Evidence map›Paper›PMID 24671937›Full record

ArticleJournal of the Royal Society, Interface2014

A dose and time response Markov model for the in-host dynamics of infection with intracellular bacteria following inhalation: with application to Francisella tularensis.

R M Wood, J R Egan, I M Hall

Erratum issuedAbstract read
In one paragraph

Article in Journal of the Royal Society, Interface, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Quantitative Microbial Risk Assessment of Antibiotic-ResistantEnvironmental science & technology · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Early treatment gains for antibiotic administration and within human host time series data.Mathematical medicine and biology : a journal of the IMA · 2018
    Article
  11. A Novel Stochastic Multi-Scale Model ofFrontiers in microbiology · 2018
    Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Modeling early events in Francisella tularensis pathogenesis.Frontiers in cellular and infection microbiology · 2014
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

R M WoodBioterrorism and Emerging Disease Analysis, Microbial Risk Assessment and Behavioural Science, Public Health England, , Porton Down SP4 0JG, UK.
J R Egan
I M Hall

Funding

Department of Health JMY1
6 · The paper itself

Abstract

In a novel approach, the standard birth-death process is extended to incorporate a fundamental mechanism undergone by intracellular bacteria, phagocytosis. The model accounts for stochastic interaction between bacteria and cells of the immune system and heterogeneity in susceptibility to infection of individual hosts within a population. Model output is the dose-response relation and the dose-dependent distribution of time until response, where response is the onset of symptoms. The model is thereafter parametrized with respect to the highly virulent Schu S4 strain of Francisella tularensis, in the first such study to consider a biologically plausible mathematical model for early human infection with this bacterium. Results indicate a median infectious dose of about 23 organisms, which is higher than previously thought, and an average incubation period of between 3 and 7 days depending on dose. The distribution of incubation periods is right-skewed up to about 100 organisms and symmetric for larger doses. Moreover, there are some interesting parallels to the hypotheses of some of the classical dose-response models, such as independent action (single-hit model) and individual effective dose (probit model). The findings of this study support experimental evidence and postulations from other investigations that response is, in fact, influenced by both in-host and between-host variability.

Indexed as

Models, BiologicalAnimalsFrancisella tularensisHumansMarkov ChainsTularemiadose–response relationshipFrancisella tularensisinfectious disease incubation periodin-host mechanistic modelMarkov processsystems biology

Identifiers

PMID24671937
PMCPMC4006251

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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.