Evidence map›Paper›PMID 23956785›Full record

ArticleFuture virology2013

The case for immunomodulatory approaches in treating HSV encephalitis.

Chandran Ramakrishna, Harry Openshaw, Edouard M Cantin

Open access · greenAbstract read
In one paragraph

Article in Future virology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Intravenous immunoglobulin for the treatment of childhood encephalitis.The Cochrane database of systematic reviews · 2017
    Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Efficacy and safety of intravenous high-dose immunoglobulin in treatment of the severe form of Japanese encephalitis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. 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

3 authors at 1 institution in 1 country.

Chandran RamakrishnaDepartment of Virology, Beckman Research Institute of City of Hope; Duarte, CA 91010-3000, USA.
Harry Openshaw
Edouard M Cantin
Beckman Research Institute

Funding

A Genetic Determinant of Resistance to HSVR01EY013814 · NEI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI CANTIN, EDOUARD M · 2002 to 2006
$2.2M
CNS PATHOLOGY AFTER HSV INFECTION IS IMMUNE CELL-MEDIATEDR01AI060038 · NIAID · EASTERN VIRGINIA MEDICAL SCHOOL · PI LUNDBERG, PATRIC · 2006 to 2009
$1.5M
Mechanisms of IVIG Protection in Viral EncephalitisR01AI078399 · NIAID · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI CANTIN, EDOUARD M · 2009 to 2010
$830k
NEI NIH HHS R01 EY013814NIAID NIH HHS R01 AI060038NIAID NIH HHS R01 AI078399
6 · The paper itself

Abstract

HSV encephalitis (HSE) is the most prevalent sporadic viral encephalitis. Although safe and effective antiviral therapies and greatly improved noninvasive diagnostic procedures have significantly improved outcomes, mortality (~20%) and debilitating neurological sequelae in survivors remain unacceptably high. An encouraging new development is that the focus is now shifting away from the virus exclusively, to include consideration of the host immune response to infection in the pathology underlying development of HSE. In this article, the authors discuss results from recent studies in experimental mouse models, as well as clinical reports that demonstrate a role for exaggerated host inflammatory responses in the brain in the development of HSE that is motivating researchers and clinicians to consider new therapeutic approaches for treating HSE. The authors also discuss results from a few studies that have shown that immunomodulatory drugs can be highly protective against HSE, which supports a role for deleterious host inflammatory responses in HSE. The impressive outcomes of some immunomodulatory approaches in mouse models of HSE emphasize the urgent need for clinical trials to rigorously evaluate combination antiviral and immunomodulatory therapy in comparison with standard antiviral therapy for treatment of HSE, and support for such an initiative is gaining momentum.

Indexed as

acyclovirencephalitisherpesvirusimmune pathologyimmunomodulationinflammationinnate immunityintravenous immunoglobulinreactive oxygen species

Identifiers

PMID23956785
PMCPMC3742040
OpenAlexW2061762274

What OpenQuestion holds

Textmetadata
LicenceTDM
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.