Evidence map›Paper›PMID 24386119›Full record

ArticlePloS one2013

Humoral immune responses to Pneumocystis jirovecii antigens in HIV-infected and uninfected young children with pneumocystis pneumonia.

Kpandja Djawe, Kieran R Daly, Linda Levin, Heather J Zar, Peter D Walzer

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 40% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Advances in pathogen detection ofInfectious medicine · 2025
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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

5 authors at 3 institutions in 2 countries.

Kpandja DjaweDepartment of Environmental Health, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States of America.
Kieran R DalyDepartment of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States of America ; Research Service, Veterans Affairs Medical Center, Cincinnati, Ohio, United States of America.
Linda LevinDepartment of Environmental Health, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States of America.
Heather J ZarDepartment of Pediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Peter D WalzerDepartment of Environmental Health, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States of America ; Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States of America ; Research Service, Veterans Affairs Medical Center, Cincinnati, Ohio, United States of America.
University of Cincinnati Medical Center · USVeterans Health Administration · USUniversity of Cape Town · ZA

Funding

Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., TSEVAT, JOEL · 2012 to 2014
$9.9M
International HIV-associated Opportunistic Pneumonias (IHOP) StudyR01HL090335 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUANG, LAURENCE · 2007 to 2011
$4.0M
Medical Research CouncilNCATS NIH HHS UL1 TR000077NHLBI NIH HHS R01 HL090335
6 · The paper itself

Abstract

backgroundHumoral immune responses in human immunodeficiency virus (HIV)-infected and uninfected children with Pneumocystis pneumonia (PcP) are poorly understood.

methodsConsecutive children hospitalized with acute pneumonia, tachypnea, and hypoxia in South Africa were investigated for PcP, which was diagnosed by real-time polymerase chain reaction on lower respiratory tract specimens. Serum antibody responses to recombinant fragments of the carboxyl terminus of Pneumocystis jirovecii major surface glycoprotein (MsgC) were analyzed.

results149 children were enrolled of whom 96 (64%) were HIV-infected. PcP occurred in 69 (72%) of HIV-infected and 14 (26%) of HIV-uninfected children. HIV-infected children with PcP had significantly decreased IgG antibodies to MsgC compared to HIV-infected patients without PcP, but had similar IgM antibodies. In contrast, HIV-uninfected children with PcP showed no change in IgG antibodies to MsgC, but had significantly increased IgM antibodies compared to HIV-uninfected children without PCP. Age was an independent predictor of high IgG antibodies, whereas PcP was a predictor of low IgG antibodies and high IgM antibodies. IgG and IgM antibody levels to the most closely related MsgC fragments were predictors of survival from PcP.

conclusionsYoung HIV-infected children with PcP have significantly impaired humoral immune responses to MsgC, whereas HIV-uninfected children with PcP can develop active humoral immune responses. The children also exhibit a complex relationship between specific host factors and antibody levels to MsgC fragments that may be related to survival from PcP.

Indexed as

Age FactorsAntigens, FungalChildHIV InfectionsHumansImmunity, HumoralImmunoglobulin GImmunoglobulin MPneumocystis cariniiPneumonia, PneumocystisAntigens, FungalImmunoglobulin GImmunoglobulin M

Identifiers

PMID24386119
PMCPMC3873266
OpenAlexW2034448861

What OpenQuestion holds

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LicenceCC BY
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.