Evidence map›Paper›PMID 19392621›Full record

ArticleThe Journal of infectious diseases2009

TNF and LTA gene, allele, and extended HLA haplotype associations with severe dengue virus infection in ethnic Thais.

Sasijit Vejbaesya, Panpimon Luangtrakool, Komon Luangtrakool, Siripen Kalayanarooj, David W Vaughn, Timothy P Endy, Mammen P Mammen, Sharone Green, Daniel H Libraty, Francis A Ennis and 2 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 5% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Dengue virus infection.Nature reviews. Disease primers · 2026
    Review
  4. Review
  5. Dengue and severe dengue.Clinical microbiology reviews · 2025
    Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Mobilization and Activation of the Innate Immune Response to Dengue Virus.Frontiers in cellular and infection microbiology · 2020
    Review
  14. Long Noncoding RNACells · 2019
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  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

12 authors at 6 institutions in 3 countries.

Sasijit VejbaesyaDepartment of Transfusion Medicine, Siriraj Hospital and Medical School, Mahidol University, Bangkok, Thailand.
Panpimon Luangtrakool
Komon Luangtrakool
Siripen Kalayanarooj
David W Vaughn
Timothy P Endy
Mammen P Mammen
Sharone Green
Daniel H Libraty
Francis A Ennis
Alan L Rothman
Henry A F Stephens
University of Massachusetts Chan Medical School · USArmed Forces Research Institute of Medical Science · THSiriraj Hospital · THMahidol University · THQueen Sirikit National Institute of Child Health · THThe Royal Free Hospital · GB

Funding

VIRAL DETERMINANTS OF SEVERE DENGUE DISEASEP01AI034533 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI ROTHMAN, ALAN L · 1994 to 2022
$42.0M
NIAID NIH HHS NIH-P01AI34533NIAID NIH HHS P01 AI034533
6 · The paper itself

Abstract

Severe dengue virus (DENV) infection is characterized by a cascade of cytokine production, including the production of tumor necrosis factor-alpha (TNF-alpha) and lymphotoxin-alpha (LT-alpha). We have analyzed a variety of polymorphisms in the TNF and LTA genes of 435 ethnic Thais who had subclinical DENV infection, primary or secondary dengue fever (DF), or primary or secondary dengue hemorrhagic fever (DHF). The TNF -238A polymorphism marking the TNF-4,LTA-3 haplotype occurred in a significantly greater number of patients with secondary DHF (20 [15.2%] of 132) than patients with secondary DF (7 [4.1%] of 169) (P < .001; P corrected by use of Bonferroni adjustment, .022; odds ratio, 4.13 [95% confidence interval, 1.59-11.17]). In a subset of patients, the LTA-3 haplotype was associated with in vivo intracellular production of LT-alpha and TNF-alpha during the acute viremic phase of infection. Two extended human major histocompatibility complex (MHC) haplotypes containing TNF-4 and LTA-3, together with HLA-B48, HLA-B57, and HLA-DPB1*0501, were detected only in patients with secondary DHF. These observations indicate that polymorphism in functionally distinct MHC-encoded proteins contributes to the risk of developing severe secondary DENV infection and warrants further investigation.

Indexed as

Antibodies, ViralDengueDengue VirusDNA PrimersEthnicityHLA AntigensHumansImmunoglobulin GImmunoglobulin MImmunohistochemistryLymphotoxin-alphaMajor Histocompatibility ComplexPolymerase Chain ReactionPolymorphism, GeneticReference ValuesThailandAntibodies, ViralDNA PrimersHLA AntigensImmunoglobulin GImmunoglobulin MLymphotoxin-alphaTumor Necrosis Factor-alpha

Identifiers

PMID19392621
PMCPMC2674618
OpenAlexW2098206825

What OpenQuestion holds

Textmetadata
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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.