Evidence map›Paper›PMID 1588290›Full record

ArticleThe Journal of experimental medicine1992

Prolonged treatment with recombinant interferon gamma induces erythema nodosum leprosum in lepromatous leprosy patients.

E P Sampaio, A L Moreira, E N Sarno, A M Malta, G Kaplan

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of experimental medicine, 1992. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
9.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 156 citations in OpenAlex.

  1. Trial
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  9. Review
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  15. Article
  16. The continuing challenges of leprosy.Clinical microbiology reviews · 2006
    Review
  17. Article
  18. Article
  19. Immune deficiency presenting as mycobacterial infection.Clinical reviews in allergy & immunology · 2001
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

E P SampaioLaboratory of Cellular Physiology and Immunology, Rockefeller University, New York, New York 10021.
A L Moreira
E N Sarno
A M Malta
G Kaplan
Rockefeller University · US

Funding

PATHOBIOLOGY OF LEPROSYR01AI022616 · NIAID · ROCKEFELLER UNIVERSITY · PI KAPLAN, GILLA · 1989 to 2002
$1.1M
PATHOBIOLOGY OF HUMAN LEPROSYR22AI022616 · NIAID · ROCKEFELLER UNIVERSITY · PI KAPLAN, GILLA · 1986 to 1991
–
NIAID NIH HHS AI-22616
6 · The paper itself

Abstract

10 patients with borderline and lepromatous leprosy were selected for a prolonged trial with recombinant interferon gamma (rIFN-gamma). Patients received 30 micrograms intradermally for six injections over a 9-d period, and then either 100 micrograms intradermally every 1 mo for 10 mo or every 2 wk for 5 mo (total, 1.2 mg). Erythema nodosum leprosum (ENL) was induced in 60% of the patients within 6-7 mo, as compared with an incidence of 15% per year with multiple drug therapy alone. The mean whole-body reduction in bacterial index over the first 6 mo was 0.9 log units. Cutaneous induration at the intradermal injection sites of greater than or equal to 15 mm predicted the development of a subsequent reactional state. Monocytes obtained from patients receiving the lymphokine demonstrated an increased respiratory burst and a 2.5-5.1-fold increase in tumor necrosis factor alpha (TNF-alpha) secretion in response to agonists. Patients in ENL had an even higher release of TNF-alpha from monocytes as well as high levels of TNF-alpha in the plasma (mean, 2,000 pg/ml). Thalidomide therapy was required to treat the systemic manifestations of ENL. Control of toxic symptoms with thalidomide was associated with a 50-80% reduction in agonist-stimulated monocyte TNF-alpha secretion. IFN-gamma enhanced the monocyte release of TNF-alpha by 3-7.5-fold (agonist dependent) when added to patient's cells in vitro, and this could be suppressed by the in vitro addition of 10 micrograms/ml of thalidomide.

Indexed as

Erythema NodosumHumansInterferon-gammaLeprosy, BorderlineLeprosy, LepromatousMonocytesRecombinant ProteinsSkinThalidomideTime FactorsTumor Necrosis Factor-alphaInterferon-gammaRecombinant ProteinsThalidomideTumor Necrosis Factor-alpha

Identifiers

PMID1588290
PMCPMC2119233
OpenAlexW2169344038

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.