Evidence map›Paper›PMID 25729380›Full record

ArticleFrontiers in microbiology2015

Specific in vitro interferon-gamma and IL-2 production as biomarkers during treatment of chronic Q fever.

Teske Schoffelen, Marjolijn C Wegdam-Blans, Anne Ammerdorffer, Marjolijn J H Pronk, Yvonne E P Soethoudt, Mihai G Netea, Jos W M van der Meer, Chantal P Bleeker-Rovers, Marcel van Deuren

Open access · goldAbstract read
In one paragraph

Article in Frontiers in microbiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-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

7 citing papers in PubMed, 13 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

9 authors at 3 institutions in 1 country.

Teske SchoffelenDepartment of Internal Medicine, Radboud University Medical Center Nijmegen, Netherlands.
Marjolijn C Wegdam-BlansDepartment of Medical Microbiology, Laboratory for Pathology and Medical Microbiology Veldhoven, Netherlands.
Anne AmmerdorfferDepartment of Internal Medicine, Radboud University Medical Center Nijmegen, Netherlands.
Marjolijn J H PronkDepartment of Internal Medicine, Catharina Hospital Eindhoven, Netherlands.
Yvonne E P SoethoudtDepartment of Internal Medicine, Elkerliek Hospital Helmond, Netherlands.
Mihai G NeteaDepartment of Internal Medicine, Radboud University Medical Center Nijmegen, Netherlands.
Jos W M van der MeerDepartment of Internal Medicine, Radboud University Medical Center Nijmegen, Netherlands.
Chantal P Bleeker-RoversDepartment of Internal Medicine, Radboud University Medical Center Nijmegen, Netherlands.
Marcel van DeurenDepartment of Internal Medicine, Radboud University Medical Center Nijmegen, Netherlands.
Radboud University Nijmegen · NLElkerliek Ziekenhuis · NLRadboud University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntibiotic treatment of chronic Q fever is cumbersome and of long duration. To monitor treatment, there is a need for alternative biomarkers. Coxiella burnetii-specific interferon (IFN)-γ and interleukin (IL)-2 production reflect the type of effector and memory T-cell response. In chronic Q fever, C. burnetii-specific IFN-γ production is higher and IL-2 production is lower than in individuals with past Q fever. Here we explore whether C. burnetii-specific IFN-γ and IL-2 production correlate to treatment response.

methodsWe studied the longitudinal C. burnetii-specific IFN-γ/IL-2 ratio in fifteen proven chronic Q fever patients. All patients were followed for at least 18 months during antibiotic treatment. Treatment was considered successful when clinical recovery was observed, a positive PCR for C. burnetii DNA in blood became persistently negative, anti-phase I IgG showed a fourfold decrease or more, and imaging techniques showed disappearance of infectious foci.

resultsOverall, the IFN-γ/IL-2 ratio declined when patients experienced a successful treatment outcome. When treatment failed, IFN-γ/IL-2 ratios did not significantly decrease. The median (±IQR) slope of the longitudinal IFN-γ/IL-2 ratio with successful treatment was -2.10 (-7.02 to -0.06), and -0.15 (-1.13 to 0.25) with unsuccessful treatment (P = 0.19). Q fever endocarditis patients had higher IFN-γ/IL-2 ratios than patients with endovascular infections.

conclusionWe propose that the IFN-γ/IL-2 ratio can be used as an additional biomarker for monitoring chronic Q fever treatment, with declining ratios being indicative of successful treatment.

Indexed as

biomarkercell-mediated immunityCoxiella burnetiiinterferon-gammainterleukin-2Q feverserologytreatment

Identifiers

PMID25729380
PMCPMC4325914
OpenAlexW1966831107

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.