Evidence map›Paper›PMID 23383015›Full record

ArticlePloS one2013

Host responses to melioidosis and tuberculosis are both dominated by interferon-mediated signaling.

Gavin C K W Koh, M Fernanda Schreiber, Ruben Bautista, Rapeephan R Maude, Susanna Dunachie, Direk Limmathurotsakul, Nicholas P J Day, Gordon Dougan, Sharon J Peacock

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
5.7field-weighted citation impact, top 4% 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

44 citing papers in PubMed, 67 citations in OpenAlex.

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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

9 authors at 5 institutions in 2 countries.

Gavin C K W KohWellcome Trust Sanger Institute, Hinxton, Cambridge, United Kingdom. gavin.koh@gmail.com
M Fernanda Schreiber
Ruben Bautista
Rapeephan R Maude
Susanna Dunachie
Direk Limmathurotsakul
Nicholas P J Day
Gordon Dougan
Sharon J Peacock
Wellcome Sanger Institute · GBMahidol Oxford Tropical Medicine Research Unit · THMahidol University · THHeartlands Hospital · GBUniversity of Cambridge · GB

Funding

Wellcome Trust 086532/Z/08/ZWellcome Trust 089275Wellcome Trust 089275/Z/09/Z
6 · The paper itself

Abstract

Melioidosis (Burkholderia pseudomallei infection) is a common cause of community-acquired sepsis in Northeast Thailand and northern Australia. B. pseudomallei is a soil saprophyte endemic to Southeast Asia and northern Australia. The clinical presentation of melioidosis may mimic tuberculosis (both cause chronic suppurative lesions unresponsive to conventional antibiotics and both commonly affect the lungs). The two diseases have overlapping risk profiles (e.g., diabetes, corticosteroid use), and both B. pseudomallei and Mycobacterium tuberculosis are intracellular pathogens. There are however important differences: the majority of melioidosis cases are acute, not chronic, and present with severe sepsis and a mortality rate that approaches 50% despite appropriate antimicrobial therapy. By contrast, tuberculosis is characteristically a chronic illness with mortality <2% with appropriate antimicrobial chemotherapy. We examined the gene expression profiles of total peripheral leukocytes in two cohorts of patients, one with acute melioidosis (30 patients and 30 controls) and another with tuberculosis (20 patients and 24 controls). Interferon-mediated responses dominate the host response to both infections, and both type 1 and type 2 interferon responses are important. An 86-gene signature previously thought to be specific for tuberculosis is also found in melioidosis. We conclude that the host responses to melioidosis and to tuberculosis are similar: both are dominated by interferon-signalling pathways and this similarity means gene expression signatures from whole blood do not distinguish between these two diseases.

Indexed as

Acute DiseaseAdolescentAdultAgedCohort StudiesFemaleGene Expression ProfilingGenomicsHumansInterferonsLeukocytesMaleMelioidosisMiddle AgedSignal TransductionTuberculosis, PulmonaryInterferons

Identifiers

PMID23383015
PMCPMC3558488
OpenAlexW2008152110

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.