, written by scientists. Springer. 2015. Adis Insight (drug id 800010423)
3 Infection of mice with lyme disease spirochetes constitutively producing outer surface proteins a and B. Infect Immun. 2007 Jun;75(6):2786-94.
4 ClinicalTrials.gov (NCT05634811) A PHASE 3, RANDOMIZED, PLACEBO-CONTROLLED, OBSERVER-BLINDED TRIAL TO EVALUATE THE SAFETY OF A 6-VALENT OspA-BASED LYME DISEASE VACCINE (VLA15) IN HEALTHY CHILDREN 5 THROUGH 17 YEARS OF AGE. U.S.National Institutes of Health.
5 ClinicalTrials.gov (NCT03970733) Alternative Schedule Study For VLA15, a Vaccine Candidate Against Lyme Borreliosis. U.S. National Institutes of Health.
6 Clinical pipeline report, company report or official report of the Pharmaceutical Research and Manufacturers of America (PhRMA)
7 The ChEMBL database in 2017. Nucleic Acids Res. 2017 Jan 4;45(D1):D945-D954.
8 Differential expression of Borrelia burgdorferi genes during erythema migrans and Lyme arthritis.J Infect Dis. 1998 Oct;178(4):1198-201. doi: 10.1086/515684.
9 Co-culture of human fibroblasts and Borrelia burgdorferi enhances collagen and growth factor mRNA.Arch Dermatol Res. 2018 Mar;310(2):117-126. doi: 10.1007/s00403-017-1797-1. Epub 2017 Dec 6.
10 Expression of Borrelia burgdorferi erp genes during infection of non-human primates.Microb Pathog. 2005 Jul-Aug;39(1-2):27-33. doi: 10.1016/j.micpath.2005.04.001.
11 IrC2/Bf - A yeast and Borrelia responsive component of the complement system from the hard tick Ixodes ricinus.Dev Comp Immunol. 2018 Feb;79:86-94. doi: 10.1016/j.dci.2017.10.012. Epub 2017 Oct 20.
12 Comparison of MKP and BSK-H media for the cultivation and isolation of Borrelia burgdorferi sensu lato.PLoS One. 2017 Feb 7;12(2):e0171622. doi: 10.1371/journal.pone.0171622. eCollection 2017.
13 Crystal structure of Borrelia burgdorferi outer surface protein BBA69 in comparison to the paralogous protein CspA.Ticks Tick Borne Dis. 2019 Aug;10(5):1135-1141. doi: 10.1016/j.ttbdis.2019.06.009. Epub 2019 Jun 11.
14 Induction of type I and type III interferons by Borrelia burgdorferi correlates with pathogenesis and requires linear plasmid 36.PLoS One. 2014 Jun 19;9(6):e100174. doi: 10.1371/journal.pone.0100174. eCollection 2014.
15 Serum amyloid A-activating factor-1 (SAF-1) transgenic mice are prone to develop a severe form of inflammation-induced arthritis.J Immunol. 2004 Oct 1;173(7):4684-91. doi: 10.4049/jimmunol.173.7.4684.
16 ER-Coordinated Activities of Rab22a and Rab5a Drive Phagosomal Compaction and Intracellular Processing of Borrelia burgdorferi by Macrophages.Cell Rep. 2015 Sep 22;12(11):1816-30. doi: 10.1016/j.celrep.2015.08.027. Epub 2015 Sep 3.
17 Differential gene expression in chronic inflammatory demyelinating polyneuropathy (CIDP) skin biopsies.J Neurol Sci. 2010 Mar 15;290(1-2):115-22. doi: 10.1016/j.jns.2009.10.006. Epub 2009 Nov 17.
18 Association of Toll-like receptor 2 Arg753Gln and Toll-like receptor 1 Ile602Ser single-nucleotide polymorphisms with leptospirosis in an Argentine population.Acta Trop. 2015 Jun;146:73-80. doi: 10.1016/j.actatropica.2015.03.007. Epub 2015 Mar 14.
19 Small-scale spatial variation in infection risk shapes the evolution of a Borrelia resistance gene in wild rodents.Mol Ecol. 2018 Sep;27(17):3515-3524. doi: 10.1111/mec.14812. Epub 2018 Aug 6.
20 The Borrelia burgdorferi c-di-GMP Binding Receptors, PlzA and PlzB, Are Functionally Distinct.Front Cell Infect Microbiol. 2018 Jul 11;8:213. doi: 10.3389/fcimb.2018.00213. eCollection 2018.
21 The Borrelia burgdorferi 37-kilodalton immunoblot band (P37) used in serodiagnosis of early lyme disease is the flaA gene product.J Clin Microbiol. 1999 Mar;37(3):548-52. doi: 10.1128/JCM.37.3.548-552.1999.
22 Genomic and phenotypic characterization of Borrelia afzelii BO23 and Borrelia garinii CIP 103362.PLoS One. 2018 Jun 26;13(6):e0199641. doi: 10.1371/journal.pone.0199641. eCollection 2018.
23 Proteomics in human disease: cancer, heart and infectious diseases.Electrophoresis. 1999 Jul;20(10):2100-10. doi: 10.1002/(SICI)1522-2683(19990701)20:10<2100::AID-ELPS2100>3.0.CO;2-D.
24 Evaluation of genetic divergence of borrelial isolates from Lyme disease patients in Hokkaido, Japan, by rRNA gene probes.J Clin Microbiol. 1993 Aug;31(8):2044-8. doi: 10.1128/jcm.31.8.2044-2048.1993.
25 Characterization of the vls antigenic variation loci of the Lyme disease spirochaetes Borrelia garinii Ip90 and Borrelia afzelii ACAI.Mol Microbiol. 2003 Mar;47(5):1407-17. doi: 10.1046/j.1365-2958.2003.03386.x.
26 A multi-omic analysis reveals the regulatory role of CD180 during the response of macrophages to Borrelia burgdorferi.Emerg Microbes Infect. 2018 Mar 7;7(1):19. doi: 10.1038/s41426-017-0018-5.
27 CD1b presents self and Borrelia burgdorferi diacylglycerols to human T cells.Eur J Immunol. 2019 May;49(5):737-746. doi: 10.1002/eji.201847949. Epub 2019 Mar 20.
28 Lsa63, a newly identified surface protein of Leptospira interrogans binds laminin and collagen IV.J Infect. 2010 Jan;60(1):52-64. doi: 10.1016/j.jinf.2009.10.047. Epub 2009 Oct 30.
29 Eliminating Factor H-Binding Activity of Borrelia burgdorferi CspZ Combined with Virus-Like Particle Conjugation Enhances Its Efficacy as a Lyme Disease Vaccine.Front Immunol. 2018 Feb 8;9:181. doi: 10.3389/fimmu.2018.00181. eCollection 2018.
30 A chromosomal Borrelia burgdorferi gene encodes a 22-kilodalton lipoprotein, P22, that is serologically recognized in Lyme disease.J Clin Microbiol. 1994 Apr;32(4):876-83. doi: 10.1128/jcm.32.4.876-883.1994.
31 Borrelia burgdorferi elongation factor EF-Tu is an immunogenic protein during Lyme borreliosis.Emerg Microbes Infect. 2015 Sep 2;4(9):e54. doi: 10.1038/emi.2015.54.
32 Autoimmunity against a glycolytic enzyme as a possible cause for persistent symptoms in Lyme disease.Med Hypotheses. 2018 Jan;110:1-8. doi: 10.1016/j.mehy.2017.10.024. Epub 2017 Oct 26.
33 Molecular analysis of the channel-forming protein P13 and its paralogue family 48 from different Lyme disease Borrelia species.Microbiology (Reading). 2004 Mar;150(Pt 3):549-559. doi: 10.1099/mic.0.26728-0.
34 A high-throughput genetic screen identifies previously uncharacterized Borrelia burgdorferi genes important for resistance against reactive oxygen and nitrogen species.PLoS Pathog. 2017 Feb 17;13(2):e1006225. doi: 10.1371/journal.ppat.1006225. eCollection 2017 Feb.
35 Analysis of a flagellar filament cap mutant reveals that HtrA serine protease degrades unfolded flagellin protein in the periplasm of Borrelia burgdorferi.Mol Microbiol. 2019 Jun;111(6):1652-1670. doi: 10.1111/mmi.14243. Epub 2019 Apr 26.
36 Taxonomic classification of 29 Borrelia burgdorferi strains isolated from patients with Lyme borreliosis: a comparison of five different phenotypic and genotypic typing schemes.Med Microbiol Immunol. 1994 Dec;183(6):325-41. doi: 10.1007/BF00196683.
37 Differentiation of Borrelia burgdorferi sensu lato strains using class I lysyl-tRNA synthetase-encoding genes.Med Microbiol Immunol. 2003 May;192(2):79-83. doi: 10.1007/s00430-002-0149-7. Epub 2002 Sep 25.
38 Autoantibodies from synovial lesions in chronic, antibiotic treatment-resistant Lyme arthritis bind cytokeratin-10.J Immunol. 2006 Aug 15;177(4):2486-94. doi: 10.4049/jimmunol.177.4.2486.
39 Decreased up-regulation of the interleukin-12Rbeta2-chain and interferon-gamma secretion and increased number of forkhead box P3-expressing cells in patients with a history of chronic Lyme borreliosis compared with asymptomatic Borrelia-exposed individuals.Clin Exp Immunol. 2007 Jan;147(1):18-27. doi: 10.1111/j.1365-2249.2006.03245.x.
40 Analysis of a VMP-like sequence (vls) locus in Borrelia garinii and Vls homologues among four Borrelia burgdorferi sensu lato species.FEMS Microbiol Lett. 2001 May 15;199(1):39-45. doi: 10.1111/j.1574-6968.2001.tb10648.x.
41 Sequence typing reveals extensive strain diversity of the Lyme borreliosis agents Borrelia burgdorferi in North America and Borrelia afzelii in Europe.Microbiology (Reading). 2004 Jun;150(Pt 6):1741-1755. doi: 10.1099/mic.0.26944-0.
42 Osp17, a novel immunodominant outer surface protein of Borrelia afzelii: recombinant expression in Escherichia coli and its use as a diagnostic antigen for serodiagnosis of Lyme borreliosis.Med Microbiol Immunol. 1999 May;187(4):213-9. doi: 10.1007/s004300050095.
43 Molecular characterization and expression of p23 (OspC) from a North American strain of Borrelia burgdorferi.Infect Immun. 1993 Dec;61(12):5097-105. doi: 10.1128/iai.61.12.5097-5105.1993.
44 The RpoS Gatekeeper in Borrelia burgdorferi: An Invariant Regulatory Scheme That Promotes Spirochete Persistence in Reservoir Hosts and Niche Diversity.Front Microbiol. 2019 Aug 21;10:1923. doi: 10.3389/fmicb.2019.01923. eCollection 2019.
45 Establishment of enzyme-linked immunosorbent assay using purified recombinant 83-kilodalton antigen of Borrelia burgdorferi sensu stricto and Borrelia afzelii for serodiagnosis of Lyme disease.J Clin Microbiol. 1995 Oct;33(10):2596-600. doi: 10.1128/jcm.33.10.2596-2600.1995.
46 Positive and Negative Regulation of Glycerol Utilization by the c-di-GMP Binding Protein PlzA in Borrelia burgdorferi.J Bacteriol. 2018 Oct 23;200(22):e00243-18. doi: 10.1128/JB.00243-18. Print 2018 Nov 15.
47 Is selenoprotein K required for Borrelia burgdorferi infection within the tick vector Ixodes scapularis?.Parasit Vectors. 2019 Jun 7;12(1):289. doi: 10.1186/s13071-019-3548-y.
48 Lyme Disease Risks in Europe under Multiple Uncertain Drivers of Change.Environ Health Perspect. 2019 Jun;127(6):67010. doi: 10.1289/EHP4615. Epub 2019 Jun 24.
49 Immunolocalization of a 22 kDa protein (IPLA7, P22) of Borrelia burgdorferi.FEMS Microbiol Lett. 1996 May 1;138(2-3):215-9. doi: 10.1111/j.1574-6968.1996.tb08160.x.