Evidence map›Paper›PMID 17195767›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2007

Chemokine responses are increased in HIV-infected Malawian children with invasive pneumococcal disease.

Enitan D Carrol, Limangeni A Mankhambo, Paul Balmer, Standwell Nkhoma, Daniel L Banda, Malcolm Guiver, Graham Jeffers, Nick Makwana, Elizabeth M Molyneux, Malcolm E Molyneux and 3 more

Open access · greenAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

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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

13 authors at 1 institution in 2 countries.

Enitan D CarrolMalawi-Liverpool-Wellcome Trust Clinical Research Programme, Blantyre, Malawi. edcarrol@liv.ac.uk
Limangeni A Mankhambo
Paul Balmer
Standwell Nkhoma
Daniel L Banda
Malcolm Guiver
Graham Jeffers
Nick Makwana
Elizabeth M Molyneux
Malcolm E Molyneux
Rosalind L Smyth
C Anthony Hart
Invasive Pneumococcal Disease Study Group
University of Liverpool · GB

Funding

Wellcome Trust 068026
6 · The paper itself

Abstract

backgroundChemokines play an important role in the recruitment and regulation of leukocyte traffic during bacterial infection. The aims of this study were to investigate the chemokine response to invasive pneumococcal disease (IPD) and to examine the influence of HIV infection on the chemokine response, pneumococcal bacterial loads, and outcome.

methodsWe prospectively studied 95 children with IPD, and blood and cerebrospinal fluid (CSF) samples were taken at admission for the determination of chemokines, interferon-gamma (IFNgamma), and pneumococcal bacterial loads.

resultsPlasma CXCL8 and CCL2, CSF CXCL8 and CCL4, and IFNgamma were significantly higher in HIV-infected children than in HIV-uninfected children. Blood and CSF pneumococcal bacterial loads correlated with plasma and CSF chemokines, respectively, and were higher in HIV-infected children compared with HIV-uninfected children. Among HIV-infected children, plasma concentrations of CXCL8 and CCL2 were significantly higher in nonsurvivors than in survivors, but CCL5 was significantly lower. HIV-infected and HIV-uninfected children with IPD had higher concentrations of chemokines (except CCL5) than acutely ill HIV-infected and HIV-uninfected children with no detectable bacterial infection. Male gender and low plasma CCL2 concentrations were shown to be independently associated with survival.

conclusionsChemokines, in particular CCL2, are associated with survival in IPD and correlate with pneumococcal bacterial loads, disease presentation, and outcome.

Indexed as

AdolescentAnti-Bacterial AgentsChemokine CCL2Chemokine CCL4Chemokine CCL5ChemokinesChemokines, CCChildChild, PreschoolDNA, BacterialHIV InfectionsHumansInfantInterferon-gammaInterleukin-8Pneumococcal InfectionsAnti-Bacterial AgentsCCL4 protein, humanCCL5 protein, humanChemokine CCL2Chemokine CCL4Chemokine CCL5ChemokinesChemokines, CCDNA, BacterialInterferon-gammaInterleukin-8

Identifiers

PMID17195767
PMCPMC2811313
OpenAlexW2070825121

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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.