Evidence map›Paper›PMID 37265252›Full record

ArticleParasite (Paris, France)2023

IgM triplet in neonatal diagnosis by immunoblotting and its potential use as a diagnostic marker for congenital toxoplasmosis.

Lucie Peyclit, Odile Villard, Luc Paris, Hélène Fricker-Hidalgo, Sandrine Houzé, Bernard Cimon, Anne-Sophie Deleplancque, Céline Tournus, Hervé Pelloux, Isabelle Villena and 2 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Parasite (Paris, France), 2023. 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
1.1field-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

4 citing papers in PubMed, 4 citations in OpenAlex.

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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

12 authors at 10 institutions in 1 country.

Lucie PeyclitIHU Méditerranée Infection, 13005 Marseille, France.
Odile VillardLaboratoire de Parasitologie et Mycologie Médicale, CNR de la Toxoplasmose, Les Hôpitaux Universitaires de Strasbourg, 67091 Strasbourg, France - Institut de Parasitologie et Pathologie Tropicale, UR7292 Dynamique des interactions hôte pathogène, Fédération de Médecine Translationnelle, Université de Strasbourg, 67091 Strasbourg, France.
Luc ParisAP-HP, Hôpital Pitié-Salpêtrière, Service de Parasitologie Mycologie, 75013 Paris, France.
Hélène Fricker-HidalgoService de Parasitologie Mycologie, CHU Grenoble Alpes et Université Grenoble Alpes, 38700 Grenoble, France.
Sandrine HouzéService de Parasitologie Mycologie, Hôpital Bichat-Claude Bernard, AP-HP, 75018 Paris, et UMR 261 Merit Université Paris Cité, 75018 Paris, France.
Bernard CimonService de Parasitologie Mycologie, CHU Angers, 49100 Angers, France.
Anne-Sophie DeleplancqueLaboratoire de Parasitologie Mycologie, CHU Lille, 59037 Lille, France.
Céline TournusLaboratoire de Microbiologie, Centre Hospitalier de Saint-Denis, 93200 Saint-Denis, France.
Hervé PellouxService de Parasitologie Mycologie, CHU Grenoble Alpes et Université Grenoble Alpes, 38700 Grenoble, France.
Isabelle VillenaService de Parasitologie Mycologie, EA 7510 Université Reims-Champagne Ardenne, Centre National de Référence de la Toxoplasmose, Centre Hospitalier Universitaire (CHU) Reims, 51092 Reims, France.
Christelle PomaresService de Parasitologie Mycologie, Université de la Côte d'Azur, C3M INSERM 1065, CHU Nice, 06204 Nice, France.
Coralie L'OllivierIHU Méditerranée Infection, 13005 Marseille, France - Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, 13005 Marseille, France.
Centre Hospitalier Universitaire de Grenoble · FRCentre Hospitalier Saint-Denis · FRCentre Hospitalier Universitaire d'Angers · FRCentre Hospitalier Universitaire de Lille · FRHôpital Bichat-Claude-Bernard · FRHôpital l'Archet · FRInstitut de Recherche pour le Développement · FRMéditerranée Infection Foundation · FRPitié-Salpêtrière Hospital · FRUniversité de Reims Champagne-Ardenne · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary infection during pregnancy by the protozoan Toxoplasma gondii can be worrisome because transmission to the fetus may lead to congenital toxoplasmosis (CT). Neonatal diagnosis is usually performed by serological profile comparison of the mother and newborn. As previously reported in 2012 by C. L'Ollivier et al., three IgM bands at 75, 90 and 100 kDa called the "IgM triplet" has caught our attention and seems to be pathognomonic of CT. This retrospective multicenter study involved nine reference laboratories included in the French National Reference Center for Toxoplasmosis network and concerned determining the specificity and sensitivity of this IgM triplet. On this basis, we were able to propose a new read of the comparison of IgG and IgM immunoblot profiles of mother and infant to increase the sensitivity of this diagnostic marker. The effect of the trimester of pregnancy at the time of infection, but also of maternal treatment with pyrimethamine/sulfadiazine/folinic acid on the presence of this IgM triplet in the infant, could be studied. The presence of the triplet appears pathognomonic for the diagnosis of CT, and it increased the sensitivity of the immunoblot assay from 55.04% to 72.48%. As a result, it would be wise to enhance conventional immunoblot reading by adding the presence of the three IgM bands in the infant pattern for neonatal diagnosis of CT.

Indexed as

ToxoplasmaToxoplasmosisToxoplasmosis, CongenitalAntibodies, ProtozoanFemaleHumansImmunoblottingImmunoglobulin MInfantInfant, NewbornPregnancyAntibodies, ProtozoanImmunoglobulin MCongenital toxoplasmosisIgM tripletImmunoblottingNeonatal diagnosisToxoplasma gondii

Identifiers

PMID37265252
PMCPMC10236937
OpenAlexW4379093440

What OpenQuestion holds

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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.