Evidence map›Paper›PMID 28362937›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2017

Diagnostic Performance of Tuberculosis-Specific IgG Antibody Profiles in Patients with Presumptive Tuberculosis from Two Continents.

Tobias Broger, Robindra Basu Roy, Angela Filomena, Charles H Greef, Stefanie Rimmele, Joshua Havumaki, David Danks, Nicole Schneiderhan-Marra, Christen M Gray, Mahavir Singh and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.6field-weighted citation impact, top 11% 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, 37 citations in OpenAlex.

  1. Article
  2. Review
  3. A proteome-wide atlas of humoral immunity toFrontiers in immunology · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Evaluation of immunodominant peptides of in vivo expressed mycobacterial antigens in an ELISA-based diagnostic assay for pulmonary tuberculosis.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2023
    Article
  10. Differential levels of anti-Frontiers in medicine · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. High-Throughput Profiling of Circulating Antibody Signatures for Stroke Diagnosis Using Small Volumes of Whole Blood.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2019
    Article
  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

18 authors at 9 institutions in 5 countries.

Tobias BrogerFIND, Geneva, Switzerland.
Robindra Basu RoySection of Paediatrics, Imperial College London, United Kingdom.
Angela FilomenaNatural and Medical Sciences Institute at the University of Tübingen, Reutlingen, Germany.
Charles H GreefMBio Diagnostics Inc., Boulder, Colorado.
Stefanie RimmeleNatural and Medical Sciences Institute at the University of Tübingen, Reutlingen, Germany.
Joshua HavumakiFIND, Geneva, Switzerland.
David DanksDepartment of Philosophy, Carnegie Mellon University, Pittsburgh, Pennsylvania.
Nicole Schneiderhan-MarraNatural and Medical Sciences Institute at the University of Tübingen, Reutlingen, Germany.
Christen M GrayFIND, Geneva, Switzerland.
Mahavir SinghLionex GmbH, Braunschweig, Germany.
Ida RosenkrandsStatens Serum Institut, Copenhagen, Denmark.
Peter AndersenStatens Serum Institut, Copenhagen, Denmark.
Gregory M HusarMBio Diagnostics Inc., Boulder, Colorado.
Thomas O JoosNatural and Medical Sciences Institute at the University of Tübingen, Reutlingen, Germany.
Maria L GennaroPublic Health Research Institute, Rutgers New Jersey Medical School, New Brunswick.
Michael J LochheadMBio Diagnostics Inc., Boulder, Colorado.
Claudia M DenkingerFIND, Geneva, Switzerland.
Mark D PerkinsFIND, Geneva, Switzerland.
Foundation for Innovative New Diagnostics · CHMBio Diagnostics (United States) · USNatural and Medical Sciences Institute · DEStatens Serum Institut · DKUniversity of Tübingen · DECarnegie Mellon University · USImperial College London · GBLionex (Germany) · DERutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDevelopment of rapid diagnostic tests for tuberculosis is a global priority. A whole proteome screen identified Mycobacterium tuberculosis antigens associated with serological responses in tuberculosis patients. We used World Health Organization (WHO) target product profile (TPP) criteria for a detection test and triage test to evaluate these antigens.

methodsConsecutive patients presenting to microscopy centers and district hospitals in Peru and to outpatient clinics at a tuberculosis reference center in Vietnam were recruited. We tested blood samples from 755 HIV-uninfected adults with presumptive pulmonary tuberculosis to measure IgG antibody responses to 57 M. tuberculosis antigens using a field-based multiplexed serological assay and a 132-antigen bead-based reference assay. We evaluated single antigen performance and models of all possible 3-antigen combinations and multiantigen combinations.

resultsThree-antigen and multiantigen models performed similarly and were superior to single antigens. With specificity set at 90% for a detection test, the best sensitivity of a 3-antigen model was 35% (95% confidence interval [CI], 31-40). With sensitivity set at 85% for a triage test, the specificity of the best 3-antigen model was 34% (95% CI, 29-40). The reference assay also did not meet study targets. Antigen performance differed significantly between the study sites for 7/22 of the best-performing antigens.

conclusionsAlthough M. tuberculosis antigens were recognized by the IgG response during tuberculosis, no single antigen or multiantigen set performance approached WHO TPP criteria for clinical utility among HIV-uninfected adults with presumed tuberculosis in high-volume, urban settings in tuberculosis-endemic countries.

Indexed as

AdolescentAdultAntigens, BacterialFemaleHumansImmunoglobulin GMaleMiddle AgedMycobacterium tuberculosisPeruReproducibility of ResultsSerologic TestsTuberculosis, PulmonaryYoung AdultAntigens, BacterialImmunoglobulin GMycobacterium tuberculosis antigensantibodiesbiomarkersdiagnosisserologic teststuberculosis

Identifiers

PMID28362937
PMCPMC5848306
OpenAlexW2586131390

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.