Evidence map›Paper›PMID 29813137›Full record

ArticlePLoS pathogens2018

Polymorphic factor H-binding activity of CspA protects Lyme borreliae from the host complement in feeding ticks to facilitate tick-to-host transmission.

Thomas Hart, Ngoc Thien Thu Nguyen, Nancy A Nowak, Fuming Zhang, Robert J Linhardt, Maria Diuk-Wasser, Sanjay Ram, Peter Kraiczy, Yi-Pin Lin

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
6.6field-weighted citation impact, top 2% 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

47 citing papers in PubMed, 75 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. CCL17 Influences Borrelia burgdorferi Infection in the Heart.The Journal of infectious diseases · 2025
    Article
  8. Borrelia surface proteins: new horizons in Lyme disease diagnosis.Applied microbiology and biotechnology · 2025
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Infection and immunity · 2024
    Article
  17. Article
  18. Structural evolution of an immune evasion determinant shapes pathogen host tropism.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  19. Article
  20. Review
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

9 authors at 5 institutions in 2 countries.

Thomas HartDepartment of Biological Science, State University of New York at Albany, Albany, New York, United States of America.ORCID 0000-0001-5949-9932
Ngoc Thien Thu NguyenInstitute of Medical Microbiology and Infection Control, University Hospital of Frankfurt, Frankfurt, Germany.
Nancy A NowakDivision of Infectious Diseases and Immunology, University of Massachusetts Medical School, Worcester, Massachusetts, United States of America.
Fuming ZhangDepartment of Chemical and Biological Engineering, Rensselaer Polytechnic Institute, Troy, New York, United States of America.
Robert J LinhardtDepartment of Chemical and Biological Engineering, Rensselaer Polytechnic Institute, Troy, New York, United States of America.ORCID 0000-0003-2219-5833
Maria Diuk-WasserDepartment of Ecology, Evolution, and Environmental Biology, Columbia University, New York, New York, United States of America.
Sanjay RamDivision of Infectious Diseases and Immunology, University of Massachusetts Medical School, Worcester, Massachusetts, United States of America.
Peter KraiczyInstitute of Medical Microbiology and Infection Control, University Hospital of Frankfurt, Frankfurt, Germany.
Yi-Pin LinDivision of Infectious Diseases, Wadsworth Center New York State Department of Health, Albany, New York, United States of America.ORCID 0000-0002-5240-2031
Goethe University Frankfurt · DENew York State Department of Health · USRensselaer Polytechnic Institute · USUniversity of Massachusetts Chan Medical School · USColumbia University · US

Funding

In vitro synthesis of recombinant heparan sulfateR01HL094463 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LIU, JIAN, PAWLINSKI, RAFAL L · 2009 to 2021
$5.2M
Endothelial glycocalyx reconstitution during sepsisR01HL125371 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI LINHARDT, ROBERT J, SCHMIDT, ERIC PETER · 2014 to 2018
$3.4M
Multiple B. burgdorferi Factors Collaborate to Evade Complement-Mediated DefensesR01AI121401 · NIAID · TUFTS UNIVERSITY BOSTON · PI COBURN, JENIFER L, LEONG, JOHN M · 2016 to 2020
$3.1M
Rapid Sequencing of Sulfated Glycans By CE-MS/MSR21HL136271 · NHLBI · UNIVERSITY OF GEORGIA · PI AMSTER, I JONATHAN · 2016 to 2017
$611k
NHLBI NIH HHS R01 HL094463NHLBI NIH HHS R01 HL125371NHLBI NIH HHS R21 HL136271NIAID NIH HHS R01 AI121401NIH HHS R01AI121401NIH HHS R01HL094463NIH HHS R01HL125371NIH HHS R21HL136271
6 · The paper itself

Abstract

Borrelia burgdorferi sensu lato (Bbsl), the causative agent of Lyme disease, establishes an initial infection in the host's skin following a tick bite, and then disseminates to distant organs, leading to multisystem manifestations. Tick-to-vertebrate host transmission requires that Bbsl survives during blood feeding. Complement is an important innate host defense in blood and interstitial fluid. Bbsl produces a polymorphic surface protein, CspA, that binds to a complement regulator, Factor H (FH) to block complement activation in vitro. However, the role that CspA plays in the Bbsl enzootic cycle remains unclear. In this study, we demonstrated that different CspA variants promote spirochete binding to FH to inactivate complement and promote serum resistance in a host-specific manner. Utilizing a tick-to-mouse transmission model, we observed that a cspA-knockout B. burgdorferi is eliminated from nymphal ticks in the first 24 hours of feeding and is unable to be transmitted to naïve mice. Conversely, ectopically producing CspA derived from B. burgdorferi or B. afzelii, but not B. garinii in a cspA-knockout strain restored spirochete survival in fed nymphs and tick-to-mouse transmission. Furthermore, a CspA point mutant, CspA-L246D that was defective in FH-binding, failed to survive in fed nymphs and at the inoculation site or bloodstream in mice. We also allowed those spirochete-infected nymphs to feed on C3-/- mice that lacked functional complement. The cspA-knockout B. burgdorferi or this mutant strain complemented with cspA variants or cspA-L246D was found at similar levels as wild type B. burgdorferi in the fed nymphs and mouse tissues. These novel findings suggest that the FH-binding activity of CspA protects spirochetes from complement-mediated killing in fed nymphal ticks, which ultimately allows Bbsl transmission to mammalian hosts.

Indexed as

AnimalsArachnid VectorsBacterial ProteinsBorrelia burgdorferi GroupComplement Factor HComplement System ProteinsCoturnixDisease Models, AnimalEnzyme-Linked Immunosorbent AssayFemaleFlagellinFlow CytometryHorsesHumansIxodesLyme DiseaseBacterial Proteinscold shock protein CS7.4, BacteriaComplement Factor HComplement System ProteinsflaB1 protein, bacteriaFlagellin

Identifiers

PMID29813137
PMCPMC5993331
OpenAlexW2806148815

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.