Evidence map›Paper›PMID 31076321›Full record

ReviewTuberculosis (Edinburgh, Scotland)2019

The pathogenesis of post-primary tuberculosis. A game changer for vaccine development.

Robert Hunter, Jeffrey Actor

Abstract readReview
In one paragraph

Review in Tuberculosis (Edinburgh, Scotland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Animal models for COVID-19 and tuberculosis.Frontiers in immunology · 2023
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Multidrug-resistant strains ofVeterinary world · 2020
    Article
  12. Article
  13. Relevance of the Warburg Effect in Tuberculosis for Host-Directed Therapy.Frontiers in cellular and infection microbiology · 2020
    Review
  14. Review
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

2 authors.

Robert HunterDepartment of Pathology and Laboratory Medicine, McGovern Medical School, University of Texas Health Sciences Center at Houston, MSB 2.136, 6431 Fannin, Houston TX,77030, USA. Electronic address: Robert.L.Hunter@uth.tmc.edu.
Jeffrey ActorDepartment of Pathology and Laboratory Medicine, McGovern Medical School, University of Texas Health Sciences Center at Houston, MSB 2.136, 6431 Fannin, Houston TX,77030, USA.

Funding

Lactoferrin as an Adjuvant for Cellular ImmunityR42AI051050 · NIAID · PHARMAREVIEW CORPORATION · PI ACTOR, JEFFREY K · 2005 to 2010
$4.1M
Genetic Control of Pulmonary Cavities in TuberculosisR01HL068537 · NHLBI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI HUNTER, ROBERT L. · 2001 to 2005
$2.2M
Lactoferrin Modulation of Granuloma PathologyR42AI117990 · NIAID · PHARMAREVIEW CORPORATION · PI ACTOR, JEFFREY K, KRUZEL, MARIAN L · 2017 to 2018
$1.7M
NHLBI NIH HHS R01 HL068537NIAID NIH HHS R42 AI051050NIAID NIH HHS R42 AI117990
6 · The paper itself

Abstract

A vaccine that prevents transmission of infection is urgently needed in the fight against tuberculosis (TB). Results of clinical trials have been disappointing. Major problems include lack of biomarkers and understanding of the mechanisms of disease and protection. A more fundamental problem is that the scientific community seldom recognizes that primary and post-primary TB are distinct disease entities. Nearly all vaccine candidates have been designed and tested in models of primary TB, while transmission of infection is mediated by post-primary TB. Post-primary TB is seldom studied because no animal develop complete symptoms of the disease as it exists in humans. Nevertheless, mice, guinea pigs and rabbits all develop infections that at certain points appear to be models of human post-primary TB. Slowly progressive pulmonary TB in immunocompetent mice is an example. It is characterized by an alveolitis with infected foamy macrophages that have multiple characteristics of the human disease. We demonstrated that inclusion of an immune modulating agent, lactoferrin, with a BCG vaccine in this model induced a sustained reduction in lung pathology, but not numbers of organisms in tissue. Since the animals die of expanding pathology, this demonstrates the feasibility of using selected animal models for studies of vaccines against post-primary TB.

Indexed as

Adjuvants, ImmunologicAnimalsBCG VaccineDisease Models, AnimalHost-Pathogen InteractionsHumansLactoferrinLungMacrophages, AlveolarMycobacterium tuberculosisTuberculosis, PulmonaryAdjuvants, ImmunologicBCG VaccineLactoferrinLactoferrinPathologyPost-primaryTuberculosisVaccine

Identifiers

PMID31076321
PMCPMC6626673

What OpenQuestion holds

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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.