Evidence map›Paper›PMID 33793565›Full record

ArticlePLoS neglected tropical diseases2021

Localized skin inflammation during cutaneous leishmaniasis drives a chronic, systemic IFN-γ signature.

Camila Farias Amorim, Fernanda O Novais, Ba T Nguyen, Mauricio T Nascimento, Jamile Lago, Alexsandro S Lago, Lucas P Carvalho, Daniel P Beiting, Phillip Scott

Open access · goldAbstract read
In one paragraph

Article 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 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
5.5field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Leishmaniasis.Nature reviews. Disease primers · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
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  13. Annexin A1 downregulatesFrontiers in immunology · 2025
    Article
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  16. Article
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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

9 authors at 2 institutions in 2 countries.

Camila Farias AmorimDepartment of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, United States of America.ORCID 0000-0001-8249-7265
Fernanda O NovaisDepartment of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, United States of America.ORCID 0000-0002-9491-0384
Ba T NguyenDepartment of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, United States of America.ORCID 0000-0002-8481-5471
Mauricio T NascimentoServiço de Imunologia, Complexo Hospitalar Universitário Professor Edgard Santos, Universidade Federal da Bahia, Salvador, Brazil.ORCID 0000-0002-3791-8048
Jamile LagoServiço de Imunologia, Complexo Hospitalar Universitário Professor Edgard Santos, Universidade Federal da Bahia, Salvador, Brazil.ORCID 0000-0002-5865-6163
Alexsandro S LagoServiço de Imunologia, Complexo Hospitalar Universitário Professor Edgard Santos, Universidade Federal da Bahia, Salvador, Brazil.ORCID 0000-0003-4586-0322
Lucas P CarvalhoServiço de Imunologia, Complexo Hospitalar Universitário Professor Edgard Santos, Universidade Federal da Bahia, Salvador, Brazil.
Daniel P BeitingDepartment of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, United States of America.
Phillip ScottDepartment of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, United States of America.ORCID 0000-0001-8732-0653
University of Pennsylvania · USUniversidade Federal da Bahia · BR

Funding

Distinct functions for CD8 T cells in cutaneous leishmaniasisR01AI162711 · NIAID · OHIO STATE UNIVERSITY · PI Fernanda Novais · 2022 to 2026
$2.1M
Inflammation in the Pathogenesis of Disseminated LeishmaniasisU01AI136032 · NIAID · FEDERAL UNIVERSITY OF BAHIA · PI CARVALHO, EDGAR M · 2017 to 2021
$1.6M
Host and parasite factors promoting disease and treatment failure in Leishmania braziliensis patientsR01AI149456 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI CARVALHO, LUCAS P, SCOTT, PHILLIP · 2020 to 2023
$626k
NIAID NIH HHS R01 AI149456NIAID NIH HHS R01 AI162711NIAID NIH HHS U01 AI136032
6 · The paper itself

Abstract

Cutaneous leishmaniasis is a localized infection controlled by CD4+ T cells that produce IFN-γ within lesions. Phagocytic cells recruited to lesions, such as monocytes, are then exposed to IFN-γ which triggers their ability to kill the intracellular parasites. Consistent with this, transcriptional analysis of patient lesions identified an interferon stimulated gene (ISG) signature. To determine whether localized L. braziliensis infection triggers a systemic immune response that may influence the disease, we performed RNA sequencing (RNA-seq) on the blood of L. braziliensis-infected patients and healthy controls. Functional enrichment analysis identified an ISG signature as the dominant transcriptional response in the blood of patients. This ISG signature was associated with an increase in monocyte- and macrophage-specific marker genes in the blood and elevated serum levels IFN-γ. A cytotoxicity signature, which is a dominant feature in the lesions, was also observed in the blood and correlated with an increased abundance of cytolytic cells. Thus, two transcriptional signatures present in lesions were found systemically, although with a substantially reduced number of differentially expressed genes (DEGs). Finally, we found that the number of DEGs and ISGs in leishmaniasis was similar to tuberculosis-another localized infection-but significantly less than observed in malaria. In contrast, the cytolytic signature and increased cytolytic cell abundance was not found in tuberculosis or malaria. Our results indicate that systemic signatures can reflect what is occurring in leishmanial lesions. Furthermore, the presence of an ISG signature in blood monocytes and macrophages suggests a mechanism to limit systemic spread of the parasite, as well as enhance parasite control by pre-activating cells prior to lesion entry.

Indexed as

Case-Control StudiesCD4-Positive T-LymphocytesHumansInflammationInterferon-gammaLeishmania braziliensisLeishmaniasis, CutaneousMacrophagesMonocytesSkinInterferon-gamma

Identifiers

PMID33793565
PMCPMC8043375
OpenAlexW3144776955

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.