Evidence map›Paper›PMID 22243970›Full record

ArticleBMC infectious diseases2012

Placental malaria is associated with attenuated CD4 T-cell responses to tuberculin PPD 12 months after BCG vaccination.

Brigitte Walther, David J C Miles, Pauline Waight, Melba S Palmero, Olubukola Ojuola, Ebrima S Touray, Hilton Whittle, Marianne van der Sande, Sarah Crozier, Katie L Flanagan

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Neonatal vaccine effectiveness and the role of adjuvants.Expert review of clinical immunology · 2019
    Review
  6. Establishing a conceptual framework of the impact of placental malaria on infant neurodevelopment.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2019
    Review
  7. Sex differences in tuberculosis.Seminars in immunopathology · 2019
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Immune responses in neonates.Expert review of clinical immunology · 2014
    Review
  13. Article
  14. Review
  15. 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

10 authors at 5 institutions in 5 countries.

Brigitte WaltherMRC Laboratories Gambia, PO Box 273, Banjul, Gambia.
David J C Miles
Pauline Waight
Melba S Palmero
Olubukola Ojuola
Ebrima S Touray
Hilton Whittle
Marianne van der Sande
Sarah Crozier
Katie L Flanagan
MRC Unit the Gambia · GMBronx-Lebanon Hospital Center · USMalawi-Liverpool-Wellcome Trust Clinical Research Programme · MWPublic Health England · GBUniversity of Southampton · GB

Funding

Medical Research Council MC_U190088483
6 · The paper itself

Abstract

backgroundPlacental malaria (PM) is associated with prenatal malaise, but many PM+ infants are born without symptoms. As malaria has powerful immunomodulatory effects, we tested the hypothesis that PM predicts reduced T-cell responses to vaccine challenge.

methodsWe recruited healthy PM+ and PM- infants at birth. At six and 12 months, we stimulated PBMCs with tuberculin purified protein derivative (PPD) and compared expression of CD154, IL-2 and IFNγ by CD4 T-cells to a negative control using flow cytometry.We measured the length, weight and head circumference at birth and 12 months.

resultsIL-2 and CD154 expression were low in both groups at both timepoints, without discernable differences. Expression of IFNγ was similarly low at 6 months but by 12 months, the median response was higher in PM- than PM + infants (p = 0.026). The PM+ infants also had a lower weight (p = 0.032) and head circumference (p = 0.041) at 12 months, indicating lower growth rates.At birth, the size and weight of the PM+ and PM- infants were equivalent. By 12 months, the PM+ infants had a lower weight and head circumference than the PM- infants.

conclusionsPlacental malaria was associated with reduced immune responses 12 months after immune challenge in infants apparently healthy at birth.

Indexed as

CD40 LigandCD4-Positive T-LymphocytesCells, CulturedFemaleFlow CytometryHumansInfantInfant, NewbornInterferon-gammaInterleukin-2Leukocytes, MononuclearMalariaPlacenta DiseasesPregnancyTuberculinTuberculin TestCD40 LigandInterferon-gammaInterleukin-2TuberculinTuberculosis Vaccines

Identifiers

PMID22243970
PMCPMC3274427
OpenAlexW2006258194

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.