We report the cytokine profiles of an infant with congenital syphilis as a first case. This female infant was born by vaginal delivery at a gestational age of 27 weeks during her mother’s treatment for syphilis. Elevation of T helper (Th)-1 cytokines (interleukin (IL)-2, IL-12) and IL-17, which supports immunological mechanisms of Th-1, was similar to that in cases of syphilis in adults. IL-6 and granulocyte colony-stimulating factor (G-CSF), the synergistic effects of which cause the leukemoid reaction, were also elevated. The levels of interferon-γ and IL-17 in cerebral spinal fluid, which are elevated in neurosyphilis in adults, were slightly elevated.
Abstract/References
Cytokine profiles in an extremely preterm infant with congenital syphilis
Eisuke Fukama, Tomoaki Nomura, Daisuke Hatanaka, Michiko Kusakari, Hidehiro Takahashi, Toshihiko Nakamura, Naoto Takahashi
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Eisuke Fukama
Department of Neonatology, Japanese Red Cross Musashino Hospital
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Tomoaki Nomura
Department of Neonatology, Japanese Red Cross Musashino Hospital
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Daisuke Hatanaka
Department of Neonatology, Japanese Red Cross Musashino Hospital
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Michiko Kusakari
Department of Neonatology, Japanese Red Cross Musashino Hospital
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Hidehiro Takahashi
Department of Neonatology, Japanese Red Cross Musashino Hospital
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Toshihiko Nakamura
Department of Neonatology, Japanese Red Cross Musashino Hospital
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Naoto Takahashi
Department of Pediatrics, Tokyo University School of Medicine
Abstract
References
1. Jung E, Romero R, Yeo L, et al. The fetal inflammatory response syndrome:the origins of a concept, pathophysiology, diagnosis, and obstetrical implications. Seminars in Fetal and Neonatal Medicine, 25(4):1-20, 2020.
3. Lithgow KV, Cameron CE. Vaccine development for syphilis. Expert Rev Vaccines, 16(1):37-44, 2017.
6. Nomura T, Takahashi H, Hatanaka D, et al. The serial changes of cytokine profiles of an extremely preterm infant complicated with ventriculitis caused by congenital listeriosis. (in Japanease) Journal of Japan Society of Perinatal and Neonatal Medicine, 51:1282-1287, 2015.
8. Podwinska J, Lusiak M, Zaba R, Bowszyc J. The pattern and level of cytokine secreted by Th-1 and Th-2 lymphocytes of syphilitic correlate to the progression of the disease. FEMS Immunology and Medical Microbiology, 28:1-14, 2000.
9. Voorhis W, Barrett L, Koelle D, Nasio J, Plummer F, Lukehart A. Primary and secondary syphilis lesions contain mRNA for th1 cytokines. The journal of infectious disease, 173:491-495, 1996.
10. Pastusczak M, Jakiela B, Wielowieyska-Szybinska D, Jaworek AK, Zeman J, Wojas-Pelc A. Elevated Cerebrospinal Fluid Interleukin-17A and Interferon-γ Levels in Early Asymptomatic Neurosyphilis. Sexually Transmitted Disease, 40:808-812, 2013.
12. Matoba M, Yu Y, Mestan K, et al. Differential patterns of 27 cord blood immune biomarkers across gestational age. Pediatrics, 123(5):1320-1328, 2009.