“…Strong evidence links infection-induced, antibody-mediated immunity to the control of B. burgdorferi tissue burden and to disease resolution (4,14,15) but not to the clearance of B. burgdorferi infection (16,17). Paradoxically, existing literature suggests that the presence of CD4 T cells does not measurably enhance the disease-ameliorating humoral response to B. burgdorferi (8), which may be explained by an induction of strong disease-resolving T cell-independent B cell responses (8,18). However, it appears unlikely that the protective B cell response to B. burgdorferi, a highly complex pathogen expressing many immunogenic surface antigens (19), is confined to T-independent antibody responses alone.…”