Evidence map›Paper›PMID 30958547›Full record

ArticleThe Journal of infectious diseases2020

Early Clearance of Mycobacterium tuberculosis Is Associated With Increased Innate Immune Responses.

Ayesha J Verrall, Marion Schneider, Bachti Alisjahbana, Lika Apriani, Arjan van Laarhoven, Valerie A C M Koeken, Suszanne van Dorp, Emira Diadani, Fitri Utama, Rachel F Hannaway and 6 more

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Article in The Journal of infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

52 citing papers in PubMed, 81 citations in OpenAlex.

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  4. Route of BCG administration determines success.Human vaccines & immunotherapeutics · 2026
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  15. Specific CD4Nature immunology · 2024
    Article
  16. Article
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  18. Article
  19. Clinical manifestations and immune response to tuberculosis.World journal of microbiology & biotechnology · 2023
    Review
  20. Antibodies as clinical tools for tuberculosis.Frontiers in immunology · 2023
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 4 countries.

Ayesha J VerrallDepartment of Pathology and Molecular Medicine, University of Otago, Wellington, New Zealand.
Marion SchneiderDepartment of Microbiology and Immunology, University of Otago, Dunedin, New Zealand.
Bachti AlisjahbanaTB-HIV Research Center, Faculty of Medicine, Universitas Padjadjaran, Nijmegen, The Netherlands.
Lika AprianiTB-HIV Research Center, Faculty of Medicine, Universitas Padjadjaran, Nijmegen, The Netherlands.
Arjan van LaarhovenDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Nijmegen, The Netherlands.
Valerie A C M KoekenDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Nijmegen, The Netherlands.
Suszanne van DorpDepartment of Haematology, Radboud University Medical Center, Nijmegen, The Netherlands.
Emira DiadaniTB-HIV Research Center, Faculty of Medicine, Universitas Padjadjaran, Nijmegen, The Netherlands.
Fitri UtamaTB-HIV Research Center, Faculty of Medicine, Universitas Padjadjaran, Nijmegen, The Netherlands.
Rachel F HannawayDepartment of Microbiology and Immunology, University of Otago, Dunedin, New Zealand.
Agnes IndratiDepartment of Clinical Pathology, Faculty of Medicine, Universitas Padjadjaran, Hasan Sadikin Hospital, Bandung, Indonesia.
Mihai G NeteaDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Nijmegen, The Netherlands.
Katrina SharplesDepartment of Mathematics and Statistics, Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
Philip C HillCentre for International Health, Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
James E UssherDepartment of Microbiology and Immunology, University of Otago, Dunedin, New Zealand.
Reinout van CrevelDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Nijmegen, The Netherlands.
Radboud University Nijmegen · NLUniversity of Otago · NZDr. Hasan Sadikin General Hospital · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA proportion of tuberculosis (TB) case contacts do not become infected, even when heavily exposed. We studied the innate immune responses of TB case contacts to understand their role in protection against infection with Mycobacterium tuberculosis, termed "early clearance."

methodsIndonesian household contacts of TB cases were tested for interferon-γ release assay (IGRA) conversion between baseline and 14 weeks post recruitment. Blood cell populations and ex vivo innate whole blood cytokine responses were measured at baseline and, in a subgroup, flow cytometry was performed at weeks 2 and 14. Immunological characteristics were measured for early clearers, defined as a persistently negative IGRA at 3 months, and converters, whose IGRA converted from negative to positive.

resultsAmong 1347 case contacts, 317 were early clearers and 116 were converters. Flow cytometry showed a resolving innate cellular response from 2 to 14 weeks in persistently IGRA-negative contacts but not converters. There were no differences in cytokine responses to mycobacterial stimuli, but compared to converters, persistently IGRA-negative contacts produced more proinflammatory cytokines following heterologous stimulation with Escherichia coli and Streptococcus pneumoniae.

conclusionsEarly clearance of M. tuberculosis is associated with enhanced heterologous innate immune responses similar to those activated during induction of trained immunity.

Indexed as

AdultDiagnostic Tests, RoutineFemaleFlow CytometryHumansImmunity, InnateIndonesiaInterferon-gamma Release TestsMaleMiddle AgedMycobacterium tuberculosisTuberculosisBCG vaccineearly clearancemonocytesMycobacteriumtrained innate immunitytuberculosis infection

Identifiers

PMID30958547
OpenAlexW2936632447

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.