Evidence map›Paper›PMID 36222512›Full record

ArticlemBio2022

Parasite Genotype Is a Major Predictor of Mortality from Visceral Leishmaniasis.

Cooper Alastair Grace, Kátia Silene Sousa Carvalho, Mayara Ingrid Sousa Lima, Vladimir Costa Silva, João Luís Reis-Cunha, Matthew J Brune, Sarah Forrester, Conceição de Maria Pedrozo E Silva de Azevedo, Dorcas Lamounier Costa, Doug Speed and 3 more

Open access · goldAbstract read
In one paragraph

Article in mBio, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
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 3 countries.

Cooper Alastair Grace *York Biomedical Research Institute, Department of Biology, University of Yorkgrid.5685.e, York, United Kingdom.
Kátia Silene Sousa Carvalho *Department of Community Medicine and Institute of Tropical Diseases Natan Portela, Federal University of Piauí, Teresina, Brazil.
Mayara Ingrid Sousa Lima *York Biomedical Research Institute, Department of Biology, University of Yorkgrid.5685.e, York, United Kingdom.
Vladimir Costa Silva *Department of Community Medicine and Institute of Tropical Diseases Natan Portela, Federal University of Piauí, Teresina, Brazil.
João Luís Reis-CunhaYork Biomedical Research Institute, Department of Biology, University of Yorkgrid.5685.e, York, United Kingdom.
Matthew J BruneYork Biomedical Research Institute, Department of Biology, University of Yorkgrid.5685.e, York, United Kingdom.
Sarah ForresterYork Biomedical Research Institute, Department of Biology, University of Yorkgrid.5685.e, York, United Kingdom.
Conceição de Maria Pedrozo E Silva de AzevedoDepartment of Medicine and Postgraduate Program in Health Sciences, Federal University of Maranhãogrid.411204.2, São Luís, Maranhão, Brazil.
Dorcas Lamounier CostaDepartment of Community Medicine and Institute of Tropical Diseases Natan Portela, Federal University of Piauí, Teresina, Brazil.
Doug SpeedCentre for Quantitative Genetics and Genomics, Aarhus University, Aarhus, Denmark.
Jeremy C MottramYork Biomedical Research Institute, Department of Biology, University of Yorkgrid.5685.e, York, United Kingdom.ORCID 0000-0001-5574-3766
Daniel C JeffaresYork Biomedical Research Institute, Department of Biology, University of Yorkgrid.5685.e, York, United Kingdom.ORCID 0000-0001-7320-0706
Carlos H N CostaDepartment of Community Medicine and Institute of Tropical Diseases Natan Portela, Federal University of Piauí, Teresina, Brazil.
University of York · GBUniversidade Federal do Piauí · BRUniversidade Federal do Maranhão · BRAarhus University · DK

Funding

Medical Research Council MR/S019472/1Medical Research Council MR/T016019/1Wellcome Trust 208965/Z/17/Z
6 · The paper itself

Abstract

Visceral leishmaniasis (VL) is a potentially fatal disease caused mainly by Leishmania infantum in South America and Leishmania donovani in Asia and Africa. Disease outcomes have been associated with patient genotype, nutrition, age, sex, comorbidities, and coinfections. In this study, we examine the effects of parasite genetic variation on VL disease severity in Brazil. We collected and sequenced the genomes of 109 L. infantum isolates from patients in northeastern Brazil and retrieved matching patient clinical data from medical records, including mortality, sex, HIV coinfection, and laboratory data (creatinine, hemoglobin, and leukocyte and platelet counts). We identified genetic differences between parasite isolates, including single nucleotide polymorphisms (SNPs), small insertions/deletions (indels), and variations in genic, intergenic, and chromosome copy numbers (copy number variants [CNVs]). To describe associations between the parasite genotypes and clinical outcomes, we applied quantitative genetics methods of heritability and genome-wide association studies (GWAS), treating clinical outcomes as traits that may be influenced by parasite genotype. Multiple aspects of the genetic analysis indicate that parasite genotype affects clinical outcomes. We estimate that parasite genotype explains 83% chance of mortality (narrow-sense heritability [

Indexed as

CoinfectionHIV InfectionsLeishmania infantumLeishmaniasis, VisceralParasitesAnimalsBrazilCreatinineGenome-Wide Association StudyGenotypeHumansVirulence FactorsCreatinineVirulence FactorsBrazilgenetic diversityLeishmania infantummortalityquantitative geneticsvirulence factorsvisceral leishmaniasis

Identifiers

PMID36222512
PMCPMC9765272
OpenAlexW4304693629

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.