Evidence map›Paper›PMID 25799317›Full record

ArticlePloS one2015

LTA4H genotype is associated with susceptibility to bacterial meningitis but is not a critical determinant of outcome.

Sarah J Dunstan, Trinh Thi Bich Tram, Guy E Thwaites, Tran Thi Hong Chau, Nguyen Hoan Phu, Tran Tinh Hien, Jeremy J Farrar, Marcel Wolbers, Nguyen Thi Hoang Mai

Open access · goldAbstract readControlled Clinical Trial
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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Do Intracerebral Cytokine Responses Explain the Harmful Effects of Dexamethasone in Human Immunodeficiency Virus-associated Cryptococcal Meningitis?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Trial
  3. Trial
  4. Review
  5. The pathogenesis of tuberculous meningitis.Journal of leukocyte biology · 2019
    Review
  6. 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

9 authors at 3 institutions in 3 countries.

Sarah J DunstanOxford University Clinical Research Unit, Ho Chi Minh City, District 5, Vietnam; Centre for Tropical Medicine, Nuffield Department of Clinical Medicine, Oxford University, Oxford, OX3 7LJ, United Kingdom; Nossal Institute of Global Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, 3010, Australia.
Trinh Thi Bich TramOxford University Clinical Research Unit, Ho Chi Minh City, District 5, Vietnam.
Guy E ThwaitesOxford University Clinical Research Unit, Ho Chi Minh City, District 5, Vietnam; Centre for Tropical Medicine, Nuffield Department of Clinical Medicine, Oxford University, Oxford, OX3 7LJ, United Kingdom.
Tran Thi Hong ChauHospital for Tropical Diseases, Ho Chi Minh City, District 5, Vietnam.
Nguyen Hoan PhuHospital for Tropical Diseases, Ho Chi Minh City, District 5, Vietnam.
Tran Tinh HienOxford University Clinical Research Unit, Ho Chi Minh City, District 5, Vietnam.
Jeremy J FarrarOxford University Clinical Research Unit, Ho Chi Minh City, District 5, Vietnam; Centre for Tropical Medicine, Nuffield Department of Clinical Medicine, Oxford University, Oxford, OX3 7LJ, United Kingdom.
Marcel WolbersOxford University Clinical Research Unit, Ho Chi Minh City, District 5, Vietnam; Centre for Tropical Medicine, Nuffield Department of Clinical Medicine, Oxford University, Oxford, OX3 7LJ, United Kingdom.
Nguyen Thi Hoang MaiOxford University Clinical Research Unit, Ho Chi Minh City, District 5, Vietnam.
Nuffield Orthopaedic Centre · GBOxford University Clinical Research Unit · VNHospital for Tropical Diseases · VN

Funding

Wellcome Trust 089276Wellcome Trust 089276/Z/09/Z
6 · The paper itself

Abstract

Adjunctive dexamethasone saves lives in the treatment of tuberculous meningitis but this response is influenced by the patient's LTA4H genotype. Despite less certain benefit, adjunctive dexamethasone is also frequently used in the treatment of pyogenic bacterial meningitis, but the influence of LTA4H genotype on outcomes has not been previously investigated. We genotyped the LTA4H promoter region SNP (rs17525495) in 390 bacterial meningitis patients and 751 population controls. rs17525495 was associated with susceptibility to bacteriologically confirmed bacterial meningitis (P = 0.01, OR 1.27 95% confidence interval [CI] 1.05-1.54) but did not influence clinical presentation, disease severity or survival following dexamethasone treatment.

Indexed as

Genetic Predisposition to DiseasePolymorphism, Single NucleotideAdultDexamethasoneDisease ProgressionEpoxide HydrolasesFemaleGenetic Association StudiesHumansInfant, NewbornInflammationLeukotriene A4MaleMiddle AgedTuberculosis, MeningealDexamethasoneEpoxide HydrolasesLeukotriene A4leukotriene A4 hydrolase

Identifiers

PMID25799317
PMCPMC4370666
OpenAlexW1979936739

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.