Infect. Immun. 68:4189-4199, 2000).In this study, we have extended these findings to determine whether B31 strain infection-immune rabbits are also protected against heterologous HAB challenge. Infection-immune rabbits challenged with large numbers (>10 6 ) of homologous HAB strain B31 were completely protected from erythema migrans (EM) and skin and disseminated infection. In contrast, infection-immune rabbits challenged with heterologous HAB strains N40 and Sh-2-82 were completely susceptible to EM and skin and disseminated infection; challenge with strain 297 also resulted in EM and infection of the skin and viscera, but clearance of infection occurred 3 weeks postchallenge. These findings confirm that immunity elicited in rabbits by B31 strain infection confers complete protection against large-dose homologous HAB challenge but not against a heterologous strain.Lyme disease in humans, caused by tick transmission of the spirochete Borrelia burgdorferi, is known to result from different strains of B. burgdorferi sensu stricto and sensu lato found in different geographic regions of the world. While outer surface protein A (OspA) of B. burgdorferi, a surface protein expressed during tick adaptation, is currently being used for human vaccination (39, 43), it has been shown to possess antigenic heterogeneity among many strains (26,29,35,48). Moreover, it is now recognized that OspA is downregulated during mammalian infection and that its mechanism of protective immunity works by inhibiting B. burgdorferi growth in the tick following a blood meal from a vaccinated individual (15, 37). Furthermore, organisms that have become host adapted and no longer express OspA are not susceptible to killing by OspA-specific antibodies (7). Thus, the search for additional cross-protective immunogens has attracted considerable interest for future adjuncts to the OspA vaccine.Several experimental animal models for the study of Lyme disease pathogenesis and immunity have been utilized, including the rat (8), hamster (25), mouse (5), rabbit (18, 47), guinea pig (41), dog (10, 21), and monkey (33). With the exception of rabbits, mammalian infection with B. burgdorferi results in chronic infection in these animals (3,6,16,31,34). In the mouse model, Barthold has demonstrated that chronic infection elicits complete protection against homologous challenge and partial protection against heterologous challenge using cultivated organisms (4). However, protection studies in mice challenged with organisms acquired from infected tissues which no longer express OspA, called host adapted by Barthold and which we now refer to as host-adapted Borrelia (HAB), show only partial protection against homologous challenge and little to no protection against heterologous challenge (4). Recently, Hansen and coworkers have demonstrated that immunization of mice with decorin-binding protein A (DbpA) from strain 297, a surface protein which has been implicated in spirochetal adhesion and which is upregulated during mammalian infection, protected against homol...