Evidence map›Paper›PMID 30212453›Full record

Trial reportPloS one2018

Latent tuberculosis infection is associated with increased unstimulated levels of interferon-gamma in Lima, Peru.

Moises A Huaman, David Henson, Paola L Rondan, Eduardo Ticona, Gustavo Miranda, Richard J Kryscio, Raquel Mugruza, Ernesto Aranda, Cesar Ticona, Susan Abarca and 5 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

12 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Tuberculosis and Increased Incidence of Cardiovascular Disease: Cohort Study Using United States and United Kingdom Health Records.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  3. Article
  4. Article
  5. Pregnancy Outcomes in Women Screened for Tuberculosis Infection in Swedish Antenatal Care.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  6. Article
  7. Role of Interferons inClinics and practice · 2022
    Review
  8. The Biological and Clinical Aspects of a Latent Tuberculosis Infection.Tropical medicine and infectious disease · 2022
    Review
  9. Review
  10. Article
  11. Article
  12. Frontiers in immunology · 2020
    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

15 authors at 8 institutions in 2 countries.

Moises A HuamanDepartment of Internal Medicine, Division of Infectious Diseases, University of Cincinnati College of Medicine, Ohio, United States of America.ORCID 0000-0002-6839-5809
David HensonDepartment of Medicine, Division of Infectious Diseases, University of Kentucky College of Medicine, Lexington, Kentucky, United States of America.
Paola L RondanDepartment of Infectious Diseases and Tropical Medicine, Hospital Nacional Dos de Mayo, Lima, Peru.ORCID 0000-0002-1463-2717
Eduardo TiconaDepartment of Infectious Diseases and Tropical Medicine, Hospital Nacional Dos de Mayo, Lima, Peru.ORCID 0000-0002-6556-1082
Gustavo MirandaHospital Nacional Edgardo Rebagliati Martins, Lima, Peru.
Richard J KryscioDepartments of Biostatistics and Statistics, University of Kentucky Colleges of Public Health and Arts & Sciences, Lexington, Kentucky, United States of America.
Raquel MugruzaDepartment of Infectious Diseases and Tropical Medicine, Hospital Nacional Dos de Mayo, Lima, Peru.ORCID 0000-0003-1378-8151
Ernesto ArandaHospital Nacional Edgardo Rebagliati Martins, Lima, Peru.
Cesar TiconaDepartment of Infectious Diseases and Tropical Medicine, Hospital Nacional Dos de Mayo, Lima, Peru.
Susan AbarcaHospital Nacional Edgardo Rebagliati Martins, Lima, Peru.ORCID 0000-0001-8094-122X
Paula HerediaUniversidad Ricardo Palma School of Medicine, Lima, Peru.ORCID 0000-0002-4239-148X
Andres AguirreSociedad Cientifica de Estudiantes de Medicina Villarealinos, Universidad Nacional Federico Villarreal School of Medicine, Lima, Peru.ORCID 0000-0003-4623-8340
Timothy R SterlingDepartment of Medicine, Division of Infectious Diseases, Vanderbilt University School of Medicine, Nashville, Tennessee, United States of America.
Beth A GarvyDepartment of Medicine, Division of Infectious Diseases, University of Kentucky College of Medicine, Lexington, Kentucky, United States of America.
Carl J FichtenbaumDepartment of Internal Medicine, Division of Infectious Diseases, University of Cincinnati College of Medicine, Ohio, United States of America.
Hospital Nacional Cayetano Heredia · PEHospital Nacional Dos de Mayo · PEUniversity of Kentucky · USUniversity of Cincinnati Medical Center · USFederico Villarreal National University · PENational University of San Marcos · PEUniversidad Ricardo Palma · PEVanderbilt University · US

Funding

Case Clinical Trials Unit: Administrative Supplement NOSI AI-20-031.UM1AI069501 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI George Yendewa · 2012 to 2026
$40.4M
Kentucky Center for Clinical and Translational ScienceUL1TR000117 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$13.3M
KL2 Training ProgramKL2TR001426 · NCATS · UNIVERSITY OF CINCINNATI · PI ZELLER, MARGARET H · 2015 to 2024
$6.8M
NRSA Training CoreTL1TR001997 · NCATS · UNIVERSITY OF KENTUCKY · PI PENDERGAST, JULIE S, STOOPS, WILLIAM WALTON · 2016 to 2025
$4.2M
NCATS NIH HHS KL2 TR001426NCATS NIH HHS TL1 TR001997NCATS NIH HHS UL1 TR000117NIAID NIH HHS UM1 AI069501
6 · The paper itself

Abstract

backgroundWe previously reported increased unstimulated blood levels of interferon-gamma in persons with latent tuberculosis infection (LTBI) in the United States, suggesting enhanced immune activation in LTBI. To investigate this further in a TB-endemic setting, we assessed interferon-gamma levels in persons with and without LTBI in Peru.

methodsWe analyzed data from patients with and without a recent type 1 (spontaneous) acute myocardial infarction (AMI) who were enrolled from two public hospital networks in Lima, Peru, and underwent LTBI testing using the QuantiFERON® TB Gold In-tube (QFT) assay. Participants with a positive QFT test were defined as having LTBI, whereas participants with a negative QFT test were defined as non-LTBI. Unstimulated interferon-gamma was quantified via enzyme-linked immunosorbent assay in the QFT nil-tube, which does not contain antigens. We compared unstimulated interferon-gamma levels between LTBI and non-LTBI groups using the Wilcoxon rank sum test. We used proportional odds modeling for multivariable analysis.

resultsData from 214 participants were included in this analysis. Of those, 120 (56%) had LTBI. There were no significant differences in age, sex and comorbidities between LTBI and non-LTBI participants, except for recent AMI that was more frequent in LTBI. LTBI participants had higher unstimulated interferon-gamma levels compared to non-LTBI participants (median, interquartile range; 14 pg/mL, 6.5-52.8 vs. 6.5 pg/mL, 4.5-15; P<0.01). LTBI remained associated with higher unstimulated interferon-gamma levels after controlling for age, sex, recent AMI, history of hypertension, diabetes mellitus, dyslipidemia, end stage renal disease, malignancy, obesity, and tobacco use (adjusted odds ratio, 2.93; 95% confidence interval, 1.8-4.9). In a sensitivity analysis that excluded participants with AMI, the association between unstimulated interferon-gamma and LTBI remained present (adjusted odds ratio; 3.93; 95% confidence interval, 1.9-8.2).

conclusionsLTBI was associated with higher unstimulated interferon-gamma levels. These data suggest ongoing immune activation in LTBI.

Indexed as

AgedAge FactorsFemaleHumansInterferon-gammaLatent TuberculosisMaleMiddle AgedPeruRisk FactorsIFNG protein, humanInterferon-gamma

Identifiers

PMID30212453
PMCPMC6136705
OpenAlexW2891892966

What OpenQuestion holds

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LicenceCC BY
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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.