Evidence map›Paper›PMID 34330599›Full record

Trial reportAnais brasileiros de dermatologia

Cellular infiltrate in cutaneous leishmaniasis lesions and therapeutic outcome.

Camila Sampaio Ribeiro, Riam Rocha França, Juliana Almeida Silva, Silvana Conceição da Silva, Sílvia R B Uliana, Viviane Sampaio Boaventura, Paulo R L Machado

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Anais brasileiros de dermatologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

7 authors at 3 institutions in 1 country.

Camila Sampaio RibeiroUniversidade Federal da Bahia, Salvador, BA, Brazil.
Riam Rocha FrançaImmunology Service. Hospital Universitário Prof. Edgar Santos. Universidade Federal da Bahia, Salvador, BA, Brazil.
Juliana Almeida SilvaUniversidade Federal da Bahia, Salvador, BA, Brazil.
Silvana Conceição da SilvaUniversidade Federal da Bahia, Salvador, BA, Brazil.
Sílvia R B UlianaLeishmaniasis Laboratory, Department of Parasitology, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo, SP, Brazil.
Viviane Sampaio BoaventuraUniversidade Federal da Bahia, Salvador, BA, Brazil; Immunology Service. Hospital Universitário Prof. Edgar Santos. Universidade Federal da Bahia, Salvador, BA, Brazil.
Paulo R L MachadoUniversidade Federal da Bahia, Salvador, BA, Brazil. Electronic address: dracamiladermato@hotmail.com.
Universidade Federal da Bahia · BRComplexo Hospitalar Universitário Professor Edgard Santos · BRUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe treatment of cutaneous leishmaniasis is a challenge. A better understanding of the in situ mechanisms involved in the evolution and cure of the disease is essential for the development of new therapies.

objectiveCorrelate histopathological and immunological characteristics of cutaneous leishmaniasis lesions with clinical outcome after different treatment regimens.

methodsThe authors analyzed cellular infiltration and immunohistochemistry staining for CD4, CD8 and IL-17 in biopsy samples from 33 patients with cutaneous leishmaniasis before treatment. All patients were recruited in a randomized clinical trial at Corte de Pedra (Bahia-Brazil) and assigned to receive Glucantime®, Glucantime® + Oral Tamoxifen or Glucantime® + Topical Tamoxifen. Patients were followed for 2 to 6 months to define disease outcome.

resultsA similar expression of CD4, CD8 and IL-17 was observed in lesion samples regardless of clinical outcome. In general, a higher amount of CD8 cells were observed compared with CD4 cells. An important observation was that all patients whose cellular infiltrate did not contain plasma cells were cured after treatment. STUDY LIMITATIONS: Isolated quantification of TCD8 and IL-17 using immunohistochemistry is insufficient to analyze the role of these molecules in the immunopathogenesis of cutaneous leishmaniasis. In addition, the expansion of the immunohistochemistry panel would allow a more complete analysis of the immune response in situ.

conclusionsThe absence of plasma cells in cutaneous leishmaniasis lesions was related to a favorable therapeutic outcome.

Indexed as

Leishmaniasis, CutaneousCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesHumansMeglumine AntimoniateTreatment OutcomeMeglumine AntimoniateCD4 antigensCD8 antigensImmunohistochemistryInterleukin-17Leishmaniasis, cutaneousPlasma cells

Identifiers

PMID34330599
PMCPMC8441461
OpenAlexW3184843383

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.