Evidence map›Paper›PMID 21880854›Full record

ArticleClinical and vaccine immunology : CVI2011

Dexamethasone-induced cytokine changes associated with diminished disease severity in horses infected with Anaplasma phagocytophilum.

R S Davies, J E Madigan, E Hodzic, D L Borjesson, J S Dumler

Open access · diamondAbstract read
In one paragraph

Article in Clinical and vaccine immunology : CVI, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.0field-weighted citation impact, top 28% 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

16 citing papers in PubMed, 37 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

R S DaviesDepartment of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, California, USA.
J E Madigan
E Hodzic
D L Borjesson
J S Dumler
University of California, Davis · USJohns Hopkins University · US

Funding

Virulence and Immunity of Granulocytic EhrlichiaeR01AI041213 · NIAID · JOHNS HOPKINS UNIVERSITY · PI DUMLER, JOHN STEPHEN · 1996 to 2005
$1.3M
Virulence and Immunity of Granulocytic EhrlichiaeR56AI041213 · NIAID · JOHNS HOPKINS UNIVERSITY · PI DUMLER, JOHN STEPHEN · 2007 to 2007
$450k
NIAID NIH HHS R01 AI041213NIAID NIH HHS R01 AI41213NIAID NIH HHS R56 AI041213NIAID NIH HHS R56 AI41213
6 · The paper itself

Abstract

Anaplasma phagocytophilum is the zoonotic cause of granulocytic anaplasmosis. We hypothesized that immune response, specifically gamma interferon (IFN-γ), plays a role in disease severity. To test this, horses were infected and IFNG expression was pharmacologically downregulated using corticosteroids. Eight horses were infected with A. phagocytophilum; 4 received dexamethasone on days 4 to 8 of infection. Clinical signs, hematologic parameters, and transcription of cytokine/chemokine genes were compared among treated and untreated horses. Infection was quantitated by msp2 real-time PCR and microscopy. As anticipated, there was significantly greater leukopenia, thrombocytopenia, and anemia in infected versus uninfected horses. The A. phagocytophilum load was higher for dexamethasone-treated horses. Dexamethasone reduced IFNG transcription by day 12 and IL-8 and IL-18 by days 7 to 9 and increased IL-4 on day 7. The ratio of IL-10 to IFNG was increased by dexamethasone on day 9. There were no hematologic differences between the infected horses. Dexamethasone suppression of proinflammatory response resulted in delayed infection-induced limb edema and decreased icterus, anorexia, and reluctance to move between days 6 and 9 and lower fever on day 7. These results underscore the utility of the equine model of granulocytic anaplasmosis and suggest that Th1 proinflammatory response plays a role in worsening disease severity and that disease severity can be decreased by modulating proinflammatory response. A role for Th1 response and macrophage activation in hematologic derangements elicited by A. phagocytophilum is not supported by these data and remains unproven.

Indexed as

Severity of Illness IndexAnaplasma phagocytophilumAnemiaAnimalsCytokinesDexamethasoneEdemaEhrlichiosisGene Expression ProfilingHorse DiseasesHorsesImmunologic FactorsJaundiceReal-Time Polymerase Chain ReactionCytokinesDexamethasoneImmunologic Factors

Identifiers

PMID21880854
PMCPMC3209032
OpenAlexW2159906658

What OpenQuestion holds

Textmetadata
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.