Evidence map›Paper›PMID 36478612›Full record

ArticleJournal of clinical laboratory analysis2023

A novel biomarker for pleural effusion diagnosis: Interleukin-36γ in pleural fluid.

Lun Guo, Qipan Zhang, Chengna Lv, Xudan Ma, Xuxiang Song, Jing Huang, Weili Chen, Chaofen Li, Qunli Ding

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Development of a diagnostic nomogram for tuberculous pleural effusion.Journal of clinical tuberculosis and other mycobacterial diseases · 2026
    Article
  2. Review
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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

9 authors at 2 institutions in 1 country.

Lun GuoSchool of Medicine, Ningbo University, Ningbo, China.
Qipan ZhangSchool of Medicine, Ningbo University, Ningbo, China.
Chengna LvDepartment of Pulmonary and Critical Care Medicine, The Affiliated Hospital of Medical School, Ningbo University, Ningbo, China.
Xudan MaSchool of Medicine, Ningbo University, Ningbo, China.
Xuxiang SongSchool of Medicine, Ningbo University, Ningbo, China.
Jing HuangDepartment of Pharmacy, The Affiliated Hospital of Medical College, Ningbo University, Ningbo, China.
Weili ChenSchool of Medicine, Ningbo University, Ningbo, China.
Chaofen LiDepartment of laboratory medicine, Ningbo Ninth Hospital, Ningbo, China.
Qunli DingDepartment of Pulmonary and Critical Care Medicine, The Affiliated Hospital of Medical School, Ningbo University, Ningbo, China.ORCID https://orcid.org/0000-0002-6181-4548
Ningbo University · CNNingbo No. 2 Hospital · CN

Funding

Clinical Research and Application Project of Zhejiang Health Science and Technology Program No.2022KY1141Natural Science Foundation of Ningbo 2019A610237Natural Science Foundation of Zhejiang Province LBY22H180004
6 · The paper itself

Abstract

backgroundNumerous studies have described the critical importance of interleukin (IL) -36γ in host defense against lung infections, but it is unknown whether it plays a role in infectious pleural effusion (IPE). This study aimed to examine the levels of IL-36γ in pleural effusions of different etiologies and evaluate the diagnostic accuracy of IL-36γ in the differential diagnosis of IPE.

methodsA total of 112 individuals was enrolled in this research. IL-36γ levels in pleural fluids of all 112 patients were measured by enzyme-linked immunosorbent assay (ELISA). We also characterized these markers' diagnostic values across various groups.

resultsPatients with tuberculous pleural effusion (TPE) and parapneumonic effusion (PPE) had exhibited markedly higher IL-36γ levels in their pleural fluid than the malignant pleural effusion (MPE) and transudative effusion patients. Furthermore, the IL-36γ concentrations in TPE patients were evidently higher than in uncomplicated parapneumonic effusion (UPPE) patients but significantly lower than in complicated parapneumonic effusion (CPPE)/empyema patients. Pleural fluid IL-36γ is a useful marker to differentiate TPE from UPPE, at a cut-off value for 657.5 pg/ml (area under the curve = 0.904, p < 0.0001) with 70.0% sensitivity and 95.7% specificity.

conclusionsThe elevated IL-36γ in pleural effusion may be used as a novel biomarker for infectious pleural effusion diagnosis, particularly in patients with CPPE/empyema, and is a potentially promising biomarker to differentiate between TPE and UPPE.

Indexed as

Pleural EffusionPleural Effusion, MalignantPneumoniaBiomarkersDiagnosis, DifferentialHumansInterleukinsBiomarkersInterleukinsbiomarkercytokinediagnosisIL-36γpleural effusion

Identifiers

PMID36478612
PMCPMC9833963
OpenAlexW4310951373

What OpenQuestion holds

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LicenceCC BY
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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.