Evidence map›Paper›PMID 22925731›Full record

ArticleBMC infectious diseases2012

Influence of HTLV-1 on the clinical, microbiologic and immunologic presentation of tuberculosis.

Maria de Lourdes Bastos, Silvane B Santos, Anselmo Souza, Brooke Finkmoore, Ohana Bispo, Tasso Barreto, Ingrid Cardoso, Iana Bispo, Flávia Bastos, Daniele Pereira and 2 more

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 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

17 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Review
  3. HTLV-1 and Co-infections.Frontiers in medicine · 2022
    Review
  4. Review
  5. Article
  6. Overview on coinfection of HTLV-1 and tuberculosis: Mini-review.Journal of clinical tuberculosis and other mycobacterial diseases · 2021
    Review
  7. Article
  8. Review
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Prolonged lymphocytosis as the first manifestation of Hodgkin-like adult T-cell leukemia/lymphoma.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    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

12 authors at 5 institutions in 2 countries.

Maria de Lourdes BastosServiço de Imunologia do Complexo Hospitalar Universitário Professor Edgard Santos, Universidade Federal da Bahia, Salvador, BA, Brazil.
Silvane B Santos
Anselmo Souza
Brooke Finkmoore
Ohana Bispo
Tasso Barreto
Ingrid Cardoso
Iana Bispo
Flávia Bastos
Daniele Pereira
Lee Riley
Edgar M Carvalho
Universidade Federal da Bahia · BRComplexo Hospitalar Universitário Professor Edgard Santos · BREscola Bahiana de Medicina e Saúde Pública · BRUniversity of California, Berkeley · USInstituto Nacional de Ciência e Tecnologia de Doenças Tropicais · BR

Funding

Immunological response, Viral Factors and Helminth Infections in Disease ExpressiR01AI079238 · NIAID · FEDERAL UNIVERSITY OF BAHIA · PI CARVALHO, EDGAR M · 2009 to 2012
$320k
NIAID NIH HHS R01 AI079238
6 · The paper itself

Abstract

backgroundHTLV-1 is associated with increased susceptibility to Mycobacterium tuberculosis infection and severity of tuberculosis. Although previous studies have shown that HTLV-1 infected individuals have a low frequency of positive tuberculin skin test (TST) and decreasing in lymphoproliferative responses compared to HTLV-1 uninfected persons, these studies were not performed in individuals with history of tuberculosis or evidence of M. tuberculosis infection. Therefore the reasons why HTLV-1 infection increases susceptibility to infection and severity of tuberculosis are not understood.The aim of this study was to evaluate how HTLV-1 may influence the clinical, bacteriologic and immunologic presentation of tuberculosis.

methodsThe study prospectively enrolled and followed 13 new cases of tuberculosis associated with HTLV-1 (cases) and 25 patients with tuberculosis without HTLV-1 infection (controls). Clinical findings, bacterial load in the sputum, x-rays, immunological response and death were compared in the two groups.

resultsThere were no differences in the demographic, clinical and TST response between the two study groups. IFN-γ and TNF-α production was higher in unstimulated cultures of mononuclear cells of case than in control patients (p < 0.01). While there was no difference in IFN-γ production in PPD stimulated cultures, TNF-α levels were lower in cases than in controls (p = 0.01). There was no difference in the bacterial load among the groups but sputum smear microscopy results became negative faster in cases than in controls. Death only occurred in two co-infected patients.

conclusionWhile the increased susceptibility for tuberculosis infection in HTLV-1 infected subjects may be related to impairment in TNF-α production, the severity of tuberculosis in co-infected patients may be due to the enhancement of the Th1 inflammatory response, rather than in their decreased ability to control bacterial growth.

Indexed as

AdolescentAdultBacterial LoadFemaleHTLV-I InfectionsHumansInterferon-gammaLungMaleMiddle AgedMycobacterium tuberculosisProspective StudiesRadiography, ThoracicSputumSurvival AnalysisTh1 CellsInterferon-gammaTumor Necrosis Factor-alpha

Identifiers

PMID22925731
PMCPMC3449207
OpenAlexW2000539332

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.