Evidence map›Paper›PMID 34217302›Full record

ArticleJournal of translational medicine2021

Combined IFN-γ and IL-2 release assay for detect active pulmonary tuberculosis: a prospective multicentre diagnostic study in China.

Yaoju Tan, Yunhong Tan, Junlian Li, Pengnan Hu, Ping Guan, Haobin Kuang, Qide Liang, Yanyan Yu, Zhongnan Chen, Quan Wang and 4 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
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  3. CD8+ lymphocytes in immunity against tuberculosis.Journal of immunology (Baltimore, Md. : 1950) · 2026
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  12. Cytokine Responses duringMicroorganisms · 2023
    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

14 authors at 5 institutions in 1 country.

Yaoju Tan *Clinical Laboratory, Guangzhou Chest Hospital, Guangzhou/State Key Laboratory of Respiratory Diseases, Guangzhou, China.
Yunhong Tan *Clinical Laboratory, Hunan Chest Hospital, Changsha, China.
Junlian Li *Clinical Laboratory, Chest Hospital of Xinjiang Uygur Autonomous Region, Ürümqi, China.
Pengnan Hu *School of Life Science & Technology, LingNan Normal University, Zhanjiang, China.
Ping GuanClinical Laboratory, Guangzhou Chest Hospital, Guangzhou/State Key Laboratory of Respiratory Diseases, Guangzhou, China.
Haobin KuangClinical Laboratory, Guangzhou Chest Hospital, Guangzhou/State Key Laboratory of Respiratory Diseases, Guangzhou, China.
Qide LiangClinical Laboratory, Guangzhou Chest Hospital, Guangzhou/State Key Laboratory of Respiratory Diseases, Guangzhou, China.
Yanyan YuClinical Laboratory, Hunan Chest Hospital, Changsha, China.
Zhongnan ChenClinical Laboratory, Hunan Chest Hospital, Changsha, China.
Quan WangClinical Laboratory, Chest Hospital of Xinjiang Uygur Autonomous Region, Ürümqi, China.
Zhenping YangClinical Laboratory, Chest Hospital of Xinjiang Uygur Autonomous Region, Ürümqi, China.
DiLiNaZi AiKeReMuClinical Laboratory, Chest Hospital of Xinjiang Uygur Autonomous Region, Ürümqi, China.
Yu PangDepartment of Bacteriology and Immunology, Beijing Key Laboratory on Drug-Resistant Tuberculosis Research, Beijing Chest Hospital, Capital Medical University/Beijing Tuberculosis & Thoracic Tumor Research Institute, Beijing, China. pangyupound@163.com.
Jianxiong LiuClinical Laboratory, Guangzhou Chest Hospital, Guangzhou/State Key Laboratory of Respiratory Diseases, Guangzhou, China. Ljxer64@qq.com.
Guangzhou Chest Hospital · CNState Key Laboratory of Respiratory Disease · CNHunan Province Chest Hospital · CNBeijing Chest Hospital · CNLingnan Normal University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe performed a prospective multicentre diagnostic study to evaluate the combined interferon-γ (IFN-γ) and interleukin-2 (IL-2) release assay for detect active pulmonary tuberculosis (TB) in China.

methodsAdult patients presenting symptoms suggestive of pulmonary TB were consecutively enrolled in three TB-specialized hospitals. Sputum specimens and blood sample and were collected from each participant at enrolment. The levels of Mycobacterium tuberculosis (MTB)-specific antigen-stimulated IFN-γ and IL-2 were determined using enzyme-linked immunosorbent assay (ELISA).

resultsBetween July 2017 and December 2018, a total of 3245 patients with symptoms suggestive of pulmonary TB were included in final analysis. Of 3245 patients, 2536 were diagnosed as active TB, consisting of 1092 definite TB and 1444 clinically diagnosed TB. The overall sensitivity and specificity of IFN-γ were 83.8% and 81.5%, respectively. In addition, compared with IFN-γ, the specificity of IL-2 increased to 94.3%, while the sensitivity decreased to 72.6%. In addition, the highest sensitivity was achieved with parallel combination of IFN-γ/IL-2, with a sensitivity of 87.9%, and its overall specificity was 79.8%. The sensitivity of series combination test was 68.5%. Notably, the sensitivity of series combination test in definite TB (72.1%) was significantly higher than that in clinically diagnosed TB (65.8%).

conclusionIn conclusion, we develop a new immunological method that can differentiate between active TB and other pulmonary diseases. Our data demonstrates that the various IFN-γ/IL-2 combinations provides promising alternatives for diagnosing active TB cases in different settings. Additionally, the diagnostic accuracy of series combination correlates with severity of disease in our cohort.

Indexed as

Mycobacterium tuberculosisTuberculosis, PulmonaryAdultAntigens, BacterialChinaEnzyme-Linked Immunosorbent AssayHumansInterferon-gammaInterferon-gamma Release TestsInterleukin-2Prospective StudiesAntigens, BacterialInterferon-gammaInterleukin-2DiagnosisInterferon-γInterleukin-2Tuberculosis

Identifiers

PMID34217302
PMCPMC8254998
OpenAlexW3180860331

What OpenQuestion holds

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LicenceCC BY
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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.