Evidence map›Paper›PMID 32766812›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2021

Plasma Chemokines Are Baseline Predictors of Unfavorable Treatment Outcomes in Pulmonary Tuberculosis.

Nathella P Kumar, Kadar Moideen, Arul Nancy, Vijay Viswanathan, Kannan Thiruvengadam, Dina Nair, Vaithilingam V Banurekha, Shanmugam Sivakumar, Syed Hissar, Hardy Kornfeld and 1 more

Open access · greenAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 21% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 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

11 authors at 5 institutions in 2 countries.

Nathella P KumarNational Institutes of Health, NIRT, International Center for Excellence in Research, Chennai, India.
Kadar MoideenNational Institutes of Health, NIRT, International Center for Excellence in Research, Chennai, India.
Arul NancyNational Institutes of Health, NIRT, International Center for Excellence in Research, Chennai, India.
Vijay ViswanathanProf. M. Viswanathan Diabetes Research Center, Chennai, India.
Kannan ThiruvengadamNational Institute for Research in Tuberculosis, Chennai, India.
Dina NairNational Institute for Research in Tuberculosis, Chennai, India.
Vaithilingam V BanurekhaNational Institute for Research in Tuberculosis, Chennai, India.
Shanmugam SivakumarNational Institute for Research in Tuberculosis, Chennai, India.
Syed HissarNational Institute for Research in Tuberculosis, Chennai, India.
Hardy KornfeldUniversity of Massachusetts Medical School, Worcester, Massachusetts, USA.
Subash BabuNational Institutes of Health, NIRT, International Center for Excellence in Research, Chennai, India.
National Institute of Research in Tuberculosis · INIndia Diabetes Research Foundation · INInternational Centers for Excellence in Research · INNational Institute of Allergy and Infectious Diseases · USUniversity of Massachusetts Chan Medical School · US

Funding

India International Center for Excellence in ResearchZIAAI001065 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI NUTMAN, THOMAS · 2009 to 2025
$19.0M
CRDF Global USB1-31149-XX-13CRDF Global RePORT India Consortium OISE-17-62911-1Department of BiotechnologyIndian Council of Medical ResearchNational Institute of Allergy and Infectious DiseasesNHLBI NIH HHSNIAIDNIHNIH HHSOffice of AIDS Research
6 · The paper itself

Abstract

backgroundPlasma chemokines are biomarkers of greater disease severity, higher bacterial burden, and delayed sputum culture conversion in pulmonary tuberculosis (PTB). Whether plasma chemokines could also serve as biomarkers of unfavorable treatment outcomes in PTB is not known.

methodsA cohort of newly diagnosed, sputum smear- and culture-positive adults with drug-sensitive PTB were recruited under the Effect of Diabetes on Tuberculosis Severity study in Chennai, India. Plasma chemokine levels measured before treatment initiation were compared between 68 cases with unfavorable outcomes (treatment failure, death, or recurrence) and 136 control individuals who had recurrence-free cure. A second validation cohort comprising newly diagnosed, culture-positive adults with drug-sensitive TB was used to measure plasma chemokine levels in 20 cases and 40 controls.

resultsSix chemokines (CCL2, CCL3, CCL4, CXCL8, CXCL10, and CX3CL1) were associated with increased risk, while CXCL1 was associated with decreased risk of unfavorable outcomes in unadjusted and adjusted analyses in the test cohort. Similarly, CCL3, CXCL8, and CXCL10 were associated with increased risk of unfavorable treatment outcomes in the validation cohort. Receiver operating characteristic analysis revealed that combinations of CCL3, CXCL8, and CXCL10 exhibited very high sensitivity and specificity in differentiating cases vs controls.

conclusionsOur study reveals a plasma chemokine signature that can be used as a novel biomarker for predicting adverse treatment outcomes in PTB.

Indexed as

Pharmaceutical PreparationsTuberculosis, PulmonaryAdultChemokinesHumansIndiaSputumTreatment OutcomeChemokinesPharmaceutical Preparationschemokinestreatment outcomestuberculosis

Identifiers

PMID32766812
PMCPMC8563183
OpenAlexW3048182777

What OpenQuestion holds

Textmetadata
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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.