Tight regulation of surface antigenic expression is crucial for the pathogenic strategy of the Lyme disease spirochete, Borrelia burgdorferi. Here, we report the influence of increasing expression of decorin-binding protein A (DbpA), one of the most investigated spirochetal surface adhesins, on the 50% infectious dose (ID 50 ), dissemination, tissue colonization, pathogenicity, and persistence of B. burgdorferi in the murine host. Our in vitro assays showed that increasing DbpA expression dramatically increased the interaction of B. burgdorferi with decorin and sensitivity to growth inhibition/killing by anti-DbpA antibodies; however, this increased interaction did not affect spirochetal growth and replication in the presence of decorin. Increasing DbpA expression significantly reduced ID 50 values and severely impaired dissemination in severe combined immunodeficiency (SCID) and immunocompetent mice. During infection of SCID mice, B. burgdorferi with increased DbpA expression was able to effectively colonize heart and skin tissues, but not joint tissues, completely abrogating arthritis virulence. Although increasing DbpA expression did not affect spirochetal persistence in the skin, it diminished the ability of B. burgdorferi to persist in the heart and joint tissues during chronic infection of immunocompetent mice. Taken together, the study highlights the importance of controlling surface antigen expression in the infectivity, dissemination, tissue colonization, pathogenicity, and persistence of B. burgdorferi during mammalian infection.Lyme disease caused by the spirochete Borrelia burgdorferi is a multisystem disorder that can result in arthritis, neurological abnormalities, carditis, and cutaneous lesions, such as erythema migrans and acrodermatitis chronica atrophicans (41). As a slow-growing extracellular bacterium with a doubling time of approximately 8 h under the best in vitro conditions, B. burgdorferi has a 50% infectious dose (ID 50 ) of less than 100 organisms in the murine host (1, 34, 39) and can also cause persistent infection, despite the development of vigorous immune responses against the pathogen (38), making it one of the most invasive microbial pathogens in humans and animals.Tight regulation of surface antigenic expression is crucial for the pathogenic strategy of B. burgdorferi. The pathogen abundantly expresses outer surface proteins A/B (OspA/B) in the unfed tick (11,28,36,37), consistent with an essential role of these lipoproteins in spirochetal persistence in the vector (27,50). A fresh blood meal down-regulates OspA/B and up-regulates OspC and other proteins, a process that prepares B. burgdorferi for infection of mammals (12,18,29,42). Repression of OspA/B expression during mammalian infection is critical for the maintenance of the enzootic cycle because their expression would ultimately induce strong humoral responses to effectively block acquisition by the vector (10, 45, 46), regardless of whether OspA/B can be effectively targeted by borreliacidal antibodies in mammalian tissu...