Evidence map›Paper›PMID 30571845›Full record

ArticleCellular microbiology2019

Blood treatment of Lyme borreliae demonstrates the mechanism of CspZ-mediated complement evasion to promote systemic infection in vertebrate hosts.

Ashley L Marcinkiewicz, Alan P Dupuis, Maxime Zamba-Campero, Nancy Nowak, Peter Kraiczy, Sanjay Ram, Laura D Kramer, Yi-Pin Lin

Open access · bronzeAbstract read
In one paragraph

Article in Cellular microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

34 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Borrelia surface proteins: new horizons in Lyme disease diagnosis.Applied microbiology and biotechnology · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Unveiling the impact ofInfection and immunity · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Impact ofFrontiers in immunology · 2024
    Article
  12. The In Vitro Antimicrobial Susceptibility ofPathogens (Basel, Switzerland) · 2023
    Review
  13. 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
  14. Review
  15. Article
  16. Article
  17. Subversion of the immune response of human pathogenic spirochetes.Journal of clinical laboratory analysis · 2022
    Review
  18. Lipoproteome screening of the Lyme disease agent identifies inhibitors of antibody-mediated complement killing.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  19. Review
  20. 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

8 authors at 3 institutions in 2 countries.

Ashley L MarcinkiewiczDivision of Infectious Diseases, Wadsworth Center, New York State Department of Health, Albany, NY, USA.
Alan P DupuisDivision of Infectious Diseases, Wadsworth Center, New York State Department of Health, Albany, NY, USA.
Maxime Zamba-CamperoDivision of Infectious Diseases, Wadsworth Center, New York State Department of Health, Albany, NY, USA.
Nancy NowakDivision of Infectious Diseases and Immunology, University of Massachusetts Medical School, Worcester, MA, USA.
Peter KraiczyInstitute of Medical Microbiology and Infection Control, University Hospital of Frankfurt, Frankfurt, Germany.
Sanjay RamDivision of Infectious Diseases and Immunology, University of Massachusetts Medical School, Worcester, MA, USA.
Laura D KramerDivision of Infectious Diseases, Wadsworth Center, New York State Department of Health, Albany, NY, USA.
Yi-Pin LinDivision of Infectious Diseases, Wadsworth Center, New York State Department of Health, Albany, NY, USA.ORCID 0000-0002-5240-2031
New York State Department of Health · USUniversity of Massachusetts Chan Medical School · USGoethe University Frankfurt · DE

Funding

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
NIAID NIH HHS R01 AI121401
6 · The paper itself

Abstract

Lyme disease, caused by the spirochete Borrelia burgdorferi, is the most common vector-borne disease in the United States and Europe. The spirochetes are transmitted from mammalian and avian reservoir hosts to humans via ticks. Following tick bites, spirochetes colonize the host skin and then disseminate haematogenously to various organs, a process that requires this pathogen to evade host complement, an innate immune defence system. CspZ, a spirochete surface protein, facilitates resistance to complement-mediated killing in vitro by binding to the complement regulator, factor H (FH). Low expression levels of CspZ in spirochetes cultivated in vitro or during initiation of infection in vivo have been a major hurdle in delineating the role of this protein in pathogenesis. Here, we show that treatment of B. burgdorferi with human blood induces CspZ production and enhances resistance to complement. By contrast, a cspZ-deficient mutant and a strain that expressed an FH-nonbinding CspZ variant were impaired in their ability to cause bacteraemia and colonize tissues of mice or quail; virulence of these mutants was however restored in complement C3-deficient mice. These novel findings suggest that FH binding to CspZ facilitates B. burgdorferi complement evasion in vivo and promotes systemic infection in vertebrate hosts.

Indexed as

AnimalsBacterial ProteinsBorrelia burgdorferiComplement C3Complement Factor HCoturnixHumansIxodesLyme DiseaseMembrane ProteinsMiceMice, Inbred BALB CMice, Inbred C57BLMice, KnockoutBacterial ProteinsCFH protein, humanComplement C3Complement Factor HMembrane ProteinsBorreliacomplementCspZfactor HLyme disease

Identifiers

PMID30571845
PMCPMC6336514
OpenAlexW2906660243

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.