Evidence map›Paper›PMID 40708500›Full record

ReviewThe Journal of infectious diseases2025

Syphilis Pathogenesis: Host Immune Response vs Pathogen Immune Evasion.

Andy Liu, Lorenzo Giacani, Iskra Tuero, Jeffrey D Klausner

Abstract readReview
In one paragraph

Review 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Frontiers in immunology · 2026
    Review
  5. 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

4 authors.

Andy LiuDepartment of Population and Public Health Sciences, Keck School of Medicine of the University of Southern California, Los Angeles.ORCID 0000-0002-8312-6906
Lorenzo GiacaniDepartment of Medicine, University of Washington, Seattle.
Iskra TueroFacultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia, Lima, Perú.ORCID 0000-0002-5788-1051
Jeffrey D KlausnerDepartment of Population and Public Health Sciences, Keck School of Medicine of the University of Southern California, Los Angeles.

Funding

Syphilis Immunology and Biology to Improve Clinical Management and Vaccine DesignR01AI139265 · NIAID · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Jeffrey David Klausner · 2018 to 2026
$4.8M
National Institute of Allergy and Infectious Diseases R01AI139265NIAID NIH HHS R01 AI139265
6 · The paper itself

Abstract

Syphilis, caused by Treponema pallidum subspecies pallidum, remains a significant global health problem despite being preventable and curable. The pathogen's ability to evade the immune system by using virulence factor-based strategies and invading immune-privileged sites enables persistent infection in the untreated host. This translational update describes the host innate and adaptive immune responses in syphilis and the sophisticated mechanisms employed by T. pallidum to avoid immune clearance. Recent advances in immune profiling have enhanced our understanding of the host immune response and identified potential biomarkers for disease staging and treatment monitoring. However, knowledge gaps remain regarding T. pallidum's immune evasion mechanisms, the dynamics of cellular and humoral immunity, and the characteristics of long-term protective immune responses against T. pallidum. Bridging these gaps by integrating microbiology, immunology, and multiomics approaches is crucial for advancing diagnostic tools, therapeutic strategies, and vaccine development to ultimately reduce the global burden of syphilis.

Indexed as

Host-Pathogen InteractionsImmune EvasionSyphilisTreponema pallidumAdaptive ImmunityAnimalsHumansImmunity, HumoralImmunity, InnateVirulence FactorsVirulence Factors

Identifiers

PMID40708500
PMCPMC12526937

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.