Evidence map›Paper›PMID 31396204›Full record

ArticleFrontiers in immunology2019

Natural Clearance of Prolonged VDPV Infection in a Child With Primary Immunodeficiency Disorder.

Madhu Chhanda Mohanty, Manisha Ranjan Madkaikar, Mukesh Desai, Jahnavi Aluri, Swapnil Yashwant Varose, Prasad Taur, Deepa Kailash Sharma, Uma Prajwal Nalavade, Sneha Vijay Rane, Maya Gupta and 3 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

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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

13 authors at 4 institutions in 1 country.

Madhu Chhanda MohantyICMR-National Institute of Virology, Mumbai Unit, Formerly Enterovirus Research Centre, Indian Council of Medical Research, Mumbai, India.
Manisha Ranjan MadkaikarICMR-National Institute of Immunohaematology, Indian Council of Medical Research, KEM Hospital, Mumbai, India.
Mukesh DesaiBai Jer Bai Wadia Childrens Hospital, Mumbai, India.
Jahnavi AluriICMR-National Institute of Immunohaematology, Indian Council of Medical Research, KEM Hospital, Mumbai, India.
Swapnil Yashwant VaroseICMR-National Institute of Virology, Mumbai Unit, Formerly Enterovirus Research Centre, Indian Council of Medical Research, Mumbai, India.
Prasad TaurBai Jer Bai Wadia Childrens Hospital, Mumbai, India.
Deepa Kailash SharmaICMR-National Institute of Virology, Mumbai Unit, Formerly Enterovirus Research Centre, Indian Council of Medical Research, Mumbai, India.
Uma Prajwal NalavadeICMR-National Institute of Virology, Mumbai Unit, Formerly Enterovirus Research Centre, Indian Council of Medical Research, Mumbai, India.
Sneha Vijay RaneICMR-National Institute of Virology, Mumbai Unit, Formerly Enterovirus Research Centre, Indian Council of Medical Research, Mumbai, India.
Maya GuptaICMR-National Institute of Immunohaematology, Indian Council of Medical Research, KEM Hospital, Mumbai, India.
Snehal ShabarishICMR-National Institute of Immunohaematology, Indian Council of Medical Research, KEM Hospital, Mumbai, India.
Aparna DalviICMR-National Institute of Immunohaematology, Indian Council of Medical Research, KEM Hospital, Mumbai, India.
Jagadish Mohanrao DeshpandeICMR-National Institute of Virology, Mumbai Unit, Formerly Enterovirus Research Centre, Indian Council of Medical Research, Mumbai, India.
Indian Council of Medical Research · INBai Jerbai Wadia Hospital for Children · INICMR-National Institute of Virology · INNational Institute of Immunohaematology · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The emergence of immunodeficiency-associated vaccine-derived polioviruses (iVDPV) from children with primary immunodeficiency disorders poses a threat to the eradication program. Herein, we report a patient with severe combined immunodeficiency (SCID), identified as a prolonged serotype 3 iVDPV (iVDPV3) excreter with 13 VDPV3 isolates and a maximum of 10.33% nucleotide divergence, who abruptly cleared infection after a period of 2 years. Occurrence of an episode of norovirus diarrhea associated with increased activated oligoclonal cytotoxic T cells, inverse CD4:CD8 ratio, significantly elevated pro-inflammatory cytokines, and subsequent clearance of the poliovirus suggests a possible link between inflammatory diarrheal illness and clearance of iVDPV. Our findings suggest that in the absence of B cells and sufficiently activated T/NK cells, macrophages and other T cells may produce auto-inflammatory conditions by TLR/RLR ligands expressed by previous/ongoing bacterial or viral infections to clear VDPV infection. The study highlights the need to screen all the patients with combined immunodeficiency for poliovirus excretion and intermittent follow-up of their immune parameters if found positive, in order to manage the risk of iVDPV excretion in the polio eradication endgame strategy.

Indexed as

Age FactorsAntibodies, NeutralizingAntibodies, ViralB-LymphocytesChild, PreschoolCytokinesHumansImmunoglobulinsMalePoliovirusPoliovirus Vaccine, OralPrimary Immunodeficiency DiseasesSerologic TestsSymptom AssessmentT-LymphocytesVaccinationAntibodies, NeutralizingAntibodies, ViralCytokinesImmunoglobulinsPoliovirus Vaccine, Oralinflammatory cytokinesleaky SCIDoral polio vaccineprimary immunodeficiency disordersevere combined immune-deficiencyvaccine-derived polioviruses

Identifiers

PMID31396204
PMCPMC6663979
OpenAlexW2964116267

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.