Evidence map›Paper›PMID 31579664›Full record

ArticleTropical parasitology

Association between inflammatory cytokine levels and anemia during

Kishore Punnath, Kiran K Dayanand, Valleesha N Chandrashekhar, Rajeshwara N Achur, Srinivasa B Kakkilaya, Susanta K Ghosh, Suchetha N Kumari, D Channe Gowda

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In one paragraph

Article in Tropical parasitology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Review
  5. Review
  6. Article
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  8. Review
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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 4 institutions in 2 countries.

Kishore PunnathDepartment of Biochemistry, Kuvempu University, Shivamogga, Karnataka, India.
Kiran K DayanandDepartment of Biochemistry, Kuvempu University, Shivamogga, Karnataka, India.
Valleesha N ChandrashekharDepartment of Biochemistry, Kuvempu University, Shivamogga, Karnataka, India.
Rajeshwara N AchurDepartment of Biochemistry, Kuvempu University, Shivamogga, Karnataka, India.
Srinivasa B KakkilayaLight House Polyclinic, K. S. Hegde Medical Academy, Nitte (Deemed to be University), Mangalore, Karnataka, India.
Susanta K GhoshDepartment of Molecular Parasitology, ICMR-National Institute of Malaria Research, Poojanahalli, Bengaluru, Karnataka, India.
Suchetha N KumariDepartment of Biochemistry, K. S. Hegde Medical Academy, Nitte (Deemed to be University), Mangalore, Karnataka, India.
D Channe GowdaDepartment of Biochemistry and Molecular Biology, The Pennsylvania State University College of Medicine, 500 University Drive, Hershey, PA, USA.
Kuvempu University · INK S Hegde Medical Academy · INNational Institute of Malaria Research · INPennsylvania State University · US

Funding

Innate Immune Responses to Malaria ParasitesR01AI041139 · NIAID · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI GOWDA, CHANNE D · 1998 to 2017
$5.8M
Malaria Research Training in South IndiaD43TW008268 · FIC · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI GOWDA, CHANNE D · 2010 to 2015
$682k
FIC NIH HHS D43 TW008268NIAID NIH HHS R01 AI041139
6 · The paper itself

Abstract

BACKGROUND AND

objectivesDysregulated production of inflammatory cytokines might play important role in anemia during malaria infection. The objective of this study was to assess the extent of anemia due to malaria, associated complications, and inflammatory cytokines (tumor necrosis factor alpha [TNF-α], interleukin [IL]-6, and IL-10) across varying anemic intensity during malaria infections. MATERIALS AND

methodsA hospital-based cross-sectional study was conducted at District Wenlock hospital in Mangaluru city. Samples from 627 patients and 168 healthy controls (HC) were analyzed for level of hemoglobin (Hb), red blood cells (RBCs), and inflammatory cytokines. The blood cell parameters and inflammatory cytokines levels across varying intensity of anemia were analyzed using Kruskal-Wallis test and pair-wise comparison between two groups were by Mann-Whitney U-test. Correlations were calculated by Pearson's and Spearman rank correlations.

resultsCompared to HC, Hb, and RBC levels were significantly lower in infected patients. On comparison with mild anemia patients (Hb 8-10.9 g/dL), the levels of TNF-α and IL-6 were significantly elevated, whereas IL-10 levels were lower during severe anemia (SA) (Hb <5 g/dL). In this endemic setting, we found a strong negative association between Hb levels and parasitemia, Hb and TNF-α, and positive relationship with IL-10; anemic patients also had significantly high TNF-α/IL-10 ratios. SA was associated with complications such as acute renal failure (16.0%), jaundice (16.0%), metabolic acidosis (24.0%), hypoglycemia (12.0%), hyperparasitemia (4.0%), and hepatic dysfunction (16.0%).

conclusionsContrary to its benign reputation,

Indexed as

CytokinesIndiamalarial complicationsMangaluruPlasmodium vivaxsevere anemia

Identifiers

PMID31579664
PMCPMC6767796
OpenAlexW2975769100

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.