Evidence map›Paper›PMID 34635070›Full record

ArticleBMC infectious diseases2021

Plasma chemokines as immune biomarkers for diagnosis of pediatric tuberculosis.

Nathella Pavan Kumar, Syed Hissar, Kannan Thiruvengadam, Velayuthum V Banurekha, Sarath Balaji, S Elilarasi, N S Gomathi, J Ganesh, M A Aravind, Dhanaraj Baskaran and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 13% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Consensus-based evaluation of RIDASCREENEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
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  9. CD4Immunity · 2024
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  11. CD4bioRxiv : the preprint server for biology · 2023
    Article
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  14. Transcriptional analysis of human peripheral blood mononuclear cells stimulated byFrontiers in cellular and infection microbiology · 2023
    Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Delamanid suppresses CXCL10 expressionFrontiers in immunology · 2022
    Article
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

13 authors at 3 institutions in 2 countries.

Nathella Pavan KumarICMR-National Institute for Research in Tuberculosis, Chennai, India. pavankumarn@nirt.res.in.
Syed HissarICMR-National Institute for Research in Tuberculosis, Chennai, India. drsyed@rediffmail.com.
Kannan ThiruvengadamICMR-National Institute for Research in Tuberculosis, Chennai, India.
Velayuthum V BanurekhaICMR-National Institute for Research in Tuberculosis, Chennai, India.
Sarath BalajiInstitute of Child Health and Hospital for Children, Chennai, India.
S ElilarasiInstitute of Child Health and Hospital for Children, Chennai, India.
N S GomathiICMR-National Institute for Research in Tuberculosis, Chennai, India.
J GaneshGovernment Stanley Medical College and Hospital, Chennai, India.
M A AravindGovernment Stanley Medical College and Hospital, Chennai, India.
Dhanaraj BaskaranICMR-National Institute for Research in Tuberculosis, Chennai, India.
Srikanth TripathyICMR-National Institute for Research in Tuberculosis, Chennai, India.
Soumya SwaminathanICMR-National Institute for Research in Tuberculosis, Chennai, India.
Subash BabuInternational Center for Excellence in Research, National Institute for Research in Tuberculosis , Chennai, India.
National Institute of Research in Tuberculosis · INInstitute of Child Health · INStanley Medical College · IN

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundDiagnosing tuberculosis (TB) in children is challenging due to paucibacillary disease, and lack of ability for microbiologic confirmation. Hence, we measured the plasma chemokines as biomarkers for diagnosis of pediatric tuberculosis.

methodsWe conducted a prospective case control study using children with confirmed, unconfirmed and unlikely TB. Multiplex assay was performed to examine the plasma CC and CXC levels of chemokines.

resultsBaseline levels of CCL1, CCL3, CXCL1, CXCL2 and CXCL10 were significantly higher in active TB (confirmed TB and unconfirmed TB) in comparison to unlikely TB children. Receiver operating characteristics curve analysis revealed that CCL1, CXCL1 and CXCL10 could act as biomarkers distinguishing confirmed or unconfirmed TB from unlikely TB with the sensitivity and specificity of more than 80%. In addition, combiROC exhibited more than 90% sensitivity and specificity in distinguishing confirmed and unconfirmed TB from unlikely TB. Finally, classification and regression tree models also offered more than 90% sensitivity and specificity for CCL1 with a cutoff value of 28 pg/ml, which clearly classify active TB from unlikely TB. The levels of CCL1, CXCL1, CXCL2 and CXCL10 exhibited a significant reduction following anti-TB treatment.

conclusionThus, a baseline chemokine signature of CCL1/CXCL1/CXCL10 could serve as an accurate biomarker for the diagnosis of pediatric tuberculosis.

Indexed as

TuberculosisBiomarkersCase-Control StudiesChemokinesChildHumansPlasmaBiomarkersChemokinesBiomarkersChemokinesPediatric tuberculosis

Identifiers

PMID34635070
PMCPMC8504024
OpenAlexW3206862540

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.