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Part of the book series: Immunology and Medicine ((IMME,volume 9))

Abstract

Syphilis has long been recognized as one of the most complex infectious diseases, and the immunology of the disease is both a cause and a reflection of this complexity. The human diseases caused byTreponema pallidum subspeciespallidum and related bacteria (which cause venereal syphilis, endemic syphilis, yaws and pinta) exhibit a similar pattern of pathogenesis involving acute and chronic manifestations, as well as the capacity for long- term acute latent infection. Syphilis represents an ideal host-parasite relationship (from the parasite’s point of view): the spirochetes can cause both acute infectious lesions, important in transmission of the disease in the early stages, and also persist in the host for decades despite the presence of demonstrable resistance to infection. The immune response battles valiantly to rid the host of this invader, but usually does not succeed; in many cases its fervour seems to be principally responsible for the pathogenesis of the disease.

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References

  1. Chesney, A. M. (1927).Medicine Monographs. XII. Immunity in Syphilis. ( Baltimore: Williams and Wilkins )

    Google Scholar 

  2. Turner, T. B. and Hollander, D. H. (1957).Biology of the Treponematoses. ( Geneva: World Health Organization )

    Google Scholar 

  3. Cannefax, G. R., Norins, L. C. and Gillespie, E. J. (1967). Immunology of syphilis.Annu. Rev. Med, 18, 471 – 82

    Article  PubMed  CAS  Google Scholar 

  4. Schell, R. F. and Musher, D. M. (eds.) (1983).Pathogenesis and Immunology of Treponemal Infection. ( New York: Marcel Dekker )

    Google Scholar 

  5. Sell, S. and Norris, S. J. (1983). The biology, pathology and immunology of syphilis.Int. Rev. Exp. Pathol, 24, 203 – 76

    PubMed  CAS  Google Scholar 

  6. Stokes, J. H., Beerman, H. and Ingraham, N. R., Jr. (1944).Modern Clinical Syphilology: Diagnosis, Treatment, Case Study. ( Philadelphia: W. B. Saunders )

    Google Scholar 

  7. Pusey, W. A. (1933).The History and Epidemiology of Syphilis. (Springfield, IL: C. C. Thomas )

    Google Scholar 

  8. Dennie, C. C. (1962).A History of Syphilis. (Springfield, IL: C. C. Thomas )

    Google Scholar 

  9. Crissey, J. T. and Parish, L. C. (1981).The Dermatology and Syphilology of the Nineteenth Century. ( New York: Praeger )

    Google Scholar 

  10. U. S. Public Health Service (1968).Syphilis: a Synopsis. Publication No. 1660 ( Washington: US Government Printing Office )

    Google Scholar 

  11. Krieg, N. R. and Holt, J. G. (eds.). (1984).Bergey’s Manual of Systematic Bacteriology. The genus Treponema, Vol. I, p. 49. (Baltimore: Williams and Wilkins )

    Google Scholar 

  12. Schell, R. F., Azadegan, A. A., Nitskansky, S. G. and Le Frock, J. L. (1982). Acquired resistance of hamsters to challenge with homologous and heterologous virulent treponemes.Infect. Immun, 37, 617 – 21

    PubMed  CAS  Google Scholar 

  13. Thornburg, R. W. and Baseman, J. B. (1983). Comparison of major protein antigens and protein profiles ofTreponema pallidum and Treponema pertenue. Infect. Immun, 42, 623 - 7

    CAS  Google Scholar 

  14. Baker-Zander, S. A. and Lukehart, S. A. (1983). Molecular basis of immunological cross- reactivity betweenTreponema pallidum and Treponema pertenue. Infect. Immun, 42, 634 – 8

    CAS  Google Scholar 

  15. Stamm, L. V. and Bassford, P. J., Jr. (1985). Cellular and extracellular protein antigens ofTreponema pallidumsynthesized during in vitro incubation of freshly extracted organisms.Infect. Immun, 47, 799 – 807

    PubMed  CAS  Google Scholar 

  16. Fieldsteel, A. H., Cox, D. L. and Moeckli, R. A. (1981). Cultivation of virulentTreponema pallidumin tissue culture.Infect. Immun, 32, 908 – 15

    PubMed  CAS  Google Scholar 

  17. Norris, S. J. and Edmondson, D. G. (1986). Factors affecting the multiplication and subculture ofTreponema pallidumsubsp.pallidumin a tissue culture system.Infect. Immun, 53, 534 – 9

    PubMed  CAS  Google Scholar 

  18. Hanff, P. A., Norris, S. J., Lovett, M. A. and Miller, J. N. (1984). Purification ofTreponema pallidum, Nichols strain, by Percoll density gradient centrifugation. Sex.Transm. Dis, 11, 275 – 86

    Article  CAS  Google Scholar 

  19. Magnuson, H. J., Eagle, H. and Fleischman, R. (1948). The minimal infectious inoculum ofSpirochaeta pallida(Nichols strain) and a consideration of its rate of multiplication in vivo.Am. J. Syph, 32, 1 – 18

    PubMed  CAS  Google Scholar 

  20. Blanco, D. R., Radolf, J. D., Lovett, M. A. and Miller, J. N. (1986). The antigenic interrelationship between the endoflagella ofTreponema phagedenisbiotype Reiter andTreponema pallidumNichols strain. I. Treponemicidal activity of cross-reactive endoflagellar antibodies againstT. pallidum. J. Immunol, 137, 2973 – 9

    CAS  Google Scholar 

  21. Norris, S. J., Alderete, J. F., Axelsen, N. H., Bailey, M. J., Baker-Zander, S. A., Baseman, J. B., Bassford, P. J., Baughn, R. E., Cockayne, A., Hanff, P. A., Hindersson, P., Larsen, S. A., Lovett, M. A., Luckehart, S. A., Miller, J. N., Moskophidis, M. A., Miiller, F., Norgard, M. V., Penn, C. W., Stamm, L. V., van Embden, J. D. and Wicher, K. (1987). Identity ofTreponema pallidumsubsp.pallidumpolypeptides: Correlation of sodium dodecyl sulfate-polyacrylamide gel electrophoresis results from different laboratories.Electrophoresis, 8, 77 – 92

    Article  CAS  Google Scholar 

  22. Hindersson, P., Knudsen, J. D. and Axelsen, N. H. (1987). Cloning and expression ofTreponema pallidumcommon antigen (Tp-4) inEscherichia coliK12.J. Gen. Microbiol, 133, 587 – 96

    PubMed  CAS  Google Scholar 

  23. Norgard, M. V., Chamberlain, N. R., Swancutt, M. A. and Goldberg, M. S. (1986). Cloning and expression of the major 47-kilodalton surface immunogen ofTreponema palliduminEscherichia coli. Infect. Immun, 54, 500 – 6

    CAS  Google Scholar 

  24. Bailey, M. J., Cockayne, A. and Penn, C. W. (1987). Monoclonal antibodies directed against surface-associated polypeptides ofTreponema pallidumdefine a biologically active antigen.J. Gen. Microbiol, 133, 1793 – 803

    PubMed  CAS  Google Scholar 

  25. Radolf, J. D., Blanco, D. R., Miller, J. N. and Lovett, M. A. (1986). Antigenic interrelationship between endoflagella ofTreponema phagedenisbiotype Reiter andTreponema pallidum(Nichols): molecular characterization of endoflagellar proteins.Infect. Immun, 54, 626 – 34

    PubMed  CAS  Google Scholar 

  26. Cockayne, A., Bailey, M. J. and Penn, C. W. (1987). Analysis of sheath and core structures of the axial filament ofTreponema pallidum. J. Gen. Microbiol, 133, 1397 – 407

    CAS  Google Scholar 

  27. Swancutt, M. A., Twehous, D. A. and Norgard, M. V. (1986). Monoclonal antibody selection and analysis of a recombinant DNA-derived surface immunogen ofTreponema pallidumexpressed inEscherichia coli. Infect. Immun, 52, 110 – 19

    CAS  Google Scholar 

  28. Hindersson, P., Cockayne, A., Schouls, L. M. and van Embden, J. D. A. (1986). Immunochemical characterization and purification ofTreponema pallidumantigen TpD expressed byEscherichia coliK12.Sex. Transm. Dis, 13, 237 – 44

    Article  PubMed  CAS  Google Scholar 

  29. Pangborn, M. C. (1951).Cardiolipin antigens: preparation and chemical and serological control. Monograph Series No. 6 ( Geneva: World Health Organization )

    Google Scholar 

  30. Sparling, P. F. (1971). Diagnosis and treatment of syphilis.N. Engl J. Med, 284, 642 – 53

    Article  PubMed  CAS  Google Scholar 

  31. Lee, T. J. and Sparling, P. F. (1979). Syphilis: an algorithm.J. Am. Med. Assoc, 242, 1187 – 9

    Article  CAS  Google Scholar 

  32. Luger, A. (1981). Diagnosis of syphilis.Bull WHO, 59, 647 – 54

    PubMed  CAS  Google Scholar 

  33. Miller, J. N. (1975). Value and limitations of nontreponemal and treponemal tests in the laboratory diagnosis of syphilis.Clin. Obst. Gynecol, 18, 191 – 202

    Article  CAS  Google Scholar 

  34. Chen, J., Lin, T. M., Schubert, C. M. and Halbert, S. P. (1986). Treponemal antibody- absorbent enzyme immunoassay for syphilis.J. Clin. Microbiol, 23, 876 – 80

    PubMed  CAS  Google Scholar 

  35. Stevens, R. W. and Schmitt, M. E. (1985). Evaluation of an enzyme-linked immunosorbent assay for treponemal antibody.J. Clin. Microbiol, 21, 399 – 402

    PubMed  CAS  Google Scholar 

  36. Moyer, N. P., Hudson, J. D. and Hausler, W. J., Jr. (1987). Evaluation of the Bio- EnzaBead Test for syphilis.J. Clin. Microbiol, 25, 619 – 23

    PubMed  CAS  Google Scholar 

  37. Burdash, N. M., Hinds, K. K., Finnerty, F. A. and Manos, J. P. (1987). Evaluation of the syphilis Bio-EnzaBead assay for detection of treponemal antibody.J. Clin. Microbiol, 25, 808 – 11

    PubMed  CAS  Google Scholar 

  38. Matthews, H. M., Yang, T.-K. and Jenkin, H. M. (1979). Unique lipid composition ofTreponema pallidum(Nichols virulent strain).Infect. Immun, 24, 713 – 19

    PubMed  CAS  Google Scholar 

  39. Huber, T. W., Storms, S., Young, P., Phillips, L. E., Rogers, T. E., Moore, D. G. and Williams, R. P. (1983). Reactivity of microhemagglutination, fluorescent treponemal antibody absorbtion, venereal disease research laboratory, and rapid plasma reagin tests in primary syphilis.J. Clin. Microbiol, 17, 405 – 9

    PubMed  CAS  Google Scholar 

  40. Harris, E. N., Hughes, G.R. V. and Gharavi, A. E. (1987). Antiphospholipid antibodies: an elderly statesman dons new garments.J. Rheumatol, 14, 208 – 13

    Google Scholar 

  41. Lindenschmidt, E.-G., Laufs, R. and Muller, F. (1983). Microenzyme-linked immunosorbent assay for the detection of specific IgM antibodies in human syphilis.Br. J. Vener. Dis, 59, 151 – 6

    PubMed  CAS  Google Scholar 

  42. Farshy, C. E., Hunter, E. F., Larsen, S. A. and Cerny, E. H. (1984). Double-conjugate enzyme-linked immunosorbent assay for immunoglobulins G and M againstTreponema pallidum.J. Clin. Microbiol, 20, 1109 – 13

    PubMed  CAS  Google Scholar 

  43. Farshy, C. E., Hunter, E. F., Helsel, L. O. and Larsen, S. A. (1985). Four-step enzyme- linked immunosorbent assay for detection ofTreponema pallidumantibody.J. Clin. Microbiol, 21, 387 – 9

    PubMed  CAS  Google Scholar 

  44. Morrison-Plummer, J., Alderete, J. F. and Baseman, J. B. (1983). Enzyme-linked immunosorbent assay for the detection of serum antibody to outer membrane proteins of Treponema pallidum.Br. J. Vener. Dis, 59, 75 – 9

    PubMed  CAS  Google Scholar 

  45. Pedersen, N. S., Petersen, C. S. and Axelsen, N. H. (1982). Enzyme-linked immunosorbent assay for detection of immunoglobulin M antibody against the Reiter treponeme flagellum in syphilis.J. Clin. Microbiol, 16, 608 – 14

    PubMed  CAS  Google Scholar 

  46. Rodgers, G. C., Laird, W. J., Coates, S. R., Mack, D. H., Huston, M. and Sninsky, J. J. (1986). Serological characterization and gene localization of an Escherichia coli-cxpressed 37 kilodaltonTreponema pallidumantigen.Infect. Immun, 53, 16 – 25

    PubMed  CAS  Google Scholar 

  47. Radolf, J. D., Lernhardt, E. B., Fehniger, T. E. and Lovett, M. A. (1986). Serodiagnosis of syphilis by enzyme-linked immunosorbent assay with purified recombinantTreponema pallidumantigen 4D.J. Infect. Dis, 153, 1023 – 7

    Article  PubMed  CAS  Google Scholar 

  48. Hunter, E. F., Deacon, W. E. and Meyer, P. E. (1964). An improved FTA test for syphilis, the absorbtion procedure (FTA-ABS).Pub. Hlth. Rep, 79, 410 – 12

    CAS  Google Scholar 

  49. Baseman, J. B. and Hayes, E. C. (1980). Molecular characterization of receptor binding proteins and immunogens of virulentTreponema pallidum. J. Exp. Med, 151, 573 – 86

    Article  CAS  Google Scholar 

  50. Alderete, J. F. and Baseman, J. B. (1981). Analysis of serum IgG against Treponema pallidum protein antigens in experimentally infected rabbits.Br. J. Vener. Dis, 57, 302 – 8

    PubMed  CAS  Google Scholar 

  51. van Eijk, R. V. W. and van Embden, J. D. A. (1982). Molecular characterization ofTreponema pallidumproteins responsible for the human immune response to syphilis.Antonie van Leeuwehoek, 48, 486 – 7

    Article  Google Scholar 

  52. Lukehart, S. A., Baker-Zander, S. A. and Gubish, E. R., Jr. (1982). Identification ofTreponema pallidumantigens: comparison with a nonpathogenic treponeme.J. Immunol, 129, 833 – 8

    PubMed  CAS  Google Scholar 

  53. Hanff, P. A., Fehniger, T. E., Miller, J. N. and Lovett, M. A. (1982). Humoral immune response in human syphilis to polypeptides ofTreponema pallidum. J. Immunol, 129, 1287 – 91

    CAS  Google Scholar 

  54. Moskophidis, M. and Muller, F. (1984). Molecular analysis of immunoglobulins M and G immune response to protein antigen ofTreponema pallidumin human syphilis.Infect. Immun, 43, 127 – 32

    PubMed  CAS  Google Scholar 

  55. Baker-Zander, S. A., Hook, E. W., Ill, Bonin, P., Handsfield, H. H. and Lukehart, S. A. (1985). Antigens ofTreponema pallidumrecognized by IgG and IgM antibodies during syphilis in humans.J. Infect. Dis, 151, 264 – 72

    Article  PubMed  CAS  Google Scholar 

  56. O’Farrell, P. (1975). High resolution two-dimensional electrophoresis of proteins.J. Biol Chem, 250, 4007 – 21

    PubMed  Google Scholar 

  57. Norris, S. J. and Sell, S. (1984). Antigenic complexity ofTreponema pallidum: antigenicity and surface localization of major polypeptides.J. Immunol, 133, 2686 – 92

    PubMed  CAS  Google Scholar 

  58. Borenstein, L. A., Fehninger, T. E., Radolf, J. D., Blanco, D. R., Miller, J. N. and Lovett, M. A. (1988). Immunization of rabbits with a recombinantTreponema pallidumsurface antigen (4D) alters the course of experimental syphilis.J. Immunol, 140, 2415 – 21

    PubMed  CAS  Google Scholar 

  59. Peltier, A. and Christian, C. L. (1959). The presence of the ‘rheumatoid factor’ in sera from patients with syphilis.Arthritis Rheum, 2, 1 – 7

    Article  PubMed  CAS  Google Scholar 

  60. Bloomfield, N. (1960). Reactions in the latex-fixation test for rheumatoid arthritis with serum of syphilitic individuals.J. Lab. Clin. Med, 55, 73 – 6

    PubMed  CAS  Google Scholar 

  61. Mustakallio, K. K., Lassus, A. and Wager, 0. (1967). Autoimmune phenomena in syphilitic infection: rheumatoid factor and cryoglobulins in different stages of syphilis.Int. Arch. Allergy Appl. Immunol, 31, 417 – 26

    Article  CAS  Google Scholar 

  62. Baughn, R. E., McNeely, M. C., Jorizzo, J. L. and Musher, D. M. (1986). Characterization of the antigenic determinants and host components in immune complexes from patients with secondary syphilis.J. Immunol, 136, 1406 – 14

    PubMed  CAS  Google Scholar 

  63. Casavant, C. H., Wicher, V. and Wicher, K. (1978). Host response to Treponema pallidum infections. III. Demonstration of autoantibodies to heart in sera from infected rabbits.Int. Arch. Allergy Appl Immunol, 56, 171 – 8

    Article  PubMed  CAS  Google Scholar 

  64. Strugnell, R. A., Williams, W. F., Raines, G., Pedersen, J. S., Drummond, L. P., Toh, B. H. and Faine, S. (1986). Autoantibodies to creatine kinase in rabbits infected withTreponema pallidum. J. Immunol, 136, 667 – 71

    CAS  Google Scholar 

  65. Lukehart, S. A., Baker-Zander, S. A., Lloyd, R. M. C. and Sell, S. (1980). Characterization of lymphocyte responsiveness in early experimental syphilis. II. Nature of cellular infiltration andTreponema pallidumdistribution in testicular lesions.J. Immunol, 124, 461 – 7

    PubMed  CAS  Google Scholar 

  66. Sell, S., Gamboa, D., Baker-Zander, S. A., Lukehart, S. A. and Miller, J. N. (1980). Host response toTreponema pallidumin intradermally-infected rabbits: evidence for persistence of infection at local and distant sites.J. Immunol, 75, 470 – 5

    CAS  Google Scholar 

  67. Baker-Zander, S. A. and Sell, S. (1980). A histopathologic and immunologic study of the course of syphilis in the experimentally infected rabbit: demonstration of long-lasting cellular immunity.Am. J. Pathol, 101, 387 – 414

    PubMed  CAS  Google Scholar 

  68. Sell, S., Baker-Zander, S. A. and Lloyd, R. M. C. (1980). T-cell hyperplasia of lymphoid tissues of rabbits infected withTreponema pallidum. Sex. Transm. Dis, 7, 74 – 84

    Article  CAS  Google Scholar 

  69. Ovcinnikov, N. M. and Delektorskij, V. V. (1972). Electron microscopy of phagocytosis in syphilis and yaws.Br. J. Vener. Dis, 48, 227 – 48

    PubMed  CAS  Google Scholar 

  70. Sell, S., Baker-Zander, S. and Powell, H. C. (1982). Experimental syphilitic orchitis in rabbits: ultrastructural appearance ofTreponema pallidumduring phagocytosis and destruction by macrophages in vivo.Lab. Invest, 46, 355 – 64

    PubMed  CAS  Google Scholar 

  71. Lukehart, S. A. (1982). Activation of macrophages by products of lymphocytes from normal and syphilitic rabbits.Infect. Immun, 37, 64 – 9

    PubMed  CAS  Google Scholar 

  72. Lukehart, S. A. and Miller, J. N. (1978). Demonstration of the in vitro phagocytosis of Treponema pallidum by rabbit peritoneal macrophages.J. Immunol, 121, 2014 – 24

    PubMed  CAS  Google Scholar 

  73. Lukehart, S. A., Baker-Zander, S. A. and Sell, S. (1980). Characterization of lymphocyte responsiveness in early experimental syphilis. I. In vitro response to mitogens andTreponema pallidumantigens.J. Immunol, 124, 454 – 60

    PubMed  CAS  Google Scholar 

  74. Pavia, C. S., Folds, J. D. and Baseman, J. B. (1978). Cell-mediated immunity during syphilis: a review. Br. J. Vener. Dis., 54, 144 – 50

    Google Scholar 

  75. Tabor, D. R., Azadegan, A. A., Schell, R. F. and LeFrock, J. L. (1984). Inhibition of macrophage C3b-mediated ingestion by syphilitic hamster T-cell-enriched fractions.J. Immunol, 135, 2698 – 705

    Google Scholar 

  76. Tabor, D. R., Bagasra, O. and Jacobs, R. F. (1986). Treponemal infection specifically enhances node T-cell regulation of macrophage activity.Infect. Immun, 54, 21 – 7

    PubMed  CAS  Google Scholar 

  77. Schell, R. F., Le Frock, J. L. and Chan, J. K. (1982). Transfer of resistance with syphilitic immune cells: lack of correlation with mitogenic activity.Infect. Immun, 35, 187 – 92

    PubMed  CAS  Google Scholar 

  78. Gjestland, T. (1955). The Oslo study of untreated syphilis. An epidemiologic investigation of the natural course of syphilitic infection based upon a re-study of the Boeck-Bruusgaard material.Acta Dermatol Vener, 35 (Suppl. 34) 1 – 365

    Google Scholar 

  79. Jorizzo, J. L., McNeely, M. C., Baughn, R. E., Solomon, A. R., Cavallo, T. and Smith E. B. (1986). Role of circulating immune complexes in human secondary syphilis.J. Infect. Dis, 153, 1014 – 22

    Article  PubMed  CAS  Google Scholar 

  80. Medici, M. A. (1972). The immunoprotective niche - A new pathogenic mechanism for syphilis, the systemic mycoses and other infectious diseases.J. Theor. Biol, 36, 617 – 25

    Article  PubMed  CAS  Google Scholar 

  81. Sell, S., Salman, J. and Norris, S. J. (1985). Reinfection of chancre-immune rabbits withTreponema pallidum: I. Light and immunofluorescence studies.Am. J. Pathol, 118, 248 – 55

    PubMed  CAS  Google Scholar 

  82. Vartdal, F., Vanvik, B., Micaelsen, T. E., Loe, K. and Norrby, E. (1981). Neurosyphilis: intrathecal synthesis of oligoclonal antibodies toTreponema pallidum. Ann. Neurol, 11, 35 – 40

    Article  Google Scholar 

  83. Lowhagen, G.-B., Andersson, M., Blomstrand, C. and Roupe, G. (1983). Central nervous system involvement in early syphilis. I. Intrathecal immunoglobulin production.Acta Derm. Venereol. (Stockholm), 63, 409 – 17

    CAS  Google Scholar 

  84. Muller, F., Moskophidis, M. and Prange, H. W. (1984). Demonstration of locally synthesized immunoglobulin M antibodies to Treponema pallidum in the central nervous system of patients with untreated neurosyphilis.J. Neuroimmunol, 7, 43 – 54

    Article  PubMed  CAS  Google Scholar 

  85. Mascola, L., Pelosi, R., Blount, J. H., Alexander, C. E. and Cates, W., Jr. (1985). Congenital syphilis revisited.Am. J. Dis. Child, 139, 575 – 80

    PubMed  CAS  Google Scholar 

  86. Judge, D. M., Tafari, N., Naeye, R. L. and Marboe, C. (1986). Congenital syphilis and perinatal mortality.Pediatr. Pathol, 5, 411 – 20

    Article  PubMed  CAS  Google Scholar 

  87. Fiumara, N. J. and Lessell, S. (1983). The stigmata of late congenital syphilis: an analysis of 100 patients.Sex. Transm. Dis, 10, 126 – 9

    Article  PubMed  CAS  Google Scholar 

  88. Fitzgerald, T. J. (1985). Experimental congenital syphilis in rabbits.Can. J. Microbiol, 31, 757 – 62

    Article  PubMed  CAS  Google Scholar 

  89. Kajdacsy-Balla, A., Howeedy, A. and Bagasra, O. (1987). Syphilis in the Syrian hamster. A model of human venereal and congenital syphilis.Am. J. Pathol, 126, 599 – 601

    PubMed  CAS  Google Scholar 

  90. McKenna, J. J., Miles, R., Lemen, D., Dunford, S. A. and Renirie, R. (1986). Unmasking AIDS: chemical immunosuppression and seronegative syphilis.Med. Hypotheses, 21, 421 – 30

    Article  PubMed  CAS  Google Scholar 

  91. Zaidman, G. W. (1986). Neurosyphilis and retrobulbar neuritis in a patient with AIDS.Ann. Ophthalmol, 18, 260 – 1

    PubMed  CAS  Google Scholar 

  92. Berry, C. D., Hooton, T. M., Collier, A. C. and Lukehart, S. A. (1987). Neurologic relapse after benzathine penicillin therapy for secondary syphilis in a patient with HIV infection.N. Engl. J. Med, 316, 1587 – 9

    Article  PubMed  CAS  Google Scholar 

  93. Johns, D. R., Tierney, M. and Felsenstein, D. (1987). Alteration in the natural history of neurosyphilis by concurrent infection with the human immunodeficiency virus.N. Engl. J. Med, 316, 1569 – 72

    Article  PubMed  CAS  Google Scholar 

  94. Stoumbos, V. D. and Klein, M. L. (1987). Syphilitic retinitis in a patient with acquired immunodeficiency syndrome-related complex, (letter)Am. J. Ophthalmol, 103, 103 – 4

    PubMed  CAS  Google Scholar 

  95. Zambrano, W., Perez, G. M., and Smith, J. L. (1987). Acute syphilitic blindness in AIDS.J. Clin. Neurol. Ophthalmol., 7, 1 – 5

    CAS  Google Scholar 

  96. Rosenheim, M., Brucker, G., Leibowitch, M. Niel, G., Bournerias, I., Duflo, B. and Gentilini, M. (1987). Syphilis maligne chez un malade porteur d’anticorps anti-VIH.N. Presse Med, 16, 777

    CAS  Google Scholar 

  97. Petersen, L. R., Mead, R. H. and Perlroth, M. G. (1983). Unusual manifestations of secondary syphilis occurring after orthotopic liver transplantation.Am. J. Med, 75, 166 – 70

    Article  PubMed  CAS  Google Scholar 

  98. Guinan, M. E., Thomas, P. A., Pinsky, P. F., Goodrich, J. T., Selik, R. M., Jaffe, H. W., Haverkos, H. W., Noble, G. and Curran, J. W. (1984). Heterosexual and homosexual patients with the acquired immunodeficiency syndrome. A comparison of surveillance, interview, and laboratory data.Ann. Intern. Med, 100, 213 – 18

    PubMed  CAS  Google Scholar 

  99. Moss, A. R., Osmond, D., Bacchetti, P., Chermann, J.-C., Barre-Sinoussi, F. and Carlson, J. (1987). Risk factors for AIDS and HIV seropositivity in homosexual men.Am. J. Epidemiol, 125, 1035 – 47

    PubMed  CAS  Google Scholar 

  100. Young, E. J., Weingarten, N. M., Baughn, R. E. and Duncan, W. C. (1982). Studies on the pathogenesis of the Jarisch-Herxheimer reaction: development of an animal model and evidence against a role for classical endotoxin.J. Infect. Dis, 146, 606 – 15

    Article  PubMed  CAS  Google Scholar 

  101. Moore, M. B., Price, E. V., Knox, J. M. and Elgin, L. W. (1963). Epidemiologic treatment of contacts to infectious syphilis.Pub. Hlth. Rep, 78, 966 – 70

    Google Scholar 

  102. Schroeter, A. L., Turner, R. H., Lucas, J. B. and Brown, W. J. (1971). Therapy for incubating syphilis. Effectiveness of gonorrhea treatment.J. Am. Med. Assoc, 218, 711 – 13

    Article  CAS  Google Scholar 

  103. Magnuson, H. J., Thomas, E.W., Olansky, S., Kaplan, B. I., De Mello, L. and Cutler, J. C. (1956). Inoculation syphilis in human volunteers.Medicine, 35, 33 – 82

    Article  PubMed  CAS  Google Scholar 

  104. Magnuson, H. J. and Rosenau, B. J. (1948). The rate of development and degree of acquired immunity in experimental syphilis.Am. J. Syph, 32, 418 – 36

    PubMed  CAS  Google Scholar 

  105. Schell, R. F., Chan, J. K. and Le Frock, J. L. (1979). Endemic syphilis: passive transfer of resistance with serum and cells in hamsters.J. Infect. Dis, 140, 378 – 83

    Article  PubMed  CAS  Google Scholar 

  106. Azadegan, A. A., Schell, R. F. and Le Frock, J. L, (1983). Immune serum confers protection against syphilitic infection on hamsters.Infect. Immun, 42, 42 – 7

    PubMed  CAS  Google Scholar 

  107. Azadegan, A. A., Schell, R. F., Steiner, B. M., Coe, J. E. and Chan, J. K. (1986). Effect of immune serum and its immunoglobulin fractions on hamsters challenged with Treponema pallidum subsp. pertenue.J. Infect. Dis, 153, 1007 – 13

    Article  PubMed  CAS  Google Scholar 

  108. Pavia, C. S. and Niederbuhl, C. J. (1985). Acquired resistance and expression of a protective humoral immune response in guinea pigs infected withTreponema pallidumNichols.Infect, Immun, 50, 66 – 72

    CAS  Google Scholar 

  109. Pavia, C. S., Niederbuhl, C. J. and Saunders, J. (1985). Antibody-mediated protection of guinea pigs against infection withTreponema pallidum. Immunology, 56, 195 – 202

    CAS  Google Scholar 

  110. Azadegan, A. A., Tabor, D. R., Schell, R. F. and Le Frock, J. L. (1984). Cobra venom factor abrogates passive humoral resistance to syphilitic infection in hamsters.Infect. Immun, 44, 740 – 2

    PubMed  CAS  Google Scholar 

  111. Steiner, B. M., Schell, R. F., Liu, H. and Harris, O. N. (1986). The effect of C3 depletion on resistance of hamsters to infection with the yaws spirochete.Sex. Transm. Dis, 13, 245 – 50

    Article  PubMed  CAS  Google Scholar 

  112. Metzger, M. and Smogor, W. (1975). Passive transfer of immunity to experimental syphilis in rabbits by immune lymphocytes.Arch. Immunol. Ther. Exp, 23, 625 – 30

    CAS  Google Scholar 

  113. Chan, J. K., Schell, R. F. and Le Frock, J. L. (1979). Ability of enriched immune T cells to confer resistance in hamsters to infection withTreponema pertenue. Infect, Immun, 26, 448 – 52

    CAS  Google Scholar 

  114. Pavia, C. S. and Niederbuhl, C. J. (1985). Adoptive transfer of anti-syphilis immunity with lymphocytes fromTreponema pallidum-infected guinea pigs.J. Immunol, 135, 2829 – 34

    PubMed  CAS  Google Scholar 

  115. Metzger, M. and Smogor, W. (1969). Artificial immunization of rabbits against syphilis. Br. J. Vener. Dis., 45, 308 – 12

    PubMed  CAS  Google Scholar 

  116. Miller, J. N. (1973). Immunity in experimental syphilis. VI. Successful vaccination of rabbits withTreponema pallidum, Nichols strain, attenuated by gamma-irradiation.J. Immunol, 110, 1206 – 15

    PubMed  CAS  Google Scholar 

  117. Hindersson, P., Petersen, C, S. and Axelsen, N. H. (1985). Purified flagella fromTreponema phagedenisbiotype Reiter does not induce protective immunity against experimental syphilis in rabbits.Sex. Transm. Dis, 12, 124 – 7

    PubMed  CAS  Google Scholar 

  118. Johnson, P. C., Norris, S. J,, Miller, G. P. G., Scott, L, D., Sell, S., Kahan. B. D. and van Buren, C. T. (1988). Early syphilitic hepatitis following renal transplantation,J. Infect. Dis. (In press)

    Google Scholar 

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© 1988 Kluwer Academic Publishers

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Norris, S.J. (1988). Syphilis. In: Wright, D.J.M. (eds) Immunology of Sexually Transmitted Diseases. Immunology and Medicine, vol 9. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-1255-7_1

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