2004
DOI: 10.1098/rsbl.2003.0131
|View full text |Cite
|
Sign up to set email alerts
|

Syphilis in Renaissance Europe: rapid evolution of an introduced sexually transmitted disease?

Abstract: When syphilis f irst appeared in Europe in 1495, it was an acute and extremely unpleasant disease. After only a few years it was less severe than it once was, and it changed over the next 50 years into a milder, chronic disease. The severe early symptoms may have been the result of the disease being introduced into a new host population without any resistance mechanisms, but the change in virulence is most likely to have happened because of selection favouring milder strains of the pathogen. The symptoms of th… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1
1
1

Citation Types

0
41
0
1

Year Published

2007
2007
2017
2017

Publication Types

Select...
8
1

Relationship

0
9

Authors

Journals

citations
Cited by 75 publications
(42 citation statements)
references
References 20 publications
0
41
0
1
Order By: Relevance
“…Based on >500 headto-head virus competition experiments, the recent HIV-1 isolates were significantly less fit than the historical isolates 121 . These findings indicate that HIV-1 might have attenuated in replicative fitness over the past [15][16][17][18] years. If the fitness of the infecting HIV-1 strain is a predictor of disease progression [29][30][31][32] , reduced ex vivo fitness in PBMC might be a strong correlate of decreased virulence.…”
Section: Hivmentioning
confidence: 84%
See 1 more Smart Citation
“…Based on >500 headto-head virus competition experiments, the recent HIV-1 isolates were significantly less fit than the historical isolates 121 . These findings indicate that HIV-1 might have attenuated in replicative fitness over the past [15][16][17][18] years. If the fitness of the infecting HIV-1 strain is a predictor of disease progression [29][30][31][32] , reduced ex vivo fitness in PBMC might be a strong correlate of decreased virulence.…”
Section: Hivmentioning
confidence: 84%
“…This virus might have attenuated as a result of altered immunomodulatory properties in addition to a reduction in the replication rate 13,14 . More recent analyses of archived reports from the fifteenth century suggest that the dramatic decrease in the severity of syphilis symptoms that took place over a period of less than 10 years was related to a reduction in virulence rather than the selection of resistant hosts 15 . Rapid (decades to centuries) versus slow (thousand to millions of years) attenuation might be related to the severity of disease, the rate of lethality and the transmission efficiency or transmission routes.…”
mentioning
confidence: 99%
“…Parasites that are primarily transmitted during mating are therefore likely to experience stronger selection to be cryptic, which may explain why asymptomatic outcomes are generally more common among sexually transmitted infections (22). For example, syphilis rapidly evolved to become milder and less conspicuous following its introduction to Europe during the fifteenth century, most likely due to transmission-avoidance behavior in the human population (56).…”
Section: Infectious Dose) (H) Mate Choice Is Maximized (And Virulencmentioning
confidence: 99%
“…There is substantial circumstantial evidence that historical changes towards reduced virulence of syphilis were associated with a shift from non-sexual to sexual transmission [137]. …”
Section: Evolution Of Transmission Mode and Human Diseasementioning
confidence: 99%