Evidence map›Paper›PMID 35289310›Full record

ArticleThe Journal of clinical investigation2022

Antiphospholipid autoantibodies in Lyme disease arise after scavenging of host phospholipids by Borrelia burgdorferi.

Peter J Gwynne, Luke H Clendenen, Siu-Ping Turk, Adriana R Marques, Linden T Hu

Open access · goldAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.4field-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

21 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Perinatal transmission ofFrontiers in medicine · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. Hitchhiker's Guide toJournal of bacteriology · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Cholesterol Contributes to Risk, Severity, and Machine Learning-Driven Diagnosis of Lyme Disease.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  14. Review
  15. Croquemort elicits activation of the immune deficiency pathway in ticks.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  16. Review
  17. Article
  18. Cell lipid biology in infections: an overview.Frontiers in cellular and infection microbiology · 2023
    Review
  19. Article
  20. The environment, the tick, and the pathogen - It is an ensemble.Frontiers in cellular and infection microbiology · 2022
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Peter J GwynneDepartment of Molecular Biology and Microbiology, Tufts University School of Medicine, Boston, Massachusetts, USA.
Luke H ClendenenDepartment of Molecular Biology and Microbiology, Tufts University School of Medicine, Boston, Massachusetts, USA.
Siu-Ping TurkLaboratory of Clinical Microbiology and Immunology, National Institute of Allergy and Infectious Diseases (NIAID), NIH, Bethesda, Maryland, USA.
Adriana R MarquesLaboratory of Clinical Microbiology and Immunology, National Institute of Allergy and Infectious Diseases (NIAID), NIH, Bethesda, Maryland, USA.
Linden T HuDepartment of Molecular Biology and Microbiology, Tufts University School of Medicine, Boston, Massachusetts, USA.
Tufts University · USNational Institute of Allergy and Infectious Diseases · US

Funding

Assessment Of Patients With Borrelia InfectionZIAAI000695 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI MARQUES, ADRIANA R · 2009 to 2025
$8.8M
Coping with Stress: Next Generation Approaches to Borrelia burgdorferi Host AdaptationR01AI131656 · NIAID · TUFTS UNIVERSITY BOSTON · PI HU, LINDEN T, SKARE, JON T · 2017 to 2021
$3.3M
Role of human innate immune mutations in loss of tolerance to Borrelia burgdorferiR01AI150157 · NIAID · TUFTS UNIVERSITY BOSTON · PI HU, LINDEN T · 2020 to 2024
$3.0M
Persister cells of Borrelia burgdorferiR01AI122286 · NIAID · NORTHEASTERN UNIVERSITY · PI HU, LINDEN T, LEWIS, KIM · 2016 to 2019
$2.3M
NIAID NIH HHS R01 AI122286NIAID NIH HHS R01 AI131656NIAID NIH HHS R01 AI150157
6 · The paper itself

Abstract

A close association with its vertebrate and tick hosts allows Borrelia burgdorferi, the bacterium responsible for Lyme disease, to eliminate many metabolic pathways and instead scavenge key nutrients from the host. A lipid-defined culture medium was developed to demonstrate that exogenous lipids are an essential nutrient of B. burgdorferi, which can accumulate intact phospholipids from its environment to support growth. Antibody responses to host phospholipids were studied in mice and humans using an antiphospholipid ELISA. Several of these environmentally acquired phospholipids including phosphatidylserine and phosphatidic acid, as well as borrelial phosphatidylcholine, are the targets of antibodies that arose early in infection in the mouse model. Patients with acute infections demonstrated antibody responses to the same lipids. The elevation of antiphospholipid antibodies predicted early infection with better sensitivity than did the standardized 2-tier tests currently used in diagnosis. Sera obtained from patients with Lyme disease before and after antibiotic therapy showed declining antiphospholipid titers after treatment. Further study will be required to determine whether these antibodies have utility in early diagnosis of Lyme disease, tracking of the response to therapy, and diagnosis of reinfection, areas in which current standardized tests are inadequate.

Indexed as

Borrelia burgdorferiLyme DiseaseAnimalsAntibodies, AntiphospholipidAntibodies, BacterialEnzyme-Linked Immunosorbent AssayHumansMicePhospholipidsAntibodies, AntiphospholipidAntibodies, BacterialPhospholipidsDiagnosticsImmunoglobulinsInfectious diseaseMicrobiologyMolecular biology

Identifiers

PMID35289310
PMCPMC8920326
OpenAlexW4220992505

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.