Research suggests that cholesterol medication could stop disease from spreading.Medication that is normally used to lower cholesterol could stop the spread of Lyme disease, according to a new study co-authored by Janakiram Seshu, associate professor of biology at The University of Texas at San Antonio (UTSA).
"Roughly 300,000 cases of Lyme disease are estimated to occur in the US by the Centers for Disease Control and Prevention every year," Seshu said. "One of the questions we're asking is how Lyme disease can be stopped before it's transmitted from ticks to humans."
Most cases of Lyme disease come from ticks that bite humans after they have acquired the agent of Lyme disease from infected animals, referred to as reservoir hosts. If the burden of infection is reduced in the reservoir hosts, it can be predicted that the chances for ticks to acquire the Lyme disease pathogen will be lower presumably leading to a reduction in the number of cases of human Lyme disease.
Seshu and his team have discovered that statins, medications usually used to lower cholesterol, can reduce the burden in mice and can therefore be exploited to reduce the number of Lyme disease bacteria acquired by the feeding ticks. These investigators believe that this could be one of the many strategies to lower the incidence of Lyme disease by restricting bacterial survival at its source.
"We've figured out that there's one enzyme in the Lyme disease bacteria that is essential for creating its cell wall, which would allow the Lyme disease bacteria to live and cause infection," he said. "We discovered that this enzyme can be inhibited by statins, which means that one class of drugs could reduce the number of infectious bacteria in the reservoir hosts."
Seshu noted that these studies are based on experimental models of Lyme disease infection and more work needs to be done to determine how effective statins could be in blocking the natural life cycle of this pathogen.
While the use of statins doesn't spell a complete elimination of Lyme disease, it has the potential to drastically reduce the number of new cases. Now Seshu and his UTSA graduate students are working to better understand how statins can be modified to primarily affect the survival of Lyme disease bacteria.
"First we want to determine how statins can be used to stop the growth of the pathogen and how we can exploit these findings to our benefit," Seshu said. "Our hope is that if we reduce the number of viable organisms in infected reservoir hosts then we can block the transmission to a point that the disease doesn't affect humans significantly in many areas of the US."
Statins reduce spirochetal burden and modulate immune responses in the C3H/HeN mouse model of Lyme disease. Tricia A. Van Laara, Camaron Holea, S.L. Rajasekhar Karnaa, Christine L. Millera, Robert Reddickb, Floyd L. Wormleya, J. Seshua. Microbes and Infection. DOI:10.1016/j.micinf.2016.03.004. Published online 16 March 2016.