Evidence map›Paper›PMID 24324704›Full record

Trial reportPloS one2013

Mycobacterium tuberculosis specific CD8(+) T cells rapidly decline with antituberculosis treatment.

Melissa R Nyendak, Byung Park, Megan D Null, Joy Baseke, Gwendolyn Swarbrick, Harriet Mayanja-Kizza, Mary Nsereko, Denise F Johnson, Phineas Gitta, Alphonse Okwera and 7 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

25 citing papers in PubMed, 44 citations in OpenAlex.

  1. Trial
  2. Tuberculosis in Pregnancy: Challenges of Immune Protection.The Journal of infectious diseases · 2026
    Review
  3. Immunodominant Tuberculosis Antigens Recognized by Human CD4Cold Spring Harbor perspectives in medicine · 2026
    Article
  4. Article
  5. Article
  6. Memory stem CD8Frontiers in cellular and infection microbiology · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. PromiscuousFrontiers in immunology · 2019
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

17 authors at 5 institutions in 2 countries.

Melissa R NyendakDepartment of Medicine, Oregon Health and Science University, Portland, Oregon, United States of America.
Byung Park
Megan D Null
Joy Baseke
Gwendolyn Swarbrick
Harriet Mayanja-Kizza
Mary Nsereko
Denise F Johnson
Phineas Gitta
Alphonse Okwera
Stefan Goldberg
Lorna Bozeman
John L Johnson
W Henry Boom
Deborah A Lewinsohn
David M Lewinsohn
Tuberculosis Research Unit and the Tuberculosis Trials Consortium
MUJHU Research Collaboration · UGOregon Health & Science University · USCenters for Disease Control and Prevention · USCase Western Reserve University · USPortland VA Medical Center · US

Funding

Oregon Clinical and Translational Science InstituteKL2RR024141 · NCRR · OREGON HEALTH & SCIENCE UNIVERSITY · PI ORWOLL, ERIC S. · 2006 to 2011
$3.6M
NCRR NIH HHS KL2 RR024141NCRR NIH HHS KL2RR024141NIAID NIH HHS HHSN266200700022C/NO1-AI-70022NIAID NIH HHS HHSN272200900053CNIAID NIH HHS N01 AI070022PHS HHS 200-2009-3259PHS HHS HHSN266200400081C
6 · The paper itself

Abstract

rationaleBiomarkers associated with response to therapy in tuberculosis could have broad clinical utility. We postulated that the frequency of Mycobacterium tuberculosis (Mtb) specific CD8(+) T cells, by virtue of detecting intracellular infection, could be a surrogate marker of response to therapy and would decrease during effective antituberculosis treatment.

objectivesWe sought to determine the relationship of Mtb specific CD4(+) T cells and CD8(+) T cells with duration of antituberculosis treatment. MATERIALS AND

methodsWe performed a prospective cohort study, enrolling between June 2008 and August 2010, of HIV-uninfected Ugandan adults (n = 50) with acid-fast bacillus smear-positive, culture confirmed pulmonary TB at the onset of antituberculosis treatment and the Mtb specific CD4(+) and CD8(+) T cell responses to ESAT-6 and CFP-10 were measured by IFN-γ ELISPOT at enrollment, week 8 and 24.

resultsThere was a significant difference in the Mtb specific CD8(+) T response, but not the CD4(+) T cell response, over 24 weeks of antituberculosis treatment (p<0.0001), with an early difference observed at 8 weeks of therapy (p = 0.023). At 24 weeks, the estimated Mtb specific CD8(+) T cell response decreased by 58%. In contrast, there was no significant difference in the Mtb specific CD4(+) T cell during the treatment. The Mtb specific CD4(+) T cell response, but not the CD8(+) response, was negatively impacted by the body mass index.

conclusionsOur data provide evidence that the Mtb specific CD8(+) T cell response declines with antituberculosis treatment and could be a surrogate marker of response to therapy. Additional research is needed to determine if the Mtb specific CD8(+) T cell response can detect early treatment failure, relapse, or to predict disease progression.

Indexed as

AdultAntitubercular AgentsBody Mass IndexCD8-Positive T-LymphocytesCohort StudiesFemaleHumansMaleMalnutritionMultivariate AnalysisMycobacterium tuberculosisPhytohemagglutininsSpecies SpecificityTuberculosisAntitubercular AgentsPhytohemagglutinins

Identifiers

PMID24324704
PMCPMC3852504
OpenAlexW1966145424

What OpenQuestion holds

Textmetadata
LicenceCC0
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.