Evidence map›Paper›PMID 25785445›Full record

ArticlePloS one2015

Combined antigen-specific interferon-γ and interleukin-2 release assay (FluoroSpot) for the diagnosis of Mycobacterium tuberculosis infection.

Dumitru Chesov, Christoph Lange, Franziska Daduna, Valeriu Crudu, Rosemarie Preyer, Martin Ernst, Barbara Kalsdorf

Abstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Diagnostic accuracy ofFrontiers in immunology · 2024
    Article
  2. Transcriptional analysis of human peripheral blood mononuclear cells stimulated byFrontiers in cellular and infection microbiology · 2023
    Article
  3. Review
  4. Article
  5. 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.

Dumitru ChesovDivision of Pneumology and Allergology, State University of Medicine and Pharmacy "Nicolae Testemitanu", Chisinau, Republic of Moldova; Division of Clinical Infectious Diseases, Research Center Borstel, Borstel, Germany.
Christoph LangeDivision of Clinical Infectious Diseases, Research Center Borstel, Borstel, Germany; German Center for Infection Research, Tuberculosis Unit, Borstel, Germany; International Health/Infectious Diseases, University of Lübeck, Lübeck, Germany; Department of Medicine, Karolinska Institute, Stockholm, Sweden.
Franziska DadunaDivision of Clinical Infectious Diseases, Research Center Borstel, Borstel, Germany; German Center for Infection Research, Tuberculosis Unit, Borstel, Germany.
Valeriu CruduLaboratory of Microbiology and Morphology of Tuberculosis, Institute of Phthisiopneumology "Chiril Draganiuc", Chisinau, Republic of Moldova.
Rosemarie PreyerAutoimmun Diagnostika GmbH, Straßberg, Germany.
Martin ErnstDivision of Immune Cell-Analytics, Research Center Borstel, Borstel, Germany.
Barbara KalsdorfDivision of Clinical Infectious Diseases, Research Center Borstel, Borstel, Germany; German Center for Infection Research, Tuberculosis Unit, Borstel, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate interleukin (IL)-2 and interferon (IFN)-γ secreting T-cells in parallel for the differentiation of latent infection with Mycobacterium tuberculosis infection (LTBI) from active tuberculosis.

methodsFollowing ex-vivo stimulation of peripheral blood mononuclear cells (PBMC) with M. tuberculosis-specific antigens early secretory antigenic target (ESAT)-6 and culture filtrate protein (CFP)-10, immune responses were assessed by enzyme-linked immunospot IFN-γ release assay (EliSpot-IGRA) and a novel dual cytokine detecting fluorescence-linked immunospot (FluoroSpot) in 18 patients with pulmonary tuberculosis, 10 persons with previously cured tuberculosis, 25 individuals with LTBI and 16 healthy controls.

resultsCorrelation of IFN-γ+ spot-forming cells in EliSpot-IGRA and FluoroSpot were R2 = 0.67 for ESAT-6 and R2 = 0.73 for CFP-10. The number of IL-2- IFN-γ+ producing cells was higher in patients with tuberculosis compared with past tuberculosis (CFP-10-induced p = 0.0068) or individuals with LTBI (ESAT-6-induced p = 0.0136). A cutoff value of >16 CFP-10-induced IFN-γ+ secreting cells/200.000 PBMC in the EliSpot-IGRA discriminated with highest sensitivity and specificity (89% and 76%, respectively). However, overlap in cytokine responses precludes distinction between the cohorts on an individual basis.

conclusionsCombined analysis of IFN-γ and IL-2 secretion by antigen specific T-cells does not allow a reliable differentiation between different states of M. tuberculosis infection in clinical practice.

Indexed as

AdultAntigens, BacterialBacterial ProteinsCase-Control StudiesFemaleHumansImmunoassayInterferon-gammaInterleukin-2MaleMiddle AgedMycobacterium tuberculosisTuberculosisAntigens, BacterialBacterial ProteinsCFP-10 protein, Mycobacterium tuberculosisESAT-6 protein, Mycobacterium tuberculosisInterferon-gammaInterleukin-2

Identifiers

PMID25785445
PMCPMC4364905

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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.