Evidence map›Paper›PMID 34791386›Full record

ArticleMolecular biology and evolution2022

Evolutionary Processes in the Emergence and Recent Spread of the Syphilis Agent, Treponema pallidum.

Marta Pla-Díaz, Leonor Sánchez-Busó, Lorenzo Giacani, David Šmajs, Philipp P Bosshard, Homayoun C Bagheri, Verena J Schuenemann, Kay Nieselt, Natasha Arora, Fernando González-Candelas

Open access · goldAbstract read
In one paragraph

Article in Molecular biology and evolution, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 39 citations in OpenAlex.

  1. Formal description ofInternational journal of systematic and evolutionary microbiology · 2026
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  3. Analysis ofmSphere · 2025
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  7. Establishment of the Nichols strain as the type strain ofInternational journal of systematic and evolutionary microbiology · 2025
    Review
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  15. Article
  16. Article
  17. Notes on syphilis vaccine development.Frontiers in immunology · 2022
    Review
  18. 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

10 authors at 5 institutions in 5 countries.

Marta Pla-DíazUnidad Mixta Infección y Salud Pública FISABIO, Universidad de Valencia-I2SysBio, Valencia, Spain.
Leonor Sánchez-BusóGenomics and Health Area, Foundation for the Promotion of Health and Biomedical Research in the Valencian Community (FISABIO-Public Health), Valencia, Spain.
Lorenzo GiacaniDepartment of Medicine, Division of Allergy and Infectious Diseases, University of Washington, Seattle, WA, USA.
David ŠmajsDepartment of Biology, Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Philipp P BosshardDepartment of Dermatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Homayoun C BagheriRepsol Technology Center, Móstoles, Spain.
Verena J SchuenemannInstitute of Evolutionary Medicine, University of Zurich, Zurich, Switzerland.
Kay NieseltCenter for Bioinformatics, University of Tübingen, Tübingen, Germany.
Natasha AroraDepartment of Evolutionary Biology and Environmental Studies, University of Zurich, Zurich, Switzerland.
Fernando González-CandelasUnidad Mixta Infección y Salud Pública FISABIO, Universidad de Valencia-I2SysBio, Valencia, Spain.
University of Zurich · CHFundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana · ESMasaryk University · CZUniversity of Tübingen · DEUniversity 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

The incidence of syphilis has risen worldwide in the last decade in spite of being an easily treated infection. The causative agent of this sexually transmitted disease is the bacterium Treponema pallidum subspecies pallidum (TPA), very closely related to subsp. pertenue (TPE) and endemicum (TEN), responsible for the human treponematoses yaws and bejel, respectively. Although much focus has been placed on the question of the spatial and temporary origins of TPA, the processes driving the evolution and epidemiological spread of TPA since its divergence from TPE and TEN are not well understood. Here, we investigate the effects of recombination and selection as forces of genetic diversity and differentiation acting during the evolution of T. pallidum subspecies. Using a custom-tailored procedure, named phylogenetic incongruence method, with 75 complete genome sequences, we found strong evidence for recombination among the T. pallidum subspecies, involving 12 genes and 21 events. In most cases, only one recombination event per gene was detected and all but one event corresponded to intersubspecies transfers, from TPE/TEN to TPA. We found a clear signal of natural selection acting on the recombinant genes, which is more intense in their recombinant regions. The phylogenetic location of the recombination events detected and the functional role of the genes with signals of positive selection suggest that these evolutionary processes had a key role in the evolution and recent expansion of the syphilis bacteria and significant implications for the selection of vaccine candidates and the design of a broadly protective syphilis vaccine.

Indexed as

SyphilisTreponemal InfectionsYawsHumansPhylogenyTreponema pallidumgenome analysisphylogenetic congruencerecombinationselectiontreponematoses

Identifiers

PMID34791386
PMCPMC8789261
OpenAlexW3212943072

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.