Evidence map›Paper›PMID 32036434›Full record

ArticleClinical oral investigations2020

Herpesviruses in the oral cavity of patients subjected to allogeneic hematopoietic stem cell transplantation and its relationship with oral mucositis.

Wanessa Miranda-Silva, Franciele Hinterholz Knebel, Tania Regina Tozetto-Mendozo, Michelle Palmieri, Felipe Paiva da Fonseca, Anamaria Aranha Camargo, Paulo Henrique Braz-Silva, Eduardo Rodrigues Fregnani

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Article in Clinical oral investigations, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 12 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

8 authors at 3 institutions in 1 country.

Wanessa Miranda-SilvaDepartment of Oral Medicine, Hospital Sírio Libanês, Rua Dona Adma Jafet, 91-Bela Vista, São Paulo, SP, Brazil.
Franciele Hinterholz KnebelSociedade Beneficente de Senhoras Hospital Sírio Libanês, São Paulo, Brazil.
Tania Regina Tozetto-MendozoLaboratory of Virology, Institute of Tropical Medicine of São Paulo, University of São Paulo, São Paulo, Brazil.
Michelle PalmieriDepartment of Stomatology, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Felipe Paiva da FonsecaDepartment of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Anamaria Aranha CamargoSociedade Beneficente de Senhoras Hospital Sírio Libanês, São Paulo, Brazil.
Paulo Henrique Braz-SilvaLaboratory of Virology, Institute of Tropical Medicine of São Paulo, University of São Paulo, São Paulo, Brazil.
Eduardo Rodrigues FregnaniDepartment of Oral Medicine, Hospital Sírio Libanês, Rua Dona Adma Jafet, 91-Bela Vista, São Paulo, SP, Brazil. eduardofregnani@me.com.
Hospital Sírio-Libanês · BRUniversidade de São Paulo · BRUniversidade Federal de Minas Gerais · BR

Funding

National Council for Scientific and Technology Development (CNPq) grant number 443004/2014-5Sao Paulo Research Foundation - FAPESP, Sao Paulo, Brazil grant number 2015/07727-9
6 · The paper itself

Abstract

objectivesThis study was performed to characterise oral shedding of herpesviruses in patients who underwent allogeneic hematopoietic stem cell transplantation (alloHSCT) and to investigate its relationship with oral mucositis (OM). MATERIALS AND

methodsPCR and enzymatic digestion were conducted to identify oral shedding of herpesviruses and its correlation with OM development in 31 patients. The samples were collected at three sites in the oral cavity and at 5 times during follow-up; two additional collections were made from patients who developed ulcerative OM.

resultsHSV-1, EBV, CMV, HHV-6A, HHV-6B, and HHV-7 were detected in 4.97%, 16.02%, 4.41%, 2.20%, 3.31%, and 68% of the oral mucosal samples, respectively; 4.41%, 16.57%, 5.52%, 2.20%, 5.52%, and 63.53% of supragingival samples, respectively, and 4.41%, 18.23%, 2.76%, 1.65%, 2.75%, and 35.91% of subgingival samples, respectively. OM was diagnosed in 13 patients. The presence of HHV-7 in C1 (oral mucosa: p = 0.032) and C2 (supragingival: p = 0.009; subgingival: p = 0.002) was significantly increased in patients who developed OM, and patients exhibiting HHV-7 shedding in the oral cavity were 3.32-fold more likely to develop OM.

conclusionsPatients who developed OM showed higher HHV-7 shedding in the oral cavity at nadir (immediately prior to OM development), suggesting modifications to the inflammatory microenvironment. CLINICAL RELEVANCE: HHV-7 may be involved in oral dysbiosis in HSCT-related OM; enhanced understanding of its role in the pathogenesis of OM may lead to the development of strategies for managing and preventing this common side effect of alloHSCT.

Indexed as

Hematopoietic Stem Cell TransplantationHerpesvirus 7, HumanStomatitisHumansMouth MucosaRoseolovirus InfectionsDNA virus infectionsDysbiosisHematopoietic stem cell transplantationHerpesviridaeOral mucositis

Identifiers

PMID32036434
OpenAlexW3004887306

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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.