Evidence map›Paper›PMID 24093552›Full record

Trial reportEpidemiology and infection2014

Micronutrient supplementation and T cell-mediated immune responses in patients with tuberculosis in Tanzania.

K Kawai, S N Meydani, W Urassa, D Wu, F M Mugusi, E Saathoff, R J Bosch, E Villamor, D Spiegelman, W W Fawzi

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Epidemiology and infection, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Nutritional supplements for people being treated for active tuberculosis.The Cochrane database of systematic reviews · 2016
    Pooled it
  2. Article
  3. TargetingRSC medicinal chemistry · 2023
    Review
  4. Article
  5. Role of Selenoproteins in Bacterial Pathogenesis.Biological trace element research · 2019
    Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Observational
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

10 authors at 5 institutions in 3 countries.

K KawaiDepartment of Epidemiology,Harvard School of Public Health, Boston, MA,USA.
S N MeydaniNutritional Immunology Laboratory at the Jean Mayer USDA Human Nutrition Research Center on Aging, Department of Pathology at the Sackler Graduate School of Biochemical Sciences, and Friedman School of Nutrition Science and Policy,Tufts University,Boston, MAUSA.
W UrassaDepartment of Microbiology and Immunology,Muhimbili University of Health and Allied Sciences,Dar es Salaam,Tanzania.
D WuNutritional Immunology Laboratory at the Jean Mayer USDA Human Nutrition Research Center on Aging, Department of Pathology at the Sackler Graduate School of Biochemical Sciences, and Friedman School of Nutrition Science and Policy,Tufts University,Boston, MAUSA.
F M MugusiDepartment of Internal Medicine,Muhimbili University of Health and Allied Sciences,Dar es Salaam,Tanzania.
E SaathoffDivision of Infectious Diseases and Tropical Medicine,Medical Center of the University of Munich,Germany & German Centre for Infection Research, LMU Munich,Germany.
R J BoschDepartment of Biostatistics,Harvard School of Public Health, Boston, MA,USA.
E VillamorDepartment of Epidemiology,Harvard School of Public Health, Boston, MA,USA.
D SpiegelmanDepartment of Epidemiology,Harvard School of Public Health, Boston, MA,USA.
W W FawziDepartment of Epidemiology,Harvard School of Public Health, Boston, MA,USA.
Harvard University · USMuhimbili University of Health and Allied Sciences · TZTufts University · USCancer Research And Biostatistics · USGerman Center for Infection Research · DE

Funding

NUTRITION, IMMUNOLOGY, AND EPIDEMIOLOGY OF TUBERCULOSISU01AI045441 · NIAID · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI FAWZI, WAFAIE W · 1999 to 2004
$2.0M
NIAID NIH HHS U01 AI045441NIAID NIH HHS UO1 AI 45441-01
6 · The paper itself

Abstract

Limited studies exist regarding whether incorporating micronutrient supplements during tuberculosis (TB) treatment may improve cell-mediated immune response. We examined the effect of micronutrient supplementation on lymphocyte proliferation response to mycobacteria or T-cell mitogens in a randomized trial conducted on 423 patients with pulmonary TB. Eligible participants were randomly assigned to receive a daily dose of micronutrients (vitamins A, B-complex, C, E, and selenium) or placebo at the time of initiation of TB treatment. We found no overall effect of micronutrient supplements on lymphocyte proliferative responses to phytohaemagglutinin or purified protein derivatives in HIV-negative and HIV-positive TB patients. Of HIV-negative TB patients, the micronutrient group tended to show higher proliferative responses to concanavalin A than the placebo group, although the clinical relevance of this finding is not readily notable. The role of nutritional intervention in this vulnerable population remains an important area of future research.

Indexed as

Dietary SupplementsAdultAntitubercular AgentsCells, CulturedDouble-Blind MethodFemaleHIV InfectionsHumansLymphocyte ActivationMaleMicronutrientsPhytohemagglutininsTanzaniaT-LymphocytesTuberculinTuberculosis, PulmonaryAntitubercular AgentsMicronutrientsPhytohemagglutininsTuberculin

Identifiers

PMID24093552
PMCPMC5639693
OpenAlexW2329118379

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.