Evidence map›Paper›PMID 37440604›Full record

ArticlePLoS neglected tropical diseases2023

Differential expression profile of genes involved in the immune response associated to progression of chronic Chagas disease.

Inmaculada Gómez, Manuel Carlos López, Adriana Egui, Génesis Palacios, Bartolomé Carrilero, Celia Benítez, Marina Simón, Manuel Segovia, Emma Carmelo, M Carmen Thomas

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 10 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

10 authors at 3 institutions in 1 country.

Inmaculada GómezInstituto de Parasitología y Biomedicina López-Neyra, CSIC, Granada, Spain.
Manuel Carlos LópezInstituto de Parasitología y Biomedicina López-Neyra, CSIC, Granada, Spain.
Adriana EguiInstituto de Parasitología y Biomedicina López-Neyra, CSIC, Granada, Spain.
Génesis PalaciosInstituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias, Universidad de La Laguna, La Laguna, Spain.
Bartolomé CarrileroUnidad Regional de Medicina Tropical, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain.
Celia BenítezInstituto de Parasitología y Biomedicina López-Neyra, CSIC, Granada, Spain.
Marina SimónUnidad Regional de Medicina Tropical, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain.
Manuel SegoviaUnidad Regional de Medicina Tropical, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain.
Emma CarmeloInstituto Universitario de Enfermedades Tropicales y Salud Pública de Canarias, Universidad de La Laguna, La Laguna, Spain.
M Carmen ThomasInstituto de Parasitología y Biomedicina López-Neyra, CSIC, Granada, Spain.ORCID 0000-0003-3586-9657
Instituto de Parasitología y Biomedicina "López - Neyra" · ESHospital Universitario Virgen de la Arrixaca · ESUniversidad de La Laguna · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with chronic Chagas disease present marked clinical and immunological heterogeneity. During the disease, multiple immune mechanisms are activated to fight the parasite. The purpose of this study was to investigate the expression patterns of genes involved in relevant immunological processes throughout the disease in patients with chronic Chagas disease. METHODOLOGY/PRINCIPAL

findingsHigh-throughput RT-qPCR with QuantStudio 12K Flex real-time PCR system was used to evaluate the expression of 106 immune-related genes in PBMC from a cohort of cardiac Chagas disease patients (CCC I), asymptomatic patients (IND) and healthy donors (HD) after being stimulated with T. cruzi soluble antigens. Principal component analysis (PCA), cluster analysis and volcano plots were used to identify differentially expressed genes. In addition, gene set enrichment analysis (GSEA) was employed to identify the enriched immunological pathways in which these genes are involved. PCA revealed the existence of a statistically divergent expression profile of the 36 genes correlated with PC1 between CCC I patients and HD (p < 0.0001). Differential gene expression analysis revealed upregulation of 41 genes (expression fold-change > 1.5) and downregulation of 14 genes (expression fold-change < 0.66) (p = 8.4x10-13 to p = 0.007) in CCC I patients versus HD. Furthermore, significant differences in the expression level of specific genes have been identified between CCC I and IND patients (8 up and 1 downregulated). GSEA showed that several upregulated genes in CCC I patients participate in immunological pathways such as antigen-dependent B cell activation, stress induction of HSP regulation, NO2-dependent IL12 pathway in NK cells, cytokines-inflammatory response and IL-10 anti-inflammatory signaling.

conclusionsCardiac Chagas disease patients show an antigen-specific differential gene expression profile in which several relevant immunological pathways seem to be activated. Assessment of gene expression profiles reveal unique insights into the immune response that occurs along chronic Chagas disease.

Indexed as

Chagas CardiomyopathyChagas DiseaseTrypanosoma cruziChronic DiseaseCytokinesHumansLeukocytes, MononuclearLymphocyte ActivationCytokines

Identifiers

PMID37440604
PMCPMC10368263
OpenAlexW4384155465

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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.