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485 A dysfunctional BBB exacerbates this issue by permitting the secretion of immunosuppressive cytokines such as TGF- and IL-10 while promoting the accumulation of MDSCs and TAMs, both of which inhibit immune activation

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1 Early neurologic Lyme disease may develop and most commonly manifests with cranial neuropathy, specifically 7th nerve palsy (formerly called Bells palsy )