Evidence map›Paper›PMID 30523338›Full record

ArticleNature communications2018

Metabolite changes in blood predict the onset of tuberculosis.

January Weiner, Jeroen Maertzdorf, Jayne S Sutherland, Fergal J Duffy, Ethan Thompson, Sara Suliman, Gayle McEwen, Bonnie Thiel, Shreemanta K Parida, Joanna Zyla and 12 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 2 pooled it
10.8field-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

104 citing papers in PubMed, 2 syntheses or guidelines pooled it, 155 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Blood transcriptomic signatures distinguishEmerging microbes & infections · 2026
    Article
  6. Review
  7. Use of Porphyrin Precursors as a Novel Approach for Detection ofInternational journal of molecular sciences · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

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

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

22 authors at 17 institutions in 11 countries.

January WeinerMax Planck Institute for Infection Biology, 10117, Berlin, Germany.
Jeroen MaertzdorfMax Planck Institute for Infection Biology, 10117, Berlin, Germany.
Jayne S SutherlandVaccines & Immunity Theme, Medical Research Council Unit The Gambia at the London School of Hygiene and Tropical Medicine, P. O. Box 273, Banjul, The Gambia.
Fergal J DuffyThe Center for Infectious Disease Research, Seattle, WA 98145-5005, USA.ORCID http://orcid.org/0000-0002-4675-0937
Ethan ThompsonThe Center for Infectious Disease Research, Seattle, WA 98145-5005, USA.
Sara SulimanSouth African Tuberculosis Vaccine Initiative, Institute of Infectious Disease and Molecular Medicine & Division of Immunology, Department of Pathology, University of Cape Town, Rondebosch 7701, Cape Town, South Africa.
Gayle McEwenMax Planck Institute for Infection Biology, 10117, Berlin, Germany.
Bonnie ThielTuberculosis Research Unit, Department of Medicine, Case Western Reserve University School of Medicine and University Hospitals Case Medical Center, Cleveland 44106-4921, OH, USA.
Shreemanta K ParidaMax Planck Institute for Infection Biology, 10117, Berlin, Germany.
Joanna ZylaMax Planck Institute for Infection Biology, 10117, Berlin, Germany.
Willem A HanekomSouth African Tuberculosis Vaccine Initiative, Institute of Infectious Disease and Molecular Medicine & Division of Immunology, Department of Pathology, University of Cape Town, Rondebosch 7701, Cape Town, South Africa.
Robert P MohneyMetabolon Inc., Durham, NC 27709, USA.ORCID http://orcid.org/0000-0002-9315-9541
W Henry BoomTuberculosis Research Unit, Department of Medicine, Case Western Reserve University School of Medicine and University Hospitals Case Medical Center, Cleveland 44106-4921, OH, USA.
Harriet Mayanja-KizzaDepartment of Medicine, School of Medicine, College of Health Sciences, Makerere University, P.O. Box 7072, Kampala, Uganda.ORCID http://orcid.org/0000-0002-9297-6208
Rawleigh HoweArmauer Hansen Research Institute, P.O. Box 1005, Addis Ababa, Ethiopia.
Hazel M DockrellDepartment of Immunology and Infection, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK.
Tom H M OttenhoffDepartment of Infectious Diseases, Leiden University Medical Centre, 2333 ZA Leiden, The Netherlands.
Thomas J ScribaSouth African Tuberculosis Vaccine Initiative, Institute of Infectious Disease and Molecular Medicine & Division of Immunology, Department of Pathology, University of Cape Town, Rondebosch 7701, Cape Town, South Africa.
Daniel E ZakThe Center for Infectious Disease Research, Seattle, WA 98145-5005, USA.
Gerhard WalzlNRF-DST Centre of Excellence for Biomedical TB Research and MRC Centre for TB Research, Division of Molecular Biology and Human Genetics, Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, 8000, South Africa.ORCID http://orcid.org/0000-0003-2487-125X
Stefan H E KaufmannMax Planck Institute for Infection Biology, 10117, Berlin, Germany. kaufmann@mpiib-berlin.mpg.de.
GC6-74 consortium
University of Cape Town · ZAMalawi Epidemiology and Intervention Research Unit · MWStellenbosch University · ZAMRC Unit the Gambia · GMAeras · USMax Planck Institute for Infection Biology · DEArmauer Hansen Research Institute · ETLeiden University · NLLondon School of Hygiene & Tropical Medicine · GBMakerere University · UGEthiopian Public Health Institute · ETStatens Serum Institut · DKCenter for Infectious Disease Research · USStanford University · USUniversity Hospitals Cleveland Medical Center · USUniversity Medical Center Utrecht · NLMetabolon (United States) · US

Funding

Medical Research Council MC_U190071468Medical Research Council MC_UP_A900_1122NIAID NIH HHS N01 AI070022
6 · The paper itself

Abstract

New biomarkers of tuberculosis (TB) risk and disease are critical for the urgently needed control of the ongoing TB pandemic. In a prospective multisite study across Subsaharan Africa, we analyzed metabolic profiles in serum and plasma from HIV-negative, TB-exposed individuals who either progressed to TB 3-24 months post-exposure (progressors) or remained healthy (controls). We generated a trans-African metabolic biosignature for TB, which identifies future progressors both on blinded test samples and in external data sets and shows a performance of 69% sensitivity at 75% specificity in samples within 5 months of diagnosis. These prognostic metabolic signatures are consistent with development of subclinical disease prior to manifestation of active TB. Metabolic changes associated with pre-symptomatic disease are observed as early as 12 months prior to TB diagnosis, thus enabling timely interventions to prevent disease progression and transmission.

Indexed as

MetabolomeAdolescentAdultAfrica South of the SaharaBiomarkersDisease ProgressionFemaleHumansMaleMetabolomicsProspective StudiesSensitivity and SpecificityTuberculosisYoung AdultBiomarkers

Identifiers

PMID30523338
PMCPMC6283869
OpenAlexW2902094775

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.