Evidence map›Paper›PMID 30157233›Full record

ArticlePloS one2018

Boosting effect of IL-7 in interferon gamma release assays to diagnose Mycobacterium tuberculosis infection.

Hellen Hiza, Lukas Fenner, Jerry Hella, Davis Kuchaka, Mohamed Sasamalo, Thomas Blauenfeldt, Gibson Kibiki, Reginald A Kavishe, Francis Mhimbira, Morten Ruhwald

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

10 authors at 5 institutions in 3 countries.

Hellen HizaIfakara Health Institute, Bagamoyo, Tanzania.ORCID 0000-0003-0800-3823
Lukas FennerSwiss Tropical and Public Health Institute, Basel, Switzerland.
Jerry HellaIfakara Health Institute, Bagamoyo, Tanzania.
Davis KuchakaKilimanjaro Clinical Research Institute, Kilimanjaro, Tanzania.
Mohamed SasamaloIfakara Health Institute, Bagamoyo, Tanzania.
Thomas BlauenfeldtStatens Serum Institut, Center for Vaccine Research, Copenhagen, Denmark.
Gibson KibikiKilimanjaro Clinical Research Institute, Kilimanjaro, Tanzania.
Reginald A KavisheKilimanjaro Clinical Research Institute, Kilimanjaro, Tanzania.
Francis MhimbiraIfakara Health Institute, Bagamoyo, Tanzania.
Morten RuhwaldStatens Serum Institut, Center for Vaccine Research, Copenhagen, Denmark.
Ifakara Health Institute · TZKilimanjaro Christian Medical Centre · TZStatens Serum Institut · DKTumaini University · TZUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA quarter of the world's population is estimated to be infected with Myobacterium tuberculosis (Mtb). Infection is detected by immune response to M. tuberculosis antigens using either tuberculin skin test (TST) and interferon gamma release (IGRA's), tests which have low sensitivity in immunocompromised. IL-7 is an important cytokine for T-cell function with potential to augment cytokine release in in-vitro assays. This study aimed to determine whether the addition of IL-7 in interferon-gamma release assays (IGRAs) improves its diagnostic performance of Mtb infection.

methods44 cases with confirmed TB and 45 household contacts without TB were recruited and 1ml of blood was stimulated in two separate IGRA's tube set: one set of standard Quantiferon TB gold tubes mitogen, TB antigen and TB Nil; one set of customized Quantiferon TB gold tubes with added IL-7. Following IFN-γ and IP-10 release was determined using ELISA.

resultsWe found that the addition of IL-7 led to significantly higher release of IFN-γ in individuals with active TB from 4.2IU/ml (IQR 1.4-6.9IU/ml) to 5.1IU/ml (IQR 1.5-8.1IU/ml, p = 0.0057), and we found an indication of a lower release of both IFN-γ and IP-10 in participants with negative tests.

conclusionsIn TB cases addition of IL-7 in IGRA tubes augments IFN-γ but not IP-10 release, and seems to lower the response in controls. Whether IL-7 boosted IGRA holds potential over standard IGRA needs to be confirmed in larger studies in high and low TB incidence countries.

Indexed as

AdultAntigens, BacterialChemokine CXCL10Enzyme-Linked Immunosorbent AssayFemaleHumansInterferon-gammaInterferon-gamma Release TestsInterleukin-7MaleMycobacterium tuberculosisT-LymphocytesTuberculin TestTuberculosisAntigens, BacterialChemokine CXCL10CXCL10 protein, humanInterferon-gammaInterleukin-7Mycobacterium tuberculosis antigens

Identifiers

PMID30157233
PMCPMC6114790
OpenAlexW2889461902

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.