Lipid profiles in Lyme borreliosis : a potential role for apheresis?

Dyslipidemia and dyslipoproteinemia are common causes of metabolic and cardiovascular diseases. On the other hand, intracellular bacteria, such as Borrelia burgdorferi, utilize host lipids to survive and disseminate within the host. Recent data suggest that elevated lipids are a contributing factor...

Full description

Bibliographic Details
Main Authors: Straube, Richard, Voit-Bak, Karin, Gor, A., Steinmeier, Til, Chrousos, George P., Boehm, Bernhard Otto, Birkenfeld, Andreas L., Barbir, Mahmoud, Balanzew, Wladimir, Bornstein, Stefan R.
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Journal Article
Language:English
Published: 2020
Subjects:
Online Access:https://hdl.handle.net/10356/142727
_version_ 1826114703474032640
author Straube, Richard
Voit-Bak, Karin
Gor, A.
Steinmeier, Til
Chrousos, George P.
Boehm, Bernhard Otto
Birkenfeld, Andreas L.
Barbir, Mahmoud
Balanzew, Wladimir
Bornstein, Stefan R.
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Straube, Richard
Voit-Bak, Karin
Gor, A.
Steinmeier, Til
Chrousos, George P.
Boehm, Bernhard Otto
Birkenfeld, Andreas L.
Barbir, Mahmoud
Balanzew, Wladimir
Bornstein, Stefan R.
author_sort Straube, Richard
collection NTU
description Dyslipidemia and dyslipoproteinemia are common causes of metabolic and cardiovascular diseases. On the other hand, intracellular bacteria, such as Borrelia burgdorferi, utilize host lipids to survive and disseminate within the host. Recent data suggest that elevated lipids are a contributing factor to the maintenance and severity of Lyme disease and its complications. Here we review and discuss the role of lipids in Borreliosis and report on a pilot trial to examine the potential roles of circulating lipids and lipoproteins in patients with Borrelia infection. In this analysis we assessed the clinical and lipid profiles of 519 patients (319 women, 200 men) with a proven history of Lyme disease, before and after an extracorporeal double membrane filtration. Lipid profiles pre- and post-apheresis were analyzed in conjunction with clinical symptoms and parameters of inflammation. Circulating cholesterol, triglycerides, LDL, LP(a), and other inflammatory lipids were significantly reduced after the apheresis, while symptoms of the disorder and bioindexes of inflammation such as CRP improved. Further studies should be initiated to investigate the possibly causal relation between Lyme disease and circulating lipids and to design appropriate therapeutic strategies.
first_indexed 2024-10-01T03:43:49Z
format Journal Article
id ntu-10356/142727
institution Nanyang Technological University
language English
last_indexed 2024-10-01T03:43:49Z
publishDate 2020
record_format dspace
spelling ntu-10356/1427272020-06-29T06:43:20Z Lipid profiles in Lyme borreliosis : a potential role for apheresis? Straube, Richard Voit-Bak, Karin Gor, A. Steinmeier, Til Chrousos, George P. Boehm, Bernhard Otto Birkenfeld, Andreas L. Barbir, Mahmoud Balanzew, Wladimir Bornstein, Stefan R. Lee Kong Chian School of Medicine (LKCMedicine) Science::Medicine Lipidapheresis Borreliosis Dyslipidemia and dyslipoproteinemia are common causes of metabolic and cardiovascular diseases. On the other hand, intracellular bacteria, such as Borrelia burgdorferi, utilize host lipids to survive and disseminate within the host. Recent data suggest that elevated lipids are a contributing factor to the maintenance and severity of Lyme disease and its complications. Here we review and discuss the role of lipids in Borreliosis and report on a pilot trial to examine the potential roles of circulating lipids and lipoproteins in patients with Borrelia infection. In this analysis we assessed the clinical and lipid profiles of 519 patients (319 women, 200 men) with a proven history of Lyme disease, before and after an extracorporeal double membrane filtration. Lipid profiles pre- and post-apheresis were analyzed in conjunction with clinical symptoms and parameters of inflammation. Circulating cholesterol, triglycerides, LDL, LP(a), and other inflammatory lipids were significantly reduced after the apheresis, while symptoms of the disorder and bioindexes of inflammation such as CRP improved. Further studies should be initiated to investigate the possibly causal relation between Lyme disease and circulating lipids and to design appropriate therapeutic strategies. 2020-06-29T06:43:19Z 2020-06-29T06:43:19Z 2019 Journal Article Straube, R., Voit-Bak, K., Gor, A., Steinmeier, T., Chrousos, G. P., Boehm, B. O., . . . Bornstein, S. R. (2019). Lipid profiles in Lyme borreliosis : a potential role for apheresis? Hormone and Metabolic Research, 51(5), 326-329. doi:10.1055/a-0885-7169 0018-5043 https://hdl.handle.net/10356/142727 10.1055/a-0885-7169 31071737 2-s2.0-85065622979 5 51 326 329 en Hormone and Metabolic Research © 2019 Georg Thieme Verlag KG. All rights reserved.
spellingShingle Science::Medicine
Lipidapheresis
Borreliosis
Straube, Richard
Voit-Bak, Karin
Gor, A.
Steinmeier, Til
Chrousos, George P.
Boehm, Bernhard Otto
Birkenfeld, Andreas L.
Barbir, Mahmoud
Balanzew, Wladimir
Bornstein, Stefan R.
Lipid profiles in Lyme borreliosis : a potential role for apheresis?
title Lipid profiles in Lyme borreliosis : a potential role for apheresis?
title_full Lipid profiles in Lyme borreliosis : a potential role for apheresis?
title_fullStr Lipid profiles in Lyme borreliosis : a potential role for apheresis?
title_full_unstemmed Lipid profiles in Lyme borreliosis : a potential role for apheresis?
title_short Lipid profiles in Lyme borreliosis : a potential role for apheresis?
title_sort lipid profiles in lyme borreliosis a potential role for apheresis
topic Science::Medicine
Lipidapheresis
Borreliosis
url https://hdl.handle.net/10356/142727
work_keys_str_mv AT strauberichard lipidprofilesinlymeborreliosisapotentialroleforapheresis
AT voitbakkarin lipidprofilesinlymeborreliosisapotentialroleforapheresis
AT gora lipidprofilesinlymeborreliosisapotentialroleforapheresis
AT steinmeiertil lipidprofilesinlymeborreliosisapotentialroleforapheresis
AT chrousosgeorgep lipidprofilesinlymeborreliosisapotentialroleforapheresis
AT boehmbernhardotto lipidprofilesinlymeborreliosisapotentialroleforapheresis
AT birkenfeldandreasl lipidprofilesinlymeborreliosisapotentialroleforapheresis
AT barbirmahmoud lipidprofilesinlymeborreliosisapotentialroleforapheresis
AT balanzewwladimir lipidprofilesinlymeborreliosisapotentialroleforapheresis
AT bornsteinstefanr lipidprofilesinlymeborreliosisapotentialroleforapheresis