Evidence map›Paper›PMID 25420932›Full record

ArticleBMC infectious diseases2014

Immune markers characteristic for asymptomatically infected and diseased Entamoeba histolytica individuals and their relation to sex.

Hannah Bernin, Claudia Marggraff, Thomas Jacobs, Norbert Brattig, Van An Le, Jörg Blessmann, Hannelore Lotter

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

19 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Immunogenicity and safety of anHuman vaccines & immunotherapeutics · 2024
    Article
  5. Amebic liver abscess: An update.World journal of hepatology · 2024
    Review
  6. Interleukin 10 (IL-10) Production and Seroprevalence ofPathogens (Basel, Switzerland) · 2022
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Tropical medicine and health · 2020
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Amebic Liver Abscess in Israeli Travelers: A Retrospective Study.The American journal of tropical medicine and hygiene · 2016
    Observational
  19. Review
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

7 authors at 2 institutions in 2 countries.

Hannah Bernin
Claudia Marggraff
Thomas Jacobs
Norbert Brattig
Van An Le
Jörg Blessmann
Hannelore Lotter
Bernhard Nocht Institute for Tropical Medicine · DEHue University · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe protozoan parasite Entamoeba histolytica (E. histolytica) usually asymptomatically colonizes the human intestine. In the minority of the cases, the parasite evades from the gut and can induce severe symptoms like colitis or amebic liver abscess (ALA). Interestingly, ALA predominates in adult men despite a higher prevalence of the parasite in women. The present study aimed to identify characteristic serum markers in a unique cohort of clearly defined asymptomatically infected E. histolytica individuals in comparison to patients with an E. histolytica liver manifestation of both sex.

methodsThe following study groups were investigated: ALA patients (n = 38), healthy asymptomatic E. histolytica carriers (AC) (n = 44), and healthy E. dispar-infected controls (n = 24) out of an amebiasis endemic area. E. histolytica-specific immunoglobulin G (IgG) and the IgG subclasses against proteinaceous and non-proteinaceous amebic antigens were measured by ELISA. Serum cytokine and chemokine levels were investigated using a flow cytometry bead-based multiplex immunoassay.

resultsThe IgG results revealed that not only ALA patients, but also AC, developed high E. histolytica-specific titers of IgG and all IgG subclasses as well as IgA. IgG and IgG2 titers against the glycolipid E. histolytica lipophosphoglycan were highest in ALA patients. As in ALA patients, high cytokine levels of interleukin (IL-) 4 were detected in AC compared to E. dispar infected individuals, while IL-6 was exclusively elevated in ALA patients. IL-10 was lower in AC compared to ALA patients. Equal serum levels of CCL2 were found in all study groups but ALA patients showed decreased levels of CCL3. Sex dependent analysis of the data indicated significantly higher IgG and IgG1 titers in female AC compared to male AC. CCL2, the chemokine involved in immunopathology in the mouse model for the disease, was higher in male AC compared to female AC.

conclusionIn this study we characterize for the first time an asymptomatic carrier stage in amebiasis that is associated with a significant immune reaction and provide immunological markers that might give first hints towards an understanding of immune mechanisms underlying the control or development of invasive amebiasis.

Indexed as

Asymptomatic InfectionsAdultAntibodies, ProtozoanBiomarkersCarrier StateCase-Control StudiesChemokine CCL2Chemokine CCL3Entamoeba histolyticaEntamoebiasisEnzyme-Linked Immunosorbent AssayFemaleHumansImmunoglobulin GInterleukin-10Interleukin-4Antibodies, ProtozoanBiomarkersChemokine CCL2Chemokine CCL3Immunoglobulin GInterleukin-10Interleukin-4Interleukin-6

Identifiers

PMID25420932
PMCPMC4252988
OpenAlexW2082317423

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LicenceCC BY
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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.