Dynamic Changes in Lyme Disease Spirochetes During Transmission by Nymphal Ticks

Ticks are not crawling needles, merely delivering infectious agents to vertebrate hosts. A sophisticated interplay takes place between ticks, pathogens, and vertebrate hosts. The relationship between Ixodes ticks and the Lyme disease spirochetes they transmit involves subtle changes in spirochete populations that maximize their chances of being transmitted. An understanding of this complex interplay will, hopefully, allow the development of new tools to block transmission of tick-borne agents. This revised version was published online in July 2006 with corrections to the Cover Date.