Evidence map›Paper›PMID 33632146›Full record

ArticleBMC infectious diseases2021

Low Annexin A1 level in HTLV-1 infected patients is a potential biomarker for the clinical progression and diagnosis of HAM/TSP.

Bárbara Brasil Santana, Maria Alice Freitas Queiroz, Rodrigo Arcoverde Cerveira, Claudia Mendonça Rodrigues, Ednelza da Silva Graça Amoras, Carlos Araújo da Costa, Maisa Silva de Sousa, Ricardo Ishak, Luiz Ricardo Goulart, Antonio Carlos Rosário Vallinoto

Abstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

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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

10 authors.

Bárbara Brasil Santana *Laboratório de Virologia, Instituto de Ciências Biológica, Universidade Federal do Pará, Belem, 66.075-110, Brazil.
Maria Alice Freitas Queiroz *Laboratório de Virologia, Instituto de Ciências Biológica, Universidade Federal do Pará, Belem, 66.075-110, Brazil.
Rodrigo Arcoverde CerveiraLaboratório de Virologia, Instituto de Ciências Biológica, Universidade Federal do Pará, Belem, 66.075-110, Brazil.
Claudia Mendonça RodriguesLaboratory of Nanobiotechnology, Biotechnology Institute, Federal University of Uberlândia, Uberlândia, 38.400-902, Brazil.
Ednelza da Silva Graça AmorasLaboratório de Virologia, Instituto de Ciências Biológica, Universidade Federal do Pará, Belem, 66.075-110, Brazil.
Carlos Araújo da CostaLaboratory of Cellular and Molecular Biology, Tropical Medicine Center, Federal University of Pará, Belem, 66.055-240, Brazil.
Maisa Silva de SousaLaboratory of Cellular and Molecular Biology, Tropical Medicine Center, Federal University of Pará, Belem, 66.055-240, Brazil.
Ricardo IshakLaboratório de Virologia, Instituto de Ciências Biológica, Universidade Federal do Pará, Belem, 66.075-110, Brazil.
Luiz Ricardo GoulartLaboratory of Nanobiotechnology, Biotechnology Institute, Federal University of Uberlândia, Uberlândia, 38.400-902, Brazil.
Antonio Carlos Rosário VallinotoLaboratório de Virologia, Instituto de Ciências Biológica, Universidade Federal do Pará, Belem, 66.075-110, Brazil. vallinoto@me.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman T-lymphotropic virus 1 (HTLV-1) is etiologically associated with the chronic inflammatory neurodegenerative disease HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) Annexin A1 (AnxA1) is an anti-inflammatory protein with proposed neuroprotective and anti-neuroinflammatory functions. We hypothesized that ANXA1 gene expression may be dysregulated in HTLV-1-infected HAM/TSP patients.

methodsThis study involved 37 individuals infected with HTLV-1, including 21 asymptomatic (AS) carriers and 16 with HAM/TSP, and a control group of 30 individuals negative for HTLV-1 and HTLV-2. For AS HTLV-1-positive and HAM/TSP patients, ANXA1 and formyl peptide receptor (FPR1, FPR2 and FPR3) expression and HTLV-1 proviral load (PVL) in peripheral blood cells were evaluated by real-time quantitative PCR (qPCR), and plasma AnxA1 levels were determined by enzyme-linked immunosorbent assay (ELISA).

resultsANXA1 gene expression was increased in the AS group compared with the HAM/TSP and control groups, but the differences were not statistically significant. FPR1 gene expression was higher in patients with HTLV-1 than in controls (AS, p = 0.0032; HAM/TSP, p < 0.0001). Plasma AnxA1 levels were higher in the AS group than in the HAM/TSP group (p = 0.0045), and PVL was higher in patients with HAM/TSP than in AS individuals (p = 0.0162). The use of a combined ROC curve using Annexin 1 levels and proviral load significantly increased the sensitivity and specificity to predict progression to HAM/TSP (AUC = 0.851 and AUC = 0.937, respectively, to AUC = 1000).

conclusionsOur results suggest that AnxA1 may be dysregulated in HAM/TSP patients. Serological detection of AnxA1 in association with proviral load may provide a prognostic biomarker for HTLV-1-associated neurodegenerative disease.

Indexed as

AdultAnnexin A1BiomarkersDisease ProgressionFemaleHumansHuman T-lymphotropic virus 1MaleMiddle AgedParaparesis, Tropical SpasticPrognosisROC CurveSensitivity and SpecificityViral LoadAnnexin A1BiomarkersAnnexin A1BiomarkerHAM/TSPHTLVInfection

Identifiers

PMID33632146
PMCPMC7908672

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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.