Evidence map›Paper›PMID 23509356›Full record

ArticleJournal of immunology (Baltimore, Md. : 1950)2013

Anti-GM-CSF autoantibodies in patients with cryptococcal meningitis.

Lindsey B Rosen, Alexandra F Freeman, Lauren M Yang, Kamonwan Jutivorakool, Kenneth N Olivier, Nasikarn Angkasekwinai, Yupin Suputtamongkol, John E Bennett, Vasilios Pyrgos, Peter R Williamson and 3 more

Registry-linked trialOpen access · bronzeAbstract readCase Reports
In one paragraph

Article in Journal of immunology (Baltimore, Md. : 1950), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00001352 (Cryptococcosis in Previously Healthy Adults), which is not on this map. Cited by 163 papers.

0numbers the graph read from it
0cells of the map it votes in
163citing papers in PubMed
13.8field-weighted citation impact, top 1% 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.

NCT00001352 recruitingnot on this map

Cryptococcosis in Previously Healthy Adults

TypeobservationalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran1993Enrolled800ConditionsCryptococcal Infection, Cryptococcal Pneumonia, Pulmonary Cryptococcosis, Cryptococcal Meningitis
3 · Its place in the literature

Who cites it

163 citing papers in PubMed, 246 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. ConcurrentCase reports in infectious diseases · 2026
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Peripheral blood CD4The Journal of infection · 2025
    Article
  15. Anti-GM-CSF autoantibodies in myeloid leukemias.Best practice & research. Clinical haematology · 2025
    Review
  16. The monogenic landscape of human infectious diseases.The Journal of allergy and clinical immunology · 2025
    Review
  17. Article
  18. Article
  19. Article
  20. Article

103 more citing papers are in PubMed but not listed here.

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

13 authors at 6 institutions in 2 countries.

Lindsey B RosenLaboratory of Clinical Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
Alexandra F Freeman
Lauren M Yang
Kamonwan Jutivorakool
Kenneth N Olivier
Nasikarn Angkasekwinai
Yupin Suputtamongkol
John E Bennett
Vasilios Pyrgos
Peter R Williamson
Li Ding
Steven M Holland
Sarah K Browne
National Institute of Allergy and Infectious Diseases · USNational Institutes of Health · USChulalongkorn University · THMahidol University · THSiriraj Hospital · THWashington University in St. Louis · US

Funding

Molecular Pathobiology of Cryptococcus neoformansZIAAI001123 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI WILLIAMSON, PETER · 2010 to 2025
$10.4M
Translational Research: Host-Pathogen Interactions in Patient Fungal DiseasesZIAAI001124 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI WILLIAMSON, PETER · 2010 to 2025
$8.8M
International Research in ThailandZIAAI001069 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI HOLLAND, STEVEN · 2009 to 2025
$4.3M
Molecular Genetics, Biochemistry And Therapy Of Pathogenic FungiZIAAI000654 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI BENNETT, JOHN E · 2009 to 2014
$3.4M
Intramural NIH HHS Z99 AI999999NIAID NIH HHS Y99 AI999999
6 · The paper itself

Abstract

Cryptococcal meningitis has been described in immunocompromised patients, as well as in those for whom no immune defect has been identified. GM-CSF regulates the function of phagocytes and pulmonary alveolar macrophages, critical elements in cryptococcal control. We performed clinical histories, immunological evaluation, and anticytokine autoantibody screening in four current patients with cryptococcal meningitis and identified and tested 103 archived plasma/cerebrospinal fluid samples from patients with cryptococcal meningitis. We assessed the ability of anti-GM-CSF autoantibody-containing plasmas to inhibit GM-CSF signaling. We recognized anti-GM-CSF autoantibodies in an otherwise healthy female with cryptococcal meningitis who later developed pulmonary alveolar proteinosis (PAP). Her diagnosis prompted screening of patients with cryptococcal meningitis for anticytokine autoantibodies. We identified seven HIV-negative patients with cryptococcal meningitis who tested positive for high-titer anti-GM-CSF autoantibodies. Two of the seven later developed evidence of PAP. Plasma from all patients prevented GM-CSF-induced STAT5 phosphorylation and MIP-1α production in normal PBMCs. This effect was limited to their IgG fraction. Anti-GM-CSF autoantibodies are associated with some cases of cryptococcal meningitis in otherwise immunocompetent patients. These cases need not have associated PAP.

Indexed as

AdultAutoantibodiesFemaleGranulocyte-Macrophage Colony-Stimulating FactorHumansImmunoglobulin GMaleMeningitis, CryptococcalMiddle AgedSTAT5 Transcription FactorYoung AdultAutoantibodiesGranulocyte-Macrophage Colony-Stimulating FactorImmunoglobulin GSTAT5 Transcription Factor

Identifiers

PMID23509356
PMCPMC3675663
OpenAlexW1892054757

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.