Evidence map›Paper›PMID 33395432›Full record

SynthesisPLoS neglected tropical diseases2021

Congenital abnormalities associated with Zika virus infection-Dengue as potential co-factor? A systematic review.

Stephanie Petzold, Nisreen Agbaria, Andreas Deckert, Peter Dambach, Volker Winkler, Jan Felix Drexler, Olaf Horstick, Thomas Jaenisch

Abstract readSystematic Review
In one paragraph

Synthesis in PLoS neglected tropical diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Dengue, chikungunya and Zika virus infections among Dutch travellers to Suriname: a prospective study during the introduction of chikungunya and Zika virus, 2014 to 2017.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
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.

Stephanie PetzoldHeidelberg Institute of Global Health, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-3233-6233
Nisreen AgbariaHeidelberg Institute of Global Health, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0001-6297-6349
Andreas DeckertHeidelberg Institute of Global Health, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0003-0526-6249
Peter DambachHeidelberg Institute of Global Health, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-1086-6866
Volker WinklerHeidelberg Institute of Global Health, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-9974-1145
Jan Felix DrexlerCharité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Institute of Virology, Berlin, Germany.
Olaf HorstickHeidelberg Institute of Global Health, Heidelberg University Hospital, Heidelberg, Germany.
Thomas JaenischHeidelberg Institute of Global Health, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0001-8252-7444

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Zika virus (ZIKV) emerged in Brazil during 2013-2014 causing an epidemic of previously unknown congenital abnormalities. The frequency of severe congenital abnormalities after maternal ZIKV infection revealed an unexplained geographic variability, especially between the Northeast and the rest of Brazil. Several reasons for this variability have been discussed. Prior immunity against Dengue virus (DENV) affecting ZIKV seems to be the most likely explanation. Here we summarise the current evidence regarding this prominent co-factor to potentially explain the geographic variability. This systematic review followed the PRISMA guidelines. The search was conducted up to May 15th, 2020, focussing on immunological interactions from Zika virus with previous Dengue virus infections as potential teratogenic effect for the foetus. Eight out of 339 screened studies reported on the association between ZIKV, prior DENV infection and microcephaly, mostly focusing on antibody-dependent enhancement (ADE) as potential pathomechanism. Prior DENV infection was associated with enhancement for ZIKV infection and increased neurovirulence in one included in vitro study only. Interestingly, the seven in vivo studies exhibited a heterogeneous picture with three studies showing a protective effect of prior DENV infections and others no effect at all. According to several studies, socio-economic factors are associated with increased risk for microcephaly. Very few studies addressed the question of unexplained variability of infection-related microcephaly. Many studies focussed on ADE as mechanism without measuring microcephaly as endpoint. Interestingly, three of the included studies reported a protective effect of prior DENV infection against microcephaly. This systematic review strengthens the hypothesis that immune priming after recent DENV infection is the crucial factor for determining protection or enhancement activity. It is of high importance that the currently ongoing prospective studies include a harmonised assessment of the potential candidate co-factors.

Indexed as

Pregnancy Complications, InfectiousCongenital AbnormalitiesDengueFemaleHumansMicrocephalyPregnancyZika Virus Infection

Identifiers

PMID33395432
PMCPMC7808571

What OpenQuestion holds

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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.