Evidence map›Paper›PMID 28939855›Full record

ArticleScientific reports2017

Infection with Burkholderia pseudomallei - immune correlates of survival in acute melioidosis.

Susanna J Dunachie, Kemajittra Jenjaroen, Catherine J Reynolds, Kathryn J Quigley, Ruhena Sergeant, Manutsanun Sumonwiriya, Panjaporn Chaichana, Suchintana Chumseng, Pitchayanant Ariyaprasert, Patricia Lassaux and 7 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

32 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Vaccines · 2024
    Review
  8. Burkholderia pseudomallei and melioidosis.Nature reviews. Microbiology · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Current Advances inCells · 2020
    Review
  19. Article
  20. Observational
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

17 authors at 4 institutions in 4 countries.

Susanna J DunachieMahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand. susie.dunachie@ndm.ox.ac.uk.
Kemajittra JenjaroenMahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.
Catherine J ReynoldsDepartment of Medicine, Imperial College London, London, United Kingdom.
Kathryn J QuigleyDepartment of Medicine, Imperial College London, London, United Kingdom.
Ruhena SergeantDepartment of Medicine, Imperial College London, London, United Kingdom.
Manutsanun SumonwiriyaMahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.
Panjaporn ChaichanaMahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.
Suchintana ChumsengMahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.
Pitchayanant AriyaprasertMahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.
Patricia LassauxDepartment of Biosciences, University of Milan, Milan, Italy.
Louise GourlayDepartment of Biosciences, University of Milan, Milan, Italy.ORCID 0000-0002-6369-2230
Charuporn PromwongSunpasitthiprasong Hospital, Ubon Ratchathani, Thailand.
Prapit TeparrukkulSunpasitthiprasong Hospital, Ubon Ratchathani, Thailand.
Direk LimmathurotsakulMahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.
Nicholas P J DayMahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand.
Daniel M AltmannDepartment of Medicine, Imperial College London, London, United Kingdom.
Rosemary J BoytonDepartment of Medicine, Imperial College London, London, United Kingdom. r.boyton@imperial.ac.uk.
Mahidol University · THImperial College London · GBSappasithiprasong Hospital · THUniversity of Milan · IT

Funding

Wellcome Trust
6 · The paper itself

Abstract

Melioidosis, caused by Burkholderia pseudomallei, is a potentially lethal infection with no licensed vaccine. There is little understanding of why some exposed individuals have no symptoms, while others rapidly progress to sepsis and death, or why diabetes confers increased susceptibility. We prospectively recruited a cohort of 183 acute melioidosis patients and 21 control subjects from Northeast Thailand and studied immune parameters in the context of survival status and the presence or absence of diabetes. HLA-B*46 (one of the commonest HLA class I alleles in SE Asia) and HLA-C*01 were associated with an increased risk of death (odds ratio 2.8 and 3.1 respectively). Transcriptomic analysis during acute infection in diabetics indicated the importance of interplay between immune pathways including those involved in antigen presentation, chemotaxis, innate and adaptive immunity and their regulation. Survival was associated with enhanced T cell immunity to nine of fifteen immunodominant antigens analysed including AhpC (BPSL2096), BopE (BPSS1525), PilO (BPSS1599), ATP binding protein (BPSS1385) and an uncharacterised protein (BPSL2520). T cell immunity to GroEL (BPSL2697) was specifically impaired in diabetic individuals. This characterization of immunity associated with survival during acute infection offers insights into correlates of protection and a foundation for design of an effective multivalent vaccine.

Indexed as

Acute DiseaseAdaptive ImmunityAnimalsBurkholderia pseudomalleiCohort StudiesDiabetes ComplicationsHLA-B AntigensHLA-C AntigensHumansImmunity, CellularImmunity, InnateMelioidosisMiceSurvival AnalysisThailandHLA-B AntigensHLA-C Antigens

Identifiers

PMID28939855
PMCPMC5610189
OpenAlexW2754472491

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.