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Table 2 Plasma cytokine and chemokine concentrations in HIV-infected and uninfected patients with syphilis by syphilis stage (pg/ml)

From: The immunological response to syphilis differs by HIV status; a prospective observational cohort study

 

HIV-infected Controls

HIV-infected

HIV-uninfected

 
 

Primary/Secondary Syphilis#

Latent Syphilis#

Primary/Secondary Syphilis#

PSS HIV+ vs. -, P$

Baseline

 N

30

44

35

10

 

Pro-inflammatory

 IFNα

9.88 (1.6–16.43)

7.45 (0.8–31.35)

7.45 (0.8–20.42)

4.12 (0.8–24.73)

0.5202

 IL1β

1.57 (1.57–1.57)

1.57 (1.57–1.57)

1.57 (1.57–1.57)

1.57 (1.57–1.57)

0.4883

 IL-6

1.26 (1.26–1.26)

1.26 (1.26–1.26)*

1.26 (1.26–1.26)

1.26 (1.26–1.26)

0.722

 IL-17A

1.52 (1.52–1.52)

1.52 (1.52–1.52)

1.52 (1.52–1.52)

1.52 (1.52–1.52)

0.8358

Th1

 IFNγ

2.18 (1.54–4.59)

3.52 (1.54–5.45)

1.79 (1.54–4.59)

4.01 (1.54–16.66)

0.5991

 IL-7

1.11 (1.11–1.11)

1.11 (1.11–1.36)

1.11 (1.11–1.11)

1.11 (1.11–1.11)

0.357

 IL-12p40

1.02 (1.02–1.02)

1.02 (1.02–1.02)

1.02 (1.02–1.02)

1.02 (1.02–1.02)

0.4056

 IL-12p70

1.61 (1.61–1.61)

1.61 (1.61–1.67)

1.61 (1.61–1.61)

1.61 (1.61–4.08)

0.6264

Chemokines

 IL-8

1.6 (1.6–5.06)

4.51 (2.41–7.43)**

1.6 (1.6–3.15)

1.6 (1.6–5.13)

0.0723

 IP-10

589.4 (319.38–917.05)

1016.1 (649.64–1451.32)**

696.89 (455.35–1101.67)

696.52 (426.27–1040.07)

0.1561

 MCP-1

258.42 (179.09–307.75)

260.1 (216.95–307.35)

242.05 (180.35–303.1)

247.64 (205.76–287.32)

0.4321

 MIP-1α

1.63 (1.63–3.65)

3.09 (1.63–8.3)

1.63 (1.63–1.63)

1.63 (1.63–1.63)

0.1247

 MIP-1β

14.54 (0.99–22.23)

28.59 (16.06–42.51)**

15.2 (4.92–22.23)

8.46 (4.92–23.05)

0.0205

Th2

 IL-4

1.58 (1.58–1.58)

1.58 (1.58–1.58)

1.58 (1.58–1.58)

1.58 (1.58–1.58)

0.4883

 IL-5

1.58 (1.58–1.58)

1.58 (1.58–1.58)

1.58 (1.58–1.58)

1.58 (1.58–1.58)

0.3324

Anti-inflammatory

 IL-10

1.55 (1.55–1.55)

25.3 (4.56–41.76)***

2.46 (1.55–4.62)*

2.73 (1.55–9.02)*

0.0029

6 month

 N

 

41

34

10

 

Pro-inflammatory

 IFNα

 

0.8 (0.8–9.27)**#

0.8 (0.8–7.8)**#

0.8 (0.8–0.8)*#

0.3282

 IL-1β

 

1.57 (1.57–1.57)

1.57 (1.57–1.57)

1.57 (1.57–1.57)

0.1798

 IL-6

 

1.26 (1.26–1.26)

1.26 (1.26–1.26)

1.26 (1.26–1.26)

0.7379

 IL-17A

 

1.52 (1.52–1.52)

1.52 (1.52–1.52)

1.52 (1.52–1.52)

0.7379

Th1

 IFNγ

 

1.54 (1.54–5.09)

1.62 (1.54–4.88)

5.17 (1.54–13.89)

0.0978

 IL-7

 

1.11 (1.11–1.11)

1.11 (1.11–1.11)

1.11 (1.11–1.11)

0.6486

 IL-12p40

 

1.02 (1.02–1.02)

1.02 (1.02–1.02)

1.02 (1.02–1.02)

0.2068

 IL-12p70

 

1.61 (1.61–1.61)

1.61 (1.61–1.86)

1.61 (1.61–1.61)

0.7639

Chemokines

 IL-8

 

1.87 (1.6–4.02)

1.6 (1.6–1.7)

1.66 (1.6–3.75)

0.4406

 IP-10

 

564.56 (392.18–740.03)

592.04 (447.8–831.96)

447 (309–593)

0.2134

 MCP-1

 

270.25 (225.5–330.3)

261.32 (241.06–312.26)

269 (219–297)

0.8287

 MIP-1α

 

1.63 (1.63–1.63)

1.63 (1.63–1.63)

1.63 (1.63–1.63)

0.6726

 MIP-1β

 

7.4 (0.99–20.28)

9.17 (1.99–14)

2.39 (0.99–12.05)

0.249

Th2

 IL-4

 

1.58 (1.58–1.58)

1.58 (1.58–1.58)

1.58 (1.58–1.58)

0.1798

 IL-5

 

1.58 (1.58–1.58)

1.58 (1.58–1.58)

1.58 (1.58–1.58)

0.3621

Anti-inflammatory

 IL-10

 

1.83 (1.83–4.09)***

2.11 (1.83–3.37)***

2.26 (1.83–4.46)**

0.6296

  1. All values are median and interquartile range. Data are n (%), median (IQR), unless otherwise stated
  2. # P-value is for comparison with controls at baseline (Mann-Whitney U-test)
  3. $ P-value is for comparison between HIV-infected and uninfected groups with Primary/Secondary syphilis (Mann-Whitney U-test)
  4. *P < 0.05, ** P < 0.005, ***P < 0.0005
  5. PSS - Primary/Secondary Syphilis