Evidence map›Paper›PMID 23784926›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2013

Role of IL28B gene polymorphism and cell-mediated immunity in spontaneous resolution of acute hepatitis C.

Enea Spada, Pietro Amoroso, Gloria Taliani, Ornella Zuccaro, Piergiorgio Chiriacò, Patrizia Maio, Giuseppe Maio, Maria Luisa Esposito, Corrado Mariano, Roberto Rinaldi and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 30% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  3. Trial
  4. Review
  5. Article
  6. Review
  7. 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

19 authors at 13 institutions in 4 countries.

Enea SpadaNational Centre of Epidemiology, Surveillance and Health Promotion, Istituto Superiore di Sanità, Rome, Italy. enea.spada@iss.it
Pietro Amoroso
Gloria Taliani
Ornella Zuccaro
Piergiorgio Chiriacò
Patrizia Maio
Giuseppe Maio
Maria Luisa Esposito
Corrado Mariano
Roberto Rinaldi
Pietro Bellissima
Maria Elena Tosti
Paola Del Porto
Ruggiero Francavilla
Vincenzo Mellace
Anna Rosa Garbuglia
Antonella Folgori
Alfonso Mele
Acute Hepatitis Italian Study Group
Sapienza University of Rome · ITIstituto Superiore di Sanità · ITAltair Engineering (United States) · USAzienda Ospedaliera G.Rummo · ITAzienda Ospedaliera S.Giuseppe Moscati · ITHospital for Tropical Diseases · VNIstituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITNational Drug Addiction Center · BGOspedale A. Perrino · ITOspedale D. Cotugno · ITOspedale degli Infermi · ITOspedali Riuniti Umberto I · ITUniversity of Catania · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA single-nucleotide polymorphism (SNP; rs12979860) near the IL28B gene has been associated with spontaneous and treatment-induced hepatitis C virus clearance. We investigated predictors of spontaneous disease resolution in a cohort of patients with acute hepatitis C (AHC), analyzing epidemiological, clinical and virological parameters together with IL28B.rs12979860 genotypes and cell-mediated immunity (CMI).

methodsFifty-six symptomatic AHC patients were enrolled and followed prospectively. CMI was measured in 31 patients at multiple time points by interferon-γ enzyme-linked immunospot assay and was correlated to the IL28B.rs12979860 SNP.

resultsEighteen patients had a self-limiting AHC that was associated with female sex (P = .028), older age (P = .018), alanine aminotransferase level >1000 U/L (P = .027), total bilirubin level >7 mg/dL (P = .036), and IL28B.rs12979860 genotype CC (P = .030). In multivariate analysis, only CC genotype was independently associated with self-limiting AHC (odds ratio, 5.3; 95% confidence interval, 1.1-26.5). Patients with the CC genotype with self-limiting AHC had a stronger (P = .02) and broader (P = .013) CMI than patients with the CT genotype with chronically evolving AHC. In patients with chronically evolving disease, CC genotype was associated with a broader CMI compared to CT genotype (P = .028). A negative CMI was more frequently associated with CT genotype among persistently infected patients (P = .043) and with persistent infection among CT patients (P = .033).

conclusions. Self-limiting AHC was independently associated with CC genotype. The correlation between IL28B.rs12979860 genotypes and CMI is suggestive of a possible important role of CMI in favoring hepatitis C virus clearance in CC patients.

Indexed as

Acute DiseaseAdultAgedFemaleHepatitis CHumansInterferon LambdaInterferonsInterleukinsItalyMaleMiddle AgedMultivariate AnalysisPolymorphism, Single NucleotidePrognosisProspective StudiesInterferon Lambdainterferon-lambda, humanInterferonsInterleukinsacute hepatitis Ccell-mediated immunityinterleukin-28Bprognostic factors

Identifiers

PMID23784926
PMCPMC3749747
OpenAlexW2152915532

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Registered trials

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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.