Evidence map›Paper›PMID 28455239›Full record

ArticleInternational journal for parasitology2017

Minimally invasive microbiopsies: a novel sampling method for identifying asymptomatic, potentially infectious carriers of Leishmania donovani.

Oscar David Kirstein, Ibrahim Abbasi, Ben Zion Horwitz, Laura Skrip, Asrat Hailu, Charles Jaffe, Lynlee L Li, Tarl W Prow, Alon Warburg

Open access · hybridAbstract read
In one paragraph

Article in International journal for parasitology, 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
3.7field-weighted citation impact, top 7% 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, 34 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Leishmaniasis.Nature reviews. Disease primers · 2025
    Review
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. AssessingFrontiers in cellular and infection microbiology · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Cutaneous parasitism in patients with American visceral leishmaniasis in an endemic area.Revista da Sociedade Brasileira de Medicina Tropical · 2020
    Article
  19. Review
  20. Quantifying the Infectiousness of Post-Kala-Azar Dermal Leishmaniasis Toward Sand Flies.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
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 4 countries.

Oscar David KirsteinDepartment of Microbiology and Molecular Genetics, The Institute for Medical Research Israel-Canada (IMRIC), The Kuvin Centre for the Study of Infectious and Tropical Diseases, The Hebrew University - Hadassah Medical School, The Hebrew University of Jerusalem, 91120, Israel.
Ibrahim AbbasiDepartment of Microbiology and Molecular Genetics, The Institute for Medical Research Israel-Canada (IMRIC), The Kuvin Centre for the Study of Infectious and Tropical Diseases, The Hebrew University - Hadassah Medical School, The Hebrew University of Jerusalem, 91120, Israel.
Ben Zion HorwitzDepartment of Microbiology and Molecular Genetics, The Institute for Medical Research Israel-Canada (IMRIC), The Kuvin Centre for the Study of Infectious and Tropical Diseases, The Hebrew University - Hadassah Medical School, The Hebrew University of Jerusalem, 91120, Israel.
Laura SkripDepartment of Biostatistics, School of Public Health, Yale University, 60 College Street, New Haven, CT 06520, USA.
Asrat HailuDepartment of Microbiology, Immunology & Parasitology, Faculty of Medicine, Addis Ababa University, P.O. Box 9086, Addis Ababa, Ethiopia.
Charles JaffeDepartment of Microbiology and Molecular Genetics, The Institute for Medical Research Israel-Canada (IMRIC), The Kuvin Centre for the Study of Infectious and Tropical Diseases, The Hebrew University - Hadassah Medical School, The Hebrew University of Jerusalem, 91120, Israel.
Lynlee L LiDermatology Research Centre, The University of Queensland School of Medicine, Translational Research Institute, Brisbane, QLD 4012, Australia.
Tarl W ProwDermatology Research Centre, The University of Queensland School of Medicine, Translational Research Institute, Brisbane, QLD 4012, Australia.
Alon WarburgDepartment of Microbiology and Molecular Genetics, The Institute for Medical Research Israel-Canada (IMRIC), The Kuvin Centre for the Study of Infectious and Tropical Diseases, The Hebrew University - Hadassah Medical School, The Hebrew University of Jerusalem, 91120, Israel. Electronic address: alonw@ekmd.huji.ac.il.
Hebrew University of Jerusalem · ILUniversity of Queensland · AUAddis Ababa University · ETYale University · US

Funding

Training in Parasitology and Vector BiologyT32AI007404 · NIAID · YALE UNIVERSITY · PI TSCHUDI, CHRISTIAN · 1991 to 2017
$3.8M
NIAID NIH HHS T32 AI007404
6 · The paper itself

Abstract

Visceral leishmaniasis (VL) is a potentially lethal, sand fly-borne disease caused by protozoan parasites belonging to the Leishmania donovani species complex. There are several adequate methods for diagnosing VL, but the majority of infected individuals remain asymptomatic, comprising potential parasite reservoirs for transmission of the disease. The gold standard for assessing host infectiousness to biting vector insects is xenodiagnosis (i.e. scoring infection rates among insectary-reared insects that had fed on humans suspected of being infected). However, when it comes to sand flies and leishmaniasis, xenodiagnosis is an intricate operation burdened by logistical hurdles and ethical concerns that prevent its effective application for mass screening of widely dispersed communities, particularly in rural regions of underdeveloped countries. Minimally invasive microbiopsy (MB) devices were designed to penetrate the skin to a depth of ∼200µm and absorb blood as well as skin cell lysates, mimicking the mode by which phlebotomine sand flies acquire blood meals, as well as their composition. MBs taken from 137 of 262 volunteers, living in endemic VL foci in Ethiopia, detected Leishmania parasites that could potentially be imbibed by feeding sand flies. Although the volume of MBs was 10-fold smaller than finger-prick blood samples, Leishmania DNA detection rates from MBs were significantly higher, implying that skin, more often than blood, was the source of parasites. Volunteers with histories of VL were almost as likely as healthy volunteers to test positive by MBs (southern Ethiopian focus: 95% CI: 0.35-2.59, P=1.0. northern Ethiopian focus 0.87: 95% CI: 0.22-3.76, P=1), suggesting the importance of asymptomatic patients as reservoirs of L. donovani. Minimally invasive, painless MBs should be considered for reliably and efficiently evaluating both L. donovani infection rates among large numbers of asymptomatic carriers and their infectiousness to blood-feeding sand flies.

Indexed as

AnimalsBiopsyCarrier StateDNA, ProtozoanEthiopiaHumansLeishmania donovaniLeishmaniasis, VisceralParasitemiaSkinDNA, ProtozoanAsymptomatic carriersLeishmania donovaniMicrobiopsyPhlebotomine sand fliesVisceral leishmaniasisXenodiagnosis

Identifiers

PMID28455239
PMCPMC5596977
OpenAlexW2609569829

What OpenQuestion holds

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LicenceCC BY
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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.