Evidence map›Paper›PMID 34189173›Full record

ArticleOpen forum infectious diseases2021

A Prospective Study of Cytomegalovirus-Specific Cell-Mediated Immune Monitoring and Cytomegalovirus Infection in Patients With Active Systemic Lupus Erythematosus Receiving Immunosuppressants.

Jackrapong Bruminhent, Suphanan Autto, Porpon Rotjanapan, Pintip Ngarmjanyaporn, Asalaysa Bushyakanist, Suppachok Kirdlarp, Pichaya O-Charoen, Chavachol Setthaudom, Prapaporn Pisitkun

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Utility of the Interferon-Gamma Enzyme-Linked Immunosorbent Spot Assay to Predict Risk of Cytomegalovirus Infection in Kidney Transplant Recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    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

9 authors at 2 institutions in 1 country.

Jackrapong BruminhentDivision of Infectious Diseases, Department of Medicine, Faculty of Medicine Ramathobodi Hospital, Mahidol University, Bangkok, Thailand.
Suphanan AuttoDepartment of Medicine, Faculty of Medicine Ramathobodi Hospital, Mahidol University, Bangkok, Thailand.
Porpon RotjanapanDivision of Infectious Diseases, Department of Medicine, Faculty of Medicine Ramathobodi Hospital, Mahidol University, Bangkok, Thailand.
Pintip NgarmjanyapornDivision of Allergy, Immunology, and Rheumatology, Faculty of Medicine Ramathobodi Hospital, Mahidol University, Bangkok, Thailand.
Asalaysa BushyakanistDivision of Infectious Diseases, Department of Medicine, Faculty of Medicine Ramathobodi Hospital, Mahidol University, Bangkok, Thailand.
Suppachok KirdlarpDivision of Infectious Diseases, Department of Medicine, Faculty of Medicine Ramathobodi Hospital, Mahidol University, Bangkok, Thailand.
Pichaya O-CharoenDivision of Allergy, Immunology, and Rheumatology, Faculty of Medicine Ramathobodi Hospital, Mahidol University, Bangkok, Thailand.
Chavachol SetthaudomImmunology Laboratory, Department of Pathology, Faculty of Medicine Ramathobodi Hospital, Mahidol University, Bangkok, Thailand.
Prapaporn PisitkunDivision of Allergy, Immunology, and Rheumatology, Faculty of Medicine Ramathobodi Hospital, Mahidol University, Bangkok, Thailand.
Mahidol University · THChulabhorn Hospital · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effects of cytomegalovirus (CMV)-specific cell-mediated immunity (CMI) on CMV infection in patients with autoimmune diseases receiving immunosuppressants have not been explored.

methodsPatients with active systemic lupus erythematosus (SLE) were preemptively monitored for clinically significant CMV infection (CsCMVI; defined as plasma CMV DNA loads >3 log10 IU/mL). CMV-specific CMI was assessed using an enzyme-linked immunosorbent assay (QuantiFERON-CMV [QF]) before as well as 1 and 3 months after intense immunosuppressive therapy.

resultsThe study included 55 patients with active SLE; patients were a mean age (SD) of 34 (13) years and had a median SLE Disease Activity Index 2000 score (SD) of 14 (8), and 93% were female. Most patients had renal involvement (67%), received methylprednisolone (93%), and were CMV-seropositive (95%). Thirteen (23.6%) patients developed CsCMVI. Among patients with active SLE who were QF-negative (QF-) and QF-positive (QF+) before receiving immunosuppressive therapy, 28.6% and 25% developed CsCMVI, respectively (

conclusionsPatients with active SLE and low CMV-specific T-cell responses could develop CMV infection after receiving immunosuppressants. Further studies should focus on CMV-specific CMI among patients with autoimmune diseases.

Indexed as

autoimmune diseaseCMV-specific immunityimmunosuppressantquantiferonSLEviremia

Identifiers

PMID34189173
PMCPMC8231397
OpenAlexW3163237980

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.