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American Focus > Blog > Tech and Science > Lyme disease treated with antibiotic that doesn’t harm gut microbiome
Tech and Science

Lyme disease treated with antibiotic that doesn’t harm gut microbiome

Last updated: April 24, 2025 1:10 am
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Lyme disease treated with antibiotic that doesn’t harm gut microbiome
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An exciting breakthrough in the treatment of Lyme disease has been discovered by researchers at Northwestern University in Illinois. Lyme disease, caused by bacteria in the genus Borrelia and spread through tick bites, can lead to serious long-term complications if left untreated. The standard treatment involves a high dose of the antibiotic doxycycline, which can have negative effects on the gut microbiome.

In their search for a more selective alternative, the researchers tested over 450 FDA-approved antibiotics to find one that could effectively target Borrelia burgdorferi, the most common type of Lyme disease-causing bacteria. They found that piperacillin, an antibiotic commonly used to treat pneumonia, was the most selective in targeting the bacteria.

In a study involving 46 mice injected with B. burgdorferi, the researchers treated the animals with varying doses of either doxycycline or piperacillin. Remarkably, even a 100-fold lower dose of piperacillin was effective in eradicating the infection in the mice. Furthermore, the low-dose piperacillin had minimal impact on the gut microbiome compared to the high-dose doxycycline, which heavily altered the bacterial composition in the gut.

The effectiveness of piperacillin is attributed to its targeted action against a specific protein essential for B. burgdorferi survival, while sparing other beneficial bacteria in the gut. This targeted approach not only eliminates the Lyme disease agent at low concentrations but also helps preserve a healthy gut microbiome, which is crucial for overall health and longevity.

While these findings are promising, it’s important to note that mice may respond differently to antibiotics compared to humans. The research team plans to conduct human trials with piperacillin in the near future to further assess its efficacy in treating Lyme disease. This groundbreaking research offers hope for a more effective and targeted treatment for Lyme disease, potentially improving outcomes and reducing the risk of long-term complications.

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