Evidence map›Paper›PMID 29371546›Full record

ArticleJournal of fungi (Basel, Switzerland)2017

Monocyte Phenotype and IFN-γ-Inducible Cytokine Responses Are Associated with Cryptococcal Immune Reconstitution Inflammatory Syndrome.

David B Meya, Samuel Okurut, Godfrey Zziwa, Stephen Cose, Paul R Bohjanen, Harriet Mayanja-Kizza, Moses Joloba, David R Boulware, Carol Yukari Manabe, Sharon Wahl and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of fungi (Basel, Switzerland), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. The hypervirulent Type-1/Type-17 phenotype ofInfection and immunity · 2025
    Article
  3. Article
  4. Molecular Diagnostics ofDiseases (Basel, Switzerland) · 2024
    Review
  5. Importance of Clinical Isolates inJournal of fungi (Basel, Switzerland) · 2023
    Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. The Diverse Roles of Monocytes in Cryptococcosis.Journal of fungi (Basel, Switzerland) · 2020
    Review
  11. Observational
  12. Article
  13. Immune Reconstitution Disorders: Spotlight on Interferons.International journal of biomedical investigation · 2019
    Article
  14. Article
  15. Article
  16. Special Issue: Host-Fungus Interactions.Journal of fungi (Basel, Switzerland) · 2018
    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

11 authors at 8 institutions in 3 countries.

David B MeyaInfectious Diseases Institute, Makerere University, Kampala, P.O. Box 22418, Uganda. david.meya@gmail.com.
Samuel OkurutResearch Department, Makerere University Walter Reed Project, Plot 42, Nakasero Road, Kampala, P.O. Box 1624, Uganda. sokurut@muwrp.org.
Godfrey ZziwaResearch Department, Makerere University Walter Reed Project, Plot 42, Nakasero Road, Kampala, P.O. Box 1624, Uganda. gzziwa@muwrp.org.
Stephen CoseLondon School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK. stephen.cose@mrcuganda.org.
Paul R BohjanenDept of Medicine, Center for Infectious Diseases and Microbiology Translational Research, University of Minnesota, Minneapolis, MN 55455, USA. bohja001@umn.edu.
Harriet Mayanja-KizzaSchool of Medicine, College of Health Sciences, Makerere University, Kampala, P.O. Box 7072, Uganda. hmk@chs.mak.ac.ug.
Moses JolobaSchool of Biomedical Sciences, Microbiology Department, Makerere University, Kampala P.O. Box 7072, Uganda. m.joloba@gmail.com.
David R BoulwareDept of Medicine, Center for Infectious Diseases and Microbiology Translational Research, University of Minnesota, Minneapolis, MN 55455, USA. boulw001@umn.edu.
Carol Yukari ManabeDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University, Baltimore, MD 21218, USA. ymanabe@jhmi.edu.
Sharon WahlNational Institute of Dental and Craniofacial Research, Bethesda, MD 20892, USA. SMWahl@dir.nidcr.nih.gov.
Edward N JanoffMucosal and Vaccine Research Program Colorado (MAVRC), University of Colorado Denver, Aurora, CO 80045, USA. Edward.Janoff@ucdenver.edu.
Makerere University · UGMakerere University Walter Reed Project · UGUniversity of Minnesota · USInfectious Diseases Institute · UGJohns Hopkins Medicine · USNational Institute of Dental and Craniofacial Research · USUganda Virus Research Institute · UGUniversity of Colorado Denver · US

Funding

Trial for the Optimal Timing of HIV Therapy after Cryptococcal MeningitisU01AI089244 · NIAID · UNIVERSITY OF MINNESOTA · PI BOULWARE, DAVID R · 2010 to 2014
$7.6M
Infectious Disease Training in Clinical InvestigationT32AI055433 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI David R Boulware · 2003 to 2026
$6.1M
Mechanisms of Impaired HIV-associated B cell and Pneumococcal Vaccine responsesR01AI108479 · NIAID · UNIVERSITY OF COLORADO DENVER · PI JANOFF, EDWARD N · 2014 to 2018
$2.3M
Outcomes of Cryptococcal Meningitis in UgandaK24AI096925 · NIAID · UNIVERSITY OF MINNESOTA · PI BOHJANEN, PAUL R · 2011 to 2015
$1.0M
The immunopathogenesis of HIV-related Immune Reconstitution Inflammatory SyndromeR01AI078934 · NIAID · INFECTIOUS DISEASES INSTITUTE · PI KAMBUGU, ANDREW DDUNGU, MEYA, DAVID BISAGAYA · 2010 to 2013
$415k
Impact of HIV and HIV therapy on the Etiology and Outcome of Meningitis in UgandaR21NS065713 · NINDS · UNIVERSITY OF MINNESOTA · PI BOHJANEN, PAUL R, BOULWARE, DAVID R · 2010 to 2011
$276k
NIAID NIH HHS K24 AI096925NIAID NIH HHS R01 AI078934NIAID NIH HHS R01 AI108479NIAID NIH HHS T32 AI055433NIAID NIH HHS U01 AI089244NINDS NIH HHS R21 NS065713
6 · The paper itself

Abstract

A third of adults with AIDS and cryptococcal meningitis (CM) develop immune reconstitution inflammatory syndrome (IRIS) after initiating antiretroviral therapy (ART), which is thought to result from exaggerated inflammatory antigen-specific T cell responses. The contribution of monocytes to the immunopathogenesis of cryptococcal IRIS remains unclear. We compared monocyte subset frequencies and immune responses in HIV-infected Ugandans at time of CM diagnosis (IRIS-Baseline) for those who later developed CM-IRIS, controls who did not develop CM-IRIS (Control-Baseline) at CM-IRIS (IRIS-Event), and for controls at a time point matched for ART duration (Control-Event) to understand the association of monocyte distribution and immune responses with cryptococcal IRIS. At baseline, stimulation with IFN-γ ex vivo induced a higher frequency of TNF-α- and IL-6-producing monocytes among those who later developed IRIS. Among participants who developed IRIS, ex vivo IFN-γ stimulation induced higher frequencies of activated monocytes, IL-6⁺, TNF-α⁺ classical, and IL-6⁺ intermediate monocytes compared with controls. In conclusion, we have demonstrated that monocyte subset phenotype and cytokine responses prior to ART are associated with and may be predictive of CM-IRIS. Larger studies to further delineate innate immunological responses and the efficacy of immunomodulatory therapies during cryptococcal IRIS are warranted.

Indexed as

cryptococcal meningitisCryptococcusHIVinnate immune responseIRISmonocytes

Identifiers

PMID29371546
PMCPMC5715914
OpenAlexW2621326204

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.