Evidence map›Paper›PMID 39356164›Full record

ArticleThe Journal of infectious diseases2025

Epigenetic Changes in Cerebrospinal Fluid and Blood of People With Neurosyphilis.

Darius Mostaghimi, Sameet Mehta, Jennifer Yoon, Priya Kosana, Christina M Marra, Michael J Corley, Shelli F Farhadian

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. A Study on the Inflammatory Response of the Brain in Neurosyphilis.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    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

7 authors.

Darius MostaghimiSection of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut.ORCID 0000-0002-7679-4156
Sameet MehtaDepartment of Genetics, Yale School of Medicine, New Haven, Connecticut.
Jennifer YoonSection of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut.
Priya KosanaDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, Connecticut.
Christina M MarraDepartment of Neurology, University of Washington School of Medicine, Seattle, Washington, District of Columbia.
Michael J CorleyDivision of Infectious Diseases, Weill Cornell Medicine, New York, New York.
Shelli F FarhadianSection of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut.ORCID 0000-0001-7230-1409

Funding

Decoding epigenetic scars of smoldering neuroinflammation and CNS complications in people with HIVR01MH134391 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI Michael Jay Corley, Shelli Farhadian · 2023 to 2026
$3.8M
Lumbar Puncture and Syphilis OutcomeR01NS082120 · NINDS · UNIVERSITY OF WASHINGTON · PI MARRA, CHRISTINA M · 2013 to 2017
$3.6M
NIA Short Term Research Training: Students in Health Professional SchoolsT35AG049685 · NIA · YALE UNIVERSITY · PI Sarwat I Chaudhry, Terri R. Fried · 2016 to 2026
$804k
Understanding the cellular basis for persistent immune activation in the central nervous system during virologically suppressed HIVK23MH118999 · NIMH · YALE UNIVERSITY · PI FARHADIAN, SHELLI · 2018 to 2021
$770k
NIA NIH HHS T35 AG049685NIH HHS K23MH118999NIMH NIH HHS K23 MH118999NIMH NIH HHS R01 MH134391NINDS NIH HHS R01 NS082120
6 · The paper itself

Abstract

Epigenetic changes within immune cells may contribute to neuroinflammation during bacterial infection, but their role in neurosyphilis (NS) pathogenesis and response has not yet been established. We longitudinally analyzed DNA methylation and RNA expression in cerebrospinal fluid (CSF) cells and peripheral blood mononuclear cells (PBMCs) from 11 participants with laboratory-confirmed NS (CSF Venereal Disease Research Laboratory test positive) and 11 matched controls with syphilis without NS (non-NS). DNA methylation profiles from CSF and PBMCs of participants with NS significantly differed from those of participants with non-NS. Some genes associated with these differentially methylated sites had corresponding RNA expression changes in the CSF (111/1097 [10.1%]), and included genes involved in B cell activation and insulin-response pathways. Despite antibiotic treatment, approximately 80% of CSF methylation changes associated with NS persisted, suggesting that epigenetic scars accompanying NS may persistently affect immunity following infection. Future studies must examine whether these sequelae are clinically meaningful.

Indexed as

DNA MethylationEpigenesis, GeneticNeurosyphilisAdultCase-Control StudiesFemaleHumansLeukocytes, MononuclearLongitudinal StudiesMaleMiddle Agedcerebrospinal fluidDNA methylationepigeneticsneuroinflammationneurosyphilis

Identifiers

PMID39356164
PMCPMC11998562

What OpenQuestion holds

Textmetadata
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.