Evidence map›Paper›PMID 24587128›Full record

ArticlePloS one2014

Identification of a 251 gene expression signature that can accurately detect M. tuberculosis in patients with and without HIV co-infection.

Noor Dawany, Louise C Showe, Andrew V Kossenkov, Celia Chang, Prudence Ive, Francesca Conradie, Wendy Stevens, Ian Sanne, Livio Azzoni, Luis J Montaner

Abstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

10 authors.

Noor DawanyCenter for Systems and Computational Biology, The Wistar Institute, Philadelphia, Pennsylvania, United States of America.
Louise C ShoweCenter for Systems and Computational Biology, The Wistar Institute, Philadelphia, Pennsylvania, United States of America.
Andrew V KossenkovCenter for Systems and Computational Biology, The Wistar Institute, Philadelphia, Pennsylvania, United States of America.
Celia ChangGenomics Facility, The Wistar Institute, Philadelphia, Pennsylvania, United States of America.
Prudence IveClinical HIV Research Unit, Department of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Francesca ConradieClinical HIV Research Unit, Department of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Wendy StevensDepartment of Molecular Medicine and Hematology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Ian SanneClinical HIV Research Unit, Department of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Livio AzzoniHIV-1 Immunopathogenesis Laboratory, The Wistar Institute, Philadelphia, Pennsylvania, United States of America.
Luis J MontanerHIV-1 Immunopathogenesis Laboratory, The Wistar Institute, Philadelphia, Pennsylvania, United States of America.

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI ROBERT GROSS · 1999 to 2026
$78.6M
Tumor Microenvironment and MetastasisP30CA010815 · NCI · WISTAR INSTITUTE · PI Luis J Montaner · 1985 to 2026
$75.9M
HIV Therapy &Interruption RCT in Resource Poor ClinicU01AI051986 · NIAID · WISTAR INSTITUTE · PI MONTANER, LUIS J · 2005 to 2010
$3.0M
TB-related Immune Reconstitution Syndrome in HIV-1 Infected South AfricansR01AI069996 · NIAID · WISTAR INSTITUTE · PI AZZONI, LIVIO · 2006 to 2009
$1.3M
NCI NIH HHS P30 CA010815NCI NIH HHS P30 CA10815NIAID NIH HHS P30 AI045008NIAID NIH HHS R01 AI069996NIAID NIH HHS U01 AI051986NIAID NIH HHS UO1AI51986
6 · The paper itself

Abstract

backgroundCo-infection with tuberculosis (TB) is the leading cause of death in HIV-infected individuals. However, diagnosis of TB, especially in the presence of an HIV co-infection, can be limiting due to the high inaccuracy associated with the use of conventional diagnostic methods. Here we report a gene signature that can identify a tuberculosis infection in patients co-infected with HIV as well as in the absence of HIV.

methodsWe analyzed global gene expression data from peripheral blood mononuclear cell (PBMC) samples of patients that were either mono-infected with HIV or co-infected with HIV/TB and used support vector machines to identify a gene signature that can distinguish between the two classes. We then validated our results using publically available gene expression data from patients mono-infected with TB.

resultsOur analysis successfully identified a 251-gene signature that accurately distinguishes patients co-infected with HIV/TB from those infected with HIV only, with an overall accuracy of 81.4% (sensitivity = 76.2%, specificity = 86.4%). Furthermore, we show that our 251-gene signature can also accurately distinguish patients with active TB in the absence of an HIV infection from both patients with a latent TB infection and healthy controls (88.9-94.7% accuracy; 69.2-90% sensitivity and 90.3-100% specificity). We also demonstrate that the expression levels of the 251-gene signature diminish as a correlate of the length of TB treatment.

conclusionsA 251-gene signature is described to (a) detect TB in the presence or absence of an HIV co-infection, and (b) assess response to treatment following anti-TB therapy.

Indexed as

AdultCoinfectionFemaleGene Expression ProfilingHIV InfectionsHumansLeukocytes, MononuclearMaleMycobacterium tuberculosisSensitivity and SpecificitySouth AfricaSupport Vector MachineTranscriptomeTuberculosis

Identifiers

PMID24587128
PMCPMC3934945

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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.