Evidence map›Paper›PMID 28318629›Full record

ArticleKidney international2017

Machine-learning algorithms define pathogen-specific local immune fingerprints in peritoneal dialysis patients with bacterial infections.

Jingjing Zhang, Ida M Friberg, Ann Kift-Morgan, Gita Parekh, Matt P Morgan, Anna Rita Liuzzi, Chan-Yu Lin, Kieron L Donovan, Chantal S Colmont, Peter H Morgan and 5 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Kidney international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
3.9field-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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

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  13. Effect of Remote and Virtual Technology on Home Dialysis.Clinical journal of the American Society of Nephrology : CJASN · 2024
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 2 countries.

Jingjing ZhangDivision of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Ida M FribergDivision of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Ann Kift-MorganDivision of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Gita ParekhMologic Ltd., Bedford Technology Park, Thurleigh, Bedford, UK.
Matt P MorganDivision of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK; Directorate of Critical Care, Cardiff and Vale University Health Board, University Hospital of Wales, Heath Park, Cardiff, UK.
Anna Rita LiuzziDivision of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
Chan-Yu LinDivision of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK; Kidney Research Center, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taoyuan City, Taiwan.
Kieron L DonovanWales Kidney Research Unit, Heath Park Campus, Cardiff, UK; Directorate of Nephrology and Transplantation, Cardiff and Vale University Health Board, University Hospital of Wales, Heath Park, Cardiff, UK.
Chantal S ColmontWales Kidney Research Unit, Heath Park Campus, Cardiff, UK.
Peter H MorganCardiff Business School, Cardiff University, Cardiff, UK.
Paul DavisMologic Ltd., Bedford Technology Park, Thurleigh, Bedford, UK.
Ian WeeksSystems Immunity Research Institute, Cardiff University, Cardiff, UK.
Donald J FraserDivision of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK; Wales Kidney Research Unit, Heath Park Campus, Cardiff, UK; Directorate of Nephrology and Transplantation, Cardiff and Vale University Health Board, University Hospital of Wales, Heath Park, Cardiff, UK; Systems Immunity Research Institute, Cardiff University, Cardiff, UK.
Nicholas TopleyWales Kidney Research Unit, Heath Park Campus, Cardiff, UK; Systems Immunity Research Institute, Cardiff University, Cardiff, UK.
Matthias EberlDivision of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK; Systems Immunity Research Institute, Cardiff University, Cardiff, UK. Electronic address: eberlm@cf.ac.uk.
Cardiff University · GBKidney Research UK · GBMologic (United Kingdom) · GBCardiff and Vale University Health Board · GBChang Gung University · TW

Funding

Department of Health II-LA-0712-20006Medical Research Council MC_PC_13060Medical Research Council MR/N023145/1Wellcome Trust
6 · The paper itself

Abstract

The immune system has evolved to sense invading pathogens, control infection, and restore tissue integrity. Despite symptomatic variability in patients, unequivocal evidence that an individual's immune system distinguishes between different organisms and mounts an appropriate response is lacking. We here used a systematic approach to characterize responses to microbiologically well-defined infection in a total of 83 peritoneal dialysis patients on the day of presentation with acute peritonitis. A broad range of cellular and soluble parameters was determined in peritoneal effluents, covering the majority of local immune cells, inflammatory and regulatory cytokines and chemokines as well as tissue damage-related factors. Our analyses, utilizing machine-learning algorithms, demonstrate that different groups of bacteria induce qualitatively distinct local immune fingerprints, with specific biomarker signatures associated with Gram-negative and Gram-positive organisms, and with culture-negative episodes of unclear etiology. Even more, within the Gram-positive group, unique immune biomarker combinations identified streptococcal and non-streptococcal species including coagulase-negative Staphylococcus spp. These findings have diagnostic and prognostic implications by informing patient management and treatment choice at the point of care. Thus, our data establish the power of non-linear mathematical models to analyze complex biomedical datasets and highlight key pathways involved in pathogen-specific immune responses.

Indexed as

Machine LearningPoint-of-Care SystemsPoint-of-Care TestingAcute DiseaseAdolescentAdultAgedAged, 80 and overArea Under CurveBacteriaBiomarkersCase-Control StudiesFemaleGram-Negative Bacterial InfectionsGram-Positive Bacterial InfectionsHost-Pathogen InteractionsBiomarkersbiomarkersinflammationmachine learning methodsmicrobial infectionperitoneal dialysis

Identifiers

PMID28318629
PMCPMC5484022
OpenAlexW2597330433

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.