Evidence map›Paper›PMID 29882197›Full record

ArticleMolecular diagnosis & therapy2018

Whipple's Disease: Diagnostic Value of rpoB Gene PCR from Peripheral Blood Mononuclear Cells.

Kathleen Weigt, Alexandra Wiessner, Annette Moter, Florence Fenollar, Didier Raoult, Kristina Allers, Thomas Schneider, Verena Moos

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Article in Molecular diagnosis & therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 93% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

8 authors at 4 institutions in 3 countries.

Kathleen WeigtDepartment for Gastroenterology, Infectious Diseases, and Rheumatology, Charité-University Medicine Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Germany.ORCID 0000-0002-0384-8096
Alexandra WiessnerBiofilmcenter, German Heart Institute Berlin, Berlin, Germany.
Annette MoterBiofilmcenter, German Heart Institute Berlin, Berlin, Germany.
Florence FenollarURMITE, UMR IRD 198/CNRS 6236, Medical Faculty, Mediterranean University, Marseille, France.
Didier RaoultURMITE, UMR IRD 198/CNRS 6236, Medical Faculty, Mediterranean University, Marseille, France.
Kristina AllersDepartment for Gastroenterology, Infectious Diseases, and Rheumatology, Charité-University Medicine Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Germany.
Thomas SchneiderDepartment for Gastroenterology, Infectious Diseases, and Rheumatology, Charité-University Medicine Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Germany.
Verena MoosDepartment for Gastroenterology, Infectious Diseases, and Rheumatology, Charité-University Medicine Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Germany. verena.moos@charite.de.
Charité - Universitätsmedizin Berlin · DEBerlin Heart (Germany) · DECentre National de la Recherche Scientifique · FRFranklin University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChronic infection with Tropheryma whipplei, known as Whipple's disease (WD), classically affects the gastrointestinal tract, but any organ system may be affected, and isolated manifestations occur. Reliable diagnosis based on a combination of periodic acid-Schiff (PAS) staining, T. whipplei-specific immunohistochemistry (IHC), and polymerase chain reaction (PCR) from duodenal biopsies may be challenging in cases without classical gastrointestinal infection, so the need for additional diagnostic materials is urgent.

objectiveOur objective was to evaluate additional diagnostic possibilities for WD.

methodsWe analyzed samples from 20 patients with WD and 18 control subjects in a prospective observational pilot study. In addition to WD diagnosis by PAS staining, T. whipplei-specific IHC and PCR of duodenal or extra intestinal tissues, whole EDTA blood, peripheral blood mononuclear cells (PBMCs) and PBMC fractions enriched with or depleted of cluster of differentiation (CD)-14

resultsTropheryma whipplei DNA was detected in 35 of 60 (58.3%) preparations from 16 of 20 patients with WD, most of whom lacked gastrointestinal signs and characteristic PAS-positive duodenal macrophages.

conclusionThis study provides evidence for the potential suitability of blood, particularly PBMCs, as material to assist in the diagnosis of WD via rpoB gene real-time PCR. Thus, PCR from blood preparations can be helpful for diagnostic decision making in atypical cases of WD.

Indexed as

Polymerase Chain ReactionAdultAgedBacterial ProteinsBiomarkersCell SeparationFemaleHumansImmunohistochemistryImmunophenotypingLeukocytes, MononuclearMaleMiddle AgedRNA, Ribosomal, 16SSensitivity and SpecificityTropherymaBacterial ProteinsBiomarkersRNA, Ribosomal, 16S

Identifiers

PMID29882197
OpenAlexW2806581882

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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.