Evidence map›Paper›PMID 30427060›Full record

ArticleImmunology2019

Elevated circulating levels of monocyte activation markers among tuberculosis patients with diabetes co-morbidity.

Nathella P Kumar, Kadar Moideen, Yukthi Bhootra, Arul Nancy, Vijay Viswanathan, Basavaradhya S Shruthi, Shanmugam Sivakumar, Mohan Natarajan, Hardy Kornfeld, Subash Babu

Open access · bronzeAbstract read
In one paragraph

Article in Immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 17% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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  20. Changes in Host Response toFrontiers in cellular and infection microbiology · 2019
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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 4 institutions in 2 countries.

Nathella P KumarNational Institutes of Health-NIRT-International Center for Excellence in Research, Chennai, India.ORCID 0000-0002-4901-1507
Kadar MoideenNational Institutes of Health-NIRT-International Center for Excellence in Research, Chennai, India.
Yukthi BhootraNational Institutes of Health-NIRT-International Center for Excellence in Research, Chennai, India.
Arul NancyNational Institutes of Health-NIRT-International Center for Excellence in Research, Chennai, India.
Vijay ViswanathanProf. M. Viswanathan Diabetes Research Center, Chennai, India.
Basavaradhya S ShruthiProf. M. Viswanathan Diabetes Research Center, Chennai, India.
Shanmugam SivakumarNational Institute for Research in Tuberculosis, Chennai, India.
Mohan NatarajanNational Institute for Research in Tuberculosis, Chennai, India.
Hardy KornfeldUniversity of Massachusetts Medical School, Worcester, MA, USA.
Subash BabuNational Institutes of Health-NIRT-International Center for Excellence in Research, Chennai, India.
International Centers for Excellence in Research · INIndia Diabetes Research Foundation · INNational Institute of Research in Tuberculosis · INUniversity of Massachusetts Chan Medical School · US

Funding

India International Center for Excellence in ResearchZIAAI001065 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI NUTMAN, THOMAS · 2009 to 2025
$19.0M
6 · The paper itself

Abstract

Alteration in the frequency of monocyte subsets is a hallmark of tuberculosis-diabetes co-morbidity (TB-DM). To study this association, we examined the plasma levels of sCD14, sCD163, C-reactive protein (CRP) and soluble tissue factor (sTF) in individuals with TB-DM, TB or diabetes mellitus (DM), and in healthy controls (HC). Circulating levels of sCD14, sCD163 and sTF were significantly increased in TB-DM and DM compared with TB and HC; however, CRP was significantly increased in TB-DM and TB compared with DM and HC. During longitudinal follow up, sCD14, CRP and sTF levels remained significantly increased in TB-DM compared with TB from baseline (pre-treatment), during treatment (2nd month) and at the completion (6th month) of anti-TB treatment (ATT), whereas sCD163 was significantly higher in TB-DM compared with TB only at baseline. Moreover, the levels of sCD14 and sCD163 were significantly higher in TB-DM individuals with bilateral and cavitary disease and exhibited a significant positive relationship with bacterial burden. Levels of sCD14, sCD163 and CRP exhibited a positive relationship with HbA1c levels. Within the TB-DM group, those with known diabetes before incident TB (KDM) exhibited significantly higher levels of sCD14 and sCD163 compared with individuals with newly diagnosed DM with TB (NDM). Finally, KDM individuals on metformin treatment exhibited significantly lower levels of sCD14, sCD163 and CRP compared with those on non-metformin-containing regimens. Our data demonstrate that systemic monocyte activation marker levels reflect baseline disease severity and extent in TB-DM, differentiate KDM from NDM and are modulated by ATT and metformin therapy.

Indexed as

AdultAgedBiomarkersComorbidityDiabetes Mellitus, Type 2FemaleHumansMaleMetforminMiddle AgedMonocytesTuberculosisYoung AdultBiomarkersMetformindiabetes mellitusmonocytestuberculosis

Identifiers

PMID30427060
PMCPMC6376263
OpenAlexW2900876220

What OpenQuestion holds

Texttitle and abstract
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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.