Evidence map›Paper›PMID 24603894›Full record

ArticlePLoS pathogens2014

Gambiense human african trypanosomiasis and immunological memory: effect on phenotypic lymphocyte profiles and humoral immunity.

Veerle Lejon, Dieudonné Mumba Ngoyi, Luc Kestens, Luc Boel, Barbara Barbé, Victor Kande Betu, Johan van Griensven, Emmanuel Bottieau, Jean-Jacques Muyembe Tamfum, Jan Jacobs and 1 more

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 16% 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, 28 citations in OpenAlex.

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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

11 authors at 4 institutions in 3 countries.

Veerle LejonInstitute of Tropical Medicine, Antwerp, Belgium; Institut de Recherche pour le Développement, UMR 177 IRD-CIRAD INTERTRYP, Montpellier, France.
Dieudonné Mumba NgoyiInstitut National de Recherche Biomédicale, Kinshasa, Democratic Republic of the Congo.
Luc KestensInstitute of Tropical Medicine, Antwerp, Belgium.
Luc BoelInstitute of Tropical Medicine, Antwerp, Belgium.
Barbara BarbéInstitute of Tropical Medicine, Antwerp, Belgium.
Victor Kande BetuProgramme Nationale de Lutte contre la Trypanosomiase Humaine Africaine, Kinshasa, Democratic Republic of the Congo.
Johan van GriensvenInstitute of Tropical Medicine, Antwerp, Belgium.
Emmanuel BottieauInstitute of Tropical Medicine, Antwerp, Belgium.
Jean-Jacques Muyembe TamfumInstitut National de Recherche Biomédicale, Kinshasa, Democratic Republic of the Congo.
Jan JacobsInstitute of Tropical Medicine, Antwerp, Belgium.
Philippe BüscherInstitute of Tropical Medicine, Antwerp, Belgium.
Instituut voor Tropische Geneeskunde · BENational Institute of Biomedical Research · CDCentre de Coopération Internationale en Recherche Agronomique pour le Développement · FRProgramme National Multisectoriel de Lutte contre le sida · CD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In mice, experimental infection with Trypanosoma brucei causes decreased bone marrow B-cell development, abolished splenic B-cell maturation and loss of antibody mediated protection including vaccine induced memory responses. Nothing is known about this phenomenon in human African trypanosomiasis (HAT), but if occurring, it would imply the need of revaccination of HAT patients after therapy and abolish hope for a HAT vaccine. The effect of gambiense HAT on peripheral blood memory T- and B-cells and on innate and vaccine induced antibody levels was examined. The percentage of memory B- and T-cells was quantified in peripheral blood, prospectively collected in DR Congo from 117 Trypanosoma brucei gambiense infected HAT patients before and six months after treatment and 117 controls at the same time points. Antibodies against carbohydrate antigens on red blood cells and against measles were quantified. Before treatment, significantly higher percentages of memory B-cells, mainly T-independent memory B-cells, were observed in HAT patients compared to controls (CD20+CD27+IgM+, 13.0% versus 2.0%, p<0.001). The percentage of memory T-cells, mainly early effector/memory T-cells, was higher in HAT (CD3+CD45RO+CD27+, 19.4% versus 16.7%, p = 0.003). After treatment, the percentage of memory T-cells normalized, the percentage of memory B-cells did not. The median anti-red blood cell carbohydrate IgM level was one titer lower in HAT patients than in controls (p<0.004), and partially normalized after treatment. Anti-measles antibody concentrations were lower in HAT patients than in controls (medians of 1500 versus 2250 mIU/ml, p = 0.02), and remained so after treatment, but were above the cut-off level assumed to provide protection in 94.8% of HAT patients, before and after treatment (versus 98.3% of controls, p = 0.3). Although functionality of the B-cells was not verified, the results suggest that immunity was conserved in T.b. gambiense infected HAT patients and that B-cell dysfunction might not be that severe as in mouse models.

Indexed as

AdultAntibodies, ProtozoanB-LymphocytesFemaleFlow CytometryHumansImmunity, HumoralImmunologic MemoryMalePhenotypeTrypanosoma brucei gambienseTrypanosomiasis, AfricanAntibodies, Protozoan

Identifiers

PMID24603894
PMCPMC3946376
OpenAlexW2087955589

What OpenQuestion holds

Textmetadata
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.