Evidence map›Paper›PMID 27353663›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2016

Kinetic Analysis of Biomarkers in a Cohort of US Patients With Ebola Virus Disease.

Anita K McElroy, Jessica R Harmon, Timothy D Flietstra, Shelley Campbell, Aneesh K Mehta, Colleen S Kraft, Marshall G Lyon, Jay B Varkey, Bruce S Ribner, Christopher J Kratochvil and 5 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% 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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

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  18. Ebola virus disease.Nature reviews. Disease primers · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 3 countries.

Anita K McElroyViral Special Pathogens Branch, US Centers for Disease Control and Prevention Division of Pediatric Infectious Disease.
Jessica R HarmonViral Special Pathogens Branch, US Centers for Disease Control and Prevention Division of Pediatric Infectious Disease.
Timothy D FlietstraViral Special Pathogens Branch, US Centers for Disease Control and Prevention.
Shelley CampbellViral Special Pathogens Branch, US Centers for Disease Control and Prevention.
Aneesh K MehtaEmory Vaccine Center Division of Infectious Diseases.
Colleen S KraftDivision of Infectious Diseases Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia.
Marshall G LyonDivision of Infectious Diseases.
Jay B VarkeyDivision of Infectious Diseases.
Bruce S RibnerDivision of Infectious Diseases.
Christopher J KratochvilOffice of the Vice Chancellor for Research, University of Nebraska Medical Center.
Peter C IwenDepartment of Pathology and Microbiology.
Philip W SmithDepartment of Internal Medicine, Division of Infectious Diseases, University of Nebraska Medical Center College of Medicine, Omaha.
Rafi AhmedEmory Vaccine Center.
Stuart T NicholViral Special Pathogens Branch, US Centers for Disease Control and Prevention.
Christina F SpiropoulouViral Special Pathogens Branch, US Centers for Disease Control and Prevention.
Office of Infectious Diseases · USCenters for Disease Control and Prevention · KECenters for Disease Control and Prevention · UGEmory and Henry College · USThe Centers · US

Funding

Atlanta Pediatric Scholars ProgramK12HD072245 · NICHD · EMORY UNIVERSITY · PI Shari Barkin · 2012 to 2026
$5.5M
NICHD NIH HHS K12 HD072245
6 · The paper itself

Abstract

backgroundEbola virus (EBOV) infection causes a severe and often fatal disease. Despite the fact that more than 30 000 individuals have acquired Ebola virus disease (EVD), the medical and scientific community still does not have a clear understanding of the mechanisms by which EBOV causes such severe disease.

methodsIn this study, 54 biomarkers in plasma samples serially collected from 7 patients with EVD were analyzed in an attempt to define the kinetics of inflammatory modulators. Two clinical disease groups were defined (moderate and severe) based on the need for clinical support. Biomarkers were evaluated for correlation with viremia and clinical disease in an effort to identify pathways that could be useful targets of therapeutic intervention.

resultsPatients with severe disease had higher viremia than those with moderate disease. Several biomarkers of immune activation and control were significantly elevated in patients with moderate disease. A series of pro-inflammatory cytokines and chemokines were significantly elevated in patients with severe disease.

conclusionsBiomarkers that were associated with severe EVD were proinflammatory and indicative of endothelial or coagulation cascade dysfunction, as has been seen historically in patients with fatal outcomes. In contrast, biomarkers that were associated with moderate EVD were suggestive of a strong interferon response and control of both innate and adaptive responses. Therefore, clinical interventions that modulate the phenotype and magnitude of immune activation may be beneficial in treating EVD.

Indexed as

Immunity, HumoralAdultBiomarkersBlood CoagulationChemokinesCohort StudiesCytokinesEbolavirusEndothelial CellsFemaleHemorrhagic Fever, EbolaHumansInflammationKineticsMaleMiddle AgedBiomarkersChemokinesCytokinesbiomarkerscytokinesEbolaEVDimmunity

Identifiers

PMID27353663
PMCPMC4967605
OpenAlexW2472571895

What OpenQuestion holds

Textmetadata
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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.