Evidence map›Paper›PMID 31484497›Full record

ArticleBMC infectious diseases2019

Multiplex qPCR facilitates identification of betaherpesviruses in patients with acute liver failure of unknown etiology.

Jéssica Vasques Raposo, Arthur Daniel Rocha Alves, Alexandre Dos Santos da Silva, Damião Carlos Dos Santos, Juliana Gil Melgaço, Otacílio C Moreira, Marcelo Alves Pinto, Vanessa Salete de Paula

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

10 citing papers in PubMed, 19 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

8 authors at 2 institutions in 1 country.

Jéssica Vasques RaposoLaboratory of Molecular Virology, Oswaldo Cruz Institute / Fiocruz, Rio de Janeiro, Brazil.
Arthur Daniel Rocha AlvesLaboratory of Technological Development in Virology, Oswaldo Cruz Institute / Fiocruz, Rio de Janeiro, Brazil.
Alexandre Dos Santos da SilvaLaboratory of Technological Development in Virology, Oswaldo Cruz Institute / Fiocruz, Rio de Janeiro, Brazil.
Damião Carlos Dos SantosEstácio de Sá University, Rio de Janeiro, Brazil.
Juliana Gil MelgaçoLaboratory of Technological Development in Virology, Oswaldo Cruz Institute / Fiocruz, Rio de Janeiro, Brazil.
Otacílio C MoreiraLaboratory of Molecular Biology and Endemic Diseases, Oswaldo Cruz Institute / Fiocruz, Rio de Janeiro, Brazil.
Marcelo Alves PintoLaboratory of Technological Development in Virology, Oswaldo Cruz Institute / Fiocruz, Rio de Janeiro, Brazil.
Vanessa Salete de PaulaLaboratory of Molecular Virology, Oswaldo Cruz Institute / Fiocruz, Rio de Janeiro, Brazil. vdepaula@ioc.fiocruz.br.
Fundação Oswaldo Cruz · BREstácio (Brazil) · BR

Funding

Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro E-26/200.199/2016
6 · The paper itself

Abstract

backgroundThe etiology of acute liver failure (ALF) is often unknown and reported to be associated with herpesviruses in a number of cases. In this study, we examined for betaherpesviruses infections in patients with ALF of unknown etiology using a multiplex qPCR to Betaherpesviruses subfamily.

methodsLiver explant and serum samples from 27 patients with ALF of unknown etiology were analyzed with the aid of multiplex qPCR to identify betaherpesviruses. All positive samples were sequenced to confirm herpes infection and liver enzyme levels evaluated.

resultsBetaherpesviruses infection was effectively detected using multiplex qPCR. Six (22%) HHV-6, one (3%) HCMV and two (7%) dual infections (one with HHV-7/HHV-6, and the other with HHV-7/ HCMV). Interestingly, HHV-7 was only detected in the presence of other betaherpesviruses. Sequencing information confirmed betaherpesviruses infection. High hepatic enzyme levels and INR values> 1.5 were determined in all betaherpesvirus-positive patients.

conclusionsMultiplex qPCR facilitated efficient quantification, indicating that differentiation between betaherpesviruses is possible with the sole use of real-time PCR. Liver explant and serum samples were positive for some betaherpesviruses, and coinfection of HHV-7 with HHV-6 and HCMV was additionally detected. Based on these results, we propose that ALF patients should be screened for the presence of betaherpesviruses.

Indexed as

Real-Time Polymerase Chain ReactionAdolescentAdultBetaherpesvirinaeBrazilChildDiagnosis, DifferentialDNA, ViralFemaleHerpesviridae InfectionsHumansIncidenceLiver Failure, AcuteMaleMiddle AgedYoung AdultDNA, ViralAcute liver failureBetaherpesvirusesLiverMultiplexqPCR

Identifiers

PMID31484497
PMCPMC6727340
OpenAlexW2971626513

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.