Evidence map›Paper›PMID 25898362›Full record

ArticlePloS one2015

Underweight full-term Indian neonates show differences in umbilical cord blood leukocyte phenotype: a cross-sectional study.

Deepak K Rathore, Deepa Nair, Saimah Raza, Savita Saini, Reeta Singh, Amit Kumar, Reva Tripathi, Siddarth Ramji, Aruna Batra, Kailash C Aggarwal and 13 more

Open access · goldAbstract 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Maternal Low-Fat and High-Fat Diet Decreases Survival and Alters Cytokine Signaling in Neonatal Mice With Staphylococcus epidermidis Sepsis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  2. Article
  3. Birth Weight and the Development of Functional Gastrointestinal Disorders in Infants.Pediatric gastroenterology, hepatology & nutrition · 2020
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. 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

23 authors at 4 institutions in 1 country.

Deepak K RathorePediatric Biology Centre, Translational Health Science and Technology Institute, Gurgaon, Haryana, India.
Deepa NairPediatric Biology Centre, Translational Health Science and Technology Institute, Gurgaon, Haryana, India.
Saimah RazaPediatric Biology Centre, Translational Health Science and Technology Institute, Gurgaon, Haryana, India.
Savita SainiDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Reeta SinghPediatric Biology Centre, Translational Health Science and Technology Institute, Gurgaon, Haryana, India.
Amit KumarPediatric Biology Centre, Translational Health Science and Technology Institute, Gurgaon, Haryana, India.
Reva TripathiDepartment of Obstetrics & Gynecology, Maulana Azad Medical College, New Delhi, India.
Siddarth RamjiDepartment of Neonatology, Maulana Azad Medical College, New Delhi, India.
Aruna BatraDepartment of Obstetrics & Gynecology, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
Kailash C AggarwalDepartment of Pediatrics, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
Harish K ChellaniDepartment of Pediatrics, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
Sugandha AryaDepartment of Pediatrics, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
Neerja BhatlaDepartment of Obstetrics & Gynecology, All India Institute of Medical Sciences, New Delhi, India.
Vinod K PaulDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Ramesh AggarwalDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Nidhi AgarwalDepartment of Obstetrics & Gynecology, General Hospital, Gurgaon, Haryana, India.
Umesh MehtaDepartment of Pediatrics, General Hospital, Gurgaon, Haryana, India.
Shailaja SoporyPediatric Biology Centre, Translational Health Science and Technology Institute, Gurgaon, Haryana, India.
Uma Chandra Mouli NatchuPediatric Biology Centre, Translational Health Science and Technology Institute, Gurgaon, Haryana, India.
Shinjini BhatnagarPediatric Biology Centre, Translational Health Science and Technology Institute, Gurgaon, Haryana, India.
Vineeta BalPediatric Biology Centre, Translational Health Science and Technology Institute, Gurgaon, Haryana, India; National Institute of Immunology, Aruna Asaf Ali Marg, New Delhi, India.
Satyajit RathPediatric Biology Centre, Translational Health Science and Technology Institute, Gurgaon, Haryana, India; National Institute of Immunology, Aruna Asaf Ali Marg, New Delhi, India.
Nitya WadhwaPediatric Biology Centre, Translational Health Science and Technology Institute, Gurgaon, Haryana, India.
Translational Health Science and Technology Institute · INAll India Institute of Medical Sciences · INVardhman Mahavir Medical College & Safdarjung Hospital · INMaulana Azad Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile infections are a major cause of neonatal mortality in India even in full-term neonates, this is an especial problem in the large proportion (~20%) of neonates born underweight (or small-for-gestational-age; SGA). One potential contributory factor for this susceptibility is the possibility that immune system maturation may be affected along with intrauterine growth retardation.

methodsIn order to examine the possibility that differences in immune status may underlie the susceptibility of SGA neonates to infections, we enumerated the frequencies and concentrations of 22 leukocyte subset populations as well as IgM and IgA levels in umbilical cord blood from full-term SGA neonates and compared them with values from normal-weight (or appropriate-for-gestational-age; AGA) full-term neonates. We eliminated most SGA-associated risk factors in the exclusion criteria so as to ensure that AGA-SGA differences, if any, would be more likely to be associated with the underweight status itself.

resultsAn analysis of 502 such samples, including 50 from SGA neonates, showed that SGA neonates have significantly fewer plasmacytoid dendritic cells (pDCs), a higher myeloid DC (mDC) to pDC ratio, more natural killer (NK) cells, and higher IgM levels in cord blood in comparison with AGA neonates. Other differences were also observed such as tendencies to lower CD4:CD8 ratios and greater prominence of inflammatory monocytes, mDCs and neutrophils, but while some of them had substantial differences, they did not quite reach the standard level of statistical significance.

conclusionsThese differences in cellular lineages of the immune system possibly reflect stress responses in utero associated with growth restriction. Increased susceptibility to infections may thus be linked to complex immune system dysregulation rather than simply retarded immune system maturation.

Indexed as

AdultCross-Sectional StudiesFemaleFetal BloodFetal Growth RetardationGestational AgeHumansImmunoglobulin MIndiaInfant, NewbornInfant, Small for Gestational AgeLymphocytesMaleMaternal AgeNeutrophilsPhenotypeImmunoglobulin M

Identifiers

PMID25898362
PMCPMC4405369
OpenAlexW1982068490

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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.