Evidence map›Paper›PMID 31434901›Full record

ArticleNature communications2019

Tuberculous meningitis in children is characterized by compartmentalized immune responses and neural excitotoxicity.

Ursula K Rohlwink, Anthony Figaji, Katalin A Wilkinson, Stuart Horswell, Abdul K Sesay, Armin Deffur, Nico Enslin, Regan Solomons, Ronald Van Toorn, Brian Eley and 3 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
8.6field-weighted citation impact, top 2% 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

57 citing papers in PubMed, 84 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Article
  6. Host- and pathogen-related determinants of pulmonaryEuropean respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Tuberculous Meningitis Across the Lifespan.The Journal of infectious diseases · 2025
    Review
  12. Article
  13. The T cell receptor landscape of childhood brain tumors.Science translational medicine · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

13 authors at 5 institutions in 3 countries.

Ursula K RohlwinkNeuroscience Institute, Division of Neurosurgery, University of Cape Town, Cape Town, South Africa.ORCID http://orcid.org/0000-0002-4469-4935
Anthony FigajiNeuroscience Institute, Division of Neurosurgery, University of Cape Town, Cape Town, South Africa.
Katalin A WilkinsonWellcome Centre for Infectious Diseases Research in Africa, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa.
Stuart HorswellThe Francis Crick Institute, London, NW1 1AT, UK.
Abdul K SesayThe Francis Crick Institute, London, NW1 1AT, UK.
Armin DeffurDepartment of Medicine, University of Cape Town, Cape Town, South Africa.
Nico EnslinNeuroscience Institute, Division of Neurosurgery, University of Cape Town, Cape Town, South Africa.
Regan SolomonsDepartment of Paediatrics and Child Health, Stellenbosch University, Stellenbosch, South Africa.
Ronald Van ToornDepartment of Paediatrics and Child Health, Stellenbosch University, Stellenbosch, South Africa.
Brian EleyPaediatric Infectious Diseases Unit, Department of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.ORCID http://orcid.org/0000-0003-0811-0098
Michael LevinDepartment of Infectious Disease, Imperial College London, London, W2 1PG, UK.
Robert J WilkinsonWellcome Centre for Infectious Diseases Research in Africa, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa.ORCID http://orcid.org/0000-0002-2753-1800
Rachel P J LaiThe Francis Crick Institute, London, NW1 1AT, UK. rachel.lai@imperial.ac.uk.
University of Cape Town · ZAStellenbosch University · ZAThe Francis Crick Institute · GBImperial College London · GBUniversity of the Gambia · GM

Funding

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
Medical Research Council MR/R008922/1NIAID NIH HHS U01 AI115940Wellcome Trust 084323
6 · The paper itself

Abstract

Tuberculous meningitis (TBM) is the most severe form of TB with high rates of mortality and morbidity. Here we conduct RNA-sequencing on whole blood as well as on ventricular and lumbar cerebrospinal fluid (CSF) of pediatric patients treated for TBM. Differential transcript expression of TBM cases are compared with healthy controls in whole blood and with non-TB cerebral infection controls in CSF. Whole blood RNA-Seq analysis demonstrates a distinct immune response pattern in TBM, with significant increase in both canonical and non-canonical inflammasome activation and decrease in T-cell activation. In ventricular CSF, a significant enrichment associated with neuronal excitotoxicity and cerebral damage is detected in TBM. Finally, compartmental comparison in TBM indicates that the ventricular profile represents brain injury whereas the lumbar profile represents protein translation and cytokine signaling. Together, transcriptomic analysis shows that disease processes differ between the periphery and the central nervous system, and within brain compartments.

Indexed as

ChildChild, PreschoolCytokinesFemaleHumansInfantMaleMycobacterium tuberculosisNervous SystemSequence Analysis, RNATranscriptomeTuberculosis, MeningealCytokines

Identifiers

PMID31434901
PMCPMC6704154
OpenAlexW2969718529

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.