Evidence map›Paper›PMID 28143443›Full record

ArticleBMC infectious diseases2017

The immunological response to syphilis differs by HIV status; a prospective observational cohort study.

Chris Kenyon, Kara Krista Osbak, Tania Crucitti, Luc Kestens

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 17% 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, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Time-course transcriptomics reveals the impact ofFrontiers in microbiology · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Leukocytoclastic vasculitis in a patient with syphilis and HIV coinfection.Revista do Instituto de Medicina Tropical de Sao Paulo · 2022
    Article
  9. Article
  10. Cytokine expression in Treponema pallidum infection.Journal of translational medicine · 2019
    Article
  11. Article
  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

4 authors at 3 institutions in 2 countries.

Chris KenyonHIV/STI Unit, Institute of Tropical Medicine, Antwerp, Belgium. ckenyon@itg.be.ORCID 0000-0002-2557-8998
Kara Krista OsbakHIV/STI Unit, Institute of Tropical Medicine, Antwerp, Belgium.
Tania CrucittiHIV/STI Reference Laboratory, Institute of Tropical Medicine, Antwerp, Belgium.
Luc KestensImmunology Unit, Institute of Tropical Medicine,, Antwerp, Belgium.
Instituut voor Tropische Geneeskunde · BEUniversity of Antwerp · BEUniversity of Cape Town · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is not known if there is a difference in the immune response to syphilis between HIV-infected and uninfected individuals.

methodsWe prospectively recruited all patients with a new diagnosis of syphilis and tested their plasma for IFNα, IFNγ, IL-1β, IL-12p40, IL-12p70, IP-10, MCP-1, MIP-1α, MIP-1β, IL-4, IL-5, IL-6, IL-7, IL-8, IL-10 and IL-17A at baseline pre-treatment and 6 months following therapy.

resultsA total of 79 HIV-infected [44 primary/secondary syphilis (PSS) and 35 latent syphilis (LS)] and 12 HIV-uninfected (10 PSS and 2 LS) cases of syphilis and 30 HIV-infected controls were included in the study. At the baseline visit, compared to the control group, concentrations of IL-10 were significantly elevated in the HIV-infected and uninfected groups. The level of IL-10 was significantly higher in the HIV-infected compared to the HIV-uninfected PSS group (25.3 pg/mL (IQR, 4.56-41.76) vs 2.73 pg/mL (IQR, 1.55-9.02), P = 0.0192). In the HIV-infected PSS group (but not the HIV-infected LS or HIV-uninfected PSS groups) the IP-10, MIP-1b, IL-6 and IL-8 were raised compared to the controls. IL-10 levels decreased but did not return to control baseline values by 6 months in HIV infected PSS and LS and HIV uninfected PSS.

conclusionPSS and LS in HIV-infected individuals is characterized by an increase in inflammatory and anti-inflammatory cytokines such as IL-10. The increase of IL-10 is greater in HIV-infected than uninfected individuals. Further work is required to ascertain if this is part of an immunological profile that correlates with adverse outcomes such as serofast syphilis and neurosyphilis, in HIV-infected individuals.

Indexed as

HIV InfectionsAdultCohort StudiesFemaleHumansInterleukin-10MaleMiddle AgedProspective StudiesSeverity of Illness IndexSyphilisUp-RegulationInterleukin-10HIVIL-10ImmunologySyphilisTreponema pallidum

Identifiers

PMID28143443
PMCPMC5286814
OpenAlexW2583533691

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.