Evidence map›Paper›PMID 34691031›Full record

ArticleFrontiers in immunology2021

Serum Biomarker Profile Including CCL1, CXCL10, VEGF, and Adenosine Deaminase Activity Distinguishes Active From Remotely Acquired Latent Tuberculosis.

Eveline M Delemarre, Laura van Hoorn, Aik W J Bossink, Julia Drylewicz, Simone A Joosten, Tom H M Ottenhoff, Onno W Akkerman, Delia Goletti, Elisa Petruccioli, Assunta Navarra and 8 more

Open access · goldAbstract readValidation Study
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 11% 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Association of Serum ADA Levels in Pulmonary Tuberculosis: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2026
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  8. Identification of inflammatory protein biomarkers for predicting the different subtype of adult with tuberculosis: an Olink proteomic study.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
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  14. MedComm · 2024
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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

18 authors at 7 institutions in 2 countries.

Eveline M DelemarreCenter for Translational Immunology (CTI), University Medical Center Utrecht, Utrecht, Netherlands.
Laura van HoornCenter for Translational Immunology (CTI), University Medical Center Utrecht, Utrecht, Netherlands.
Aik W J BossinkDepartment of Respiratory Medicine and Tuberculosis, Diakonessenhuis, Utrecht, Netherlands.
Julia DrylewiczCenter for Translational Immunology (CTI), University Medical Center Utrecht, Utrecht, Netherlands.
Simone A JoostenDepartment of Infectious Diseases, Leiden University Medical Center, Leiden, Netherlands.
Tom H M OttenhoffDepartment of Infectious Diseases, Leiden University Medical Center, Leiden, Netherlands.
Onno W AkkermanDepartment of Respiratory Medicine and Tuberculosis, University Medical Center Groningen, Groningen, Netherlands.
Delia GolettiTranslational Research Unit, Department of Epidemiology and Preclinical Research, National Institute for Infectious Diseases-IRCCS L. Spallanzani, Rome, Italy.
Elisa PetruccioliTranslational Research Unit, Department of Epidemiology and Preclinical Research, National Institute for Infectious Diseases-IRCCS L. Spallanzani, Rome, Italy.
Assunta NavarraTranslational Research Unit, Department of Epidemiology and Preclinical Research, National Institute for Infectious Diseases-IRCCS L. Spallanzani, Rome, Italy.
Brigitte T A van den BroekCenter for Translational Immunology (CTI), University Medical Center Utrecht, Utrecht, Netherlands.
Sanne P A PaardekooperCenter for Translational Immunology (CTI), University Medical Center Utrecht, Utrecht, Netherlands.
Ineke van HaeftenDepartment of Tuberculosis, Municipal Public Health Service, Utrecht, Netherlands.
Leo KoendermanCenter for Translational Immunology (CTI), University Medical Center Utrecht, Utrecht, Netherlands.
Jan-Willem J LammersDepartment of Respiratory Medicine and Tuberculosis, University Medical Center Utrecht, Utrecht, Netherlands.
Steven F T ThijsenDepartment of Medical Microbiology and Immunology, Diakonessenhuis, Utrecht, Netherlands.
Regina W HoflandDepartment of Respiratory Medicine and Tuberculosis, University Medical Center Utrecht, Utrecht, Netherlands.
Stefan NierkensCenter for Translational Immunology (CTI), University Medical Center Utrecht, Utrecht, Netherlands.
University Medical Center Utrecht · NLDiakonessenhuis hospital · NLIstituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITLeiden University Medical Center · NLGGD Amsterdam · NLIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: There is an urgent medical need to differentiate active tuberculosis (ATB) from latent tuberculosis infection (LTBI) and prevent undertreatment and overtreatment. The aim of this study was to identify biomarker profiles that may support the differentiation between ATB and LTBI and to validate these signatures. Materials and Methods: The discovery cohort included adult individuals classified in four groups: ATB (n = 20), LTBI without prophylaxis (untreated LTBI; n = 20), LTBI after completion of prophylaxis (treated LTBI; n = 20), and healthy controls (HC; n = 20). Their sera were analyzed for 40 cytokines/chemokines and activity of adenosine deaminase (ADA) isozymes. A prediction model was designed to differentiate ATB from untreated LTBI using sparse partial least squares (sPLS) and logistic regression analyses. Serum samples of two independent cohorts (national and international) were used for validation. Results: sPLS regression analyses identified C-C motif chemokine ligand 1 (CCL1), C-reactive protein (CRP), C-X-C motif chemokine ligand 10 (CXCL10), and vascular endothelial growth factor (VEGF) as the most discriminating biomarkers. These markers and ADA(2) activity were significantly increased in ATB compared to untreated LTBI (p ≤ 0.007). Combining CCL1, CXCL10, VEGF, and ADA2 activity yielded a sensitivity and specificity of 95% and 90%, respectively, in differentiating ATB from untreated LTBI. These findings were confirmed in the validation cohort including remotely acquired untreated LTBI participants. Conclusion: The biomarker signature of CCL1, CXCL10, VEGF, and ADA2 activity provides a promising tool for differentiating patients with ATB from non-treated LTBI individuals.

Indexed as

Adenosine DeaminaseAdultBiomarkersCase-Control StudiesChemokine CCL1Chemokine CXCL10Cohort StudiesCross-Sectional StudiesFemaleHumansImmunologic TestsLatent TuberculosisLogistic ModelsMaleMiddle AgedOvertreatmentAdenosine DeaminaseBiomarkersCCL1 protein, humanChemokine CCL1Chemokine CXCL10CXCL10 protein, humanVascular Endothelial Growth Factor AVEGFA protein, humanactive tuberculosis (ATB)adenosine deaminase activity (ADA)biomarkerCCL1CXCL10 (IP-10)diagnosislatent tuberculosis infection (LTBI)vascular endothelial growth factor (VEGF)

Identifiers

PMID34691031
PMCPMC8529994
OpenAlexW3204536226

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.