Evidence map›Paper›PMID 28628613›Full record

ArticlePLoS neglected tropical diseases2017

Immunosuppressive and angiogenic cytokine profile associated with Bartonella bacilliformis infection in post-outbreak and endemic areas of Carrion's disease in Peru.

Maria J Pons, Cláudia Gomes, Ruth Aguilar, Diana Barrios, Miguel Angel Aguilar-Luis, Joaquim Ruiz, Carlota Dobaño, Juana Del Valle-Mendoza, Gemma Moncunill

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.2field-weighted citation impact, top 25% 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

14 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Diagnostic Value of Inflammatory Markers and Cytokines in Neonatal Sepsis.Evidence-based complementary and alternative medicine : eCAM · 2022
    Article
  8. Schizophrenia andVector borne and zoonotic diseases (Larchmont, N.Y.) · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Carrion's Disease: the Sound of Silence.Clinical microbiology reviews · 2018
    Review
  14. 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 2 institutions in 2 countries.

Maria J PonsCentro de Investigación e Innovación de la Facultad de Ciencias de la Salud de la Universidad Peruana de Ciencias Aplicadas, Lima, Perú.
Cláudia GomesISGlobal, Barcelona Centre for International Health Research, Hospital Clínic - Universitat de Barcelona, Catalonia, Spain.
Ruth AguilarISGlobal, Barcelona Centre for International Health Research, Hospital Clínic - Universitat de Barcelona, Catalonia, Spain.ORCID http://orcid.org/0000-0003-3277-3107
Diana BarriosISGlobal, Barcelona Centre for International Health Research, Hospital Clínic - Universitat de Barcelona, Catalonia, Spain.
Miguel Angel Aguilar-LuisCentro de Investigación e Innovación de la Facultad de Ciencias de la Salud de la Universidad Peruana de Ciencias Aplicadas, Lima, Perú.
Joaquim RuizISGlobal, Barcelona Centre for International Health Research, Hospital Clínic - Universitat de Barcelona, Catalonia, Spain.ORCID http://orcid.org/0000-0002-4431-2036
Carlota DobañoISGlobal, Barcelona Centre for International Health Research, Hospital Clínic - Universitat de Barcelona, Catalonia, Spain.
Juana Del Valle-MendozaCentro de Investigación e Innovación de la Facultad de Ciencias de la Salud de la Universidad Peruana de Ciencias Aplicadas, Lima, Perú.
Gemma MoncunillISGlobal, Barcelona Centre for International Health Research, Hospital Clínic - Universitat de Barcelona, Catalonia, Spain.ORCID http://orcid.org/0000-0001-5105-9836
Barcelona Institute for Global Health · ESPeruvian University of Applied Sciences · PE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Analysis of immune responses in Bartonella bacilliformis carriers are needed to understand acquisition of immunity to Carrion's disease and may allow identifying biomarkers associated with bacterial infection and disease phases. Serum samples from 144 healthy subjects from 5 villages in the North of Peru collected in 2014 were analyzed. Four villages had a Carrion's disease outbreak in 2013, and the other is a traditionally endemic area. Thirty cytokines, chemokines and growth factors were determined in sera by fluorescent bead-based quantitative suspension array technology, and analyzed in relation to available data on bacteremia quantified by RT-PCR, and IgM and IgG levels measured by ELISA against B. bacilliformis lysates. The presence of bacteremia was associated with low concentrations of HGF (p = 0.005), IL-15 (p = 0.002), IL-6 (p = 0.05), IP-10 (p = 0.008), MIG (p = 0.03) and MIP-1α (p = 0.03). In multi-marker analysis, the same and further TH1-related and pro-inflammatory biomarkers were inversely associated with infection, whereas angiogenic chemokines and IL-10 were positively associated. Only EGF and eotaxin showed a moderate positive correlation with bacteremia. IgM seropositivity, which reflects a recent acute infection, was associated with lower levels of eotaxin (p = 0.05), IL-6 (p = 0.001), and VEGF (p = 0.03). Only GM-CSF and IL-10 concentrations were positively associated with higher levels of IgM (p = 0.01 and p = 0.007). Additionally, IgG seropositivity and levels were associated with high levels of angiogenic markers VEGF (p = 0.047) and eotaxin (p = 0.006), respectively. Our findings suggest that B. bacilliformis infection causes immunosuppression, led in part by overproduction of IL-10. This immunosuppression probably contributes to the chronicity of asymptomatic infections favoring B. bacilliformis persistence in the host, allowing the subsequent transmission to the vector. In addition, angiogenic markers associated with bacteremia and IgG levels may be related to the induction of endothelial cell proliferation in cutaneous lesions during chronic infections, being possible candidate biomarkers of asymptomatic infections.

Indexed as

AdolescentAdultAgedAged, 80 and overAntibodies, BacterialBacteremiaBartonella bacilliformisBartonella InfectionsCarrier StateChildChild, PreschoolCytokinesDNA, BacterialFemaleHumansImmunoassayAntibodies, BacterialCytokinesDNA, BacterialImmunoglobulin GImmunoglobulin M

Identifiers

PMID28628613
PMCPMC5491314
OpenAlexW2696854899

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.