Evidence map›Paper›PMID 26870820›Full record

ArticleEBioMedicine2016

Immunolocalization and Distribution of Rubella Antigen in Fatal Congenital Rubella Syndrome.

Mihaela Lazar, Ludmila Perelygina, Roosecelis Martines, Patricia Greer, Christopher D Paddock, Gheorghe Peltecu, Emilia Lupulescu, Joseph Icenogle, Sherif R Zaki

Open access · goldAbstract readCase Reports
In one paragraph

Article in EBioMedicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

38 citing papers in PubMed, 69 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Human Riboviruses: A Comprehensive Study.Journal of molecular evolution · 2025
    Review
  5. Editorial: Viral infection pathogenesis and pathology in nervous system.Frontiers in cellular and infection microbiology · 2025
    Article
  6. Review
  7. Pathogenesis of viral infections during pregnancy.Clinical microbiology reviews · 2024
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Dissecting Rubella Placental Infection in an In Vitro Trophoblast Model.International journal of molecular sciences · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Mihaela LazarMeasles, Mumps, Rubella and Herpesvirus Laboratory Branch, Division of Viral Diseases, 1600 Clifton Rd, Atlanta, GA, USA; National Laboratory for Measles and Rubella, National Institute of Research-Development for Microbiology and Immunology "Cantacuzino", 103 Splaiul Independenței, Bucharest, Romania; Department of Biology, University of Bucharest, 4-12 Blvd. Regina Elisabeta, Bucharest, Romania.
Ludmila PerelyginaMeasles, Mumps, Rubella and Herpesvirus Laboratory Branch, Division of Viral Diseases, 1600 Clifton Rd, Atlanta, GA, USA.
Roosecelis MartinesInfectious Diseases Pathology Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, USA.
Patricia GreerInfectious Diseases Pathology Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, USA.
Christopher D PaddockInfectious Diseases Pathology Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, USA.
Gheorghe PeltecuFilantropia Clinical Hospital, 11-13 Blvd. Ion Mihalache, Bucharest, Romania.
Emilia LupulescuNational Laboratory for Measles and Rubella, National Institute of Research-Development for Microbiology and Immunology "Cantacuzino", 103 Splaiul Independenței, Bucharest, Romania.
Joseph IcenogleMeasles, Mumps, Rubella and Herpesvirus Laboratory Branch, Division of Viral Diseases, 1600 Clifton Rd, Atlanta, GA, USA. Electronic address: jci1@cdc.gov.
Sherif R ZakiInfectious Diseases Pathology Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, USA.
Centers for Disease Control and Prevention · USDivision of Parasitic Diseases and Malaria · USClinical Emergency Hospital Bucharest · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn estimated 100,000 cases of congenital rubella syndrome (CRS) occur worldwide each year. The reported mortality rate for infants with CRS is up to 33%. The cellular mechanisms responsible for the multiple congenital defects in CRS are presently unknown. Here we identify cell types positive for rubella virus (RV) in CRS infants.

methodsCells and organs involved in RV replication were identified in paraffin-embedded autopsy tissues from three fatal case-patients by histopathologic examination and immunohistochemical (IHC) staining using a rabbit polyclonal RV antibody. Normal rabbit antisera and RV antisera preabsorbed with highly purified RV served as negative controls.

resultsRV antigen was found in interstitial fibroblasts in the heart, adventitial fibroblasts of large blood vessels, alveolar macrophages, progenitor cells of the outer granular layer of the brain, and in capillary endothelium and basal plate in the placenta. The antibody specificity was verified by IHC staining of multiple tissue sections from other infectious disease cases. RV infection of each cell type is consistent with abnormalities which have been identified in patients with CRS, in the heart, large blood vessels, and brain. Antigen distribution was consistent with inflammatory response to vascular injury and systemic spread of RV.

conclusionsThe identification of RV positive cell types in CRS is important to better understand the pathology and pathogenesis of CRS.

Indexed as

Antigens, ViralAutopsyBiopsyCell LineCentral Nervous SystemFatal OutcomeFemaleHumansInfant, NewbornInfectious Disease Transmission, VerticalLungMaleMyocardiumPregnancyRubella Syndrome, CongenitalRubella virusAntigens, ViralAutopsyCongenital rubella syndrome (CRS)CRS pathologyFatal casesImmunohistochemistry

Identifiers

PMID26870820
PMCPMC4739417
OpenAlexW2176078217

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.