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. 2023 Jun;29(6):1091–1101. doi: 10.3201/eid2906.221685

Table 4. Cytokine and chemokine levels at study entry vs 3 mo in cerebrospinal fluid and serum for association of persistent symptoms after Lyme neuroborreliosis and increased levels of interferon-α in blood, Slovenia*.

Mediator
Cerebrospinal fluid

Serum
T = 0, median 
(range), pg/mL, 
n = 67
T = 3, median (range), pg/mL, 
n = 64
p value†
T = 0, median (range), pg/mL, 
n = 78
T = 3, median (range), pg/mL, 
n = 74
p value†
Innate
IFN-α 3 (0–64) 1 (0–19) 0.0005 2 (0–187) 2 (0–158) 0.7
IL-6 7 (0–146) 1 (0–1) 0.6 1 (0–234) 1 (0–88) 0.0007
IL-8 144 (18–1,288) 1 (0–1) 0.001 1 (0–40) 15 (1–1,700) 0.0007
IL-10 6 (0–422) 31 (13–107) 0.4 23 (0–2,159) 1 (0–3) 0.2
TNF 10 (0–150) 2 (0–20) 0.001 20 (2–385) 19 (2–278) 0.8
CCL2 1,096 (223–48,494) 719 (241–1,889) 0.001 668 (60–1,579) 688 (287–7,311) 0.4
CCL3 49 (1–107) 38 (1–87) 0.001 25 (1–1,310) 21 (1–1,080) 0.8
CCL4
29 (1–787)
11 (1–35)
0.001

127 (29–2,567)
129 (33–1,223)
0.8
TH1 adaptive
IFN-γ 2 (0–193) 1 (0–11) 0.003 3 (0–349) 1 (0–32) 0.8
CXCL9 2,274 (14–37,051) 117 (1–1,997) 0.001 1,175 (49–26,310) 853 (110–20,472) 0.03
CXCL10 16,920 (137–139,804) 905 (201–16,407) 0.001 600 (66–4,484) 439 (50–6,221) 0.03
CXCL11 80 (1–2,640) 10 (1–86) 0.001 45 (1–534) 46 (1–499) 0.9
CCL19 55 (10–1,598) 10 (3–362) 0.001 54 (10–939) 73 (7–1,730) 0.7
IL-12p70
3 (1–17)
1 (1–3)
0.001

3 (1–1,486)
3 (1–45)
0.2
TH17 adaptive
IL-17a 9 (4–25) 7 (3–11) 0.001 4 (0–347) 5 (1–64) 0.9
IL-21 3 (3–11) 20 (1–20) 0.009 3 (3–229) 20 (3–41) 0.0007
IL-23 3 (3–408) 49 (0–85) 0.003 13 (0–13,296) 49 (0–2,123) 0.005
CCL21
530 (312–927)
530 (256–1,222)
0.001

97 (20–1,473)
98 (20–1,323)
0.9
B-cell adaptive
CXCL12 3,760 (98–27,479) 1,953 (98–6,880) 0.2 2,875 (98–16,039) 2,875 (98–16,039) 0.8
CXCL13 187 (1–107,723) 4 (1–62) 0.001 18 (5–172) 13 (1–151) 0.2

*Bold indicates statistically significant p values. CCL, CC motif chemokine ligand; CSF, cerebrospinal fluid; CXCL, CXC motif chemokine ligand; IFN, interferon; IL, interleukin; T, timepoint (0 indicates baseline); TNF, tumor necrosis factor. †Benjamini-Hochberg corrected (false discovery rate = 0.05).