#METABOLOMICS WORKBENCH blfitz_20200528_092932_mwtab.txt DATATRACK_ID:2025 STUDY_ID:ST001391 ANALYSIS_ID:AN002320 PROJECT_ID:PR000954 VERSION 1 CREATED_ON May 28, 2020, 4:23 pm #PROJECT PR:PROJECT_TITLE Metabolic Response in Patients with Post-Treatment Lyme Disease PR:PROJECT_TITLE Symptoms/Syndrome PR:PROJECT_SUMMARY Sera from two small cohorts of patients were analyzed by untargeted liquid PR:PROJECT_SUMMARY chromatography-mass spectrometry (LC-MS) to identify small molecule metabolites PR:PROJECT_SUMMARY and metabolic pathways that differ between PTLDS and clinically cured PR:PROJECT_SUMMARY (non-PTLDS) patients at baseline, following treatment completion and at one-year PR:PROJECT_SUMMARY post-treatment. PR:INSTITUTE Colorado State University PR:LAST_NAME Belisle PR:FIRST_NAME John PR:ADDRESS 200 West Lake, Campus Delivery 0922, Colorado State University, Fort Collins, PR:ADDRESS CO, 80523, USA PR:EMAIL john.belisle@colostate.edu PR:PHONE 9704915384 #STUDY ST:STUDY_TITLE Metabolic Response in Patients with Post-Treatment Lyme Disease ST:STUDY_TITLE Symptoms/Syndrome ST:STUDY_SUMMARY Post-treatment Lyme Disease Symptoms/Syndrome (PTLDS) occurs in approximately ST:STUDY_SUMMARY 10% of Lyme disease patients following antibiotic treatment. Objective ST:STUDY_SUMMARY biomarkers or specific clinical symptoms to identify PTLDS patients do not ST:STUDY_SUMMARY currently exist and the PTLDS classification is based on the report of ST:STUDY_SUMMARY persistent subjective symptoms for ≥ 6 months following antibiotic treatment ST:STUDY_SUMMARY for Lyme disease. Untargeted liquid chromatography-mass spectrometry ST:STUDY_SUMMARY metabolomics was used to define metabolic changes that occurred longitudinally ST:STUDY_SUMMARY in PTLDS and clinically cured non-PTLDS Lyme patients from two separate cohorts. ST:STUDY_SUMMARY An elastic net regularization model was applied to define the metabolites that ST:STUDY_SUMMARY classified PTLDS and non-PTLDS patients at different time points, and the PTLDS ST:STUDY_SUMMARY defining metabolites were evaluated in two sample cohorts using linear ST:STUDY_SUMMARY discriminant analysis. This study determined that observable metabolic ST:STUDY_SUMMARY alterations occur between PTLDS and non-PTLDS patients at multiple time points. ST:STUDY_SUMMARY These metabolic alterations discriminated between PTLDS and non-PTLDS patients ST:STUDY_SUMMARY and consisted of metabolites of glycerophospholipid, bile acid and acylcarnitine ST:STUDY_SUMMARY metabolism. Longitudinal analyses showed distinct patterns in metabolite ST:STUDY_SUMMARY abundance changes that indicated a greater variability in PTLDS vs non-PTLDS ST:STUDY_SUMMARY patients. These data provide evidence that an objective metabolite-based ST:STUDY_SUMMARY measurement can distinguish patients with PTLDS and help understand the ST:STUDY_SUMMARY underlying biochemistry of PTLDS. ST:INSTITUTE Colorado State University ST:DEPARTMENT MIP ST:LABORATORY Belisle ST:LAST_NAME Belisle ST:FIRST_NAME John ST:ADDRESS 200 West Lake, Campus Delivery 0922, Colorado State University, Fort Collins, ST:ADDRESS CO, 80523 ST:EMAIL john.belisle@colostate.edu ST:PHONE 9704915384 #SUBJECT SU:SUBJECT_TYPE Human SU:SUBJECT_SPECIES Homo sapiens SU:TAXONOMY_ID 9606 #FACTORS #SUBJECT_SAMPLE_FACTORS: SUBJECT(optional)[tab]SAMPLE[tab]FACTORS(NAME:VALUE pairs separated by |)[tab]Raw file names and additional sample data SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_10B Time point:Baseline | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=40-49; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_10OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=40-49; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_10PT Time point:Post-treatment | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=40-49; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_11B Time point:Baseline | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_11OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_11PT Time point:Post-treatment | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_12B Time point:Baseline | PTLDS:Yes Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=20-29; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_12OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=20-29; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_12PT Time point:Post-treatment | PTLDS:Yes Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=20-29; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_13B Time point:Baseline | PTLDS:Yes Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=40-49; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_13OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=40-49; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_13PT Time point:Post-treatment | PTLDS:Yes Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=40-49; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_14B Time point:Baseline | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=40-49; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_14OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=40-49; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_14PT Time point:Post-treatment | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=40-49; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_15B Time point:Baseline | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=40-49; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_15OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=40-49; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_15PT Time point:Post-treatment | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=40-49; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_16B Time point:Baseline | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_16OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_16PT Time point:Post-treatment | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_17B Time point:Baseline | PTLDS:No Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=20-29; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_17OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=20-29; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_17PT Time point:Post-treatment | PTLDS:No Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=20-29; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_18B Time point:Baseline | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=30-39; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_18OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=30-39; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_18PT Time point:Post-treatment | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=30-39; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_19B Time point:Baseline | PTLDS:No Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=70-79; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_19OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=70-79; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_19PT Time point:Post-treatment | PTLDS:No Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=70-79; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_1B Time point:Baseline | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_1OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_1PT Time point:Post-treatment | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_20B Time point:Baseline | PTLDS:No Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_20OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_20PT Time point:Post-treatment | PTLDS:No Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_21B Time point:Baseline | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_21OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_21PT Time point:Post-treatment | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_22B Time point:Baseline | PTLDS:No Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=30-39; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_22OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=30-39; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_22PT Time point:Post-treatment | PTLDS:No Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=30-39; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_23B Time point:Baseline | PTLDS:No Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_23OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_23PT Time point:Post-treatment | PTLDS:No Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_24B Time point:Baseline | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_24OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_24PT Time point:Post-treatment | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_25B Time point:Baseline | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=60-69; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_25OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=60-69; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_25PT Time point:Post-treatment | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=60-69; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_26B Time point:Baseline | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_26OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_26PT Time point:Post-treatment | PTLDS:No Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_2B Time point:Baseline | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=20-29; Gender=F; Race="Nonwhite, black or hispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Equ; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_2PT Time point:Post-treatment | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=20-29; Gender=F; Race="Nonwhite, black or hispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_3B Time point:Baseline | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=70-79; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_3OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=70-79; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_3PT Time point:Post-treatment | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=70-79; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Neg; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_4B Time point:Baseline | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=40-49; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_4OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=40-49; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_4PT Time point:Post-treatment | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=40-49; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_5B Time point:Baseline | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=30-39; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_5OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=30-39; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_5PT Time point:Post-treatment | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=30-39; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_6B Time point:Baseline | PTLDS:Yes Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_6OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_6PT Time point:Post-treatment | PTLDS:Yes Sample Provider=JHU; Sample Type=Early disseminated Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_7PT Time point:Post-treatment | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=20-29; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_8B Time point:Baseline | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=20-29; Gender=F; Race="Black, Hispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_8OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=20-29; Gender=F; Race="Black, Hispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_8PT Time point:Post-treatment | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=20-29; Gender=F; Race="Black, Hispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Equ; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_9B Time point:Baseline | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_9OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=NA; Lyme EIA/ELISA Result=NA; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_JHU_9PT Time point:Post-treatment | PTLDS:Yes Sample Provider=JHU; Sample Type=Early localized Lyme; Cohort=2; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Vls-E-1/PepC10 (QUEST); Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_10B Time point:Baseline | PTLDS:No Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=40-49; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_10OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=40-49; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_10PT Time point:Post-treatment | PTLDS:No Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=40-49; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_11B Time point:Baseline | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=70-79; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_11OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=70-79; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_11PT Time point:Post-treatment | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=70-79; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_12B Time point:Baseline | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_12OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_12PT Time point:Post-treatment | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_13B Time point:Baseline | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=30-39; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_13PT Time point:Post-treatment | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=30-39; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_14B Time point:Baseline | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=40-49; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_14OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=40-49; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_14PT Time point:Post-treatment | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=40-49; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_15B Time point:Baseline | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=50-59; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_15OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=50-59; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_15PT Time point:Post-treatment | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=50-59; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_17B Time point:Baseline | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_17OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_17PT Time point:Post-treatment | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_18B Time point:Baseline | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=60-69; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_18OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=60-69; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_18PT Time point:Post-treatment | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=60-69; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_19B Time point:Baseline | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=30-39; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_19OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=30-39; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_19PT Time point:Post-treatment | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=30-39; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_1B Time point:Baseline | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_1OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_1PT Time point:Post-treatment | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_20B Time point:Baseline | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=40-49; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_20OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=40-49; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_20PT Time point:Post-treatment | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=40-49; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_21B Time point:Baseline | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=30-39; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_21OYFU Time point:One-year follow-up | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=30-39; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_21PT Time point:Post-treatment | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=30-39; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_22B Time point:Baseline | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=30-39; Gender=F; Race=Asian; Lyme EIA/ELISA Method=C6; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_22PT Time point:Post-treatment | PTLDS:Yes Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=30-39; Gender=F; Race=Asian; Lyme EIA/ELISA Method=C6; Lyme EIA/ELISA Result=pos; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_2B Time point:Baseline | PTLDS:No Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=40-49; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_2OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=40-49; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_2PT Time point:Post-treatment | PTLDS:No Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=40-49; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_3B Time point:Baseline | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_3OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_3PT Time point:Post-treatment | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_4B Time point:Baseline | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=60-69; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_4OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=60-69; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_4PT Time point:Post-treatment | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=60-69; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_5B Time point:Baseline | PTLDS:No Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=pos; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_5OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_5PT Time point:Post-treatment | PTLDS:No Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=50-59; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_6B Time point:Baseline | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=20-29; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_6OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=20-29; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_6PT Time point:Post-treatment | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=20-29; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_7B Time point:Baseline | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=50-59; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=Neg; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_7OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=50-59; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_7PT Time point:Post-treatment | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=50-59; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_8B Time point:Baseline | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=60-69; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_8OYFU Time point:One-year follow-up | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=60-69; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=NA; Lyme IgG=NA SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_8PT Time point:Post-treatment | PTLDS:No Sample Provider=NYMC; Sample Type=Early localized Lyme; Cohort=1; Age=60-69; Gender=F; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Neg; Lyme IgM=Pos; Lyme IgG=Pos SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_9B Time point:Baseline | PTLDS:No Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=40-49; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Neg SUBJECT_SAMPLE_FACTORS - PTLDS_NYMC_9PT Time point:Post-treatment | PTLDS:No Sample Provider=NYMC; Sample Type=Early disseminated Lyme; Cohort=1; Age=40-49; Gender=M; Race="White, NonHispanic"; Lyme EIA/ELISA Method=Wampole; Lyme EIA/ELISA Result=Pos; Lyme IgM=Pos; Lyme IgG=Pos #COLLECTION CO:COLLECTION_SUMMARY Sera (both cohorts) were collected at the time of diagnosis (baseline); at the CO:COLLECTION_SUMMARY completion of antibiotic therapy, approximately two to three weeks following CO:COLLECTION_SUMMARY diagnosis (post-treatment); and at one-year post-treatment (one-year follow-up). CO:COLLECTION_SUMMARY PTLDS (symptoms) patients were classified as such if symptoms developed at or CO:COLLECTION_SUMMARY within 6 months following diagnosis and persisted for at least 6 months CO:COLLECTION_SUMMARY following the completion of antibiotic therapy. Patients were classified as CO:COLLECTION_SUMMARY PTLDS (syndrome) if they met the above criteria and with daily life functional CO:COLLECTION_SUMMARY impairment reported. CO:SAMPLE_TYPE Blood (serum) #TREATMENT TR:TREATMENT_SUMMARY N/A #SAMPLEPREP SP:SAMPLEPREP_SUMMARY Serum samples were randomized prior to extraction of small molecule metabolites SP:SAMPLEPREP_SUMMARY and LC-MS analyses. Metabolites were extracted with 75% methanol as previously SP:SAMPLEPREP_SUMMARY described. Extracted metabolites were analyzed by LC-MS. SP:SAMPLEPREP_PROTOCOL_COMMENTS doi:10.1038/nprot.2011.335 #CHROMATOGRAPHY CH:CHROMATOGRAPHY_TYPE Reversed phase CH:INSTRUMENT_NAME Agilent 6520 CH:COLUMN_NAME Poroshell 120 EC-C8 (100 x 2.1mm, 2.5um) CH:FLOW_GRADIENT 2-98% non-linear gradient CH:FLOW_RATE 0.25 ml/min CH:COLUMN_TEMPERATURE 50 CH:SOLVENT_A water, 0.1% formic acid CH:SOLVENT_B acetonitrile, 0.1% formic acid #ANALYSIS AN:ANALYSIS_TYPE MS #MS MS:INSTRUMENT_NAME Agilent 6520 QTOF MS:INSTRUMENT_TYPE QTOF MS:MS_TYPE ESI MS:ION_MODE POSITIVE MS:MS_COMMENTS LC-MS data were processed with MassHunter Profinder version B.08.00 and Mass MS:MS_COMMENTS Profiler Professional version B.14.9.01 (Agilent Technologies) to identify MS:MS_COMMENTS differentiating molecular features (MFs; metabolites defined by a retention time MS:MS_COMMENTS and accurate mass) between PTLDS and non-PTLDS patients at baseline, MS:MS_COMMENTS post-treatment and one-year follow-up in cohort-one. The biosignature-MFs MS:MS_COMMENTS determined using cohort-one were targeted in patient samples from cohort-two MS:MS_COMMENTS using MassHunter Profinder. MS:CAPILLARY_VOLTAGE 4000 MS:DRY_GAS_FLOW 10 l/min MS:DRY_GAS_TEMP 310 MS:FRAGMENT_VOLTAGE 120 MS:NEBULIZER 45 psi MS:OCTPOLE_VOLTAGE 750 V MS:MS_RESULTS_FILE ST001391_AN002320_Results.txt UNITS:counts Has m/z:Neutral masses Has RT:Yes RT units:Minutes #END