Evidence map›Paper›PMID 34557561›Full record

ArticleOpen forum infectious diseases2021

Monocyte Gene Expression Distinguishes Enhancing Brain Parenchymal Cysticercal Granulomas From Tuberculomas.

Betcy Evangeline Pamela, Prabhakaran Vasudevan, Subashini Thamizhmaran, Ranjith K Moorthy, Anna Oommen, Josephin Manoj, Anupriya Thanigachalam, Miao Zhang, Douglas A Drevets, Hélène Carabin and 1 more

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 37% 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, 4 citations in OpenAlex.

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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

11 authors at 4 institutions in 3 countries.

Betcy Evangeline PamelaDepartment of Neurological Sciences, Christian Medical College, Vellore, Tamilnadu, India.
Prabhakaran VasudevanDepartment of Neurological Sciences, Christian Medical College, Vellore, Tamilnadu, India.
Subashini ThamizhmaranDepartment of Neurological Sciences, Christian Medical College, Vellore, Tamilnadu, India.
Ranjith K MoorthyDepartment of Neurological Sciences, Christian Medical College, Vellore, Tamilnadu, India.
Anna OommenGudalur Adivasi Hospital, Gudalur, Tamilnadu, India.
Josephin ManojDepartment of Neurological Sciences, Christian Medical College, Vellore, Tamilnadu, India.
Anupriya ThanigachalamDepartment of Neurological Sciences, Christian Medical College, Vellore, Tamilnadu, India.
Miao ZhangDepartment of Internal Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Douglas A DrevetsDepartment of Internal Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Hélène CarabinDepartment of Pathology and Microbiology, University of Montreal, Montreal, Quebec, Canada.
Vedantam RajshekharDepartment of Neurological Sciences, Christian Medical College, Vellore, Tamilnadu, India.
Christian Medical College & Hospital · INChristian Medical College · INUniversity of Oklahoma Health Sciences Center · USUniversité de Montréal · CA

Funding

Using Host Responses to Neurocysticercosis to Develop Novel, Brain-imaging Free Diagnostics: a US-India PartnershipR01NS098891 · NINDS · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI CARABIN, HELENE, DREVETS, DOUGLAS ALLEN · 2016 to 2020
$2.6M
NINDS NIH HHS R01 NS098891
6 · The paper itself

Abstract

backgroundIn patients with enhancing brain parenchymal lesions, parenchymal neurocysticercosis (pNCC) is often difficult to distinguish from tuberculoma, necessitating biopsy or empirical therapy.

methodsIn a prospective study, peripheral blood monocytes were isolated from patients with definitive pNCC (n = 39) and brain tuberculomas (n = 20). Patients with tuberculomas were diagnosed by the presence of concurrent systemic tuberculosis (n = 7), pathological or bacteriological confirmation (n = 5), and resolution of typical brain lesions following a therapeutic trial of antituberculous therapy (n = 8). Expressions of 14 NCC-associated monocyte genes were determined by quantitative polymerase chain reaction and analyzed for diagnostic usefulness between the 2 groups.

resultsExpression of 7 genes (TAX1BP1, RAP1A, PLCG2, TOR3A, GBP1P1, LRRFIP2, and FEZ2) was significantly higher in pNCC patients than in tuberculoma patients, with TAX1BP1 and RAP1A expressions more than 22- and 5-fold higher in pNCC patients. TAX1BP1 had the highest sensitivity of 66.7% at a specificity of 100% in discriminating pNCC from tuberculoma. A combination of TAX1BP1 and RAP1A increased the sensitivity to 84.6%, and including GBP1P1 with TAX1BP1 and RAP1A further increased sensitivity to 87.2% while maintaining specificity of 100%.

conclusionsExpression of a panel of genes in blood monocytes distinguishes pNCC from brain tuberculomas in patients with enhancing brain lesions.

Indexed as

brain tuberculomaenhancing brain lesionmonocyte genesneurocysticercosis

Identifiers

PMID34557561
PMCPMC8454506
OpenAlexW3194651032

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.