Evidence map›Paper›PMID 25889652›Full record

ArticleParasites & vectors2015

Reductions in microfilaridermia by repeated ivermectin treatment are associated with lower Plasmodium-specific Th17 immune responses in Onchocerca volvulus-infected individuals.

Kathrin Arndts, Ute Klarmann-Schulz, Linda Batsa, Alexander Y Debrah, Christian Epp, Rolf Fimmers, Sabine Specht, Laura E Layland, Achim Hoerauf

Open access · goldAbstract read
In one paragraph

Article in Parasites & vectors, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Distinct Immune Profiles of Exhausted Effector and Memory CD8Frontiers in cellular and infection microbiology · 2021
    Observational
  7. Filarial Lymphedema Patients Are Characterized by Exhausted CD4Frontiers in cellular and infection microbiology · 2021
    Article
  8. Article
  9. Article
  10. Article
  11. 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 4 institutions in 2 countries.

Kathrin ArndtsInstitute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn, 53105, Germany. kathrin.arndts1979@gmail.de.
Ute Klarmann-SchulzInstitute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn, 53105, Germany. klarmann@yahoo.de.
Linda BatsaKumasi Centre for Collaborative Research in Tropical Medicine (KCCR), Kumasi, Ghana. lindrousy@yahoo.com.
Alexander Y DebrahKumasi Centre for Collaborative Research in Tropical Medicine (KCCR), Kumasi, Ghana. yadebrah@yahoo.com.
Christian EppCentre for Infectious Diseases - Parasitology, University Hospital Heidelberg, Heidelberg, Germany. christian.epp@med.uni-heidelberg.de.
Rolf FimmersInstitute of Medical Biometry, Informatics and Epidemiology (IMBIE), University Hospital Bonn, Bonn, Germany. Rolf.Fimmers@ukb.uni-bonn.de.
Sabine SpechtInstitute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn, 53105, Germany. specht@microbiology-bonn.de.
Laura E LaylandInstitute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn, 53105, Germany. laura.layland@microbiology-bonn.de.
Achim HoeraufInstitute of Medical Microbiology, Immunology and Parasitology (IMMIP), University Hospital Bonn, Sigmund Freud Straße 25, Bonn, 53105, Germany. hoerauf@microbiology-bonn.de.
University Hospital Bonn · DEKumasi Centre for Collaborative Research in Tropical Medicine · GHInstitut für Medizinische Biometrie, Informatik und Epidemiologie · DEUniversity Hospital Heidelberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background37 million individuals are currently infected with Onchocerca volvulus (O. volvulus), a parasitic nematode that elicits various dermal manifestations and eye damage in man. Disease control is primarily based on distributing ivermectin in mass drug administration (MDA) programmes which aim at breaking transmission by eliminating microfilariae (MF), the worm's offspring. The majority of infected individuals present generalized onchocerciasis, which is characterized by hyporesponsive immune responses and high parasite burden including MF. Recently, in areas that have been part of MDA programmes, individuals have been identified that present nodules but are amicrofilaridermic (a-MF) and our previous study showed that this group has a distinct immune profile. Expanding on those findings we determined the immune responses of O. volvulus-infected individuals to a Plasmodium-derived antigen MSP-1 (merozoite surface protein-1), which is required by the parasite to enter erythrocytes.

methodsIsolated PBMCs from O. volvulus-infected individuals (164 MF(+) and 46 a-MF) and non-infected volunteers from the same region (NEN), were stimulated with MSP-1 and the resulting supernatant screened for the presence of IL-5, IL-13, IFN-γ, TNF-α, IL-6, IL-17A and IL-10. These findings were then further analyzed following regression analysis using the covariates MF, ivermectin (IVM) and region. The latter referred to the Central or Ashanti regions of Ghana, which, at the time sampling, had received 8 or 1 round of MDA respectively.

resultsIL-5, IL-13 and IFN-γ responses to MSP-1 were not altered between NEN and O. volvulus-infected individuals nor were any associations revealed in the regression analysis. IL-10, IL-6 and TNF-α MSP-1 responses were, however, significantly elevated in cultures from infected individuals. Interestingly, when compared to a-MF individuals, MSP-induced IL-17A responses were significantly higher in MF(+) patients. Following multivariable regression analysis these IL-10, IL-6, TNF-α and IL-17A responses were all dominantly associated with the regional covariate.

conclusionsConsequently, areas with a lowered infection pressure due to IVM MDA appear to influence bystander responses to Plasmodium-derived antigens in community members even if they have not regularly participated in the therapy.

Indexed as

AdolescentAdultAnimalsAntiparasitic AgentsFemaleHumansImmunity, CellularInterleukin-17Interleukin-6IvermectinMaleMerozoite Surface Protein 1Middle AgedMultivariate AnalysisOnchocerca volvulusParasitemiaAntiparasitic AgentsIL17A protein, humanInterleukin-17Interleukin-6IvermectinMerozoite Surface Protein 1Tumor Necrosis Factor-alpha

Identifiers

PMID25889652
PMCPMC4391604
OpenAlexW2000487256

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.