Evidence map›Paper›PMID 30642265›Full record

ArticleBMC infectious diseases2019

Transcription factors STAT-4, STAT-6 and CREB regulate Th1/Th2 response in leprosy patients: effect of M. leprae antigens.

Rajni Upadhyay, Bhavyata Dua, Bhawna Sharma, Mohan Natrajan, Ajai Kumar Jain, Balaji Kithiganahalli Narayanaswamy, Beenu Joshi

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 23% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. IFN-γ-Driven macrophage responses in the immunity toFrontiers in cellular and infection microbiology · 2025
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  4. Review
  5. Correlation between serum 25-(OH)DExperimental and therapeutic medicine · 2021
    Article
  6. Article
  7. Article
  8. Article
  9. Pharmacogenomics and personalized medicine · 2021
    Article
  10. The diagnosis values of serum STAT4 and sEng in preeclampsia.Journal of clinical laboratory analysis · 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

7 authors at 3 institutions in 1 country.

Rajni UpadhyayDepartment of Immunology, National JALMA Institute for Leprosy and Other Mycobacterial Diseases (ICMR), Tajganj, Agra, 282004, India.
Bhavyata DuaDepartment of Immunology, National JALMA Institute for Leprosy and Other Mycobacterial Diseases (ICMR), Tajganj, Agra, 282004, India.
Bhawna SharmaDepartment of Immunology, National JALMA Institute for Leprosy and Other Mycobacterial Diseases (ICMR), Tajganj, Agra, 282004, India.
Mohan NatrajanClinical Division, National JALMA Institute for Leprosy & OMD, Tajganj, Agra, 282004, India.
Ajai Kumar JainDepartment of Zoology, Jiwaji University, Gwalior, Madhya Pradesh, 474001, India.
Balaji Kithiganahalli NarayanaswamyDepartment of Microbiology and Cell Biology, Indian Institute of Science, Bangaluru, India.
Beenu JoshiDepartment of Immunology, National JALMA Institute for Leprosy and Other Mycobacterial Diseases (ICMR), Tajganj, Agra, 282004, India. beenuj2002@yahoo.co.in.ORCID http://orcid.org/0000-0002-5487-1798
National JALMA Institute for Leprosy & Other Mycobacterial Diseases · INIndian Institute of Science Bangalore · INJiwaji University · IN

Funding

Mechanism of p12I and p30II in HTLV1 InfectionR01CA092009 · NCI · OHIO STATE UNIVERSITY · PI LAIRMORE, MICHAEL D · 2002 to 2003
$309k
Indian Council of Medical Research No. 5/8/3(9)2009-ECD-1(Main)
6 · The paper itself

Abstract

backgroundLeprosy is an ideal human disease to study T cell regulation as patients show correlation between cytokine skewed Th1-Th2 responses and clinical forms of the disease. The Role of transcription factors on the modulation of Th1 and Th2 responses by M. leprae antigens has not been adequately studied. In the present study, we studied the effect of M. leprae antigens on transcription factors STAT-4, STAT-6 and CREB and their correlation with Th1/Th2 cell mediated immune responses in leprosy.

methodsLeprosy patients of both categories of tuberculoid leprosy (BT/TT) and lepromatous leprosy (BL/LL) were selected from the OPD of NJ1L & OMD, (ICMR), Agra and healthy individuals (H) were chosen from the staff and students working in the institute. Peripheral blood mononuclear cells (PBMCs) of the study subjects were stimulated with M. leprae antigens (WCL, MLSA, and PGL-1). Sandwich ELISA was done in the culture supernatants of healthy and leprosy patients to detect IL-4, IL-10 and IFN-γ. Further, expression of IFN-γ and IL-4 and activation of STAT4, STAT6 and CREB transcription factors in CD4

resultsLepromatous leprosy patients showed significantly lower IFN-γ and higher IL-4 levels in culture supernatant and significantly low expression of IFN-γ and higher expression of IL-4 by CD4

conclusionOur findings show that M. leprae antigens differentially modulate activation of T cell transcription factors STAT-4/STAT-6 and CREB. These transcription factors are well known to regulate Th1 and Th2 mediated immune response which in turn could play vital role in the clinical manifestations of leprosy. These observations may help to determine how these T cell transcription factors affect the development of immune dysfunction and whether these new pathways have a role in immunomodulation in intracellular diseases like leprosy and TB.

Indexed as

AdultAntigens, BacterialCase-Control StudiesCD4-Positive T-LymphocytesCyclic AMP Response Element-Binding ProteinCytokinesHumansLeprosyLeukocytes, MononuclearMiddle AgedMycobacterium lepraeSTAT4 Transcription FactorSTAT6 Transcription FactorTh1 CellsTh2 CellsAntigens, BacterialCREB1 protein, humanCyclic AMP Response Element-Binding ProteinCytokinesSTAT4 protein, humanSTAT4 Transcription FactorSTAT6 protein, humanSTAT6 Transcription FactorCREBLeprosySTAT-4STAT-6Th1/Th2 cytokine

Identifiers

PMID30642265
PMCPMC6332553
OpenAlexW2947637952

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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.