Evidence map›Paper›PMID 20812851›Full record

Trial reportThe Journal of infectious diseases2010

Interferon γ responses to mycobacterial antigens protect against subsequent HIV-associated tuberculosis.

Timothy Lahey, Siddharth Sheth, Mecky Matee, Robert Arbeit, C Robert Horsburgh, Lillian Mtei, Todd Mackenzie, Muhammad Bakari, Jenni M Vuola, Kisali Pallangyo and 1 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00052195 (DARDAR Health Project), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.5field-weighted citation impact, top 18% 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.

NCT00052195 phase2 / phase3completednot on this map

DARDAR Health Project (Disseminated Tuberculosis and HIV Infection)

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2001 to 2009Enrolled1,975ConditionsTuberculosis, HIV InfectionsArmsSRL-172
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Effects of Pregnancy and Isoniazid Preventive Therapy on Mycobacterium tuberculosis Interferon Gamma Response Assays in Women With HIV.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
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  17. Recurrent tuberculosis risk among HIV-infected adults in Tanzania with prior active tuberculosis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2013
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  19. Disseminated tuberculosis in human immunodeficiency virus infection: ineffective immunity, polyclonal disease and high mortality.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2011
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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

11 authors at 5 institutions in 3 countries.

Timothy LaheyDartmouth Medical School, Lebanon, New Hampshire, USA.
Siddharth Sheth
Mecky Matee
Robert Arbeit
C Robert Horsburgh
Lillian Mtei
Todd Mackenzie
Muhammad Bakari
Jenni M Vuola
Kisali Pallangyo
C Fordham von Reyn
Muhimbili University of Health and Allied Sciences · TZBoston University · USDartmouth Psychiatric Research Center · USInstitute for Molecular Medicine Finland · FITufts University · US

Funding

VASCULAR LEUKOCYTES: BASIC IMMUNOBIOLOGY AND FUNCTIONAL PLASTICITYP20RR016437 · NCRR · DARTMOUTH COLLEGE · PI GREEN, WILLIAM R · 2001 to 2010
$24.3M
Dartmouth/Boston University AITRPD43TW006807 · FIC · DARTMOUTH COLLEGE · PI VON REYN, CHARLES FORDHAM · 2003 to 2013
$4.6M
DISSEMINATED TUBERCULOSIS IN HIV INFECTIONR01AI045407 · NIAID · DARTMOUTH COLLEGE · PI VON REYN, C. FORDHAM · 2000 to 2004
$4.6M
Disseminated Tuberculosis in HIV InfectionU01AI045407 · NIAID · DARTMOUTH COLLEGE · PI VON REYN, CHARLES FORDHAM · 2005 to 2008
$4.3M
FIC NIH HHS D43 TW006807FIC NIH HHS D43-TW006807NCRR NIH HHS 5P20RR016437-08NCRR NIH HHS P20 RR016437NIAID NIH HHS AI 45407NIAID NIH HHS R01 AI045407NIAID NIH HHS U01 AI045407
6 · The paper itself

Abstract

backgroundThe cellular immune responses that protect against tuberculosis have not been identified.

methodsWe assessed baseline interferon γ (IFN‐γ) and lymphocyte proliferation assay (LPA) responses to antigen 85 (Ag85), early secretory antigenic target 6 (ESAT‐6), and Mycobacterium tuberculosis whole cell lysate (WCL) in human immunodeficiency virus (HIV)-infected and bacille Calmette‐Guérin (BCG)-immunized adults with CD4 cell counts of >or= 200 cells/μL who received placebo in the DarDar tuberculosis vaccine trial in Tanzania. Subjects were followed prospectively to diagnose definite or probable tuberculosis.

resultsTuberculosis was diagnosed in 92 of 979 subjects during a mean follow‐up of 3.2 years. The relative risk of tuberculosis among subjects with positive IFN‐γ responses to Ag85 was 0.51 (95% confidence interval [CI], 0.26-0.99; P = .049), to ESAT‐6 was 0.44 (95% CI, 0.23-0.85; P = .004), and to WCL was 0.67 (95% CI, 0.49-0.88; P = .002). The relative risk of tuberculosis was not significantly associated with baseline LPA responses. In a multivariate Cox regression model, subjects with IFN‐γ responses to ESAT‐6 and WCL had a lower hazard of developing tuberculosis, with a hazard ratio for ESAT‐6 of 0.35 (95% CI, 0.16–0.77; P = .009) and a hazard ratio for WCL of 0.30 (95% CI, 0.16-0.56; P < .001).

conclusionsBaseline IFN‐γ responses to ESAT-6 and WCL were associated with protection from subsequent tuberculosis among HIV-infected subjects with childhood BCG immunization in a region of high tuberculosis prevalence. Trial registration. ClinicalTrials.gov identifier: NCT00052195.

Indexed as

AdultAntigens, BacterialBCG VaccineCD4 Lymphocyte CountFemaleHIV InfectionsHumansInterferon-gammaMaleMycobacterium tuberculosisRisk FactorsTanzaniaTuberculosisAntigens, BacterialBCG VaccineInterferon-gamma

Identifiers

PMID20812851
PMCPMC2941548
OpenAlexW2163570248

What OpenQuestion holds

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Registered trials

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.