Evidence map›Paper›PMID 36166299›Full record

ArticleThe Journal of clinical investigation2022

Tick feeding modulates the human skin immune landscape to facilitate tick-borne pathogen transmission.

Johanna Strobl, Verena Mündler, Sophie Müller, Anna Gindl, Sara Berent, Anna-Margarita Schötta, Lisa Kleissl, Clement Staud, Anna Redl, Luisa Unterluggauer and 8 more

Abstract read
In one paragraph

Article in The Journal of clinical investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Review
  2. Dynamics of IgM and IgG responses in Lyme neuroborreliosis - a Norwegian longitudinal study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  3. Colonization of 3D-organotypic human skin by the Lyme Disease pathogen,bioRxiv : the preprint server for biology · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Acquired tick resistance inInfection and immunity · 2025
    Article
  13. Infection and immunity · 2025
    Article
  14. Review
  15. Hitchhiker's Guide toJournal of bacteriology · 2024
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

18 authors.

Johanna StroblDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Verena MündlerInstitute for Hygiene and Applied Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Sophie MüllerDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Anna GindlDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Sara BerentDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Anna-Margarita SchöttaInstitute for Hygiene and Applied Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Lisa KleisslDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Clement StaudDepartment of Plastic and Reconstructive Surgery, Medical University of Vienna, Vienna, Austria.
Anna RedlDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Luisa UnterluggauerDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Ana E Aguilar GonzálezLudwig Boltzmann Institute for Rare and Undiagnosed Diseases, Vienna, Austria.
Sophie T WeningerDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Denise AtzmüllerLudwig Boltzmann Institute for Rare and Undiagnosed Diseases, Vienna, Austria.
Romana KlasincInstitute for Hygiene and Applied Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Gerold StanekInstitute for Hygiene and Applied Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Mateusz MarkowiczInstitute for Hygiene and Applied Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Hannes StockingerInstitute for Hygiene and Applied Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Georg StaryDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.

Funding

Austrian Science Fund FWF P 31494
6 · The paper itself

Abstract

During cutaneous tick attachment, the feeding cavity becomes a site of transmission for tick salivary compounds and tick-borne pathogens. However, the immunological consequences of tick feeding for human skin remain unclear. Here, we assessed human skin and blood samples upon tick bite and developed a human skin explant model mimicking Ixodes ricinus bites and tick-borne pathogen infection. Following tick attachment, we observed rapidly occurring patterns of immunomodulation, including increases in neutrophils and cutaneous B and T cells. T cells upregulated tissue residency markers, while lymphocytic cytokine production was impaired. In early stages of Borrelia burgdorferi model infections, we detected strain-specific immune responses and close spatial relationships between macrophages and spirochetes. Preincubation of spirochetes with tick salivary gland extracts hampered accumulation of immune cells and increased spirochete loads. Collectively, we showed that tick feeding exerts profound changes on the skin immune network that interfere with the primary response against tick-borne pathogens.

Indexed as

IxodesLyme DiseaseAnimalsHumansAdaptive immunityImmunologySkin

Identifiers

PMID36166299
PMCPMC9621130

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.