Evidence map›Paper›PMID 28100256›Full record

ArticleGenome biology2017

Transcriptomic signatures differentiate survival from fatal outcomes in humans infected with Ebola virus.

Xuan Liu, Emily Speranza, César Muñoz-Fontela, Sam Haldenby, Natasha Y Rickett, Isabel Garcia-Dorival, Yongxiang Fang, Yper Hall, Elsa-Gayle Zekeng, Anja Lüdtke and 17 more

Open access · goldAbstract read
In one paragraph

Article in Genome biology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 1 pooled it
10.4field-weighted citation impact, top 1% 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

92 citing papers in PubMed, 1 synthesis or guideline pooled it, 144 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. CD4Nature immunology · 2026
    Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Transcriptional Profiling of Filovirus-Infected Nonhuman Primate Samples.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

32 more citing papers are in PubMed but not listed here.

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

27 authors at 12 institutions in 6 countries.

Xuan LiuNational Institute of Health Research, Health Protection Research Unit In Emerging and Zoonotic Infections, Liverpool, UK.
Emily SperanzaDepartment of Microbiology, School of Medicine, National Emerging and Infectious Diseases Laboratories, Bioinformatics Program, Boston University, Boston, MA, 02118, USA.
César Muñoz-FontelaHeinrich Pette Institute - Leibniz Institute for Experimental Virology, 20251, Hamburg, Germany.
Sam HaldenbyCentre for Genomic Research, Institute of Integrative Biology, University of Liverpool, Liverpool, L69 7ZB, UK.
Natasha Y RickettNational Institute of Health Research, Health Protection Research Unit In Emerging and Zoonotic Infections, Liverpool, UK.
Isabel Garcia-DorivalInstitute of Infection and Global Health, University of Liverpool, Liverpool, L69 7BE, UK.
Yongxiang FangCentre for Genomic Research, Institute of Integrative Biology, University of Liverpool, Liverpool, L69 7ZB, UK.
Yper HallPublic Health England, Porton Down, Wiltshire, SP4 0JG, UK.
Elsa-Gayle ZekengNational Institute of Health Research, Health Protection Research Unit In Emerging and Zoonotic Infections, Liverpool, UK.
Anja LüdtkeHeinrich Pette Institute - Leibniz Institute for Experimental Virology, 20251, Hamburg, Germany.
Dong XiaInstitute of Infection and Global Health, University of Liverpool, Liverpool, L69 7BE, UK.
Romy KerberBernhard Nocht Institute for Tropical Medicine, D-20359, Hamburg, Germany.
Ralf KrumkampBernhard Nocht Institute for Tropical Medicine, D-20359, Hamburg, Germany.
Sophie DuraffourBernhard Nocht Institute for Tropical Medicine, D-20359, Hamburg, Germany.
Daouda SissokoBordeaux Hospital University Center (CHU) -INSERM U1219- Bordeaux University, Bordeaux, France.
John KennyCentre for Genomic Research, Institute of Integrative Biology, University of Liverpool, Liverpool, L69 7ZB, UK.
Nichola RockliffeCentre for Genomic Research, Institute of Integrative Biology, University of Liverpool, Liverpool, L69 7ZB, UK.
E Diane WilliamsonDefence Science Technology Laboratories (Porton Down), Porton Down, Salisbury, UK.
Thomas R LawsDefence Science Technology Laboratories (Porton Down), Porton Down, Salisbury, UK.
Magassouba N'FalyHôpital National Donka service des Maladies infectieuses et Tropicales, Conakry, Guinea.
David A MatthewsSchool of Cellular and Molecular Medicine, University of Bristol, Bristol, BS8 1TD, UK.
Stephan GüntherBernhard Nocht Institute for Tropical Medicine, D-20359, Hamburg, Germany.
Andrew R CossinsCentre for Genomic Research, Institute of Integrative Biology, University of Liverpool, Liverpool, L69 7ZB, UK.
Armand SprecherMédecins Sans Frontières (MSF), Brussels, Belgium.
John H ConnorDepartment of Microbiology, School of Medicine, National Emerging and Infectious Diseases Laboratories, Bioinformatics Program, Boston University, Boston, MA, 02118, USA. jhconnor@bu.edu.
Miles W CarrollPublic Health England, Porton Down, Wiltshire, SP4 0JG, UK. Miles.Carroll@phe.gov.uk.
Julian A HiscoxNational Institute of Health Research, Health Protection Research Unit In Emerging and Zoonotic Infections, Liverpool, UK. julian.hiscox@liverpool.ac.uk.
University of Liverpool · GBBernhard Nocht Institute for Tropical Medicine · DEHealth Protection Research Unit in Emerging and Zoonotic Infections at University of Liverpool · GBBoston University · USDefence Science and Technology Laboratory · GBPublic Health England · GBDonka Hospital · GNGerman Center for Infection Research · DEInserm · FRLeibniz Institute of Virology (LIV) · DEMédecins Sans Frontières · BEUniversity of Bristol · GB

Funding

Medical Research Council G0900753Medical Research Council MR/K002279/1Medical Research Council MR/M009114/1
6 · The paper itself

Abstract

backgroundIn 2014, Western Africa experienced an unanticipated explosion of Ebola virus infections. What distinguishes fatal from non-fatal outcomes remains largely unknown, yet is key to optimising personalised treatment strategies. We used transcriptome data for peripheral blood taken from infected and convalescent recovering patients to identify early stage host factors that are associated with acute illness and those that differentiate patient survival from fatality.

resultsThe data demonstrate that individuals who succumbed to the disease show stronger upregulation of interferon signalling and acute phase responses compared to survivors during the acute phase of infection. Particularly notable is the strong upregulation of albumin and fibrinogen genes, which suggest significant liver pathology. Cell subtype prediction using messenger RNA expression patterns indicated that NK-cell populations increase in patients who survive infection. By selecting genes whose expression properties discriminated between fatal cases and survivors, we identify a small panel of responding genes that act as strong predictors of patient outcome, independent of viral load.

conclusionsTranscriptomic analysis of the host response to pathogen infection using blood samples taken during an outbreak situation can provide multiple levels of information on both disease state and mechanisms of pathogenesis. Host biomarkers were identified that provide high predictive value under conditions where other predictors, such as viral load, are poor prognostic indicators. The data suggested that rapid analysis of the host response to infection in an outbreak situation can provide valuable information to guide an understanding of disease outcome and mechanisms of disease.

Indexed as

EbolavirusGene Expression ProfilingTranscriptomeCluster AnalysisCoinfectionComputational BiologyDisease ResistanceGuineaHemorrhagic Fever, EbolaHost-Pathogen InteractionsHumansInterferonsKiller Cells, NaturalPatient Outcome AssessmentROC CurveSignal TransductionInterferons

Identifiers

PMID28100256
PMCPMC5244546
OpenAlexW2579523860

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.