Evidence map›Paper›PMID 19706181›Full record

ArticleJournal of neuroinflammation2009

Possible role of glial cells in the onset and progression of Lyme neuroborreliosis.

Geeta Ramesh, Juan T Borda, Amy Gill, Erin P Ribka, Lisa A Morici, Peter Mottram, Dale S Martin, Mary B Jacobs, Peter J Didier, Mario T Philipp

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

52 citing papers in PubMed, 85 citations in OpenAlex.

  1. Article
  2. Diagnostics (Basel, Switzerland) · 2026
    Article
  3. Audio-Vestibular Function in Patients Diagnosed with Lyme Neuroborreliosis.The journal of international advanced otology · 2025
    Article
  4. CXCL13/CXCR5: a new target for pain treatment.International journal of surgery (London, England) · 2025
    Review
  5. Article
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  19. Article
  20. Protozoan ParasiteFrontiers in microbiology · 2019
    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

10 authors at 1 institution in 1 country.

Geeta RameshDivision of Bacteriology and Parasitology, Tulane National Primate Research Center, Covington, LA, USA. gramesh@tulane.edu
Juan T Borda
Amy Gill
Erin P Ribka
Lisa A Morici
Peter Mottram
Dale S Martin
Mary B Jacobs
Peter J Didier
Mario T Philipp
Tulane University · US

Funding

ZCM:A NOVEL BROAD-SPECTRUM MICROBICIDE FOR SEXUALLY TRANSMITTED INFECTIONSP51RR000164 · NCRR · TULANE UNIVERSITY OF LOUISIANA · PI VEAZEY, RONALD S. · 1985 to 2011
$100.1M
Lyme neuroborreliosis pathogenesis in the rhesus monkeyR01NS048952 · NINDS · TULANE UNIVERSITY OF LOUISIANA · PI PHILIPP, MARIO TOMAS · 2004 to 2014
$4.8M
NCRR NIH HHS P51 RR000164NCRR NIH HHS RR00164NINDS NIH HHS NS048952NINDS NIH HHS R01 NS048952
6 · The paper itself

Abstract

backgroundLyme neuroborreliosis (LNB) may present as meningitis, cranial neuropathy, acute radiculoneuropathy or, rarely, as encephalomyelitis. We hypothesized that glia, upon exposure to Borrelia burgdorferi, the Lyme disease agent, produce inflammatory mediators that promote the acute cellular infiltration of early LNB. This inflammatory context could potentiate glial and neuronal apoptosis.

methodsWe inoculated live B. burgdorferi into the cisterna magna of rhesus macaques and examined the inflammatory changes induced in the central nervous system (CNS), and dorsal root nerves and ganglia (DRG).

resultsELISA of the cerebrospinal fluid (CSF) showed elevated IL-6, IL-8, CCL2, and CXCL13 as early as one week post-inoculation, accompanied by primarily lymphocytic and monocytic pleocytosis. In contrast, onset of the acquired immune response, evidenced by anti-B. burgdorferi C6 serum antibodies, was first detectable after 3 weeks post-inoculation. CSF cell pellets and CNS tissues were culture-positive for B. burgdorferi. Histopathology revealed signs of acute LNB: severe multifocal leptomeningitis, radiculitis, and DRG inflammatory lesions. Immunofluorescence staining and confocal microscopy detected B. burgdorferi antigen in the CNS and DRG. IL-6 was observed in astrocytes and neurons in the spinal cord, and in neurons in the DRG of infected animals. CCL2 and CXCL13 were found in microglia as well as in endothelial cells, macrophages and T cells. Importantly, the DRG of infected animals showed significant satellite cell and neuronal apoptosis.

conclusionOur results support the notion that innate responses of glia to B. burgdorferi initiate/mediate the inflammation seen in acute LNB, and show that neuronal apoptosis occurs in this context.

Indexed as

AnimalsAntibodiesApoptosisBrainChemokinesEncephalitisGanglia, SpinalGliosisLeukocytosisLyme NeuroborreliosisMacaca mulattaMeningitisNerve DegenerationNeurogliaNeuronsRadiculopathyAntibodiesChemokines

Identifiers

PMID19706181
PMCPMC2748066
OpenAlexW1967508251

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.