Evidence map›Paper›PMID 22144535›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2012

Cytokine gene polymorphisms and the outcome of invasive candidiasis: a prospective cohort study.

Melissa D Johnson, Theo S Plantinga, Esther van de Vosse, Digna R Velez Edwards, P Brian Smith, Barbara D Alexander, John C Yang, Dennis Kremer, Gregory M Laird, Marije Oosting and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
4.4field-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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
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  3. Fungal Infections in Disorders of Inborn Errors of Immunity.Clinical reviews in allergy & immunology · 2026
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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

18 authors at 8 institutions in 2 countries.

Melissa D JohnsonDuke University Medical Center, Durham,North Carolina, USA
Theo S Plantinga
Esther van de Vosse
Digna R Velez Edwards
P Brian Smith
Barbara D Alexander
John C Yang
Dennis Kremer
Gregory M Laird
Marije Oosting
Leo A B Joosten
Jos W M van der Meer
Jaap T van Dissel
Thomas J Walsh
John R Perfect
Bart-Jan Kullberg
William K Scott
Mihai G Netea
Radboud University Nijmegen · NLDuke Medical Center · USLeiden University Medical Center · NLCornell University · USDuke University · USUniversity of Colorado Denver · USUniversity of Miami · USVanderbilt University Medical Center · US

Funding

Pathobiology of C. neoformans in the Central Nervous SystemR01AI073896 · NIAID · DUKE UNIVERSITY · PI PERFECT, JOHN R. · 2008 to 2018
$4.4M
Host-Response Relationships in Patients with CandidemiaK23AI051537 · NIAID · DUKE UNIVERSITY · PI JOHNSON, MELISSA D · 2002 to 2006
$721k
NIAID NIH HHS AI-51537NIAID NIH HHS AI-73896NIAID NIH HHS K23 AI051537NIAID NIH HHS L30 AI057128NIAID NIH HHS R01 AI073896
6 · The paper itself

Abstract

backgroundCandida bloodstream infections cause significant morbidity and mortality among hospitalized patients. Although clinical and microbiological factors affecting prognosis have been identified, the impact of genetic variation in the innate immune responses mediated by cytokines on outcomes of infection remains to be studied.

methodsA cohort of 338 candidemia patients and 351 noninfected controls were genotyped for single-nucleotide polymorphisms (SNPs) in 6 cytokine genes (IFNG, IL10, IL12B, IL18, IL1β, IL8) and 1 cytokine receptor gene (IL12RB1). The association of SNPs with both candidemia susceptibility and outcome were assessed. Concentrations of pro- and antiinflammatory cytokines were measured in in vitro peripheral blood mononuclear cell stimulation assays and in serum from infected patients.

resultsNone of the cytokine SNPs studied were associated with susceptibility to candidemia. Persistent fungemia occurred in 13% of cases. In the multivariable model, persistent candidemia was significantly associated with (odds ratio [95% confidence interval]): total parenteral nutrition (2.79 [1.26-6.17]), dialysis dependence (3.76 [1.46-8.64]), and the SNPs IL10 rs1800896 (3.45 [1.33-8.93]) and IL12B rs41292470 (5.36 [1.51-19.0]). In vitro production capacity of interleukin-10 and interferon-γ was influenced by these polymorphisms, and significantly lower proinflammatory cytokine concentrations were measured in serum from patients with persistent fungemia.

conclusionsPolymorphisms in IL10 and IL12B that result in low production of proinflammatory cytokines are associated with persistent fungemia in candidemia patients. This provides insights for future targeted management strategies for patients with Candida bloodstream infections.

Indexed as

Genetic Predisposition to DiseasePolymorphism, Single NucleotideAdultAgedCandidiasis, InvasiveCells, CulturedCohort StudiesCytokinesFemaleGenetic Association StudiesHumansLeukocytes, MononuclearMaleMiddle AgedProspective StudiesTreatment OutcomeCytokines

Identifiers

PMID22144535
PMCPMC3269308
OpenAlexW2092072532

What OpenQuestion holds

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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.