Evidence map›Paper›PMID 35430702›Full record

ArticleMedical microbiology and immunology2022

Cytokine responses of immunosuppressed and immunocompetent patients with Neoehrlichia mikurensis infection.

Linda Wass, Hanne Quarsten, Per-Eric Lindgren, Pia Forsberg, Elisabet Skoog, Kenneth Nilsson, Christine Lingblom, Christine Wennerås

Open access · hybridAbstract read
In one paragraph

Article in Medical microbiology and immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Pathogens (Basel, Switzerland) · 2023
    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

8 authors at 5 institutions in 2 countries.

Linda WassDepartment of Infectious Diseases, Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, Guldhedsgatan 10A, 413 46, Gothenburg, Sweden. linda.wass@vgregion.se.ORCID http://orcid.org/0000-0002-6737-7588
Hanne QuarstenDepartment of Medical Microbiology, Sørlandet Hospital Health Enterprise, Kristiansand, Norway.
Per-Eric LindgrenDivision of Inflammation and Infection (II), Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Pia ForsbergDivision of Inflammation and Infection (II), Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Elisabet SkoogDepartment of Infectious Diseases, Uppsala University Hospital, Uppsala, Region Uppsala, Sweden.
Kenneth NilssonDepartment of Medical Sciences, Section of Clinical Microbiology and Infectious Diseases, Uppsala University, Uppsala, Sweden.
Christine LingblomDepartment of Clinical Microbiology, Sahlgrenska University Hospital, Gothenburg, Region Västra Götaland, Sweden.
Christine WenneråsDepartment of Infectious Diseases, Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, Guldhedsgatan 10A, 413 46, Gothenburg, Sweden.
Sahlgrenska University Hospital · SELinköping University · SESørlandet Sykehus · NOUppsala University · SEUppsala University Hospital · SE

Funding

ALF Research Fund ALFGBG-827291Cancer and Allergy Foundation 2020-10154European Regional Development Fund (NorthTick) 38-2-7-19Swedish Research Council grants 2020-01287Swedish Research Council grants K2008-58X-14631-06-3
6 · The paper itself

Abstract

purposeThe tick-borne bacterium Neoehrlichia mikurensis causes the infectious disease neoehrlichiosis in humans. Vascular endothelium is one of the target cells of the infection. Neoehrlichiosis patients with compromised B cell immunity present with more severe inflammation than immunocompetent patients. The aim of this study was to compare the cytokine profiles of immunocompetent and immunosuppressed patients with neoehrlichiosis.

methodsBlood samples from Swedish and Norwegian immunosuppressed (N = 30) and immunocompetent (N = 16) patients with neoehrlichiosis were analyzed for the levels of 30 cytokines, using a multiplex cytokine assay and ELISA. A gender-matched healthy control group (N = 14) was analyzed in parallel. Data were analyzed using the multivariate method OPLS-DA.

resultsThe multiplex cytokine analyses generated more cytokine results than did the uniplex ELISA analyses. Multivariate analysis of the multiplex cytokine results established that increased levels of FGF2, GM-CSF, CXCL10, and IFN-γ were associated with immunosuppressed patients, whereas increased levels of IL-15 and VEGF were associated with immunocompetent neoehrlichiosis patients. When multivariate analysis findings were confirmed with uniplex ELISA, it was found that both groups of patients had similarly elevated levels of VEGF, FGF2 and IFN-γ. In contrast, the immunosuppressed patients had clearly elevated levels of CXCL10, CXCL13 and BAFF, whereas the immunocompetent patients had the same levels as healthy controls.

conclusionPro-angiogenic and type 1 cytokines were produced as part of the host response of neoehrlichiosis independent of immune status, whereas immunosuppressed neoehrlichiosis patients produced cytokines required for B cell-mediated defense.

Indexed as

AnaplasmataceaeAnaplasmataceae InfectionsCytokinesFibroblast Growth Factor 2HumansVascular Endothelial Growth Factor ACytokinesFibroblast Growth Factor 2Vascular Endothelial Growth Factor AB cellCytokinesImmunosuppressionNeoehrlichia mikurensisNeoehrlichiosisTick-borne disease

Identifiers

PMID35430702
PMCPMC9114069
OpenAlexW4223919707

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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.