Evidence map›Paper›PMID 27237467›Full record

ReviewAmerican journal of hematology2016

Alteration of lymphocyte phenotype and function in sickle cell anemia: Implications for vaccine responses.

Emmanuel Balandya, Teri Reynolds, Stephen Obaro, Julie Makani

Abstract readReview
In one paragraph

Review in American journal of hematology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 15% 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

46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Observational
  6. Review
  7. Review
  8. Whole Blood Transcriptomic Analysis of Sickle Cell Trait.European journal of haematology · 2026
    Article
  9. Review
  10. Article
  11. More than malaria: ExploringCurrent research in parasitology & vector-borne diseases · 2026
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
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  19. Observational
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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

4 authors at 3 institutions in 3 countries.

Emmanuel BalandyaMuhimbili University of Health and Allied Sciences (MUHAS), P.O. Box 65001, Dar-es-Salaam, Tanzania.
Teri ReynoldsMuhimbili University of Health and Allied Sciences (MUHAS), P.O. Box 65001, Dar-es-Salaam, Tanzania.
Stephen ObaroUniversity of Nebraska Medical Center (UNMC), 982162 Nebraska Medical Center, Omaha, Nebraska 68198-2162, United States.
Julie MakaniMuhimbili University of Health and Allied Sciences (MUHAS), P.O. Box 65001, Dar-es-Salaam, Tanzania.
Muhimbili University of Health and Allied Sciences · TZUniversity of Abuja Teaching Hospital · NGUniversity of California San Francisco Medical Center · US

Funding

University of California Global Health Institute Program for Fellows and ScholarsR25TW009343 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COHEN, CRAIG R, STRATHDEE, STEFFANIE A. · 2012 to 2017
$6.4M
FIC NIH HHS R25 TW009343Wellcome Trust 093727
6 · The paper itself

Abstract

Individuals with sickle cell anemia (SCA) have increased susceptibility to infections, secondary to impairment of immune function. Besides the described dysfunction in innate immunity, including impaired opsonization and phagocytosis of bacteria, evidence of dysfunction of T and B lymphocytes in SCA has also been reported. This includes reduction in the proportion of circulating CD4+ and CD8+ T cells, reduction of CD4+ helper: CD8+ suppressor T cell ratio, aberrant activation and dysfunction of regulatory T cells (Treg ), skewing of CD4+ T cells towards Th2 response and loss of IgM-secreting CD27 + IgM(high) IgD(low) memory B cells. These changes occur on the background of immune activation characterized by predominance of memory CD4+ T cell phenotypes, increased Th17 signaling and elevated levels of C-reactive protein and pro-inflammatory cytokines IL-6 and TNF-α, which may affect the immunogenicity and protective efficacy of vaccines available to prevent infections in SCA. Thus, in order to optimize the use of vaccines in SCA, a thorough understanding of T and B lymphocyte functions and vaccine reactivity among individuals with SCA is needed. Studies should be encouraged of different SCA populations, including sub-Saharan Africa where the burden of SCA is highest. This article summarizes our current understanding of lymphocyte biology in SCA, and highlights areas that warrant future research. Am. J. Hematol. 91:938-946, 2016. © 2016 Wiley Periodicals, Inc.

Indexed as

Anemia, Sickle CellB-Lymphocyte SubsetsHumansLymphocyte SubsetsT-Lymphocyte SubsetsVaccinesVaccines

Identifiers

PMID27237467
PMCPMC4987157
OpenAlexW2411068654

What OpenQuestion holds

Textmetadata
LicenceTDM
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.