Evidence map›Paper›PMID 27798774›Full record

ArticleInfection2017

Detection of transrenal DNA for the diagnosis of pulmonary tuberculosis and treatment monitoring.

Ines Labugger, Jan Heyckendorf, Stefan Dees, Emilia Häussinger, Christian Herzmann, Thomas A Kohl, Elvira Richter, Eric Rivera-Milla, Christoph Lange

Abstract read
PubMed Publisher
In one paragraph

Article in Infection, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. PlasmaInfectious diseases (London, England) · 2025
    Article
  3. MultigeneThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2025
    Article
  4. Article
  5. Review
  6. Article
  7. Diagnostic accuracy of a sequence-specificMicrobiology spectrum · 2024
    Article
  8. Identification ofInfection and drug resistance · 2024
    Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Characterizing the molecular composition and diagnostic potential of Mycobacterium tuberculosis urinary cell-free DNA using next-generation sequencing.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
    Article
  16. Article
  17. Detection ofThe international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2021
    Article
  18. Article
  19. Review
  20. Review
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

9 authors at 4 institutions in 3 countries.

Ines LabuggerAlere Technologies GmbH, Jena, Germany.
Jan HeyckendorfDivision of Clinical Infectious Diseases, Research Center Borstel, Borstel, Germany. jheyckendorf@fz-borstel.de.ORCID http://orcid.org/0000-0003-4203-8421
Stefan DeesAlere Technologies GmbH, Jena, Germany.
Emilia HäussingerDivision of Clinical Infectious Diseases, Research Center Borstel, Borstel, Germany.
Christian HerzmannCenter for Clinical Studies, Research Center Borstel, Borstel, Germany.
Thomas A KohlDivision of Molecular and Experimental Mycobacteriology, Research Center Borstel, Borstel, Germany.
Elvira RichterDivision of Mycobacteriology, Research Center Borstel, Borstel, Germany.
Eric Rivera-MillaAlere Technologies GmbH, Jena, Germany.
Christoph LangeDivision of Clinical Infectious Diseases, Research Center Borstel, Borstel, Germany.
Research Center Borstel - Leibniz Lung Center · DEAlere (Germany) · DEHeidelberger Druckmaschinen (Germany) · DEUniversity of Namibia · NA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMolecular diagnostics of patients with MTB tuberculosis from urine samples.

methodsWe developed a new molecular assay based on the detection of M. tuberculosis-specific transrenal DNA (trDNA) and tested it for the diagnosis of active tuberculosis at the initiation of anti-tuberculosis therapy and during treatment follow-up.

resultsThe overall sensitivity of trDNA was 96 and 100% when smear-microscopy and trDNA was combined. In a subset of TB treatment naïve patients (n = 11) sensitivity and specificity of trDNA was 64 and 100%, respectively. For this subset of patients the sensitivity was 91% when smear-microscopy and trDNA diagnosis were combined. After treatment initiation, trDNA showed a significant reduction in concentration over time reaching undetectable trDNA values at week 12 in 9 of 11 accessible patients (82%). Kinetics in treatment-naïve patients showed low base-line trDNA levels, which increased to maximal trDNA levels within one week indicating bactericidal activity of anti-tuberculosis drugs after the initiation of effective therapy. Maximal trDNA levels correlated positively with a radiological score, suggesting that the process of DNA excretion may reflect the extent of pulmonary disease. Matched samples showed an inverse correlation between the time to positivity of solid culture with maximum trDNA levels as well as the expected positive correlation between smear grade and maximum trDNA values.

conclusionThe detection of M. tuberculosis trDNA from urine specimen is a promising method for the diagnosis tuberculosis. The assay may be a candidate diagnostic tool for patients with paucibacillary and extrapulmonary disease, as method to assess treatment responses and could be helpful to diagnose tuberculosis in children.

Indexed as

Clinical Laboratory TechniquesDNA, BacterialFemaleHumansKidneyMaleMiddle AgedMycobacterium tuberculosisSensitivity and SpecificitySequence Analysis, DNATuberculosis, PulmonaryUrinalysisDNA, BacterialExtra-pulmonary TBMycobacterium tuberculosisPersonalized therapyTB diagnosticsTB in childrenTherapy responseTuberculosisUrine TB diagnostics

Identifiers

PMID27798774
OpenAlexW2542565648

What OpenQuestion holds

Textmetadata
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.