Evidence map›Paper›PMID 30336493›Full record

ArticlePloS one2018

Type 1 interferon-inducible gene expression in QuantiFERON Gold TB-positive uveitis: A tool to stratify a high versus low risk of active tuberculosis?

Rina La Distia Nora, Ratna Sitompul, Marleen Bakker, Marjan A Versnel, Sigrid M A Swagemakers, Peter J van der Spek, Made Susiyanti, Lukman Edwar, Soedarman Sjamsoe, Gurmeet Singh and 4 more

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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

8 citing papers in PubMed, 15 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

14 authors at 2 institutions in 2 countries.

Rina La Distia NoraDepartment of Ophthalmology, University of Indonesia & Cipto Mangunkusumo Hospital Kirana, Jakarta, Indonesia.ORCID 0000-0002-7026-5341
Ratna SitompulDepartment of Ophthalmology, University of Indonesia & Cipto Mangunkusumo Hospital Kirana, Jakarta, Indonesia.
Marleen BakkerDepartment of Pulmonary Diseases, Erasmus Medical Center, Rotterdam, the Netherlands.
Marjan A VersnelDepartment of Immunology, Erasmus Medical Center, Rotterdam, the Netherlands.
Sigrid M A SwagemakersDepartment of Bioinformatics, Erasmus Medical Center, Rotterdam, the Netherlands.
Peter J van der SpekDepartment of Bioinformatics, Erasmus Medical Center, Rotterdam, the Netherlands.ORCID 0000-0002-2203-0652
Made SusiyantiDepartment of Ophthalmology, University of Indonesia & Cipto Mangunkusumo Hospital Kirana, Jakarta, Indonesia.
Lukman EdwarDepartment of Ophthalmology, University of Indonesia & Cipto Mangunkusumo Hospital Kirana, Jakarta, Indonesia.
Soedarman SjamsoeDepartment of Ophthalmology, University of Indonesia & Cipto Mangunkusumo Hospital Kirana, Jakarta, Indonesia.
Gurmeet SinghDepartment of Internal Medicine, Respirology and Critical Illness Division, University of Indonesia & Cipto Mangunkusumo Hospital Kirana, Jakarta, Indonesia.
Rr Diah HandayaniDepartment of Pulmonology, Persahabatan Hospital, Jakarta, Indonesia.
Aniki RothovaDepartment of Ophthalmology, Erasmus Medical Center, Rotterdam, the Netherlands.
P Martin van HagenDepartment of Immunology, Erasmus Medical Center, Rotterdam, the Netherlands.
Willem A DikLaboratory of Medical Immunology, Erasmus Medical Center, Rotterdam, the Netherlands.
Erasmus MC · NLUniversity of Indonesia · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

QuantiFERON-Gold TB (QFT)-positive patients with undetermined cause of uveitis are problematic in terms of whether to diagnose and treat them for tuberculosis (TB). Here, we investigated whether peripheral blood expression of type 1 interferon (IFN)-inducible genes may be of use to stratify QFT-positive patients with uveitis into groups of high versus low risk of having active TB-associated uveitis. We recruited all new uveitis patients in Cipto Mangunkusumo Hospital, Jakarta, Indonesia for one year. We included 12 patients with uveitis and clinically diagnosed active pulmonary TB, 58 QFT-positive patients with uveitis of unknown cause, 10 newly diagnosed sputum-positive active pulmonary TB patients without uveitis and 23 QFT-negative healthy controls. Expression of 35 type 1 IFN-inducible genes was measured in peripheral blood cells from active pulmonary TB patients without uveitis and healthy controls. Differentially expressed genes were identified and used for further clustering analyses of the uveitis groups. A type-1 IFN gene signature score was calculated and the optimal cut-off value for this score to differentiate active pulmonary TB from healthy controls was determined and applied to QFT-positive patients with uveitis of unknown cause. Ten type 1 IFN-inducible genes were differentially expressed between active pulmonary TB and healthy controls. Expression of these 10 genes in QFT-positive patients with uveitis of unknown cause revealed three groups: 1); patients resembling active pulmonary TB, 2); patients resembling healthy controls, and 3); patients displaying an in-between gene expression pattern. A type 1 IFN gene signature score ≥5.61 displayed high sensitivity (100%) and specificity (91%) for identification of active TB. Application of this score to QFT-positive patients with uveitis of unknown cause yielded two groups with expected different likelihood (high vs. low) of having active-TB uveitis, and therefore may be useful in clinical management decisions.

Indexed as

Reagent Kits, DiagnosticAdultCase-Control StudiesCluster AnalysisFemaleGene Expression ProfilingGene Expression RegulationHumansInterferon Type IMaleMiddle AgedRisk FactorsSputumTuberculosisUveitisInterferon Type IReagent Kits, Diagnostic

Identifiers

PMID30336493
PMCPMC6193765
OpenAlexW2896159325

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.