Evidence map›Paper›PMID 31697647›Full record

ArticleJCI insight2019

Cytomegalovirus infection is a risk factor for tuberculosis disease in infants.

Julius Müller, Rachel Tanner, Magali Matsumiya, Margaret A Snowden, Bernard Landry, Iman Satti, Stephanie A Harris, Matthew K O'Shea, Lisa Stockdale, Leanne Marsay and 16 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Reactivation ofCase reports in infectious diseases · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Quantitative measures of humanPhilosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Article
  11. Article
  12. A vaccine against cytomegalovirus: how close are we?The Journal of clinical investigation · 2025
    Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
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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

26 authors at 4 institutions in 4 countries.

Julius MüllerThe Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Rachel TannerThe Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Magali MatsumiyaThe Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Margaret A SnowdenAeras, Rockville, Maryland, USA.
Bernard LandryAeras, Rockville, Maryland, USA.
Iman SattiThe Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Stephanie A HarrisThe Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Matthew K O'SheaThe Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Lisa StockdaleThe Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Leanne MarsayThe Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Agnieszka ChomkaThe Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Rachel Harrington-KandtThe Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Zita-Rose Manjaly ThomasThe Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Vivek NaranbhaiWellcome Trust Centre for Human Genetics, University of Oxford, Oxford, United Kingdom.
Elena StylianouThe Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Stanley Kimbung MbandiSouth African Tuberculosis Vaccine Initiative, Institute of Infectious Disease and Molecular Medicine & Division of Immunology, Department of Pathology, University of Cape Town, South Africa.
Mark HatherillSouth African Tuberculosis Vaccine Initiative, Institute of Infectious Disease and Molecular Medicine & Division of Immunology, Department of Pathology, University of Cape Town, South Africa.
Gregory HusseySouth African Tuberculosis Vaccine Initiative, Institute of Infectious Disease and Molecular Medicine & Division of Immunology, Department of Pathology, University of Cape Town, South Africa.
Hassan MahomedSouth African Tuberculosis Vaccine Initiative, Institute of Infectious Disease and Molecular Medicine & Division of Immunology, Department of Pathology, University of Cape Town, South Africa.
Michele TamerisSouth African Tuberculosis Vaccine Initiative, Institute of Infectious Disease and Molecular Medicine & Division of Immunology, Department of Pathology, University of Cape Town, South Africa.
J Bruce McClainAeras, Rockville, Maryland, USA.
Thomas G EvansAeras, Rockville, Maryland, USA.
Willem A HanekomSouth African Tuberculosis Vaccine Initiative, Institute of Infectious Disease and Molecular Medicine & Division of Immunology, Department of Pathology, University of Cape Town, South Africa.
Thomas J ScribaSouth African Tuberculosis Vaccine Initiative, Institute of Infectious Disease and Molecular Medicine & Division of Immunology, Department of Pathology, University of Cape Town, South Africa.
Helen McShaneThe Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Helen A FletcherThe Jenner Institute, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
University of Oxford · GBSouth African Tuberculosis Vaccine Initiative · ZAAeras · USCentre for Human Genetics · GB

Funding

Wellcome Trust 206331/Z/17/Z
6 · The paper itself

Abstract

Immune activation is associated with increased risk of tuberculosis (TB) disease in infants. We performed a case-control analysis to identify drivers of immune activation and disease risk. Among 49 infants who developed TB disease over the first 2 years of life, and 129 healthy matched controls, we found the cytomegalovirus-stimulated (CMV-stimulated) IFN-γ response to be associated with CD8+ T cell activation (Spearman's rho, P = 6 × 10-8). A CMV-specific IFN-γ response was also associated with increased risk of developing TB disease (conditional logistic regression; P = 0.043; OR, 2.2; 95% CI, 1.02-4.83) and shorter time to TB diagnosis (Log Rank Mantel-Cox, P = 0.037). CMV+ infants who developed TB disease had lower expression of NK cell-associated gene signatures and a lower frequency of CD3-CD4-CD8- lymphocytes. We identified transcriptional signatures predictive of TB disease risk among CMV ELISpot-positive (area under the receiver operating characteristic [AUROC], 0.98, accuracy, 92.57%) and -negative (AUROC, 0.9; accuracy, 79.3%) infants; the CMV- signature was validated in an independent infant study (AUROC, 0.71; accuracy, 63.9%). A 16-gene signature that previously identified adolescents at risk of developing TB disease did not accurately classify case and control infants in this study. Understanding the microbial drivers of T cell activation, such as CMV, could guide new strategies for prevention of TB disease in infants.

Indexed as

BCG VaccineCase-Control StudiesCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCytomegalovirusCytomegalovirus InfectionsFemaleHumansInfantInflammationInterferon-gammaKiller Cells, NaturalLymphocyte ActivationMaleMycobacterium tuberculosisRisk FactorsBCG VaccineInterferon-gammaInflammationNK cellsTuberculosisVaccines

Identifiers

PMID31697647
PMCPMC6962026
OpenAlexW2986427407

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.