Evidence map›Paper›PMID 27976670›Full record

ReviewNature reviews. Disease primers2016

Lyme borreliosis.

Allen C Steere, Franc Strle, Gary P Wormser, Linden T Hu, John A Branda, Joppe W R Hovius, Xin Li, Paul S Mead

Erratum issuedOpen access · bronzeAbstract readReview
In one paragraph

Review in Nature reviews. Disease primers, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 505 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
505citing papers in PubMed, 1 pooled it
38.2field-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.

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

505 citing papers in PubMed, 1 synthesis or guideline pooled it, 821 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Dynamics of IgM and IgG responses in Lyme neuroborreliosis - a Norwegian longitudinal study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Glycolytic reprogramming in host response toExperimental and therapeutic medicine · 2026
    Article
  15. Article
  16. Article
  17. Anti-Pathogens (Basel, Switzerland) · 2026
    Article
  18. Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 3 countries.

Allen C SteereCenter for Immunology and Inflammatory Diseases, Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, 55 Fruit Street, Boston, Massachusetts 02114, USA.
Franc StrleDepartment of Infectious Diseases, University Medical Center Ljubljana, Ljubljana, Slovenia.
Gary P WormserDivision of Infectious Diseases, New York Medical College, Valhalla, New York, USA.
Linden T HuDepartment of Molecular Biology and Microbiology, Tufts Medical Center, Boston, Massachusetts, USA.
John A BrandaDepartment of Pathology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Joppe W R HoviusCenter for Experimental and Molecular Medicine, University of Amsterdam, Amsterdam, The Netherlands.
Xin LiDivision of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts, USA.
Paul S MeadBacterial Diseases Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado, USA.
Tufts Medical Center · USCenters for Disease Control and Prevention · USHarvard University · USLjubljana University Medical Centre · SIMassachusetts General Hospital · USNew York Medical College · USUniversity of Amsterdam · NL

Funding

Searching for Persistence in Lyme DiseaseU01AI109656 · NIAID · TUFTS UNIVERSITY BOSTON · PI HU, LINDEN T · 2014 to 2018
$4.0M
Borrelia burgdorferi-Induced Autoimmunity in Lyme DiseaseR01AI101175 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI STEERE, ALLEN C · 2013 to 2021
$3.6M
Critical Roles for Iron and Copper Detoxification in Borrelia BurgdorferiR01AI103173 · NIAID · TUFTS MEDICAL CENTER · PI LI, XIN · 2013 to 2016
$1.6M
Borrelia antigen detection assay for urine-based diagnosis of early Lyme diseaseR21AI119457 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI POLLOCK, NIRA · 2015 to 2016
$551k
Role of carbon availability in environmental adaptation by Borrelia burgdorferiR21AI111317 · NIAID · TUFTS UNIVERSITY BOSTON · PI HU, LINDEN T, LIN, TAO · 2015 to 2016
$475k
Role of innate immune tolerance in the pathogenesis of Lyme diseaseR21AI126757 · NIAID · TUFTS UNIVERSITY BOSTON · PI HU, LINDEN T · 2016 to 2017
$454k
Use of massively parallel sequencing for identification of B. burgdorferi virulenR21AI103905 · NIAID · TUFTS MEDICAL CENTER · PI HU, LINDEN T, LIN, TAO · 2013 to 2014
$433k
NIAID NIH HHS R01 AI101175NIAID NIH HHS R01 AI103173NIAID NIH HHS R21 AI103905NIAID NIH HHS R21 AI111317NIAID NIH HHS R21 AI119457NIAID NIH HHS R21 AI126757NIAID NIH HHS U01 AI109656
6 · The paper itself

Abstract

Lyme borreliosis is a tick-borne disease that predominantly occurs in temperate regions of the northern hemisphere and is primarily caused by the bacterium Borrelia burgdorferi in North America and Borrelia afzelii or Borrelia garinii in Europe and Asia. Infection usually begins with an expanding skin lesion, known as erythema migrans (referred to as stage 1), which, if untreated, can be followed by early disseminated infection, particularly neurological abnormalities (stage 2), and by late infection, especially arthritis in North America or acrodermatitis chronica atrophicans in Europe (stage 3). However, the disease can present with any of these manifestations. During infection, the bacteria migrate through the host tissues, adhere to certain cells and can evade immune clearance. Yet, these organisms are eventually killed by both innate and adaptive immune responses and most inflammatory manifestations of the infection resolve. Except for patients with erythema migrans, Lyme borreliosis is diagnosed based on a characteristic clinical constellation of signs and symptoms with serological confirmation of infection. All manifestations of the infection can usually be treated with appropriate antibiotic regimens, but the disease can be followed by post-infectious sequelae in some patients. Prevention of Lyme borreliosis primarily involves the avoidance of tick bites by personal protective measures.

Indexed as

AmoxicillinAnimalsAnti-Bacterial Agentsbeta-LactamsBorrelia burgdorferiBorrelia burgdorferi GroupCefuroximeDoxycyclineExanthemaHumansIxodesLyme DiseaseLyme NeuroborreliosisRisk FactorsZoonosesAmoxicillinAnti-Bacterial Agentsbeta-LactamsCefuroximecefuroxime axetilDoxycycline

Identifiers

PMID27976670
PMCPMC5539539
OpenAlexW4211152344

What OpenQuestion holds

Textmetadata
LicenceTDM
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.