Evidence map›Paper›PMID 32501260›Full record

ArticleTuberculosis (Edinburgh, Scotland)2020

Adults with Mycobacterium tuberculosis infection and pre-diabetes have increased levels of QuantiFERON interferon-gamma responses.

Matthew J Magee, Susanna L Trost, Argita D Salindri, Genet Amere, Cheryl L Day, Neel R Gandhi

Open access · greenAbstract read
In one paragraph

Article in Tuberculosis (Edinburgh, Scotland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 35% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. HIV and diabetes impairIJTLD open · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Possible sex difference in latent tuberculosis infection risk among close tuberculosis contacts.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Observational
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  12. Article
  13. 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

6 authors at 2 institutions in 1 country.

Matthew J MageeDepartments of Global Health and Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, 30322, USA. Electronic address: mjmagee@emory.edu.
Susanna L TrostDepartments of Global Health and Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, 30322, USA.
Argita D SalindriSchool of Public Health, Georgia State University, Atlanta, GA, 30303, USA.
Genet AmereSchool of Public Health, Georgia State University, Atlanta, GA, 30303, USA.
Cheryl L DayDepartment of Microbiology and Immunology, Emory University School of Medicine, Atlanta, GA, 30322, USA.
Neel R GandhiDepartments of Global Health and Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, 30322, USA; Department of Medicine, Emory University School of Medicine, Atlanta, GA, 30322, USA.
Emory University · USGeorgia State University · US

Funding

Mentorship in Patient-Oriented Research in Tuberculosis, HIV and Global HealthK24AI114444 · NIAID · EMORY UNIVERSITY · PI GANDHI, NEEL RAJNIKANT · 2014 to 2023
$1.8M
Latent tuberculosis infection and risk of type 2 diabetes mellitus in US veteransR03AI133172 · NIAID · GEORGIA STATE UNIVERSITY · PI MAGEE, MATTHEW JAMES · 2018 to 2019
$158k
NIAID NIH HHS K24 AI114444NIAID NIH HHS R03 AI133172
6 · The paper itself

Abstract

backgroundDiabetes is associated with increased prevalence of TB infection in the US. We assessed associations between diabetes and interferon-gamma (IFN-γ) TB antigen response among adults with TB infection using US representative data.

methodsNational Health and Nutrition Examination (NHANES) participants >19 years from 2011 to 2012 with positive QuantiFERON®-TB Gold-In-Tube (QFT) results were eligible. Diabetes was defined by combination of self-report and glycated hemoglobin (HbA1c). Quantitative IFN-γ TB antigen was classified as high (≥10 IU/mL), intermediate (1.01-9.99 IU/mL), or low (0.35-1.00 IU/mL). Analyses accounted for NHANES weighted design.

resultsAmong NHANES participants >19 years, n = 513 had positive QFT (5.9%). Among those with positive QFT, diabetes prevalence was 22.2% and pre-diabetes was 25.9%. Overall, 16.7% of positive QFT participants had high IFN-γ TB antigen levels including 21.7% among those with diabetes, 20.8% among those with pre-diabetes, and 12.6% among euglycemic participants. In adjusted analyses, high IFN-γ TB antigen response was more common among those with pre-diabetes (aOR 1.9, 95%CI 1.0, 3.6) compared to euglycemic participants.

conclusionHigher antigen responses may reflect immunopathy consistent with an exaggerated inflammatory but ineffectual response to TB or a reflection of more Mtb replication in participants with pre-diabetes or diabetes.

Indexed as

Interferon-gamma Release TestsAdultAgedBacterial LoadCross-Sectional StudiesFemaleHost-Pathogen InteractionsHumansInterferon-gammaLatent TuberculosisMaleMiddle AgedMycobacterium tuberculosisNutrition SurveysPrediabetic StatePredictive Value of TestsIFNG protein, humanInterferon-gammaDiabetes mellitusInterferon-gammaTuberculosis infection

Identifiers

PMID32501260
PMCPMC7275930
OpenAlexW3014153834

What OpenQuestion holds

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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.