Evidence map›Paper›PMID 31271354›Full record

ArticleeLife2019

Persistent inflammation during anti-tuberculosis treatment with diabetes comorbidity.

Nathella Pavan Kumar, Kiyoshi F Fukutani, Basavaradhya S Shruthi, Thabata Alves, Paulo S Silveira-Mattos, Michael S Rocha, Kim West, Mohan Natarajan, Vijay Viswanathan, Subash Babu and 2 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. COVID-19, the escalation of diabetes mellitus and the repercussions on tuberculosis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023
    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

12 authors at 5 institutions in 3 countries.

Nathella Pavan Kumar *National Institutes of Health, National Institute for Research in Tuberculosis, International Center for Excellence in Research, Chennai, India.
Kiyoshi F Fukutani *Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER), Fundação José Silveira, Salvador, Brazil.
Basavaradhya S ShruthiProf. M. Viswanathan Diabetes Research Center, Chennai, India.
Thabata AlvesMultinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER), Fundação José Silveira, Salvador, Brazil.
Paulo S Silveira-MattosMultinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER), Fundação José Silveira, Salvador, Brazil.
Michael S RochaMultinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER), Fundação José Silveira, Salvador, Brazil.
Kim WestUniversity of Massachusetts Medical School, Worcester, United States.ORCID 0000-0002-5744-0280
Mohan NatarajanNational Institute for Research in Tuberculosis, Chennai, India.
Vijay ViswanathanProf. M. Viswanathan Diabetes Research Center, Chennai, India.
Subash BabuNational Institutes of Health, National Institute for Research in Tuberculosis, International Center for Excellence in Research, Chennai, India.
Bruno B Andrade *Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER), Fundação José Silveira, Salvador, Brazil.ORCID 0000-0001-6833-3811
Hardy Kornfeld *University of Massachusetts Medical School, Worcester, United States.ORCID 0000-0002-8970-7306
Faculdade de Tecnologia e Ciências · BRIndia Diabetes Research Foundation · INUniversity of Massachusetts Chan Medical School · USNational Institute of Research in Tuberculosis · INUniversidade Salvador · BR

Funding

India International Center for Excellence in ResearchZIAAI001065 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI NUTMAN, THOMAS · 2009 to 2025
$19.0M
Inflammatory determinants of disease severity and treatment outcome in TB patientsU01AI115940 · NIAID · UNIVERSITY OF CAPE TOWN · PI SHER, ALAN, WILKINSON, ROBERT JOHN · 2015 to 2019
$1.1M
CRDF Global USB1-31149-XX-13NIH HHS U01AI115940
6 · The paper itself

Abstract

Diabetes mellitus (DM) increases risk for pulmonary tuberculosis (TB) and adverse treatment outcomes. Systemic hyper-inflammation is characteristic in people with TB and concurrent DM (TBDM) at baseline, but the impact of TB treatment on this pattern has not been determined. We measured 17 plasma cytokines and growth factors in longitudinal cohorts of Indian and Brazilian pulmonary TB patients with or without DM. Principal component analysis revealed virtually complete separation of TBDM from TB individuals in both cohorts at baseline, with hyper-inflammation in TBDM that continued through treatment completion at six months. By one year after treatment completion, there was substantial convergence of mediator levels between groups within the India cohort. Non-resolving systemic inflammation in TBDM comorbidity could reflect delayed lesion sterilization or non-resolving sterile inflammation. Either mechanism portends unfavorable long-term outcomes including risk for recurrent TB and for damaging immune pathology.

Indexed as

AdultAntitubercular AgentsBiomarkersBrazilCohort StudiesComorbidityCytokinesDiabetes MellitusFemaleGlycated HemoglobinHumansIndiaInflammationMaleMiddle AgedMycobacterium tuberculosisAntitubercular AgentsBiomarkersCytokinesGlycated Hemoglobincytokinesdiabetes mellitushumanimmunologyinfectious diseaseinflammationmicrobiologytuberculosis

Identifiers

PMID31271354
PMCPMC6660216
OpenAlexW2953994610

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.