Evidence map›Paper›PMID 36571148›Full record

ArticleThe Journal of infectious diseases2023

B-Cell Responses in Chronic Chagas Disease: Waning of Trypanosoma cruzi-Specific Antibody-Secreting Cells Following Successful Etiological Treatment.

G Cesar, M A Natale, M C Albareda, M G Alvarez, B Lococo, A M De Rissio, M Fernandez, M D Castro Eiro, G Bertocchi, B E White and 4 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Chagas disease in immunocompromised patients.Clinical microbiology reviews · 2024
    Review
  5. 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

14 authors at 2 institutions in 2 countries.

G CesarResearch Department, Instituto Nacional de Parasitología "Dr. Mario Fatala Chaben," Buenos Aires, Argentina.
M A NataleResearch Department, Instituto Nacional de Parasitología "Dr. Mario Fatala Chaben," Buenos Aires, Argentina.
M C AlbaredaResearch Department, Instituto Nacional de Parasitología "Dr. Mario Fatala Chaben," Buenos Aires, Argentina.
M G AlvarezChagas Disease Unit, Hospital Interzonal General de Agudos Eva Perón, Buenos Aires, Argentina.
B LococoChagas Disease Unit, Hospital Interzonal General de Agudos Eva Perón, Buenos Aires, Argentina.
A M De RissioResearch Department, Instituto Nacional de Parasitología "Dr. Mario Fatala Chaben," Buenos Aires, Argentina.
M FernandezResearch Department, Instituto Nacional de Parasitología "Dr. Mario Fatala Chaben," Buenos Aires, Argentina.
M D Castro EiroResearch Department, Instituto Nacional de Parasitología "Dr. Mario Fatala Chaben," Buenos Aires, Argentina.
G BertocchiChagas Disease Unit, Hospital Interzonal General de Agudos Eva Perón, Buenos Aires, Argentina.
B E WhiteCenter for Tropical and Emerging Global Diseases and Department of Cellular Biology, University of Georgia, Athens, Georgia, USA.
F ZabaletaChagas Disease Unit, Hospital Interzonal General de Agudos Eva Perón, Buenos Aires, Argentina.
R ViottiChagas Disease Unit, Hospital Interzonal General de Agudos Eva Perón, Buenos Aires, Argentina.
R L TarletonCenter for Tropical and Emerging Global Diseases and Department of Cellular Biology, University of Georgia, Athens, Georgia, USA.
S A LaucellaResearch Department, Instituto Nacional de Parasitología "Dr. Mario Fatala Chaben," Buenos Aires, Argentina.
Administración Nacional de Laboratorios e Institutos de Salud · ARUniversity of Georgia · US

Funding

Multiplex treatment outcomes test for Chagas diseaseR01AI125738 · NIAID · UNIVERSITY OF GEORGIA · PI TARLETON, RICK L · 2016 to 2020
$5.2M
Correlates of innate and T-cell immunity in seropositive and serodiscordant subjects for Trypanosoma cruzi infection.R01AI143496 · NIAID · EVA PERON ACUTE INTERZONAL GEN HOSPITAL · PI LAUCELLA, SUSANA ADRIANA · 2019 to 2023
$674k
Immune competence as a factor of treatment efficacy in human Trypanosoma cruzi inR01AI110346 · NIAID · EVA PERON ACUTE INTERZONAL GEN HOSPITAL · PI LAUCELLA, SUSANA ADRIANA · 2014 to 2018
$662k
NIAID NIH HHS R01 AI110346NIAID NIH HHS R01 AI125738NIAID NIH HHS R01 AI143496NIH HHS R01AI125738
6 · The paper itself

Abstract

backgroundA drawback in the treatment of chronic Chagas disease (American trypanosomiasis) is the long time required to achieve complete loss of serological reactivity, the standard for determining treatment efficacy.

methodsAntibody-secreting cells and memory B cells specific for Trypanosoma cruzi and their degree of differentiation were evaluated in adult and pediatric study participants with chronic Chagas disease before and after etiological treatment.

resultsT. cruzi-specific antibody-secreting cells disappeared from the circulation in benznidazole or nifurtimox-treated participants with declining parasite-specific antibody levels after treatment, whereas B cells in most participants with unaltered antibody levels were low before treatment and did not change after treatment. The timing of the decay in parasite-specific antibody-secreting B cells was similar to that in parasite-specific antibodies, as measured by a Luminex-based assay, but preceded the decay in antibody levels detected by conventional serology. The phenotype of total B cells returned to a noninfection profile after successful treatment.

conclusionsT. cruzi-specific antibodies in the circulation of chronically T. cruzi-infected study participants likely derive from both antigen-driven plasmablasts, which disappear after successful treatment, and long-lived plasma cells, which persist and account for the low frequency and long course to complete seronegative conversion in successfully treated participants.

Indexed as

Chagas DiseaseNitroimidazolesTrypanocidal AgentsTrypanosoma cruziB-LymphocytesChronic DiseaseHumansNifurtimoxPersistent InfectionTreatment OutcomeNifurtimoxNitroimidazolesTrypanocidal AgentsB cellsbenznidazoleChagas disease

Identifiers

PMID36571148
PMCPMC10226662
OpenAlexW4312195247

What OpenQuestion holds

Textmetadata
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.