Evidence map›Paper›PMID 34654869›Full record

ArticleScientific reports2021

Risk assessment of latent tuberculosis infection through a multiplexed cytokine biosensor assay and machine learning feature selection.

Heather M Robison, Cole A Chapman, Haowen Zhou, Courtney L Erskine, Elitza Theel, Tobias Peikert, Cecilia S Lindestam Arlehamn, Alessandro Sette, Colleen Bushell, Michael Welge and 3 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 15% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Biomarker tests of progression from tuberculosis infection to disease: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2026
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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

13 authors at 4 institutions in 1 country.

Heather M Robison *Department of Chemistry, University of Michigan, 930 North University Avenue, Ann Arbor, MI, USA.
Cole A Chapman *Department of Chemistry, University of Michigan, 930 North University Avenue, Ann Arbor, MI, USA.
Haowen ZhouDepartment of Statistics, University of Illinois Urbana-Champaign, 725 South Wright Street, Champaign, IL, USA.
Courtney L ErskineDepartment of Immunology, Mayo Clinic, 200 First Street SW, Rochester, MN, USA.
Elitza TheelDepartment of Laboratory Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, USA.
Tobias PeikertDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Cecilia S Lindestam ArlehamnDivision of Vaccine Discovery, La Jolla Institute for Immunology, La Jolla, CA, USA.
Alessandro SetteDivision of Vaccine Discovery, La Jolla Institute for Immunology, La Jolla, CA, USA.
Colleen BushellNational Center for Supercomputing Applications, University of Illinois at Urbana-Champaign, 1205 W. Clark St., Urbana, IL, USA.
Michael WelgeNational Center for Supercomputing Applications, University of Illinois at Urbana-Champaign, 1205 W. Clark St., Urbana, IL, USA.
Ruoqing ZhuDepartment of Statistics, University of Illinois Urbana-Champaign, 725 South Wright Street, Champaign, IL, USA.
Ryan C Bailey *Department of Chemistry, University of Michigan, 930 North University Avenue, Ann Arbor, MI, USA.
Patricio Escalante *Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. escalante.patricio@mayo.edu.
Mayo Clinic · USUniversity of Illinois Urbana-Champaign · USUniversity of Michigan–Ann Arbor · USLa Jolla Institute for Immunology · US

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
Precision immunoprofiling to reveal diagnostic biomarkers of latent TB infectionR01AI141591 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BAILEY, RYAN C, ESCALANTE, PATRICIO · 2019 to 2022
$2.9M
NCATS NIH HHS UL1 TR000135NIAID NIH HHS AI141591NIAID NIH HHS R01 AI141591
6 · The paper itself

Abstract

Accurate detection and risk stratification of latent tuberculosis infection (LTBI) remains a major clinical and public health problem. We hypothesize that multiparameter strategies that probe immune responses to Mycobacterium tuberculosis can provide new diagnostic insights into not only the status of LTBI infection, but also the risk of reactivation. After the initial proof-of-concept study, we developed a 13-plex immunoassay panel to profile cytokine release from peripheral blood mononuclear cells stimulated separately with Mtb-relevant and non-specific antigens to identify putative biomarker signatures. We sequentially enrolled 65 subjects with various risk of TB exposure, including 32 subjects with diagnosis of LTBI. Random Forest feature selection and statistical data reduction methods were applied to determine cytokine levels across different normalized stimulation conditions. Receiver Operator Characteristic (ROC) analysis for full and reduced feature sets revealed differences in biomarkers signatures for LTBI status and reactivation risk designations. The reduced set for increased risk included IP-10, IL-2, IFN-γ, TNF-α, IL-15, IL-17, CCL3, and CCL8 under varying normalized stimulation conditions. ROC curves determined predictive accuracies of > 80% for both LTBI diagnosis and increased risk designations. Our study findings suggest that a multiparameter diagnostic approach to detect normalized cytokine biomarker signatures might improve risk stratification in LTBI.

Indexed as

Biosensing TechniquesMachine LearningAdultAgedCells, CulturedCytokinesFemaleHumansLatent TuberculosisLeukocytes, MononuclearMaleMiddle AgedRisk AssessmentCytokines

Identifiers

PMID34654869
PMCPMC8520014
OpenAlexW3206887336

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.