Evidence map›Paper›PMID 20817712›Full record

ArticleThe European respiratory journal2011

Hypercytokinaemia accompanies HIV-tuberculosis immune reconstitution inflammatory syndrome.

R Tadokera, G Meintjes, K H Skolimowska, K A Wilkinson, K Matthews, R Seldon, N N Chegou, G Maartens, M X Rangaka, K Rebe and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The European respiratory journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed
12.5field-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

84 citing papers in PubMed, 138 citations in OpenAlex.

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  9. Inflammasome-associated immune dysregulation in TB-HIV coinfection.Frontiers in cellular and infection microbiology · 2026
    Article
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  16. Phenotypic Profile ofOpen forum infectious diseases · 2023
    Article
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  20. Review

24 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

12 authors at 5 institutions in 3 countries.

R TadokeraClinical Infectious Diseases Research Initiative, Institute of Infectious Diseases and Molecular Medicine, University of Cape Town, South Africa.
G Meintjes
K H Skolimowska
K A Wilkinson
K Matthews
R Seldon
N N Chegou
G Maartens
M X Rangaka
K Rebe
G Walzl
R J Wilkinson
London School of Hygiene & Tropical Medicine · GBGF Jooste Hospital · ZAStellenbosch University · ZAUniversity of Cape Town · ZAImperial College London · GB

Funding

Medical Research Council MC_U117588499Wellcome Trust 072070Wellcome Trust 081667Wellcome Trust 083226Wellcome Trust 084323Wellcome Trust 084670Wellcome Trust 088316
6 · The paper itself

Abstract

Increased access to combination antiretroviral therapy in areas co-endemic for tuberculosis (TB) and HIV-1 infection is associated with an increased incidence of immune reconstitution inflammatory syndrome (TB-IRIS) whose cause is poorly understood. A case-control analysis of pro- and anti-inflammatory cytokines in TB-IRIS patients sampled at clinical presentation, and similar control patients with HIV-TB prescribed combined antiretroviral therapy who did not develop TB-IRIS. Peripheral blood mononuclear cells were cultured in the presence or absence of heat-killed Mycobacterium tuberculosis for 6 and 24 h. Stimulation with M. tuberculosis increased the abundance of many cytokine transcripts with interleukin (IL)-1β, IL-5, IL-6, IL-10, IL-13, IL-17A, interferon (IFN)-γ, granulocyte-macrophage colony-stimulating factor (GM-CSF) and tumour necrosis factor (TNF) being greater in stimulated TB-IRIS cultures. Analysis of the corresponding proteins in culture supernatants, revealed increased IL-1β, IL-2, IL-6, IL-8, IL-10, IL-12p40, IFN-γ, GM-CSF and TNF in TB-IRIS cultures. In serum, higher concentrations of TNF, IL-6, and IFN-γ were observed in TB-IRIS patients. Serum IL-6 and TNF decreased during prednisone therapy in TB-IRIS patients. These data suggest that cytokine release contributes to pathology in TB-IRIS. IL-6 and TNF were consistently elevated and decreased in serum during corticosteroid therapy. Specific blockade of these cytokines may be rational approach to immunomodulation in TB-IRIS.

Indexed as

AdultAntiretroviral Therapy, Highly ActiveCase-Control StudiesCD4-Positive T-LymphocytesCells, CulturedCytokinesFemaleGlucocorticoidsHIV InfectionsHumansImmune Reconstitution Inflammatory SyndromeLeukocytes, MononuclearMaleMiddle AgedMycobacterium tuberculosisPrednisoneCytokinesGlucocorticoidsPrednisone

Identifiers

PMID20817712
PMCPMC3242045
OpenAlexW2126779827

What OpenQuestion holds

Textmetadata
LicenceTDM
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.