Evidence map›Paper›PMID 31121969›Full record

ArticleJournal of clinical medicine2019

Inflammatory Immune Responses in the Pathogenesis of Tick-Borne Encephalitis.

Petra Bogovič, Lara Lusa, Miša Korva, Miša Pavletič, Katarina Resman Rus, Stanka Lotrič-Furlan, Tatjana Avšič-Županc, Klemen Strle, Franc Strle

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.7field-weighted citation impact, top 19% 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

21 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Tick-Borne Encephalitis in the 21Le infezioni in medicina · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Tick-Borne Encephalitis (TBE): From Tick to Pathology.Journal of clinical medicine · 2023
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Observational
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

9 authors at 4 institutions in 2 countries.

Petra BogovičDepartment of Infectious Diseases, University Medical Center Ljubljana, Japljeva 2, 1525 Ljubljana, Slovenia. petra.bogovic@kclj.si.
Lara LusaInstitute for Biostatistics and Medical Informatics, Faculty of Medicine, University of Ljubljana, Vrazov trg 2, 1000 Ljubljana, Slovenia. stanka.lotric-furlan@mf.uni-lj.si.
Miša KorvaInstitute for Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Zaloška 4, 1000 Ljubljana, Slovenia. Misa.Korva@mf.uni-lj.si.
Miša PavletičInstitute for Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Zaloška 4, 1000 Ljubljana, Slovenia. Misa.Pavletic@mf.uni-lj.si.
Katarina Resman RusInstitute for Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Zaloška 4, 1000 Ljubljana, Slovenia. katarina.resman@mf.uni-lj.si.
Stanka Lotrič-FurlanDepartment of Infectious Diseases, University Medical Center Ljubljana, Japljeva 2, 1525 Ljubljana, Slovenia. stanka.lotric-furlan@mf.uni-lj.si.
Tatjana Avšič-ŽupancInstitute for Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Zaloška 4, 1000 Ljubljana, Slovenia. Tatjana.Avsic@mf.uni-lj.si.
Klemen StrleDivision of Rheumatology, Allergy, and Immunology, Center for Immunology and Inflammatory Diseases, Masachusetts General Hospital / Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA. KSTRLE@mgh.harvard.edu.
Franc StrleDepartment of Infectious Diseases, University Medical Center Ljubljana, Japljeva 2, 1525 Ljubljana, Slovenia. KSTRLE@mgh.harvard.edu.
University of Ljubljana · SILjubljana University Medical Centre · SIHarvard University · USUniversity of Primorska · SI

Funding

Javna Agencija za Raziskovalno Dejavnost RS P3-0296
6 · The paper itself

Abstract

Clinical manifestations of tick-borne encephalitis (TBE) are thought to result from the host immune responses to infection, but knowledge of such responses is incomplete. We performed a detailed clinical evaluation and characterization of innate and adaptive inflammatory immune responses in matched serum and cerebrospinal fluid (CSF) samples from 81 adult patients with TBE. Immune responses were then correlated with laboratory and clinical findings. The inflammatory immune responses were generally site-specific. Cytokines and chemokines associated with innate and Th1 adaptive immune responses were significantly higher in CSF, while mediators associated with Th17 and B-cell responses were generally higher in serum. Furthermore, mediators associated with innate and Th1 adaptive immune responses were positively associated with disease severity, whereas Th17 and B cell immune responses were not. During the meningoencephalitic phase of TBE, innate and Th1 adaptive inflammatory mediators were highly concentrated in CSF, the site of the disease. The consequence of this robust immune response was more severe acute illness. In contrast, inflammatory mediators associated with B cell and particularly Th17 responses were concentrated in serum. These findings provide new insights into the immunopathogenesis of TBE and implicate innate and Th1 adaptive responses in severity and clinical presentation of acute illness.

Indexed as

adaptive immunitycerebrospinal fluidchemokinescytokinesinflammatory mediatorsinnate immunityseverity of illnesstick-borne encephalitis

Identifiers

PMID31121969
PMCPMC6571551
OpenAlexW2946615038

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.