Evidence map›Paper›PMID 31500466›Full record

Trial reportFASEB journal : official publication of the Federation of American Societies for Experimental Biology2019

Proresolving mediator profiles in cerebrospinal fluid are linked with disease severity and outcome in adults with tuberculous meningitis.

Romain A Colas, Le Thanh Hoang Nhat, Nguyen Thuy Thuong Thuong, Esteban A Gómez, Lucy Ly, Hai Hoang Thanh, Nguyen Thi Hoang Mai, Nguyen Hoan Phu, Guy E Thwaites, Jesmond Dalli

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in FASEB journal : official publication of the Federation of American Societies for Experimental Biology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
6.6field-weighted citation impact, top 3% 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

31 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Targeting Angiogenesis via Resolution of Inflammation.Cold Spring Harbor perspectives in medicine · 2023
    Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. COVID-19 and cancer: start the resolution!Cancer metastasis reviews · 2022
    Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Review
  20. Perspectives for systems biology in the management of tuberculosis.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
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

10 authors at 4 institutions in 3 countries.

Romain A ColasWilliam Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.
Le Thanh Hoang NhatOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Nguyen Thuy Thuong ThuongOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Esteban A GómezWilliam Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.
Lucy LyWilliam Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.
Hai Hoang ThanhOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Nguyen Thi Hoang MaiOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Nguyen Hoan PhuOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Guy E ThwaitesOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Jesmond DalliWilliam Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.
Oxford University Clinical Research Unit · VNWilliam Harvey Research Institute · GBAngkor Hospital for Children · KHQueen Mary University of London · GB

Funding

Wellcome Trust 106680/Z/14/ZWellcome Trust 107613/Z/15/ZWellcome Trust 110179/Z/15/ZWellcome Trust 206724/Z/17/Z
6 · The paper itself

Abstract

Tuberculous meningitis (TBM) is the most lethal form of tuberculosis infection, characterized by a dysregulated immune response that frequently leads to neurologic injury and death despite the best available treatment. The mechanisms driving the inflammatory response in TBM are not well understood. To gain insights into these mechanisms, we used a lipid mediator-profiling approach to investigate the regulation of a novel group of host protective mediators, termed specialized proresolving mediators (SPMs), in the cerebrospinal fluid (CSF) of adults with TBM. Herein, using CSF from patients enrolled into a randomized placebo-controlled trial of adjunctive aspirin treatment, we found distinct lipid mediator profiles with increasing disease severity. These changes were linked with an up-regulation of inflammatory eicosanoids in patients with severe TBM and a decrease in the production of a number of SPMs. CSF proresolving mediator concentrations were also associated with 80-d survival. In survivors, we found a significant increase in proresolving mediator concentrations, including the lipoxygenase 5-derived 13-series resolvin (RvT)2, RvT4, and 15-epi-lipoxin B

Indexed as

AdultAntitubercular AgentsAspirinDexamethasoneDouble-Blind MethodFemaleHumansInflammation MediatorsMalePlacebosSeverity of Illness IndexTreatment OutcomeTuberculosis, MeningealAntitubercular AgentsAspirinDexamethasoneInflammation MediatorsPlacebosaspirineicosanoidsessential fatty acidsresolutiontuberculosis

Identifiers

PMID31500466
PMCPMC6902685
OpenAlexW2972719936

What OpenQuestion holds

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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.