Evidence map›Paper›PMID 18369480›Full record

ArticlePLoS pathogens2008

The influence of host and bacterial genotype on the development of disseminated disease with Mycobacterium tuberculosis.

Maxine Caws, Guy Thwaites, Sarah Dunstan, Thomas R Hawn, Nguyen Thi Ngoc Lan, Nguyen Thuy Thuong Thuong, Kasia Stepniewska, Mai Nguyet Thu Huyen, Nguyen Duc Bang, Tran Huu Loc and 18 more

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 244 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
244citing papers in PubMed, 6 pooled it
19.5field-weighted citation impact, top 1% 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

244 citing papers in PubMed, 6 syntheses or guidelines pooled it, 498 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Toll-like receptor polymorphisms and tuberculosis susceptibility: A comprehensive meta-analysis.Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban · 2015
    Pooled it
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  16. Current Epidemiology of Pediatric Tuberculosis.Indian journal of pediatrics · 2024
    Review
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184 more citing papers are in PubMed but not listed here.

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

28 authors at 9 institutions in 4 countries.

Maxine CawsOxford University Clinical Research Unit, Hospital for Tropical Diseases, District 5, Ho Chi Minh City, Vietnam. mcaws@hotmail.com
Guy Thwaites
Sarah Dunstan
Thomas R Hawn
Nguyen Thi Ngoc Lan
Nguyen Thuy Thuong Thuong
Kasia Stepniewska
Mai Nguyet Thu Huyen
Nguyen Duc Bang
Tran Huu Loc
Sebastien Gagneux
Dick van Soolingen
Kristin Kremer
Marianne van der Sande
Peter Small
Phan Thi Hoang Anh
Nguyen Tran Chinh
Hoang Thi Quy
Nguyen Thi Hong Duyen
Dau Quang Tho
Nguyen T Hieu
Estee Torok
Tran Tinh Hien
Nguyen Huy Dung
Nguyen Thi Quynh Nhu
Phan Minh Duy
Nguyen van Vinh Chau
Jeremy Farrar
Hospital for Tropical Diseases · VNInstitute for Systems Biology · USOxford University Clinical Research Unit · VNPham Ngoc Thach Hospital · VNNational Institute for Public Health and the Environment · NLChurchill Hospital · GBHung Vuong Hospital · VNImperial College London · GBUniversity of Washington · US

Funding

Wellcome Trust
6 · The paper itself

Abstract

The factors that govern the development of tuberculosis disease are incompletely understood. We hypothesized that some strains of Mycobacterium tuberculosis (M. tuberculosis) are more capable of causing disseminated disease than others and may be associated with polymorphisms in host genes responsible for the innate immune response to infection. We compared the host and bacterial genotype in 187 Vietnamese adults with tuberculous meningitis (TBM) and 237 Vietnamese adults with uncomplicated pulmonary tuberculosis. The host genotype of tuberculosis cases was also compared with the genotype of 392 cord blood controls from the same population. Isolates of M. tuberculosis were genotyped by large sequence polymorphisms. The hosts were defined by polymorphisms in genes encoding Toll-interleukin 1 receptor domain containing adaptor protein (TIRAP) and Toll-like receptor-2 (TLR-2). We found a significant protective association between the Euro-American lineage of M. tuberculosis and pulmonary rather than meningeal tuberculosis (Odds ratio (OR) for causing TBM 0.395, 95% confidence intervals (C.I.) 0.193-0.806, P = 0.009), suggesting these strains are less capable of extra-pulmonary dissemination than others in the study population. We also found that individuals with the C allele of TLR-2 T597C allele were more likely to have tuberculosis caused by the East-Asian/Beijing genotype (OR = 1.57 [95% C.I. 1.15-2.15]) than other individuals. The study provides evidence that M. tuberculosis genotype influences clinical disease phenotype and demonstrates, for the first time, a significant interaction between host and bacterial genotypes and the development of tuberculosis.

Indexed as

Genes, BacterialGenetic Predisposition to DiseaseAdolescentAdultAgedFemaleGenotypeHost-Pathogen InteractionsHumansImmunity, CellularMaleMiddle AgedMycobacterium tuberculosisPolymorphism, Single NucleotideToll-Like Receptor 2Tuberculosis, MeningealToll-Like Receptor 2

Identifiers

PMID18369480
PMCPMC2268004
OpenAlexW2057212110

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.