Evidence map›Paper›PMID 34401915›Full record

ArticleTransactions of the Royal Society of Tropical Medicine and Hygiene2022

A comparison of vitamin D and cathelicidin (LL-37) levels between patients with active TB and their healthy contacts in a high HIV prevalence setting: a prospective descriptive study.

Patrick Saili Lungu, William Kilembe, Shabir Lakhi, Thomas Sukwa, Evarist Njelesani, Alimuddin I Zumla, Peter Mwaba

Open access · hybridAbstract read
In one paragraph

Article in Transactions of the Royal Society of Tropical Medicine and Hygiene, 2022. 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
1.1field-weighted citation impact, top 24% 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, 9 citations in OpenAlex.

  1. 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

7 authors at 4 institutions in 3 countries.

Patrick Saili LunguUniversity of Zambia, School of Medicine, Department Internal Medicine, Lusaka, Zambia.ORCID 0000-0002-6349-1885
William KilembeRwanda Zamba HIV Research Group, Emory University, Lusaka, Zambia.ORCID 0000-0002-9012-7325
Shabir LakhiUniversity of Zambia, School of Medicine, Department Internal Medicine, Lusaka, Zambia.ORCID 0000-0001-5348-7156
Thomas SukwaLusaka Apex Medical University, Department of Public Health and Research, Lusaka, Zambia.
Evarist NjelesaniLusaka Apex Medical University, Faculty of Medicine, Lusaka, Zambia.
Alimuddin I ZumlaDivision of Infection and Immunity, University College London, and National Institutes of Health and Research Biomedical Research Centre, University College London Hospitals NHS Foundation Trust, London.
Peter MwabaLusaka Apex Medical University, Faculty of Medicine, Lusaka, Zambia.
Lusaka Apex Medical University · ZMUniversity of Zambia · ZMRwanda Zambia HIV Research Group · RWUniversity College London Hospitals NHS Foundation Trust · GB

Funding

Wellcome TrustWellcome Trust 107752/Z/15/Z
6 · The paper itself

Abstract

backgroundStudies from Asia and Europe indicate an association between vitamin D deficiency and susceptibility to TB. We performed an observational case-control study to determine vitamin D and cathelicidin (LL-37) levels and their association with active TB in newly diagnosed and microbiologically confirmed adult TB patients in Zambia, a high HIV prevalence setting.

methodsBoth total vitamin D and LL-37 were measured using ELISA from serum and supernatant isolated from cultured whole blood that was stimulated with heat-killed Mycobacterium tuberculosis. Statistical analysis was performed using STATA statistical software version 12.

resultsThe median vitamin D in TB patients and healthy contacts was 28.7 (19.88-38.64) and 40.8 (31.2-49.44) ng/ml, respectively (p<0.001). The median LL-37 in TB patients compared with healthy contacts was 1.87 (2.74-8.93) and 6.73 (5.6-9.58) ng/ml, respectively (p=0.0149). Vitamin D correlation with LL-37 in healthy contacts was R2=0.7 (95% CI 0.566 to 0.944), p<0.0001. Normal vitamin D significantly predicted a healthy status (OR 4.06, p=0.002).

conclusionsSignificantly lower levels of vitamin D and LL-37 are seen in adults with newly diagnosed active TB. Longitudinal studies across various geographical regions are required to accurately define the roles of vitamin D and LL-37 in preventive and TB treatment outcomes.

Indexed as

HIV InfectionsTuberculosis, PulmonaryAdultAntimicrobial Cationic PeptidesCase-Control StudiesCathelicidinsHumansPrevalenceProspective StudiesVitamin DAntimicrobial Cationic PeptidesCathelicidinsVitamin DActive TBCathelicidinHealthy contactsVitamin D

Identifiers

PMID34401915
PMCPMC8978298
OpenAlexW3195309950

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.