Evidence map›Paper›PMID 30007341›Full record

ArticleThe Journal of infectious diseases2018

Quantification of Torque Teno Virus Viremia as a Prospective Biomarker for Infectious Disease in Kidney Allograft Recipients.

Robert Strassl, Martin Schiemann, Konstantin Doberer, Irene Görzer, Elisabeth Puchhammer-Stöckl, Farsad Eskandary, Željko Kikic, Guido A Gualdoni, Mathias G Vossen, Susanne Rasoul-Rockenschaub and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
10.3field-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

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 130 citations in OpenAlex.

  1. Pooled it
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  14. Immune Monitoring Goes Viral - Torque Teno Virus for Immunologic Risk Stratification After Kidney Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Review
  15. Article
  16. Torque Teno Virus: A Promising Biomarker in Kidney Transplant Recipients.International journal of molecular sciences · 2024
    Article
  17. Article
  18. The Blood Virome: A new frontier in biomedical science.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2024
    Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Robert StrasslDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Austria.
Martin SchiemannDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Austria.
Konstantin DobererDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Austria.
Irene GörzerDepartment of Virology, Medical University of Vienna, Austria.
Elisabeth Puchhammer-StöcklDepartment of Virology, Medical University of Vienna, Austria.
Farsad EskandaryDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Austria.
Željko KikicDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Austria.
Guido A GualdoniDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Austria.
Mathias G VossenDivision of Infectious Diseases, Department of Medicine I, Medical University of Vienna, Austria.
Susanne Rasoul-RockenschaubDivision of Transplant Surgery, Department of Surgery, Medical University of Vienna, Austria.
Harald HerknerDepartment of Emergency Medicine, Medical University of Vienna, Austria.
Georg A BöhmigDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Austria.
Gregor BondDivision of Nephrology and Dialysis, Department of Medicine III, Medical University of Vienna, Austria.
Medical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Drug-induced immunosuppression following kidney transplantation is crucial to prevent allograft rejection, but increases risk for infectious disease. Tailoring of drug dosing to prevent both rejection and infection is greatly desirable. The apathogenic and ubiquitous torque teno virus (TTV) reflects immunocompetence of the host and might be a potential candidate for immunologic monitoring. Methods: To assess TTV as an infection biomarker, virus load was prospectively quantified in peripheral blood of 169 consecutive renal allograft recipients at the Medical University Vienna. Results: Patients with infection showed higher TTV levels compared to patients without infection (4.2 × 108 copies/mL [interquartile range, IQR, 2.7 × 107-1.9 × 109] vs 2.9 × 107 [IQR 1.0 × 106-7.2 × 108]; P = .006). Differences in TTV load became evident almost 3 months before infection (median 77 days, IQR 19-98). Each log level of TTV copies/mL increased the odds ratio for infection by 23% (95% confidence interval 1.04-1.45; P = .014). TTV >3.1 × 109 copies/mL corresponded to 90% sensitivity to predict infections. Logistic regression demonstrated independent association between TTV levels and infection. Conclusions: TTV quantification predicts infection after kidney transplantation and might be a potential tool to tailor immunosuppressive drug therapy.

Indexed as

AdultAllograftsBiomarkersDNA Virus InfectionsFemaleHumansKidney TransplantationMaleMiddle AgedProspective StudiesRisk FactorsTorque teno virusViral LoadViremiaBiomarkers

Identifiers

PMID30007341
PMCPMC6490304
OpenAlexW2811848441

What OpenQuestion holds

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Registered trials

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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.