Evidence map›Paper›PMID 25184553›Full record

ArticlePloS one2014

Development of a one-step probe based molecular assay for rapid immunodiagnosis of infection with M. tuberculosis using dried blood spots.

Thomas Blauenfeldt, Jan Heyckendorf, Sidse Graff Jensen, Christoph Lange, Camilla Drabe, Thomas S Hermansen, Lena de Thurah, Troels Lillebaek, Jesper Eugen-Olsen, Niels Seersholm and 3 more

Open access · goldAbstract 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 20 citations in OpenAlex.

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  4. Evaluation of theFrontiers in cellular and infection microbiology · 2023
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  5. Diagnostic Performance of a NovelFrontiers in microbiology · 2022
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  6. Article
  7. Article
  8. Interferon-γ-Inducible Protein 10 (IP-10) as a Screening Tool to Optimize Human Immunodeficiency Virus RNA Monitoring in Resource-Limited Settings.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Article
  9. 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

13 authors at 5 institutions in 3 countries.

Thomas BlauenfeldtDepartment of Infectious Disease Immunology, Statens Serum Institut, Copenhagen, Denmark; Clinical Research Centre, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark.
Jan HeyckendorfClinical Infectious Diseases, German Center for Infection Research (DZIF) Tuberculosis Unit, Research Center Borstel, Borstel, Germany.
Sidse Graff JensenDepartment of Pulmonary Medicine, Copenhagen University Hospital Gentofte, Copenhagen, Denmark.
Christoph LangeClinical Infectious Diseases, German Center for Infection Research (DZIF) Tuberculosis Unit, Research Center Borstel, Borstel, Germany; Department of Medicine, University of Namibia School of Medicine, Windhoek, Namibia.
Camilla DrabeClinical Research Centre, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark.
Thomas S HermansenInternational Reference Laboratory of Mycobacteriology, Statens Serum Institut, Copenhagen, Denmark.
Lena de ThurahDepartment of Infectious Disease Immunology, Statens Serum Institut, Copenhagen, Denmark; Clinical Research Centre, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark.
Troels LillebaekInternational Reference Laboratory of Mycobacteriology, Statens Serum Institut, Copenhagen, Denmark.
Jesper Eugen-OlsenClinical Research Centre, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark.
Niels SeersholmDepartment of Pulmonary Medicine, Copenhagen University Hospital Gentofte, Copenhagen, Denmark.
Søren HoffDepartment of Infectious Disease Immunology, Statens Serum Institut, Copenhagen, Denmark.
Jesper BondeClinical Research Centre, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark; Department of Pathology, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark.
Morten RuhwaldDepartment of Infectious Disease Immunology, Statens Serum Institut, Copenhagen, Denmark; Clinical Research Centre, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark.
Statens Serum Institut · DKCopenhagen University Hospital · DKGentofte Hospital · DKGerman Center for Infection Research · DEUniversity of Namibia · NA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntigen specific release of IP-10 is the most promising alternative marker to IFN-γ for infection with M. tuberculosis. Compared to Interferon-γ release assays (IGRA), IP-10 is released in high levels enabling novel approaches such as field friendly dried blood spots (DBS) and molecular detection.

aimTo develop a robust IP-10 based molecular assay for the diagnosis of infection with M. tubercuolsis from whole blood and DBS.

methodWe developed a one-step probe based multiplex RT-qPCR assay for detecting IP-10 and IFN-γ mRNA expression from whole blood and DBS samples. The assay was validated and applied for the diagnosis of M. tuberculosis infection in DBS samples from 43 patients with confirmed TB, 13 patients with latent TB and 96 presumed uninfected controls. In parallel, IP-10 and INF-γ levels were measured in Quantiferon (QFT-TB) plasma supernatants.

resultsIP-10 mRNA upregulation was detectable at 4 hours after stimulation (6 fold upregulation) peaking at 8 hours (108 fold upregulation). IFN-γ expression occurred in concert but levels were lower (peak 6.7 fold upregulation). IP-10 gene expression level was significantly higher in patients with tuberculosis (median 31.2, IQR 10.7-67.0) and persons with latent tuberculosis infection (LTBI) (41.2, IQR 9.8-64.9) compared to healthy controls (1.6, IQR 1.1-2.4; p<0.0001). The IP-10 mRNA and protein based tests had comparable diagnostic accuracy to QFT-TB, sensitivity (85% and 88% vs 85%) and specificity (96% and 96% vs 97%, p = ns.).

conclusionWe developed a rapid, robust and accurate molecular immunodiagnostic test for M. tuberculosis infection. By combining DBS based sample acquisition, mail or currier based sample transport with centralized molecular detection, this immunodiagnostic test concept can reduce the local technological requirements everywhere and make it possible to offer highly accurate immunodiagnostic tests in low resource settings.

Indexed as

AdultAgedAntigens, BacterialCase-Control StudiesChemokine CXCL10Dried Blood Spot TestingFemaleHumansImmunoassayInterferon-gammaLatent TuberculosisMaleMiddle AgedMycobacterium tuberculosisRNA, MessengerSensitivity and SpecificityAntigens, BacterialChemokine CXCL10CXCL10 protein, humanInterferon-gammaRNA, Messenger

Identifiers

PMID25184553
PMCPMC4153573
OpenAlexW2034565117

What OpenQuestion holds

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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.