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Updated: May 28, 2025

Author Spotlight: Advancing Syphilis Research — Innovations in Treponema pallidum Cultivation and Genetic Engineering
Published on: January 24, 2025
Procedures for In Vitro Cultivation of Treponema pallidum, the Syphilis Spirochete
Diane G Edmondson1, Steven J Norris2, Bridget D De Lay2
1University of Texas Health Science Center at Houston - McGovern Medical School; Diane.G.Edmondson@uth.tmc.edu.
Abstract:
For over a century, Treponema pallidum subsp. pallidum, the spiral-shaped bacterium that causes syphilis, could only be propagated by inoculation and harvest of the organisms from rabbit testes. In 2018, we described a method to continuously cultivate T. pallidumin vitro. This system utilizes co-culture with rabbit epithelial cells (Sf1Ep cells) in a serum-containing tissue culture medium called TpCM-2. The T. pallidum doubling time in culture is similar to that estimated to occur during natural infection (about 33-45 h). The organism can be cultured continuously with a standard passage time of 1 week in a low oxygen (1.5%) environment at 34 °C. This article contains the protocols for culturing T. pallidum, methods for growing and maintaining the required tissue culture cells, and the technique for generating isogenic strains by limiting dilution. The ability to grow T. pallidum in vitro provides new experimental avenues to study and understand this enigmatic organism.
Insights
Researchers have developed a new method for continuously culturing Treponema pallidum (syphilis bacterium) in vitro. This breakthrough enables new research into syphilis pathogenesis and treatment.
Area of Science:
- Microbiology
- Infectious Diseases
- Cell Biology
Background:
- Treponema pallidum subsp. pallidum, the causative agent of syphilis, has historically been difficult to culture in vitro.
- Previous propagation methods relied on animal models, limiting research.
- A breakthrough in 2018 enabled continuous in vitro cultivation.
Purpose of the Study:
- To detail the protocols for the in vitro cultivation of Treponema pallidum.
- To describe methods for maintaining necessary cell lines and generating isogenic strains.
- To facilitate further research into syphilis biology and treatment.
Main Methods:
- Co-culture of T. pallidum with rabbit epithelial cells (Sf1Ep cells).
- Utilizing a specialized tissue culture medium (TpCM-2) with serum.
- Culturing under specific conditions: 1.5% oxygen, 34 °C, with a 1-week passage time.
Main Results:
- Successful continuous in vitro cultivation of T. pallidum.
- T. pallidum doubling time in culture mirrors natural infection rates (33-45 hours).
- Established protocols for cell culture and strain generation.
Conclusions:
- The development of a reliable in vitro culture system for T. pallidum is a significant advancement.
- This system opens new experimental avenues for studying syphilis.
- Further research can now explore T. pallidum's biology and identify novel therapeutic targets.

