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Medical Microbiology and Immunology

Mark Wooten, Ph.D.

Wooten

Professor
Chair, Institutional Biosafety Committee
Director, BSL3 Laboratory
Host/Pathogen Interactions in Lyme Disease and Melioidosis
Office: HEB 241
±Ê³ó´Ç²Ô±ð:Ìý419.383.6818
Fax: 419.383.3002

E-mail Address: R.Mark.Wooten@utoledo.edu

Curriculum Vitae

Media Release:

Dr. Wooten's laboratory is interested in the host/pathogen interactions that lead to the development of two different infectious diseases: Lyme disease and melioidosis.

Lyme diseaseÌý(i.e. Lyme borreliosis) is a particularly interesting and complicated malady that involves two major events: 1) persistent infection of the host by the spirochetal bacteriumÌýBorrelia burgdorferiÌýand 2) the response of the host's innate immune defenses to the organism, which produces the inflammation that leads to the symptoms of Lyme disease while attempting to clear the persistent infection.ÌýB. burgdorferiÌýis a highly infectious tick-borne bacterial obligate parasite that is especially adept at evading host defenses, disseminating widely via spirochetal motility through dense tissues, and persisting long-term within almost any tissue of the body. The infected host mounts a vigorous immune response to these spirochetes, as evidenced by the production of inflammatory soluble mediators and large quantities ofÌýB. burgdorferi-specific antibodies. Although passive transfer ofÌýB. burgdorferi-specific antiserum can prevent naive mice from subsequent infection, the immune response elicited during natural infection is usually unable to clear the infection, resulting in a persisting bacterial reservoir that can re-emerge under various conditions. This persistence in target tissues promotes prolonged stimulation of the host's innate defenses via interaction with endogenous bacterial lipoproteins, resulting in activation of immune pathways that appear to mediate much of the inflammatory pathology indicative of Lyme disease. Based on these dynamics, we are interested in utilizing the well-established murine model of Lyme disease to address the following areas:

    • Identification of host immune cell types and mediators that are important in controlling the abilities ofÌýB. burgdorferiÌýto infect, invade, and persist in mammalian host tissues.
    • Identification of host signaling pathways that modulate the inflammatory pathology that is characteristic for Lyme disease.
    • Usage of intravital microscopy techniques that allow direct visualization of the interactions betweenÌýB. burgdorferiÌýand different immune cell populations within the intact skin of living, infected mice over time.
    • Assessment of the importance ofÌýB. burgdorferiÌýmotility and chemotaxis mechanisms for establishing acute and persistent infection in vertebrate and invertebrate hosts.
    • Using our findings from the above experiments to identify targets for vaccines or other therapies that restore effective immune clearance.

U.S. map of CDC-reported Lyme disease cases in 2023, showing the greatest concentration of cases in the Northeast, Mid-Atlantic and upper Midwest.

Map of Ohio showing Lyme disease incidence by county from 2016 to 2025 and reported 2026 cases, with the highest incidence concentrated in eastern Ohio.

Four microscopy images showing a green antigen-presenting cell engulfing red Borrelia burgdorferi bacteria in mouse skin over time.

Phagocytosis of B. burgdorferi by a dermal professional antigen-presenting cell.Ìý Transgenic mice (I-Ab-GFP expressing) possessing green MHC class II-expression were infected with DsRed-expressing B. burgdorferi intradermally into the ear.Ìý Intact ear tissues were imaged using intravital confocal microscopy on living mice at 24h post-infection. The four images were taken at 6-minute intervals (left-to-right).

MelioidosisÌýis a human and animal disease that is caused by infection withÌýBurkholderia pseudomallei, which is endemic within different tropical and subtropical regions worldwide. Acute disease can lead to fulminant septicemia with mortality rates of 40-90%, even with vigorous antibiotic and supportive therapy. Chronic disease can also develop, with recrudescence occurring months to years after initial exposure. While there are some predisposing factors that make certain human populations more susceptible to developing this disease (e.g. diabetes, alcohol abuse, renal disease, etc.), exposure toÌýB. pseudomallei-containing aerosols is reported to have an LD50Ìý≤100 organisms in mice. Based on these properties, B. pseudomallei is considered a Tier 1 select agent with the highest potential for misuse as a biological weapon. This organism is also quite resistant to many classes of antibiotics and there is currently no vaccine. Thus, there is great interest in identifying targets for preventative and/or curative treatments for these infections.

Persistence within innate immune and other cell types appears to be central to the development of melioidosis, providing them with an environment where they can proliferate and spread cell-to-cell via actin polymerization, thus enabling the bacteria to spread and evade many humoral immune mediators. While relatively little is known about the molecular basis forÌýB. pseudomalleiÌý±¹¾±°ù³Ü±ô±ð²Ô³¦±ð in vivo, our research suggests that these bacteria quickly escape the phagosome and evade intracellular killing, preventing bacterial clearance and generation of an effective adaptive immune response. We believe a better understanding of the basic biology of phagocyte subversion by this bacterium would greatly facilitate the development of preventative and curative treatments. We are utilizing the murine model of melioidosis, as well as human in vitro models, to address the following areas:

  • Identification of mechanisms that virulentÌýB. pseudomalleiÌýstrains utilize to circumvent efficient clearance by macrophages/neutrophils.
  • Identification of outer membrane proteins expressed byÌýB. pseudomalleiÌýthat might serve as virulence factors/vaccine candidates.
  • Identification of bacterial mechanisms for evading complement-mediated killing
  • Testing vaccines/therapeutics in animal models to assess effectiveness and identify immune correlates of clearance.

World map showing evidence for the presence or absence of Burkholderia pseudomallei by country, with stronger evidence of presence across Southeast Asia, Australia and parts of Central and South America.

| Global distribution of Burkholderia pseudomallei. The map represents the global distribution of B. pseudomallei based on consensus evidence gathered from January 1910 to September 2022. Green color represents complete consensus on the absence of B. pseudomallei and red represents complete consensus on the presence of B. pseudomallei. To obtain updated global consensus evidence and perform this analysis, we used a weighted scoring system with a method modified from a previous modelling study (Supplementary Information).

Microscopy image showing Burkholderia pseudomallei bacteria in green interacting with red-stained actin inside mouse macrophages.

B. pseudomallei polymerizes and attaches to actin filaments and uses it to disseminate from infected cells. In this micrograph, bacteria are stained green and actin within murine macrophages is stained red.

Dr. Wooten received his Bachelors (Zoology/Chemistry; 1985) and Masters (Microbiology/Immunology; 1990) from the University of Arkansas (Fayetteville) under the supervision of Dr. Jim Saunders. He received his Ph.D. (Microbiology/Immunology; 1995) from the University of Mississippi Medical Center under the supervision of Dr. Jan Bly. He completed post-doctoral training at the University of Utah College of Medicine in the laboratory of Dr. Janis Weis. Dr. Wooten joined the Department of Medical Microbiology and Immunology at the ÒùÆÞÉç College of Medicine in May 2001.

Current Funding:

Identification of immunoprotective antigens for preventing Lyme disease
NIH/NIAID (R01)
Period of support: 09/01/2026 - 08/31/2031
Principal Investigator: R. Mark Wooten

Factor H-Fc fusions as novel therapeutics for Burkholderia pseudomallei infections
National Institute of Allergy and Infectious Diseases (R41)
Period of Support: 08/01/23 - 07/31/25
Principal Investigator:Ìý R. Mark Wooten
Ìý

Representative Publications:

Breidenbach, J.D., B.W. French, T.T. Gordon, A.L Kleinhenz, F.K. Khalaf, J.C. Willey, J.R. Hammersley, R. M. Wooten, E. Crawford, N.N. Modyanov, D. Malhotra, S.T. Haller and D.J. Kennedy.Ìý Short-term, Low Dose Microcystin-LR Aerosol Induces Inflammatory Responses in Healthy Human Primary Airway Epithelium. In press

(2021). Microcystin-LR (MC-LR) triggers inflammatory responses in macrophages. Int J Mol Sci. 2021 Sep 14;22(18):9939. doi: 10.3390/ijms22189939. PMID:Ìý34576099.

(2021). Interactions between the pathogenic Burkholderia and the complement system: A review of potential immune evasion mechanisms.Ìý Front Cell Infect Microbiol. Ìý(2021) Sep 30;11:701362. doi: 10.3389/fcimb.2021.701362. PMID:Ìý34660335

(2020).Ìý Immune Response to Borrelia: Lessons from Lyme Disease Spirochetes. Curr Issues Mol Biol. DOI: 10.21775/cimb.042.145. PMID: 33289684.

. (2016).Ìý Borrelia burgdorferi CheY2 is dispensable for chemotaxis or motility but crucial for the enzootic life cycle of the spirochete.Ìý Infect Immun. 2016 Dec 29;85(1):e00264-16.doi:10.1128/IAI.00264-16

. (2016) TheÌýBorrelia burgdorferiÌýCheY3 response regulator is essential for chemotaxis and completion of its natural infection cycle.ÌýÌýMay 20. doi: 10.1111/cmi.12617

Ìý(2015) Spirochetal motility and chemotaxis in the natural enzootic cycle and development of Lyme disease. Curr Opin Microbiol 28: 106-113.

ÌýÌý(2015) ÌýMotor rotation is essential for the formation of the periplasmic flagellar ribbon, cellular morphology, and Borrelia burgdorferi persistence within Ixodes tick and murine hosts. ÌýInfect Immun. 2015 May;83(5):1765-77. doi: 10.1128/IAI.03097-14.

ÌýÌý(2014) ÌýDelineating the importance of serum opsonins and the bacterial capsule in affecting the uptake and killing of Burkholderia pseudomallei by murine neutrophils and macrohages. ÌýPLoS Negl Trop Dis. 2014 Aug 21;8(8):e2988. doi: 10.1371/journal.pntd.0002988.

ÌýÌý(2013) ÌýBorrelia burgdorferi elicited-IL-10 suppresses the production of inflammatory mediators, phagocytosis, and expression of co-stimulatory receptors by murine macrophages and/or dendritic cells. ÌýPLoS One. 2013 Dec 19;8(12):e84980. doi: 10.1371/journal.pone.0084980

Ìý (2013) ÌýSecretion of growth factors from macrophages when culture with microparticles. J. Biomed. Mater. Res., Part A. Nov; 101(11):3170-80.

Ìý (2012) ÌýCapsule influences the deposition of critical complement C3 levels required for the killing ofÌýBurkholderia pseudomalleiÌývia NADPH-oxidase induction by human neutrophils. PLoS One. 2012;7(12):e52276. doi: 10.1371/journal.pone.0052276.

, RG.Ìý (2012) ÌýHuman platelets efficiently kill IgG-opsonizedÌýE. coli. FEMS Immunol Med Microbiol. 65:78-83.

Ìý (2012) ÌýELISA-based measurement of antibody responses and PCR-based detection profiles can distinguish between active infection and early clearance ofÌýBorrelia burgdorferi. Clin Dev Immunol. 2012:138069.

, ER.Ìý (2010) Identification and characterization ofÌýBurkholderia malleiÌýandÌýB. pseudomalleiÌýadhesions for human respiratory epithelial cells. BMC Microbiol. 10:250-269.

.Ìý(2009) Roles for phagocytic cells and complement in controlling relapsing fever infection.Ìý J Leukoc Biol. 2009 Sep; 86(3):727-736.

Lazarus JJ, Kay MA, McCarter AL, Wooten RM.Ìý(2008) Viable Borrelia burgdorferi enhances interleukin-10 production and suppresses activation of murine macrophages.ÌýInfect Immun.ÌýMar;76:1153-1162.

*Ìý (2007)Ìý Borrelia burgdorferi binding of host complement regulator factor H is not required for efficient mammalian infection.Ìý Infect. Immun. 75:3131-3139.Ìý *These labs contributed equally to this manuscript.

Ìý(2007)Ìý The Moraxella catarrhalis autotransporter McaP is a conserved surface protein that mediates adherence to human epithelial cells through its N-terminal passenger domain.Ìý Infect. Immun.Ìý75:314-324.

Ìý(2006)Ìý Gene expression profiling reveals unique pathways associated with differential severity of lyme arthritis. ÌýJ. Immunol. 177:7930-7942.

Ìý(2006)Ìý IL-10 Deficiency promotes increased Borrelia burgdorferi clearance predominantly through enhanced innate immune responses.Ìý J Immunol. 177: 7076-7085.

(2006) Identification of aFrancisella tularensis LVS outer membrane protein that confers adherence to A549 human lung cells.Ìý FEMS Microbiol. Lett. 263:102-108.

Ìý(2004) Effects of vLsE Complementation on the Infectivity of Borrelia burgdorferi Lacking the Linear Plasmid Ip28-1. Infect. Immun., 72:6577-6585.

Ìý(2003) Effect of Complement Component C3 Deficiency on Experimental Lyme Borreliosis in Mice. Infect. Immun.,Ìý71:4432-4440.

Ìý(2003) Tripalmitoyl-S-Glyceryl-Cysteine-Dependent OspA Vaccination of Toll-Like Receptor 2-Deficient Mice Results in Effective Protection fromÌýBorrelia burgdorferiÌýChallenge. Infect. Immun.,Ìý71:3894-3900.

Ìý(2002) Toll-like receptor 2 plays a pivotal role in host defense and inflammatory response toÌýBorrelia burgdorferi. Vector Borne Zoonotic Dis,Ìý2:275-278.

. (2002) Toll-like receptor 2 is required for innate, but not acquired, host defense toÌýBorrelia burgdorferi. J. Immunol.,Ìý168:348-355.Ìý

Ìý(2001) Host-pathogen interactions promoting inflammatory Lyme arthritis: use of mouse models for dissection of disease processes. Curr. Opin. Micro.,Ìý4:274-279.Ìý

Ìý(2001) Resistance to Lyme disease in decorin-deficient mice. J. Clin. Invest.,Ìý107:845-852.Ìý

Ìý(1999) Dual role of IL-10 in murine Lyme disease: Regulation of arthritis severity and host defense. Infect. Immun.,Ìý67:5142-5150.Ìý

Ìý(1999) Cutting Edge: Inflammatory signaling byÌýBorrelia burgdorferiÌýlipoproteins is mediated by toll-like receptor 2. J. Immunol.,Ìý163:2382-2386.Ìý

Ìý(1998) The role of CD14 in signaling mediated by outer membrane lipoproteins ofÌýBorrelia burgdorferi. J. Immunol.,Ìý160:5485-5492.Ìý

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Ìý(1996)ÌýBorrelia burgdorferiÌýouter membrane protein A (OspA) induces nuclear translocation of NF-kB and inflammatory activation in human endothelial cells. J. Immunol.,Ìý157:4584-4590.Ìý

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