“…Cytokines include proteins from the tumour necrosis factor (TNF) family, interleukins, and chemokines 89 . Previous studies have shown that there are high amounts of cytokines (IL‐2, IL‐6, IFN‐γ, TNF‐α, IL‐12, IL‐17, IL‐10, IL‐23 and chemokines MCP‐1, CXCL10, CX3CR1) existing in the lesions of primary and secondary syphilis or peripheral serum 68–73,90 . Under pathological conditions, certain pro‐inflammatory mediators, especially TNF‐α and IL‐1β, may exacerbate ECD by upregulating the expression of adhesion molecules such as VCAM‐1, ICAM‐1, E‐selectin and MCP‐1, thereby promoting the adhesion and migration of leukocytes onto the endothelium 91 .…”