Evidence map›Paper›PMID 23071578›Full record

ArticlePloS one2012

Altered ratio of IFN-γ/IL-10 in patients with drug resistant Mycobacterium tuberculosis and HIV- Tuberculosis Immune Reconstitution Inflammatory Syndrome.

Keira H Skolimowska, Molebogeng X Rangaka, Graeme Meintjes, Dominique J Pepper, Ronnett Seldon, Kerryn Matthews, Robert J Wilkinson, Katalin A Wilkinson

Open access · goldAbstract read
In one paragraph

Article in PloS one, 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
2.9field-weighted citation impact, top 9% 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, 26 citations in OpenAlex.

  1. Article
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  5. Review
  6. Article
  7. Article
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  9. Article
  10. Review
  11. Article
  12. Tuberculosis and HIV Coinfection.Cold Spring Harbor perspectives in medicine · 2015
    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

8 authors at 4 institutions in 2 countries.

Keira H SkolimowskaClinical Infectious Diseases Research Initiative, Institute of Infectious Diseases and Molecular Medicine, University of Cape Town, Cape Town, South Africa.
Molebogeng X Rangaka
Graeme Meintjes
Dominique J Pepper
Ronnett Seldon
Kerryn Matthews
Robert J Wilkinson
Katalin A Wilkinson
Wellcome Centre for Infectious Diseases Research in Africa · ZAImperial College London · GBGF Jooste Hospital · ZAUniversity of Cape Town · ZA

Funding

South Africa Tuberculosis AIDS Training (SATBAT)U2RTW007370 · FIC · WITS HEALTH CONSORTIUM (PTY), LTD · PI MARTINSON, NEIL A · 2007 to 2011
$1.9M
South Africa Tuberculosis/AIDS TrainingU2RTW007373 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI VAN DER HORST, CHARLES MICHAEL · 2007 to 2012
$1.4M
FIC NIH HHS U2R TW007370FIC NIH HHS U2R TW007373Medical Research Council MC_U117588499PEPFARPHS HHS NIH/FIC 1U2RTW007373-01A1PHS HHS U2RTW007370 ICORTAWellcome TrustWellcome Trust 081667Wellcome Trust 084323Wellcome Trust 084670Wellcome Trust 088316
6 · The paper itself

Abstract

We have described a clinical relationship between HIV-Tuberculosis Immune Reconstitution Inflammatory Syndrome (TB-IRIS) and anti-tubercular drug resistance. Here we studied the immune response of TB-IRIS patients from whom a drug-resistant (n = 11) or drug-susceptible (n = 25) Mycobacterium tuberculosis (MTB) strain was isolated after presenting with TB-IRIS. ELISpot analysis and multiplex cytokine analysis of the supernatant collected from peripheral blood mononuclear cells stimulated overnight with the heat-killed H37Rv MTB laboratory strain was used. Although there was no statistical difference in IFN-gamma ELISpot responses between the two groups, the results point towards higher bacterial load in the drug-resistant patients, possibly due to failed therapy. The ratio between secreted IFN-gamma/IL-10 and IL-2/IL-10 was significantly lower in TB-IRIS patients in whom the cause of TB was a drug-resistant strain compared to those with a fully sensitive strain (p = 0.02). Since host immune responses are dependent on the bacterial load, we hypothesise that the impaired cytokine balance is likely to be caused by the poorly controlled bacterial growth in these patients.

Indexed as

AdultEnzyme-Linked Immunosorbent AssayFemaleHIV InfectionsHumansImmune Reconstitution Inflammatory SyndromeInterferon-gammaInterleukin-10MaleTuberculosis, Multidrug-ResistantInterferon-gammaInterleukin-10

Identifiers

PMID23071578
PMCPMC3468619
OpenAlexW2068217042

What OpenQuestion holds

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LicenceCC BY
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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.