Evidence map›Paper›PMID 28724962›Full record

Trial reportScientific reports2017

Novel transcriptional signatures for sputum-independent diagnostics of tuberculosis in children.

John Espen Gjøen, Synne Jenum, Dhanasekaran Sivakumaran, Aparna Mukherjee, Ragini Macaden, Sushil K Kabra, Rakesh Lodha, Tom H M Ottenhoff, Marielle C Haks, Timothy Mark Doherty and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 19% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
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  10. Cellular and Molecular Network Characteristics ofInternational journal of molecular sciences · 2024
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  14. Observational
  15. Review
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  17. Pediatric Tuberculosis Diagnostics: Present and Future.Journal of the Pediatric Infectious Diseases Society · 2022
    Article
  18. Review
  19. Article
  20. 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

12 authors at 8 institutions in 5 countries.

John Espen GjøenDepartment of Clinical Science, Faculty of Medicine, University of Bergen, Bergen, Norway.ORCID 0000-0001-5541-0769
Synne JenumDepartment of Clinical Science, Faculty of Medicine, University of Bergen, Bergen, Norway.ORCID 0000-0001-8187-775X
Dhanasekaran SivakumaranDepartment of Clinical Science, Faculty of Medicine, University of Bergen, Bergen, Norway.
Aparna MukherjeeDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Ragini MacadenDivision of Infectious Diseases, St. John's Research Institute, Koramangala, Bangalore, India.
Sushil K KabraDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Rakesh LodhaDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Tom H M OttenhoffDepartment of Infectious Diseases Group, Immunology and Immunogenetics of Bacterial Infectious Disease, Leiden University Medical Center, Leiden, The Netherlands.
Marielle C HaksDepartment of Infectious Diseases Group, Immunology and Immunogenetics of Bacterial Infectious Disease, Leiden University Medical Center, Leiden, The Netherlands.
Timothy Mark DohertyGlaxoSmithKline Vaccines, Wavre, Belgium.
Christian RitzDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark. ritz@nexs.ku.dk.ORCID 0000-0002-5095-0624
Harleen M S GrewalDepartment of Clinical Science, Faculty of Medicine, University of Bergen, Bergen, Norway. Harleen.Grewal@uib.no.
All India Institute of Medical Sciences · INLeiden University Medical Center · NLUniversity of Bergen · NOGlaxoSmithKline (Belgium) · BEHaukeland University Hospital · NOOslo University Hospital · NOSt. John's National Academy of Health Sciences · INUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pediatric tuberculosis (TB) is challenging to diagnose, confirmed by growth of Mycobacterium tuberculosis at best in 40% of cases. The WHO has assigned high priority to the development of non-sputum diagnostic tools. We therefore sought to identify transcriptional signatures in whole blood of Indian children, capable of discriminating intra-thoracic TB disease from other symptomatic illnesses. We investigated the expression of 198 genes in a training set, comprising 47 TB cases (19 definite/28 probable) and 36 asymptomatic household controls, and identified a 7- and a 10-transcript signature, both including NOD2, GBP5, IFITM1/3, KIF1B and TNIP1. The discriminatory abilities of the signatures were evaluated in a test set comprising 24 TB cases (17 definite/7 probable) and 26 symptomatic non-TB cases. In separating TB-cases from symptomatic non-TB cases, both signatures provided an AUC of 0.94 (95%CI, 0.88-1.00), a sensitivity of 91.7% (95%CI, 71.5-98.5) regardless of culture status, and 100% sensitivity for definite TB. The 7-transcript signature provided a specificity of 80.8% (95%CI, 60.0-92.7), and the 10-transcript signature a specificity of 88.5% (95%CI, 68.7-96.9%). Although warranting exploration and validation in other populations, our findings are promising and potentially relevant for future non-sputum based POC diagnostic tools for pediatric TB.

Indexed as

Gene Expression ProfilingAdolescentAntitubercular AgentsArea Under CurveBiomarkersCase-Control StudiesChildChild, PreschoolFemaleFollow-Up StudiesGene Expression RegulationHumansInfantInfant, NewbornMaleRNA, MessengerAntitubercular AgentsBiomarkersRNA, Messenger

Identifiers

PMID28724962
PMCPMC5517635
OpenAlexW2735516153

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.