Evidence map›Paper›PMID 40201184›Full record

ArticleFrontiers in immunology2025

Characterizing the immune infiltrate in secondary syphilis: implications for transmission and pathology.

Irène Gallais Sérézal, Joseph Kirma, Mrinal K Sarkar, Christopher Cole, Xianying Xing, Rachael Bogle, Jennifer Fox, Anthony Coon, Kelsey R vanStraalen, Craig Dobry and 7 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Putative mechanisms of ocular inflammation in syphilis.Journal of ophthalmic inflammation and infection · 2026
    Review
  2. Article
  3. Article
  4. 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

17 authors.

Irène Gallais SérézalDepartment of Dermatology, Institut National de la Santé et de la Recherche Médicale (INSERM) 1098, Franche Comté University, Besançon University Hospital, Besançon, France.
Joseph KirmaDepartment of Dermatology, University of Michigan, Ann Arbor, MI, United States.
Mrinal K SarkarDepartment of Dermatology, University of Michigan, Ann Arbor, MI, United States.
Christopher ColeDepartment of Dermatology, University of Michigan, Ann Arbor, MI, United States.
Xianying XingDepartment of Dermatology, University of Michigan, Ann Arbor, MI, United States.
Rachael BogleLaboratory for Experimental Immunodermatology, Department of Dermatology, Erasmus University Medical Center, Rotterdam, Netherlands.
Jennifer FoxDepartment of Dermatology, University of Michigan, Ann Arbor, MI, United States.
Anthony CoonDepartment of Dermatology, University of Michigan, Ann Arbor, MI, United States.
Kelsey R vanStraalenLaboratory for Experimental Immunodermatology, Department of Dermatology, Erasmus University Medical Center, Rotterdam, Netherlands.
Craig DobryDepartment of Dermatology, University of Michigan, Ann Arbor, MI, United States.
Linda H XuDepartment of Medicine, Division of Allergy and Infectious Diseases, University of Washington, Seattle, WA, United States.
J Michelle KahlenbergDepartment of Internal Medicine, Division of Rheumatology, University of Michigan, Ann Arbor, MI, United States.
Paul W HarmsDepartment of Pathology, University of Michigan, Ann Arbor, MI, United States.
Allison C BilliDepartment of Dermatology, University of Michigan, Ann Arbor, MI, United States.
Lam C TsoiDepartment of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, United States.
Lorenzo GiacaniDepartment of Medicine, Division of Allergy and Infectious Diseases, University of Washington, Seattle, WA, United States.
Johann E GudjonssonDepartment of Dermatology, University of Michigan, Ann Arbor, MI, United States.

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
University of Michigan Postbaccalaureate Research Education Program (UM PREP)R25GM086262 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ALLEN, BENJAMIN · 2009 to 2024
$6.1M
Mechanisms of sex discrepancy in autoimmune disease: Regulation of the female-biased VGLL3 immune pathwayK08AR078251 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BILLI, ALLISON CHELSA · 2021 to 2025
$865k
NIAID NIH HHS U19 AI144133NIAMS NIH HHS K08 AR078251NIGMS NIH HHS R25 GM086262
6 · The paper itself

Abstract

Introduction: Syphilis is a complex disease with variable clinical presentation where symptomatic and potentially infectious stages alternate with periods of latency, representing a fascinating model to study immune evasion and host immune responses. Methods: Immunohistochemistry (IHC), bulk, and single-cell RNA sequencing were performed on formalin-fixed paraffin-embedded skin biopsies collected from subjects with secondary syphilis. Additionally, PBMCs from healthy individuals and either primary or Results: Immunohistochemistry of secondary syphilis skin lesions showed a polymorphous immune infiltrate with colocalization of T cells, B cells and antigen-presenting cells. Single-cell analysis revealed distinct cellular contributions to the immune response, with prominent immune-stromal crosstalk accompanied by altered keratinocyte differentiation and decreased intraepidermal communication. Notably, prominent inflammatory signals were countered by concomitant regulatory responses, particularly in infiltrating myeloid cells. Exposure of PBMCs to live Discussion: Our data provide novel insights into the contribution of epidermal TLR sensing through MYD88 to the host response to syphilis infection, highlighting mechanisms by which

Indexed as

SkinSyphilisTreponema pallidumAdultFemaleHumansKeratinocytesMaleMyeloid Differentiation Factor 88Single-Cell AnalysisMYD88 protein, humanMyeloid Differentiation Factor 88host-pathogen adaptationimmune evasionkeratinocytessyphilistranscriptome (RNA-seq)

Identifiers

PMID40201184
PMCPMC11975926

What OpenQuestion holds

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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.