Evidence map›Paper›PMID 34228757›Full record

ArticlePLoS pathogens2021

Genetic engineering of Treponema pallidum subsp. pallidum, the Syphilis Spirochete.

Emily Romeis, Lauren Tantalo, Nicole Lieberman, Quynh Phung, Alex Greninger, Lorenzo Giacani

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
5.5field-weighted citation impact, top 3% 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

43 citing papers in PubMed, 59 citations in OpenAlex.

  1. Article
  2. Putative mechanisms of ocular inflammation in syphilis.Journal of ophthalmic inflammation and infection · 2026
    Review
  3. Formal description ofInternational journal of systematic and evolutionary microbiology · 2026
    Article
  4. Review
  5. Lineage-specificbioRxiv : the preprint server for biology · 2026
    Article
  6. Article
  7. Article
  8. Frontiers in immunology · 2026
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. In vitro isolation of contemporary Treponema pallidum strains directly from clinical samples of syphilis patients.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Establishment of the Nichols strain as the type strain ofInternational journal of systematic and evolutionary microbiology · 2025
    Review
  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

6 authors at 1 institution in 1 country.

Emily RomeisDepartment of Medicine, Division of Allergy and Infectious Diseases, University of Washington, Seattle, Washington, United States of America.ORCID 0000-0002-7295-9531
Lauren TantaloDepartment of Medicine, Division of Allergy and Infectious Diseases, University of Washington, Seattle, Washington, United States of America.ORCID 0000-0001-5788-0465
Nicole LiebermanDepartment of Laboratory Medicine, University of Washington, Seattle, Washington, United States of America.ORCID 0000-0001-9334-8150
Quynh PhungDepartment of Laboratory Medicine, University of Washington, Seattle, Washington, United States of America.ORCID 0000-0001-5499-3392
Alex GreningerDepartment of Laboratory Medicine, University of Washington, Seattle, Washington, United States of America.
Lorenzo GiacaniDepartment of Medicine, Division of Allergy and Infectious Diseases, University of Washington, Seattle, Washington, United States of America.ORCID 0000-0003-3889-7274
University of Washington · US

Funding

University of Washington (UW) Sexually Transmitted Infections (STI) Cooperative Research Center (CRC) - Syphilis Vaccine to Protect against Local and Disseminated T. pallidum InfectionU19AI144133 · NIAID · UNIVERSITY OF WASHINGTON · PI WALD, ANNA · 2019 to 2023
$10.6M
NIAID NIH HHS U19 AI144133
6 · The paper itself

Abstract

Despite more than a century of research, genetic manipulation of Treponema pallidum subsp. pallidum (T. pallidum), the causative agent of syphilis, has not been successful. The lack of genetic engineering tools has severely limited understanding of the mechanisms behind T. pallidum success as a pathogen. A recently described method for in vitro cultivation of T. pallidum, however, has made it possible to experiment with transformation and selection protocols in this pathogen. Here, we describe an approach that successfully replaced the tprA (tp0009) pseudogene in the SS14 T. pallidum strain with a kanamycin resistance (kanR) cassette. A suicide vector was constructed using the pUC57 plasmid backbone. In the vector, the kanR gene was cloned downstream of the tp0574 gene promoter. The tp0574prom-kanR cassette was then placed between two 1-kbp homology arms identical to the sequences upstream and downstream of the tprA pseudogene. To induce homologous recombination and integration of the kanR cassette into the T. pallidum chromosome, in vitro-cultured SS14 strain spirochetes were exposed to the engineered vector in a CaCl2-based transformation buffer and let recover for 24 hours before adding kanamycin-containing selective media. Integration of the kanR cassette was demonstrated by qualitative PCR, droplet digital PCR (ddPCR), and whole-genome sequencing (WGS) of transformed treponemes propagated in vitro and/or in vivo. ddPCR analysis of RNA and mass spectrometry confirmed expression of the kanR message and protein in treponemes propagated in vitro. Moreover, tprA knockout (tprAko-SS14) treponemes grew in kanamycin concentrations that were 64 times higher than the MIC for the wild-type SS14 (wt-SS14) strain and in infected rabbits treated with kanamycin. We demonstrated that genetic manipulation of T. pallidum is attainable. This discovery will allow the application of functional genetics techniques to study syphilis pathogenesis and improve syphilis vaccine development.

Indexed as

AnimalsGenetic EngineeringMaleRabbitsSpirochaetalesTreponema

Identifiers

PMID34228757
PMCPMC8284648
OpenAlexW3162572052

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.