Evidence map›Paper›PMID 17060473›Full record

ArticleInfection and immunity2007

Cerebrospinal fluid-infiltrating CD4+ T cells recognize Borrelia burgdorferi lysine-enriched protein domains and central nervous system autoantigens in early lyme encephalitis.

Jan D Lünemann, Harald Gelderblom, Mireia Sospedra, Jacqueline A Quandt, Clemencia Pinilla, Adriana Marques, Roland Martin

Open access · greenAbstract readCase Reports
In one paragraph

Article in Infection and immunity, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.6field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Lyme Disease in Humans.Current issues in molecular biology · 2021
    Article
  3. Immune Response toCurrent issues in molecular biology · 2021
    Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Lyme disease--current state of knowledge.Deutsches Arzteblatt international · 2009
    Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Jan D LünemannNeuroimmunology Branch, Cellular Immunology Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland 20892, USA.
Harald Gelderblom
Mireia Sospedra
Jacqueline A Quandt
Clemencia Pinilla
Adriana Marques
Roland Martin
National Institute of Neurological Disorders and Stroke · USHumboldt-Universität zu Berlin · DENational Institutes of Health · USTorrey Pines Institute For Molecular Studies · USUniversität Hamburg · DE

Funding

Assessment Of Patients With Borrelia InfectionZIAAI000695 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI MARQUES, ADRIANA R · 2009 to 2025
$8.8M
COMPREHENSIVE ASSESSMENT: PATIENTS WITH LYME INFECTIONZ01AI000695 · NIAID · NIAID EXTRAMURAL ACTIVITIES · PI MARQUES, ADRIANA R · 1996 to 2008
$247k
Intramural NIH HHS
6 · The paper itself

Abstract

Neurological manifestations of Lyme disease are usually accompanied by inflammatory changes in the cerebrospinal fluid (CSF) and the recruitment of activated T cells into the CSF compartment. In order to characterize the phenotype and identify target antigens of CSF-infiltrating T cells in early neuroborreliosis with central nervous system (CNS) involvement, we combined T-cell cloning, functional testing of T-cell responses with positional scanning synthetic combinatorial peptide libraries, and biometric data analysis. We demonstrate that CD4+ gamma interferon-producing T cells specifically responding to Borrelia burgdorferi lysate were present in the CSF of a patient with acute Lyme encephalitis. Some T-cell clones recognized previously uncharacterized B. burgdorferi epitopes which show a specific enrichment for lysine, such as the heat shock-induced chaperone HSP90. Degenerate T-cell recognition that included T-cell responses to borrelia-specific and CNS-specific autoantigens derived from the myelin protein 2',3'-cyclic nucleotide 3'-phosphodiesterase (CNPase) could be demonstrated for one representative clone. Our results show that spirochetal antigen-specific and Th1-polarized CD4+ lymphocytes infiltrate the CSF during monophasic CNS symptoms of Lyme disease and demonstrate that cross-recognition of CNS antigens by B. burgdorferi-specific T cells is not restricted to chronic and treatment-resistant manifestations.

Indexed as

2',3'-Cyclic-Nucleotide PhosphodiesterasesAntigens, BacterialAutoantigensBorrelia burgdorferiCD4-Positive T-LymphocytesCentral Nervous SystemCerebrospinal FluidClone CellsCross ReactionsEpitopes, T-LymphocyteFlow CytometryHSP90 Heat-Shock ProteinsHumansLyme NeuroborreliosisLysineMale2',3'-Cyclic-Nucleotide PhosphodiesterasesAntigens, BacterialAutoantigensEpitopes, T-LymphocyteHSP90 Heat-Shock ProteinsLysinePeptide Library

Identifiers

PMID17060473
PMCPMC1828376
OpenAlexW2162783248

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.