{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T11:21:00Z","timestamp":1789471260902,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,2,22]],"date-time":"2013-02-22T00:00:00Z","timestamp":1361491200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["beva.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Equine Veterinary Journal"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Reasons for performing study<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>\n                      yme disease is caused by\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>\n                        orrelia burgdorferi\n                      <\/jats:italic>\n                      , which is transmitted by infected ticks (\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>\n                        xodes\n                      <\/jats:italic>\n                      spp.). Reports on\n                      <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>\n                      yme disease in horses have increased in recent years. Nevertheless, the diagnosis of\n                      <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>\n                      yme disease in horses is still challenging owing to its vague clinical presentation and the limitations of diagnostic tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      This study used a new serological\n                      <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>\n                      yme multiplex assay to examine antibody responses to 3 antigens of\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>\n                        .\u2009burgdorferi\n                      <\/jats:italic>\n                      , outer surface protein (\n                      <jats:styled-content style=\"fixed-case\">Osp<\/jats:styled-content>\n                      )\n                      <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\n                      ,\n                      <jats:styled-content style=\"fixed-case\">OspF<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">C6<\/jats:styled-content>\n                      , and to verify their use as markers for early and late infection stages in horses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Multiplex analysis of antibodies to\n                      <jats:styled-content style=\"fixed-case\">OspC<\/jats:styled-content>\n                      ,\n                      <jats:styled-content style=\"fixed-case\">OspF<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">C6<\/jats:styled-content>\n                      in equine patient sera (n = 191) was performed. A subset of the sera (n = 90) was also tested using a commercial\n                      <jats:styled-content style=\"fixed-case\">C6<\/jats:styled-content>\n                      \u2010based\n                      <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>\n                      yme test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Antibodies to\n                      <jats:styled-content style=\"fixed-case\">OspF<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">C6<\/jats:styled-content>\n                      highly correlate as reliable markers of infection with\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>\n                        .\u2009burgdorferi\n                      <\/jats:italic>\n                      in horses. Antibodies to\n                      <jats:styled-content style=\"fixed-case\">OspC<\/jats:styled-content>\n                      , which have been confirmed as early infection markers in man and dogs, were only detected in some patient sera, suggesting that\n                      <jats:styled-content style=\"fixed-case\">OspC<\/jats:styled-content>\n                      antibodies are indicators of early infection in horses. Commercial C6 testing identified most infected horses but also resulted in false positive and false negative interpretations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Serological multiplex testing is a rapid and quantitative diagnostic method to confirm infection with\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>\n                        .\u2009burgdorferi\n                      <\/jats:italic>\n                      and to identify the stage of infection. In horses with risk of exposure and clinical signs, multiplex testing supports the diagnosis of\n                      <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>\n                      yme disease.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Potential relevance<\/jats:title>\n                    <jats:p>\n                      Antimicrobial treatment of\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>\n                        .\u2009burgdorferi\n                      <\/jats:italic>\n                      is time sensitive. Treatment success decreases with time of persistent infection, while the risk of developing chronic disease increases. The ability to identify early infection with\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>\n                        .\u2009burgdorferi\n                      <\/jats:italic>\n                      provides practitioners and clinicians with a tool to improve the diagnosis of equine\n                      <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>\n                      yme disease and make treatment decisions.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/evj.12033","type":"journal-article","created":{"date-parts":[[2012,12,21]],"date-time":"2012-12-21T21:05:57Z","timestamp":1356123957000},"page":"533-537","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Antibodies to\n                    <scp>OspC<\/scp>\n                    ,\n                    <scp>OspF<\/scp>\n                    and\n                    <scp>C6<\/scp>\n                    antigens as indicators for infection with\n                    <i>Borrelia burgdorferi<\/i>\n                    in horses"],"prefix":"10.1111","volume":"45","author":[{"given":"B.","family":"Wagner","sequence":"first","affiliation":[{"name":"Department of Population Medicine and Diagnostic Sciences College of Veterinary Medicine Cornell University  New York USA"},{"name":"Animal Health Diagnostic Center College of Veterinary Medicine Cornell University  New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. 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