Evidence map›Paper›PMID 30820577›Full record

ArticleThe Journal of infectious diseases2019

Cervical Cytokines Associated With Chlamydia trachomatis Susceptibility and Protection.

Taylor B Poston, De'Ashia E Lee, Toni Darville, Wujuan Zhong, Li Dong, Catherine M O'Connell, Harold C Wiesenfeld, Sharon L Hillier, Gregory D Sempowski, Xiaojing Zheng

Open access · greenAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

33 citing papers in PubMed, 55 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. UnveilingiScience · 2025
    Article
  7. Cervicovaginal microbial features predictInfection and immunity · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Pathogens (Basel, Switzerland) · 2025
    Article
  12. Article
  13. Influence of cervicovaginal microbiota onMicrobial cell (Graz, Austria) · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

10 authors at 3 institutions in 1 country.

Taylor B PostonDepartment of Pediatrics, University of North Carolina at Chapel Hill.
De'Ashia E LeeDepartment of Microbiology and Immunology, University of North Carolina at Chapel Hill.
Toni DarvilleDepartment of Pediatrics, University of North Carolina at Chapel Hill.
Wujuan ZhongDepartment of Biostatistics, University of North Carolina at Chapel Hill.
Li DongDepartment of Biostatistics, University of North Carolina at Chapel Hill.
Catherine M O'ConnellDepartment of Pediatrics, University of North Carolina at Chapel Hill.
Harold C WiesenfeldDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine and the Magee-Womens Research Institute Pittsburgh, Pennsylvania.
Sharon L HillierDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine and the Magee-Womens Research Institute Pittsburgh, Pennsylvania.
Gregory D SempowskiDepartments of Medicine and Pathology, Durham, North Carolina.
Xiaojing ZhengDepartment of Pediatrics, University of North Carolina at Chapel Hill.
University of North Carolina at Chapel Hill · USUniversity of Pittsburgh · USDuke University · US

Funding

Regional Biocontainment Laboratory (RBL)UC6AI058607 · NIAID · DUKE UNIVERSITY · PI WILLIAMS, R SANDERS · 2003 to 2005
$16.3M
The UPMC Sexually Transmitted Infections Cooperative Research CenterU19AI084024 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DARVILLE, TONI · 2009 to 2013
$12.9M
Training in Sexually Transmitted Infections and HIVT32AI007001 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SENA-SOBERANO, ARLENE C. · 1985 to 2025
$10.9M
The Atlantic Coast Sexually Transmitted Infection Cooperative Research Center (ACU19AI113170 · NIAID · HENRY M. JACKSON FDN FOR THE ADV MIL/MED · PI JERSE, ANN E. · 2014 to 2018
$6.9M
Natural Immunity Against Chlamydia trachomatisR01AI119164 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DARVILLE, TONI · 2016 to 2020
$3.6M
NIAID NIH HHS R01 AI119164NIAID NIH HHS T32 AI007001NIAID NIH HHS U19 AI084024NIAID NIH HHS U19 AI113170NIAID NIH HHS UC6 AI058607
6 · The paper itself

Abstract

backgroundChlamydia trachomatis can cause reproductive morbidities after ascending to the upper genital tract of women, and repeated infection can lead to worse disease. Data related to protective immune responses at the cervical mucosa that could limit chlamydial infection to the cervix and/or prevent reinfection inform vaccine approaches and biomarkers of risk.

methodsWe measured 48 cytokines in cervical secretions from women having chlamydial cervical infection alone (n = 92) or both cervical and endometrial infection (n = 68). Univariable regression identified cytokines associated with differential odds of endometrial infection and reinfection risk, and multivariable stepwise regression identified cytokine ratios associated with differential risk.

resultsElevated interleukin (IL) 15/CXCL10 (odds ratio [OR], 0.55 [95% confidence interval {CI}, .37-.78]), IL-16/tumor necrosis factor-α (OR, 0.66 [95% CI, .45-.93]), and CXCL14/IL-17A (OR, 0.73 [95% CI, .54-.97]) cytokine ratios were significantly (P ≤ .05) associated with decreased odds of endometrial infection. A higher Flt-3L/IL-14 ratio was significantly (P = .001) associated with a decreased risk of reinfection (hazard ratio, 0.71 [95% CI, .58-.88]).

conclusionsCytokines involved in humoral, type I interferon, and T-helper (Th) 17 responses were associated with susceptibility to C. trachomatis, whereas cytokines involved in Th1 polarization, recruitment, and activation were associated with protection against ascension and reinfection.

Indexed as

AdolescentAdultCervix UteriChlamydia InfectionsChlamydia trachomatisCytokinesFemaleHumansMucous MembraneOdds RatioTh17 CellsYoung AdultCytokinesChlamydia trachomatiscytokinesinflammatory diseaserisk factor

Identifiers

PMID30820577
PMCPMC6581900
OpenAlexW2918524003

What OpenQuestion holds

Textmetadata
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.