Evidence map›Paper›PMID 27088349›Full record

ArticleEmerging infectious diseases2016

Differences in Genotype, Clinical Features, and Inflammatory Potential of Borrelia burgdorferi sensu stricto Strains from Europe and the United States.

Tjasa Cerar, Franc Strle, Dasa Stupica, Eva Ruzic-Sabljic, Gail McHugh, Allen C Steere, Klemen Strle

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Emerging infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07351721 (Borrelia Arthritis - a Hidden Cause of Arthritis in Danish Patients? Sub-study 1), which is not on this map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
11.2field-weighted citation impact, top 1% 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.

NCT07351721 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Borrelia Arthritis - a Hidden Cause of Arthritis in Danish Patients? Sub-study 1:Incidence&Outcomes Sub-study 2:Characterisation

Typeobservational_patient_registrySponsorFredrikke Christie KnudtzenRan2026 to 2028Enrolled350ConditionsLyme ArthritisArmsSynovial fluid Borrelia burgdorferi PCR
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 100 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Lyme borreliosis.Nature reviews. Disease primers · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Tick-Borne Bacterial Diseases in Europe: Threats to public health.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Review
  16. Article
  17. Article
  18. Review
  19. ClassicalLife (Basel, Switzerland) · 2023
    Article
  20. Whole genome sequencing ofbioRxiv : the preprint server for biology · 2023
    Article

2 more citing papers are in PubMed but not listed here.

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 4 institutions in 2 countries.

Tjasa Cerar
Franc Strle
Dasa Stupica
Eva Ruzic-Sabljic
Gail McHugh
Allen C Steere
Klemen Strle
Ljubljana University Medical Centre · SIUniversity Medical Center · USUniversity of Ljubljana · SIMassachusetts General Hospital · US

Funding

Borrelia burgdorferi-Induced Autoimmunity in Lyme DiseaseR01AI101175 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI STEERE, ALLEN C · 2013 to 2021
$3.6M
Defining Microbial and Host Factors in Innate Immune Responses in Lyme ArthritisK01AR062098 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI STRLE, KLEMEN · 2012 to 2014
$398k
NIAID NIH HHS R01 AI-101175NIAID NIH HHS R01 AI101175NIAMS NIH HHS K01 AR062098NIAMS NIH HHS K01-AR-062098PHS HHS CCU110 291
6 · The paper itself

Abstract

Borrelia burgdorferi sensu stricto isolates from patients with erythema migrans in Europe and the United States were compared by genotype, clinical features of infection, and inflammatory potential. Analysis of outer surface protein C and multilocus sequence typing showed that strains from these 2 regions represent distinct genotypes. Clinical features of infection with B. burgdorferi in Slovenia were similar to infection with B. afzelii or B. garinii, the other 2 Borrelia spp. that cause disease in Europe, whereas B. burgdorferi strains from the United States were associated with more severe disease. Moreover, B. burgdorferi strains from the United States induced peripheral blood mononuclear cells to secrete higher levels of cytokines and chemokines associated with innate and Th1-adaptive immune responses, whereas strains from Europe induced greater Th17-associated responses. Thus, strains of the same B. burgdorferi species from Europe and the United States represent distinct clonal lineages that vary in virulence and inflammatory potential.

Indexed as

GenotypeBiomarkersBorrelia burgdorferiCytokinesErythema Chronicum MigransEuropeHumansInflammation MediatorsLeukocytes, MononuclearMultilocus Sequence TypingPhylogenyUnited StatesBiomarkersCytokinesInflammation MediatorsbacteriaB. afzeliiB. gariniiBorrelia burgdorferi sensu strictoclinical featureserythema migransEuropegenotypeinflammatory potentialLyme borreliosismultilocus sequencing typingouter surface protein CRNA intergenic spacer typeSloveniaUnited States

Identifiers

PMID27088349
PMCPMC4861522
OpenAlexW2316846514

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.