Effect of Tp0751 on tethered and untethered interaction stability and velocity under shear stress. B. burgdorferi interacts with endothelia under PCV shear stress conditions by two mechanisms: untethered (dragging) interactions, and tethered interactions. Tethered interactions are stabilized by bungee cord-like tethers which anchor bacteria to endothelia, reduce force imposed on load-bearing adhesion complexes and increase adhesion bond stability (lifetime)29. (a,b) Proportion of total bacterial-endothelial interaction times during which bacterial length extended beyond the normal length, indicative of tether formation stabilizing the interaction ((a) % duration), and the average tether length (b) for all interactions at 0.5–1 dyn/cm2. (c,d) Interaction complex dissociation rates for untethered (c) and tethered (d) interactions. Dotted lines indicate dissociation rates for non-specific interactions (non-adherent beads). (e,f) Velocities of untethered (e) and tethered (f) interactions. Summary values: mean ± 95% CI (a,b,e,f), mean ± SEM (c,d). Interaction properties were calculated from interactions obtained at both 0.5 and 1 dyn/cm2. N = 4 and N = 8 independent flow chamber experiments for each strain at 0.5 and 1 dyn/cm2, respectively. Strains: Negative control strain: BBK32-deficient non-infectious adhesion-attenuated B31-A-derived strain (Parent; GCB706: Supplementary Table S1). Positive control strains: Parent expressing B. burgdorferi vascular adhesin BBK32 (Bb-BBK32); BBK32-expressing B31-derived infectious strain (Infectious; GCB726: Supplementary Table S1). Bb-Tp0751: Parent expressing Tp0751. Numbers of interactions analyzed/strain (a,b): ≥288; (c,e): parent (42), infectious (127), Bb-BBK32 (130) and Bb-Tp0751 (39); (d,f): parent (366), infectious (520), Bb-BBK32 (448), and Bb-Tp0751 (249). Statistics: one-way Kruskal-Wallis ANOVA with Dunn’s post-tests (a,b,e,f); one-way ANOVA with Holm-Sidak post-tests (c,d). *Indicates p < 0.05 vs parent. +Indicates p < 0.05 vs Bb-BBK32.