Evidence map›Paper›PMID 32082071›Full record

ArticleMediators of inflammation2019

Chemokine and Cytokine Cascade Caused by Skewing of the Th1-Th2 Balance Is Associated with High Intracranial Pressure in HIV-Associated Cryptococcal Meningitis.

Lijun Xu, Yongzheng Guo, Yizhou Zhao, Yufan Xu, Xiuming Peng, Zongxing Yang, Ran Tao, Ying Huang, Yan Xu, Yaokai Chen and 1 more

Abstract read
In one paragraph

Article in Mediators of inflammation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. FasterJournal of fungi (Basel, Switzerland) · 2022
    Article
  9. Observational
  10. Observational
  11. Review
  12. Article
  13. Article
  14. Article
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

11 authors.

Lijun XuNational Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, College of Medicine, Zhejiang University, Qingchun Rd, Hangzhou, China.ORCID https://orcid.org/0000-0001-7352-2086
Yongzheng GuoNational Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, College of Medicine, Zhejiang University, Qingchun Rd, Hangzhou, China.
Yizhou ZhaoCollege of Medicine, Zhejiang University, Yuhangtang Rd, Hangzhou, China.
Yufan XuNational Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, College of Medicine, Zhejiang University, Qingchun Rd, Hangzhou, China.
Xiuming PengNational Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, College of Medicine, Zhejiang University, Qingchun Rd, Hangzhou, China.
Zongxing YangDepartment of HIV/AIDS, Xixi Hospital of Hangzhou, Hengbu Rd, Hangzhou, China.
Ran TaoNational Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, College of Medicine, Zhejiang University, Qingchun Rd, Hangzhou, China.
Ying HuangNational Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, College of Medicine, Zhejiang University, Qingchun Rd, Hangzhou, China.
Yan XuNational Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, College of Medicine, Zhejiang University, Qingchun Rd, Hangzhou, China.
Yaokai ChenChongqing Public Health Medical Center, Baoyu Rd, Chongqing, China.ORCID https://orcid.org/0000-0002-3229-0108
Biao ZhuNational Clinical Research Center for Infectious Diseases, The First Affiliated Hospital, College of Medicine, Zhejiang University, Qingchun Rd, Hangzhou, China.ORCID https://orcid.org/0000-0001-6288-4575

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSerum cytokines/chemokines play important roles in cryptococcal meningitis, but it is unclear whether cytokines/chemokines in cerebrospinal fluid (CSF) contribute to high intracranial pressure (HICP) in HIV-associated cryptococcal meningitis (HCM).

methodsCSF cytokines/chemokines were assayed in 17 HIV-uninfected patients, 26 HIV-infected patients without CNS infection, and 39 HCM patients at admission. Principal component analysis and correlation and logistic regression analyses were used to assess the relationships between these parameters.

resultsThe CSF Th1, Th2, and macrophage cytokines showed an obvious increase in HCM patients as compared to the HIV-uninfected patients and HIV-infected patients without CNS infection. CSF IL-6, GM-CSF, and IL-8 were positively correlated with CSF fungal burden. Serum CD4 count, CSF Th1 cytokines (TNF-

conclusionOverall, the present findings indicated that both pro- and anti-inflammatory cytokines of Th1, Th2, and macrophage origin contributed to the development of HCM. Specifically, the chemokine and cytokine cascade caused by skewing of the Th1-Th2 balance and reduced CD4 count were found to be important contributors to HICP.

Indexed as

AdultCD4 Lymphocyte CountChemokinesCytokinesFemaleHIV InfectionsHumansIntracranial PressureMaleMeningitis, CryptococcalMiddle AgedTh1-Th2 BalanceChemokinesCytokines

Identifiers

PMID32082071
PMCPMC7012228

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Registered trials

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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.