The role of miRNAs in Lyme disease: a review
Lyme disease, miRNA, Pathogenesis, Regulatory pathways, Borrelia burgdorferi, Lyme arthritis, Lyme carditis, Neuroborreliosis.
Introduction: Lyme disease (LD) is the most common tick-borne disease in North America
and Europe. Caused by the bacterium Borrelia burgdorferi, it manifests itself in different forms
and stages, and may be asymptomatic or with nonspecific symptoms, in addition to the
difficulty in localizing the arachnid bite and the possible lack of formation of erythema
migrans, which makes clinical diagnosis difficult. Current laboratory diagnostic methods have
limitations, such as the absence of antibodies against bacteria during the first weeks of
infection, in addition to access to samples, since Borrelia burgdorferi lodges in difficult-to
access tissues. In this context, miRNAs emerge as potential candidates in understanding the
pathophysiology of LD, as well as biomarkers and therapeutic targets, given their stability and
ability to reflect pathological states, including bacterial infections. Objective: To conduct a
narrative review on the role of miRNAs in LD. Methodology: The search was performed in
PubMed, Embase, ScienceDirect, Web of Science and LILACS databases, using the terms
"Lyme Disease", "Borrelia burgdorferi", "Lyme Borreliosis", "Lyme Arthritis", "Lyme
Carditis" and "MicroRNA". Results: Of the 7 studies included, three were performed in vitro
with different human cell cultures, two used in vivo models with mice, one study was
performed in vitro with Ixodes scapularis ticks and one was observational with patient samples.
Total RNA extraction methodologies varied between the TriZol method and the miRNeasy Kit
and the analysis of miRNA expression varied from RNAseq to qRT-PCR. In total, 261
differently expressed miRNAs were analyzed among all studies and, of these, miR-146a-5p,
miR-155, miR-145 and miR-146b were described in more than one study with increased
expression in different samples and clinical manifestations. Conclusion: miRNAs such as
miR-146a-5p, miR-155, miR-145, and miR-146b play important roles in the inflammatory
regulation of LD, being involved in dermal manifestation, arthritis, carditis, and microglial
activation. These miRNAs have potential as biomarkers and therapeutic targets in LD, although
further studies are needed to validate their applicability in the diagnosis and treatment of the
disease.