Evidence map›Paper›PMID 38076718›Full record

ArticleThe Lancet regional health. Southeast Asia2023

Cytokine profile, neutralisation potential and viral replication dynamics in sera of chikungunya patients in India: a cross-sectional study.

Naren Babu, Shakuntala Mahilkar, Anup Jayaram, Sylvester Agha Ibemgbo, Garvita Mathur, Ujwal Shetty, Robin Sudandiradas, P Sanjai Kumar, Sharad Singh, Sweta Smita Pani and 8 more

Open access · diamondAbstract read
In one paragraph

Article in The Lancet regional health. Southeast Asia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 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

18 authors at 6 institutions in 1 country.

Naren BabuManipal Institute of Virology, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka 576104, India.
Shakuntala MahilkarVector-Borne Diseases Group, International Centre for Genetic Engineering and Biotechnology (ICGEB), New Delhi 110067, India.
Anup JayaramManipal Institute of Virology, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka 576104, India.
Sylvester Agha IbemgboVector-Borne Diseases Group, International Centre for Genetic Engineering and Biotechnology (ICGEB), New Delhi 110067, India.
Garvita MathurVector-Borne Diseases Group, International Centre for Genetic Engineering and Biotechnology (ICGEB), New Delhi 110067, India.
Ujwal ShettyManipal Institute of Virology, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka 576104, India.
Robin SudandiradasManipal Institute of Virology, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka 576104, India.
P Sanjai KumarInstitute of Life Sciences (ILS), Nalco Square, Bhubaneswar, Orissa 751023, India.
Sharad SinghInstitute of Life Sciences (ILS), Nalco Square, Bhubaneswar, Orissa 751023, India.
Sweta Smita PaniInstitute of Life Sciences (ILS), Nalco Square, Bhubaneswar, Orissa 751023, India.
Piya Paul MudgalManipal Institute of Virology, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka 576104, India.
Jayanthi S ShastriDepartment of Microbiology, TNMC and BYL, Nair Charitable Hospital, Mumbai, Maharashtra 400008, India.
Sachee AgarwalDepartment of Microbiology, TNMC and BYL, Nair Charitable Hospital, Mumbai, Maharashtra 400008, India.
P K RathoDepartment of Virology, Post-Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
Baijayantimala MishraDepartment of Microbiology, All India Institute of Medical Sciences (AIIMS), Bhubaneshwar 751019, India.
Soma ChattopadhyayInstitute of Life Sciences (ILS), Nalco Square, Bhubaneswar, Orissa 751023, India.
Anitha JagadeshManipal Institute of Virology, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka 576104, India.
Sujatha SunilVector-Borne Diseases Group, International Centre for Genetic Engineering and Biotechnology (ICGEB), New Delhi 110067, India.
Manipal Academy of Higher Education · INInstitute of Life Sciences · INInternational Centre for Genetic Engineering and Biotechnology · INTopiwala National Medical College & BYL Nair Charitable Hospital · INAll India Institute of Medical Sciences Bhubaneswar · INPost Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chikungunya disease (CHIKD) is a threat to global health, as it impairs the quality of life of an infected individual ranging from months to years. A systematic evaluation of the serological, virological, and immunological aspects of the circulating viruses and their impact on the host response is imperative for better understanding of the evolving disease dynamics. Methods: Serum samples were collected from 196 acute CHIKD patients from ten tertiary care hospitals across India during 2016-2021. Out of 196 patients, paired convalescent samples were collected from 51 patients (one-month post-onset of symptoms). The serum samples were profiled for cytokines and neutralisation capacity. Further, chikungunya virus (CHIKV) was isolated from the acute sera and the replication kinetics of the clinical isolates was evaluated. Findings: Serological analysis indicated that neutralisation could be correlated to seroconversion in the convalescent phase but not found significant in acute phase. In the acute phase samples, there was a correlation between elevated serum levels of IFN-γ, IP-10, MCP-1 and MIG and disease severity. During convalescent phase, pro-inflammatory markers such as IL-6, IL-1β, IL-9 and IP-10 were found to be elevated with a corresponding decline in the secretion of anti-inflammatory cytokines such as IL-4 and IL-10, which correlated with persistent arthralgia. Analysis of replication of the clinical isolates revealed that 68.4% of viruses were fast-growing in the Vero cells (cytopathic effect [CPE] observed within 24 h post-infection), and their corresponding acute serum samples showed an elevated secretion of IFN-α, IL-1RA, IL-17F, IL-9, MCP-1 and MIP-1α. Interpretation: This study provides an important overview of neutralisation capabilities and cytokine responses along with virus pathogenesis associated with CHIKV infections in India. Funding: Biotechnology Industry Research Assistance Council (BIRAC).

Indexed as

Acute infectionArthralgiaChikungunya diseaseChikungunya virusInflammatory cytokineVirus neutralizationVirus replication

Identifiers

PMID38076718
PMCPMC10709682
OpenAlexW4386356308

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.