Evidence map›Paper›PMID 31489989›Full record

ArticleInfluenza and other respiratory viruses2019

Assessment of neopterin and indoleamine 2,3-dioxygenase activity in patients with seasonal influenza: A pilot study.

Alex Pizzini, Katharina Kurz, Janine Santifaller, Christoph Tschurtschenthaler, Igor Theurl, Dietmar Fuchs, Günter Weiss, Rosa Bellmann-Weiler

Open access · goldAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
0.7field-weighted citation impact, top 34% 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

17 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Host metabolic responses to SARS-CoV-2 and influenza viruses: parallels and contrasts.Metabolomics : Official journal of the Metabolomic Society · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. The potential role of neopterin in Covid-19: a new perspective.Molecular and cellular biochemistry · 2021
    Review
  15. Observational
  16. Review
  17. 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

8 authors at 1 institution in 1 country.

Alex PizziniDepartment of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Innsbruck Medical University, Innsbruck, Austria.ORCID 0000-0003-3699-1822
Katharina KurzDepartment of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Innsbruck Medical University, Innsbruck, Austria.
Janine SantifallerDepartment of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Innsbruck Medical University, Innsbruck, Austria.
Christoph TschurtschenthalerDepartment of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Innsbruck Medical University, Innsbruck, Austria.
Igor TheurlDepartment of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Innsbruck Medical University, Innsbruck, Austria.
Dietmar FuchsDivision of Biological Chemistry, Biocenter, Innsbruck Medical University, Innsbruck, Austria.
Günter WeissDepartment of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Innsbruck Medical University, Innsbruck, Austria.
Rosa Bellmann-WeilerDepartment of Internal Medicine II, Infectious Diseases, Pneumology, Rheumatology, Innsbruck Medical University, Innsbruck, Austria.
Innsbruck Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeasonal influenza is an important cause of morbidity and mortality worldwide. Immune activation after stimulation with interferon-gamma leads to increased production of neopterin but also results in increased tryptophan catabolism through indoleamine 2,3-dioxygenase (IDO). Our pilot study determined neopterin serum levels and IDO activity in patients with influenza infection and investigated whether neopterin is linked to clinical outcome parameters (mortality ≤30 days, acute cardiac events (ACE) length of hospitalization, ICU admission).

methodsNeopterin concentrations were analyzed in serum samples of 40 patients with a confirmed diagnosis of influenza infection and in-hospital treatment for >24 hours. Data were compared to values of 100 healthy blood donors and 48 age-matched pneumonia patients. In a subgroup of 14 patients, tryptophan and kynurenine concentrations, as well as kynurenine-to-tryptophan ratio, were analyzed.

resultsIn all influenza patients, neopterin concentrations were increased and significantly higher compared to those determined in patients with pneumonia and healthy controls. Positive correlations between the duration of hospitalization and neopterin were found. Significantly higher levels of kynurenine, kynurenine-to-tryptophan ratio, and lower levels of tryptophan were seen in influenza patients compared to healthy controls.

conclusionsNeopterin seems to be related to the course of the disease and could be a valuable biomarker to identify patients at an elevated risk of a worsened outcome; however, further prospective validation studies are needed to support the here presented preliminary results.

Indexed as

AdultAgedAged, 80 and overBiomarkersFemaleHospitalizationHumansIndoleamine-Pyrrole 2,3,-DioxygenaseInfluenza, HumanKynurenineMaleMiddle AgedNeopterinPilot ProjectsPneumoniaRetrospective StudiesBiomarkersIndoleamine-Pyrrole 2,3,-DioxygenaseKynurenineNeopterinTryptophanbiomarkerIDOindoleamine 2,3-dioxygenaseInfluenzaNeopterinoutcome

Identifiers

PMID31489989
PMCPMC6800299
OpenAlexW2971875912

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.