Evidence map›Paper›PMID 18446210›Full record

ArticlePloS one2008

Biomarkers for clinical and incipient tuberculosis: performance in a TB-endemic country.

Ajay Wanchu, Yuxin Dong, Sunil Sethi, V P Myneedu, Arthur Nadas, Zhentong Liu, John Belisle, Suman Laal

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  19. New diagnostic methods for tuberculosis.Current opinion in infectious diseases · 2009
    Review
  20. Peptide-based antibody detection for tuberculosis diagnosis.Clinical and vaccine immunology : CVI · 2009
    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

8 authors at 4 institutions in 2 countries.

Ajay WanchuDepartment of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Yuxin Dong
Sunil Sethi
V P Myneedu
Arthur Nadas
Zhentong Liu
John Belisle
Suman Laal
New York University · USColorado State University · USPost Graduate Institute of Medical Education and Research · INLRS Institute of Tuberculosis and Respiratory Diseases · IN

Funding

TRAINING PROGRAM IN TB AND HIV PREVENTION AND TREATMENTD43TW001409 · FIC · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI LAAL, SUMAN · 2000 to 2011
$4.6M
Antibody Based Diagnosis for TBR01AI056257 · NIAID · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI LAAL, SUMAN · 2003 to 2007
$2.0M
TUBERCULOSIS RESEARCH MATERIALS AND VACINE TESTINGN01AI075320 · NIAID · COLORADO STATE UNIVERSITY-FORT COLLINS · 1997 to 2004
$980k
FIC NIH HHS D43 TW001409FIC NIH HHS TW001409NIAID NIH HHS N01 AI75320NIAID NIH HHS R01 AI056257
6 · The paper itself

Abstract

backgroundSimple biomarkers are required to identify TB in both HIV(-)TB(+) and HIV(+)TB(+) patients. Earlier studies have identified the M. tuberculosis Malate Synthase (MS) and MPT51 as immunodominant antigens in TB patients. One goal of these investigations was to evaluate the sensitivity and specificity of anti-MS and -MPT51 antibodies as biomarkers for TB in HIV(-)TB(+) and HIV(+)TB(+) patients from a TB-endemic setting. Earlier studies also demonstrated the presence of these biomarkers during incipient subclinical TB. If these biomarkers correlate with incipient TB, their prevalence should be higher in asymptomatic HIV(+) subjects who are at a high-risk for TB. The second goal was to compare the prevalence of these biomarkers in asymptomatic, CD4(+) T cell-matched HIV(+)TB(-) subjects from India who are at high-risk for TB with similar subjects from US who are at low-risk for TB. METHODS AND

resultsAnti-MS and -MPT51 antibodies were assessed in sera from 480 subjects including PPD(+) or PPD(-) healthy subjects, healthy community members, and HIV(-)TB(+) and HIV(+)TB(+) patients from India. Results demonstrate high sensitivity (approximately 80%) of detection of smear-positive HIV(-)TB(+) and HIV(+)TB(+) patients, and high specificity (>97%) with PPD(+) subjects and endemic controls. While approximately 45% of the asymptomatic HIV(+)TB(-) patients at high-risk for TB tested biomarker-positive, >97% of the HIV(+)TB(-) subjects at low risk for TB tested negative. Although the current studies are hampered by lack of knowledge of the outcome, these results provide strong support for the potential of these biomarkers to detect incipient, subclinical TB in HIV(+) subjects.

conclusionsThese biomarkers provide high sensitivity and specificity for TB diagnosis in a TB endemic setting. Their performance is not compromised by concurrent HIV infection, site of TB and absence of pulmonary manifestations in HIV(+)TB(+) patients. Results also demonstrate the potential of these biomarkers for identifying incipient subclinical TB in HIV(+)TB(-) subjects at high-risk for TB.

Indexed as

Antibodies, BacterialAntigens, BacterialBacterial ProteinsBiomarkersCase-Control StudiesEndemic DiseasesHIV SeropositivityHumansIndiaMalate SynthaseMycobacterium tuberculosisRisk FactorsTuberculinTuberculosisAntibodies, BacterialAntigens, BacterialBacterial ProteinsBiomarkersMalate SynthaseMPT51 protein, MycobacteriumTuberculin

Identifiers

PMID18446210
PMCPMC2323108
OpenAlexW2049114564

What OpenQuestion holds

Textmetadata
LicenceCC0
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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.