Evidence map›Paper›PMID 29921861›Full record

ArticleNature communications2018

A modular transcriptional signature identifies phenotypic heterogeneity of human tuberculosis infection.

Akul Singhania, Raman Verma, Christine M Graham, Jo Lee, Trang Tran, Matthew Richardson, Patrick Lecine, Philippe Leissner, Matthew P R Berry, Robert J Wilkinson and 5 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 146 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed, 3 pooled it
12.4field-weighted citation impact, top 1% 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

146 citing papers in PubMed, 3 syntheses or guidelines pooled it, 235 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
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  6. Trial
  7. Article
  8. Article
  9. Article
  10. Monocyte-Amplified Transcriptional Signatures of Human Diseases.bioRxiv : the preprint server for biology · 2026
    Article
  11. Review
  12. Article
  13. Modulation of Ferroptosis During EarlybioRxiv : the preprint server for biology · 2026
    Article
  14. Article
  15. Review
  16. Observational
  17. Article
  18. Review
  19. Article
  20. GIDISdb: a gene expression database for exploring human immune responses in infectious diseases.Database : the journal of biological databases and curation · 2026
    Article

86 more citing papers are in PubMed but not listed here.

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

15 authors at 7 institutions in 3 countries.

Akul SinghaniaLaboratory of Immunoregulation and Infection, The Francis Crick Institute, London, NW1 1AT, UK.ORCID http://orcid.org/0000-0002-6941-3618
Raman VermaRespiratory Biomedical Research Centre, Institute for Lung Health, Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, LE3 9QP, UK.
Christine M GrahamLaboratory of Immunoregulation and Infection, The Francis Crick Institute, London, NW1 1AT, UK.
Jo LeeRespiratory Biomedical Research Centre, Institute for Lung Health, Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, LE3 9QP, UK.
Trang TranBIOASTER Microbiology Technology Institute, Lyon, 69007, France.
Matthew RichardsonRespiratory Biomedical Research Centre, Institute for Lung Health, Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, LE3 9QP, UK.
Patrick LecineBIOASTER Microbiology Technology Institute, Lyon, 69007, France.
Philippe LeissnerBIOASTER Microbiology Technology Institute, Lyon, 69007, France.
Matthew P R BerryDepartment of Respiratory Medicine, Imperial College Healthcare NHS Trust, St Mary's Hospital, London, W2 1PG, UK.
Robert J WilkinsonWellcome Centre for Infectious Diseases Research, Africa, Institute for Infectious Diseases and Molecular Medicine, University of Cape Town, Observatory 7925, Cape Town, South Africa.
Karine KaiserMedical Diagnostic Discovery Department, bioMérieux SA, Marcy l'Etoile, 69280, France.
Marc RodrigueMedical Diagnostic Discovery Department, bioMérieux SA, Marcy l'Etoile, 69280, France.
Gerrit WoltmannRespiratory Biomedical Research Centre, Institute for Lung Health, Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, LE3 9QP, UK.ORCID http://orcid.org/0000-0002-9253-6034
Pranabashis HaldarRespiratory Biomedical Research Centre, Institute for Lung Health, Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, LE3 9QP, UK.
Anne O'GarraLaboratory of Immunoregulation and Infection, The Francis Crick Institute, London, NW1 1AT, UK. Anne.OGarra@crick.ac.uk.ORCID http://orcid.org/0000-0001-9845-6134
University of Leicester · GBBIOASTER · FRbioMérieux (France) · FRThe Francis Crick Institute · GBImperial College Healthcare NHS Trust · GBImperial College London · GBUniversity of Cape Town · ZA

Funding

Validation and Application of a Model for Human-like TB Latency in RabbitsU19AI111276 · NIAID · RBHS-NEW JERSEY MEDICAL SCHOOL · PI ALLAND, DAVID, HORN, DAVID LOUIS · 2014 to 2020
$23.3M
Medical Research Council MC_U117565642Medical Research Council MC_U117588499NIAID NIH HHS U19 AI111276Wellcome Trust
6 · The paper itself

Abstract

Whole blood transcriptional signatures distinguishing active tuberculosis patients from asymptomatic latently infected individuals exist. Consensus has not been achieved regarding the optimal reduced gene sets as diagnostic biomarkers that also achieve discrimination from other diseases. Here we show a blood transcriptional signature of active tuberculosis using RNA-Seq, confirming microarray results, that discriminates active tuberculosis from latently infected and healthy individuals, validating this signature in an independent cohort. Using an advanced modular approach, we utilise the information from the entire transcriptome, which includes overabundance of type I interferon-inducible genes and underabundance of IFNG and TBX21, to develop a signature that discriminates active tuberculosis patients from latently infected individuals or those with acute viral and bacterial infections. We suggest that methods targeting gene selection across multiple discriminant modules can improve the development of diagnostic biomarkers with improved performance. Finally, utilising the modular approach, we demonstrate dynamic heterogeneity in a longitudinal study of recent tuberculosis contacts.

Indexed as

TranscriptomeAdultAgedArea Under CurveBiomarkersCohort StudiesFemaleGene Expression ProfilingGene LibraryHumansImmunosuppressive AgentsInterferon-gammaLongitudinal StudiesMaleMiddle AgedMycobacterium tuberculosisBiomarkersIFNG protein, humanImmunosuppressive AgentsInterferon-gammaT-bet Transcription FactorT-Box Domain Proteins

Identifiers

PMID29921861
PMCPMC6008327
OpenAlexW2951254340

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.