Evidence map›Paper›PMID 22098465›Full record

ReviewFEMS immunology and medical microbiology2012

The biological basis of severe outcomes in Anaplasma phagocytophilum infection.

J Stephen Dumler

Abstract readReview
In one paragraph

Review in FEMS immunology and medical microbiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

50 citing papers in PubMed, 85 citations in OpenAlex.

  1. Trial
  2. Trends in Anaplasmosis Over the Past Decade: A Review of Clinical Features, Laboratory Data, and Outcomes.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  3. Article
  4. Review
  5. Generation of Population-Level Diversity inPathogens (Basel, Switzerland) · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  12. Review
  13. Review
  14. Innate immunity in rickettsial infections.Frontiers in cellular and infection microbiology · 2023
    Review
  15. Human granulocytic anaplasmosis complicated by hemophagocytic syndrome and coinfection.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    Article
  16. Review
  17. Article
  18. Epidemiological and Clinicopathological Features ofFrontiers in veterinary science · 2021
    Review
  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

1 author at 1 institution in 1 country.

J Stephen DumlerDepartment of Pathology, The Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA. sdumler@jhmi.edu
Johns Hopkins University · US

Funding

EHRLICHIA-GRANULOCYTE INTERACTIONS AND INFECTIONR01AI044102 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI DUMLER, JOHN STEPHEN · 2000 to 2019
$5.3M
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 AI044102NIAID NIH HHS R01 AI44102NIAID NIH HHS R56 AI041213
6 · The paper itself

Abstract

Anaplasma phagocytophilum causes granulocytic anaplasmosis, an acute disease in humans that is also often subclinical. However, 36% are hospitalized, 7% need intensive care, and the case fatality rate is 0.6%. The biological basis for severe disease is not understood. Despite A. phagocytophilum's mechanisms to subvert neutrophil antimicrobial responses, whether these mechanisms lead to disease is unclear. In animals, inflammatory lesions track with IFNγ and IL-10 expression and infection of Ifng(-/-) mice leads to increased pathogen load but inhibition of inflammation. Suppression of STAT signaling in horses impacts IL-10 and IFN-γ expression, and also suppresses disease severity. Similar inhibition of inflammation with infection of NKT-deficient mice suggests that innate immune responses are key for disease. With severe disease, tissues can demonstrate hemophagocytosis, and measures of macrophage activation/hemophagocytic syndromes (MAS/HPS) support the concept of human granulocytic anaplasmosis as an immunopathologic disease. MAS/HPS are related to defective cytotoxic lymphocytes that ordinarily diminish inflammation. Pilot studies in mice show cytotoxic lymphocyte activation with A. phagocytophilum infection, yet suppression of cytotoxic responses from both NKT and CD8 cells, consistent with the development of MAS/HPS. Whether severity relates to microbial factors or genetically determined diversity in human immune and inflammatory response needs more investigation.

Indexed as

Anaplasma phagocytophilumAnimalsDisease Models, AnimalEhrlichiosisHumansImmunity, InnateSeverity of Illness IndexSignal TransductionTreatment Outcome

Identifiers

PMID22098465
PMCPMC3256277
OpenAlexW2136709798

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.