Evidence map›Paper›PMID 31841533›Full record

ArticlePloS one2019

Clonality testing in the lymph nodes from dogs with lymphadenomegaly due to Leishmania infantum infection.

Antonio Melendez-Lazo, Anne-Katherine Jasensky, Ico Thais Jolly-Frahija, Alexandra Kehl, Elisabeth Müller, Ignacio Mesa-Sánchez

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In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

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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

8 citing papers in PubMed, 14 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

6 authors at 2 institutions in 2 countries.

Antonio Melendez-LazoLABOKLIN GmbH & Co. KG, Bad Kissingen, Germany.ORCID 0000-0002-1184-9750
Anne-Katherine JasenskyLABOKLIN GmbH & Co. KG, Bad Kissingen, Germany.
Ico Thais Jolly-FrahijaHospital Veterinario Valencia Sur, Silla, Spain.
Alexandra KehlLABOKLIN GmbH & Co. KG, Bad Kissingen, Germany.
Elisabeth MüllerLABOKLIN GmbH & Co. KG, Bad Kissingen, Germany.
Ignacio Mesa-SánchezHospital Veterinario Valencia Sur, Silla, Spain.
Laboklin (Germany) · DEMenescalia Centro Veterinario · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn southern European countries, multicentric lymphoma and leishmaniosis are the main differential diagnoses in dogs presented with generalized lymphadenomegaly. The cytological examination is in some cases inconclusive and polymerase chain reaction (PCR) for antigen receptor rearrangement (PARR) has become a common method to confirm or rule out a lymphoproliferative neoplasia. According to the literature, leishmaniosis may lead to clonal arrangements and therefore to a false diagnosis of lymphoma, but this assumption is made from a single leishmania infected dog. Therefore, the objective of this study was to prospectively evaluate results from PARR in dogs with lymphadenomegaly due to clinical leishmaniosis at the moment of diagnosis. MATERIALS AND

methods31 dogs with a diagnosis of leishmaniosis based on the LeishVet guidelines were included in the study. Samples from enlarged lymph nodes were taken for cytological examination, clonality testing and Leishmania infantum PCR.

resultsAll 31 dogs had medium to high positive antibody titers against Leishmania spp. and 30/31 had a positive Leishmania PCR from the lymph node. A polyclonal arrangement for B cells (immunoglobulin heavy chain gene) and T cells (T-cell receptor gamma chain gene) antigen receptors was found in 28/31 dogs. Two out of 31 dogs showed a monoclonal arrangement for Ig with high (1:2) and low (1:7) polyclonal background respectively; and one of the 31 dogs showed a monoclonal arrangement for T cell receptor with low (1:3) polyclonal background.

conclusionInfections with Leishmania infantum resulted in clonal rearrangement, and therefore in a possible false diagnosis of lymphoma, in 3 out of 31 dogs (9.7%). Although, PARR is a useful method to differentiate lymphoma from reactive lymphoid hyperplasia in dogs with leishmaniosis, mono-/biclonal results should be interpreted carefully, especially in the presence of any degree of polyclonal background, and together with other clinicopathological findings.

Indexed as

Clonal EvolutionAnimalsDiagnosis, DifferentialDog DiseasesDogsFemaleGene Rearrangement, B-LymphocyteGene Rearrangement, T-LymphocyteGenetic TestingLeishmania infantumLeishmaniasis, VisceralLymphadenopathyLymph NodesLymphomaMalePolymerase Chain Reaction

Identifiers

PMID31841533
PMCPMC6913964
OpenAlexW2995281686

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LicenceCC BY
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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.