“…Comparisons of B. burgdorferi isolates cultured in vitro have helped to identify B. burgdorferi genes that may be associated with infectivity. Noninfectious B. burgdorferi isolates have been shown to lack, or have reduced expression of or mutations in, ospB, ospD, ospC, or vls, among other genes, and the loss of several plasmids, including linear plasmid (lp) 25, lp28.4, and circular plasmid 9 (5,16,19,20,24,25,28,(31)(32)(33)(34). A direct cause and effect relationship has not yet been established for any single gene or plasmid: for example, some noninfectious B. burgdorferi B31 clones express ospD and other infectious clones do not (15,(19)(20)(21).…”