Bacterial cell-wall pieces and lingering Lyme symptoms

Defining the host and pathogen determinants of peptidoglycan induced pathophysiology in Lyme disease

['FUNDING_R01'] · NORTHWESTERN UNIVERSITY · NIH-11169005

This project tests whether unique fragments of the Lyme bacterium's cell wall cause ongoing joint and nerve symptoms in people who had Lyme disease.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorNORTHWESTERN UNIVERSITY (nih funded)
Locations1 site (CHICAGO, UNITED STATES)
Trial IDNIH-11169005 on ClinicalTrials.gov

What this research studies

You'll hear researchers focus on tiny pieces of the Lyme bacterium's cell wall (peptidoglycan) to learn how long they stay in the body and which tissues they reach. They will check joint fluid and other patient samples for these fragments and determine their chemical makeup. In parallel, they will track the same fragments in animals and test whether those fragments trigger joint inflammation. Together these steps aim to connect persistent bacterial fragments with ongoing symptoms after antibiotic treatment.

Who could benefit from this research

Good fit: People who previously had Lyme disease and still have joint, heart, or neurological symptoms after antibiotic treatment, especially those willing to provide blood or joint fluid samples, would be the best candidates.

Not a fit: People with Lyme who are fully recovered, have unrelated causes for their symptoms, or need immediate clinical treatment rather than research participation are unlikely to benefit directly from this project.

Why it matters

Potential benefit: If successful, this work could point to new tests to detect lingering bacterial fragments and new treatments to remove or block their effects, reducing chronic Lyme symptoms.

How similar studies have performed: Earlier work showed Lyme peptidoglycan in patients' joint fluid and caused arthritis in mice, but the chemical uniqueness of these fragments and their role in persistent symptoms is a newer and less tested area.

Where this research is happening

CHICAGO, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.