Evidence map›Paper›PMID 26725873›Full record

ArticleScientific reports2016

Approaching a diagnostic point-of-care test for pediatric tuberculosis through evaluation of immune biomarkers across the clinical disease spectrum.

Synne Jenum, S Dhanasekaran, Rakesh Lodha, Aparna Mukherjee, Deepak Kumar Saini, Sarman Singh, Varinder Singh, Guruprasad Medigeshi, Marielle C Haks, Tom H M Ottenhoff and 4 more

Abstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. CRISPR-based next-generation molecular diagnostics for bone infection.Frontiers in cell and developmental biology · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Pediatric Tuberculosis: The Impact of "Omics" on Diagnostics Development.International journal of molecular sciences · 2020
    Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. 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

14 authors.

Synne JenumDepartment of Global Public Health and Primary Care, University of Bergen, and Department of Medical Microbiology, Vestre Viken Hospital Trust, Drammen, Norway.
S DhanasekaranDepartment of Clinical Science, Faculty of Medicine and Dentistry, University of Bergen, N-5021, Norway.
Rakesh LodhaDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Aparna MukherjeeDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Deepak Kumar SainiDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Sarman SinghDivision of Clinical Microbiology &Molecular Medicine, Department of Laboratory Medicine, All India Institute of Medical Sciences, New Delhi, India.
Varinder SinghDepartment of Pediatrics, Kalawati Saran Children Hospital, New Delhi, India.
Guruprasad MedigeshiDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Marielle C HaksDepartment of Infectious Diseases Group, Immunology and Immunogenetics of Bacterial Infectious Disease, Leiden University Medical Center, The Netherland.
Tom H M OttenhoffDepartment of Infectious Diseases Group, Immunology and Immunogenetics of Bacterial Infectious Disease, Leiden University Medical Center, The Netherland.
Timothy Mark DohertyGlaxoSmithKline Pharma, Vaccines, Brøndby, Denmark.
Sushil K KabraDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Christian RitzDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Denmark.
Harleen M S GrewalDepartment of Clinical Science, Faculty of Medicine and Dentistry, University of Bergen, N-5021, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The World Health Organization (WHO) calls for an accurate, rapid, and simple point-of-care (POC) test for the diagnosis of pediatric tuberculosis (TB) in order to make progress "Towards Zero Deaths". Whereas the sensitivity of a POC test based on detection of Mycobacterium tuberculosis (MTB) is likely to have poor sensitivity (70-80% of children have culture-negative disease), host biomarkers reflecting the on-going pathological processes across the spectrum of MTB infection and disease may hold greater promise for this purpose. We analyzed transcriptional immune biomarkers direct ex-vivo and translational biomarkers in MTB-antigen stimulated whole blood in 88 Indian children with intra-thoracic TB aged 6 months to 15 years, and 39 asymptomatic siblings. We identified 12 biomarkers consistently associated with either clinical groups "upstream" towards culture-positive TB on the TB disease spectrum (CD14, FCGR1A, FPR1, MMP9, RAB24, SEC14L1, and TIMP2) or "downstream" towards a decreased likelihood of TB disease (BLR1, CD3E, CD8A, IL7R, and TGFBR2), suggesting a correlation with MTB-related pathology and high relevance to a future POC test for pediatric TB. A biomarker signature consisting of BPI, CD3E, CD14, FPR1, IL4, TGFBR2, TIMP2 and TNFRSF1B separated children with TB from asymptomatic siblings (AUC of 88%).

Indexed as

BiomarkersChildCross-Sectional StudiesFemaleHumansMaleMycobacterium tuberculosisPoint-of-Care SystemsTuberculosisBiomarkers

Identifiers

PMID26725873
PMCPMC4698754

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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.