Evidence map›Paper›PMID 23045617›Full record

ArticleThe Journal of infectious diseases2013

Integrated analysis of innate, Th1, Th2, Th17, and regulatory cytokines identifies changes in immune polarisation following treatment of human schistosomiasis.

Claire D Bourke, Norman Nausch, Nadine Rujeni, Laura J Appleby, Kate M Mitchell, Nicholas Midzi, Takafira Mduluza, Francisca Mutapi

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
3.6field-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

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Review
  7. Impact ofVaccines · 2025
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  14. Review
  15. Review
  16. Immunological Considerations forFrontiers in immunology · 2021
    Review
  17. Frontiers in cell and developmental biology · 2021
    Article
  18. Article
  19. Review
  20. Schistosomiasis infections in South African pregnant women: A review.Southern African journal of infectious diseases · 2020
    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

8 authors at 4 institutions in 3 countries.

Claire D BourkeInstitute of Immunology and Infection Research, School of Biological Sciences, University of Edinburgh, United Kingdom. claire.bourke@york.ac.uk
Norman Nausch
Nadine Rujeni
Laura J Appleby
Kate M Mitchell
Nicholas Midzi
Takafira Mduluza
Francisca Mutapi
Centre for Immunity, Infection and Evolution · GBBiology of Infection · FRBiomedical Research and Training Institute · ZWUniversity of Zimbabwe · ZW

Funding

Biotechnology and Biological Sciences Research CouncilWellcome TrustWellcome Trust WT082028MA
6 · The paper itself

Abstract

backgroundSchistosomiasis elicits cross-regulatory immune responses, but it is unclear how antihelminthic treatment affects this balance. This study integrates data on 13 cytokines elicited by 3 schistosome to examine how praziquantel treatment alters immune polarization and whether post-treatment cytokine profiles influence reinfection status.

methodsVenous blood from 72 Schistosoma haematobium-exposed participants was cultured with schistosome egg, adult worm, and cercaria antigens pre- and 6 weeks post-praziquantel treatment. Innate inflammatory (tumor necrosis factor α [TNF-α], interleukin(IL-)-6, IL-8), Th1 (interferon γ [IFN-γ], IL-2, IL-12p70), Th2 (IL-4, IL-5, IL-13), Th17 (IL-17A, IL-21, IL-23p19), and regulatory (IL-10) cytokines were quantified via enzyme-linked immunosorbent assay. Cytokine data was integrated using nonmetric multidimensional scaling and factor analysis.

resultsEgg-specific cytokine phenotypes became more proinflammatory post-treatment due to increased TNF-α, IL-6, IL-8, IFN-γ, IL-12p70, and IL-23 levels. Post-treatment cercariae-specific responses were also more proinflammatory reflecting elevated IL-8. In contrast, post-treatment adult worm-specific responses were less inflammatory, reflecting lower post-treatment IL-6. A combination of egg-induced IL-6, IL-12p70, IL-21, and IL-23 and adult worm-induced IL-5 and IL-21 post-treatment was associated with reduced reinfection risk 18 months later.

conclusionsPraziquantel treatment markedly alters polarization of schistosome-specific cytokine responses, and these changes, particularly in response to egg-stage parasites, may promote resistance to reinfection.

Indexed as

AdolescentAnimalsAnthelminticsChildChild, PreschoolCytokinesFemaleHumansImmunity, InnateInterferon-gammaInterleukin-10Interleukin-12Interleukin-13Interleukin-17Interleukin-2Interleukin-21AnthelminticsCytokinesInterferon-gammaInterleukin-10Interleukin-12Interleukin-13Interleukin-17Interleukin-2Interleukin-21Interleukin-23Interleukin-4Interleukin-5Interleukin-6Interleukin-8InterleukinsPraziquantelTumor Necrosis Factor-alphacytokinehelminthHumanimmune responsepraziquantelschistosomiasis

Identifiers

PMID23045617
PMCPMC3666130
OpenAlexW2164571296

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.