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» LymeNet Flash » Questions and Discussion » Medical Questions » Gene that causes lyme to be hard to treat?

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Author Topic: Gene that causes lyme to be hard to treat?
Hoosiers51
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Hey everyone.

I forgot the name of this gene, but I remember testing positive for it.

Has anyone else with this gene had success treating your tick infections? I am hoping I am not screwed with this, so looking for success stories! Thanks!

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sparkle7
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Your genes are not written in stone. There's a field of science called epigenomics that has found that you can alter your genes.

http://nihroadmap.nih.gov/epigenomics/

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adamm
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HLA-DR4
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SForsgren
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It is not just HLA-DR4 - there are other combinations that can be even worse for people with Lyme. biotoxin.info talks some about HLA.

--------------------
Be well,
Scott

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Gabrielle
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I have the DR2 (HLA-DRB1*1501) which - as they say - can make you therapy-refractory and can cause autoimmunity. I'm right now checking into this as I'm not very successful with abx.

Gabrielle

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Larkspur
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I have the "dreaded genotype"! I forget what the actual #s are.

It makes things tough, and I have had Lyme for 30+ years before diagnosis, but I can get into remission with the right treatment

--------------------
"We must be willing to get rid of
the life we've planned, so as to have the life that is waiting for us" - e.m. forster

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adamm
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Wait--DR2 as well?!? Yikes! Would you mind posting some

literature on this?

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Clarissa
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Not sure if this is what you're asking but goto:

http://www.biotoxin.info

--------------------
Clarissa

Because I knew you:
I have been changed for good.

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Gabrielle
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quote:
Originally posted by adamm:
Wait--DR2 as well?!? Yikes! Would you mind posting some literature on this?

I only have a link to a German lab which explains everything quite nicely - but in German.

http://www.imd-berlin.de/index.php?id=591##

I've translated the bottom line:

HLA-association with therapy-refractory Lyme-Disease, i.e. with Borrelia-induced autoimmunity:

DR1 (HLA-DRB1*0101)
DR2 (HLA-DRB1*1501)
DR4 (HLA-DRB1*0401, *0402, *0404, *0405, *0407)

The following subtypes have been described often in patients who didn't create any (or only weak) antibodies, despite of proven infection with Borrelia.

DR1-Allele (HLA-DRB1*0102, *0101, *0104, *0105)

Gabrielle

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sparkle7
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http://lib.bioinfo.pl/meid:254724

N Engl J Med. 1990 Jul 26;323 (4):219-23 2078208 (P,S,E,B) Cited:20

Association of chronic Lyme arthritis with HLA-DR4 and HLA-DR2 alleles.

A C Steere, E Dwyer, R Winchester

BACKGROUND AND METHODS. A small percentage of patients infected with Borrelia burgdorferi have chronic Lyme arthritis that does not respond to antibiotic therapy.

To learn whether genetically determined variations in the host immune response might account for such outcomes, we determined the immunogenetic profiles of 130 patients with various manifestations of Lyme disease.

RESULTS. Of the 80 patients with arthritis, 57 percent of those with chronic arthritis (12 to 48 months in duration) had the HLA-DR4 specificity; only 23 percent of those with arthritis of moderate duration (6 to 11 months) and only 9 percent of those with arthritis of short duration (1 to 5 months) had this specificity (P = 0.003).

After the HLA-DR4-positive patients were excluded from each group, a secondary association was noted with HLA-DR2, which was found in 75 percent of the remaining patients with chronic arthritis and in 50 percent of those with arthritis of moderate duration, but in only 20 percent of those with arthritis of short duration (P = 0.023).

Altogether, 25 of the 28 patients with chronic arthritis (89 percent) had HLA-DR2 or HLA-DR4, or both, as compared with 27 percent of those with arthritis of short duration (relative risk, 22; P = 0.00006).

These HLA specificities appeared to act as independent, dominant markers of susceptibility. Nucleotide-sequence typing, performed in five patients with chronic arthritis, identified the HLA-DR2 allele as Dw2 (DR beta 1*1501), and the HLA-DR4 alleles as Dw4, Dw14, and Dw13 (DR beta 1*0401, DR beta 1*0404, and DR beta 1*0403, respectively).

The presence of HLA-DR4 in patients with arthritis was associated with a lack of response to antibiotic therapy (P = 0.01).

CONCLUSIONS. Particular Class II major histocompatibility genes determine a host immune response to B. burgdorferi that results in chronic arthritis and lack of response to antibiotic therapy.

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Note who the author is... and the date.

It's amazing how much research they have done on the topic of genetics & Lyme.

It just makes me wonder why it is so hard to get a proper diagnosis & treatment. They seem to be very good at diagnosing & analyzing Lyme in mice.

Look at how many studies have been done by clicking on the above link...

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adamm
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Does anyone know how common each of the genotypes is?
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adamm
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Does anyone know how common each of the genotypes is?
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lpkayak
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well i have hla-dr4 and my llmd yrs ago said that was a reason to stop abx (after 2-3 yrs aggressive orals)even tho i still had pain

i stopped , did a yr of detox and many symptoms went away...but not the pain

also i started traditional osteo arthrits tx...xrays showed no cartilage...

arthroscopy helped...but doc said will need knee replacemtns cuz no cartilage to work with

cosamine ds and ibuprofen kept me working for 10 yrs until a trauma totalled me out

i am recovering really well from knee replacements

i am off ibuprofen

i still take cosamine for hands and back

probably need hand surgery-but i'm going slow-getting over knees

pt will have to help back...no surgery

BUT...i do feel very clearly that abx help my other symptoms: cog, fatigue, neuro pain,

the doc didn't say i wouldn't respond to abx...but he did say if joint pain was the only symptom remaining, it was worth trying traditional arthritis tx: cosamine, nsaid, surgery, etc and going off abx for awhile

--------------------
Lyme? Its complicated. Educate yourself.

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tailz
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Exposure to EMF/RF has been shown to alter DNA, so I no longer believe in genetics.

If diseases seem to run in families, it's only because, as a family, you all shared germs and common EMF/RF exposures for at least 18 years.

Likewise, if you're having trouble fighting Lyme, chances are you are still being overexposed, so in my opinion, moving to a low EMF/RF area is the 'cure', though I can't afford it myself.

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sparkle7
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I don't know adamm... it's pretty complex stuff.

Try Wikipedia.

http://en.wikipedia.org/wiki/Genotype
http://en.wikipedia.org/wiki/Genetics

I think alot more research has to be done in this field before they can say who has what & what it all means.

Meanwhile, there are many companies making money off of all this "genetic" testing...

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Hoosiers51
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This is what Gabrielle said above that she has:
DR2 (HLA-DRB1*1501)

and she said it was linked with autoimmunity.

For some reason, I want to say that might be the one I have, because joint pain is not a big issue for me, which is the one a lot of people mentioned here.

Also, autoimmune illness runs in my family.

Hmmmmm......thanks for all the replies though. Just things to think about.

And, you never know if people who share these genes have suggestions of certain things that helped them! [Smile]

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Hoosiers51
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PS---I used the fact that I have that gene as part of my case to get SS disability, along with a doc's brief description of what it means.....

so looks like the genetic testing companies aren't the only one's making money off the testing!

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