Evidence map›Paper›PMID 38858368›Full record

ArticleNature communications2024

Circulating cell-free RNA in blood as a host response biomarker for detection of tuberculosis.

Adrienne Chang, Conor J Loy, Daniel Eweis-LaBolle, Joan S Lenz, Amy Steadman, Alfred Andgrama, Nguyen Viet Nhung, Charles Yu, William Worodria, Claudia M Denkinger and 3 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
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

31 citing papers in PubMed.

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  4. Monocyte-Amplified Transcriptional Signatures of Human Diseases.bioRxiv : the preprint server for biology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Adrienne Chang *Meinig School of Biomedical Engineering, Cornell University, Ithaca, NY, USA.ORCID http://orcid.org/0000-0003-3497-1561
Conor J Loy *Meinig School of Biomedical Engineering, Cornell University, Ithaca, NY, USA.
Daniel Eweis-LaBolle *Meinig School of Biomedical Engineering, Cornell University, Ithaca, NY, USA.ORCID http://orcid.org/0000-0001-7599-6082
Joan S LenzMeinig School of Biomedical Engineering, Cornell University, Ithaca, NY, USA.
Amy SteadmanGlobal Health Labs, Inc., Bellevue, WA, USA.
Alfred AndgramaWorld Alliance for Lung and Intensive Care Medicine in Uganda, Kampala, Uganda.
Nguyen Viet NhungNational Lung Hospital, Hanoi, Vietnam.
Charles YuDe La Salle Medical and Health Sciences Institute, Dasmarinas, Philippines.
William WorodriaWorld Alliance for Lung and Intensive Care Medicine in Uganda, Kampala, Uganda.
Claudia M DenkingerUniversity Hospital Heidelberg & German Center of Infection Research, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-7216-7067
Payam NahidUCSF Center for Tuberculosis, University of California San Francisco, San Francisco, CA, USA.
Adithya CattamanchiUCSF Center for Tuberculosis, University of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-6553-2601
Iwijn De VlaminckMeinig School of Biomedical Engineering, Cornell University, Ithaca, NY, USA. vlaminck@cornell.edu.ORCID http://orcid.org/0000-0001-6085-7311

Funding

Research Mentoring and Building Capacity of underrepresented Minority Research Scientists in India.D43TW010540 · FIC · YALE UNIVERSITY · PI MICHELE BARRY, Eva Harris · 2017 to 2026
$15.5M
Epigenetic Profiling of circulating cell-free DNA for the Monitoring of Graft-Versus-Host Disease after Hematopoietic Cell TransplantationR01AI146165 · NIAID · CORNELL UNIVERSITY · PI DE VLAMINCK, IWIJN, RITZ, JEROME · 2020 to 2024
$3.4M
Metagenomic profiling of urinary cell-free DNA to monitor urinary tract infection after kidney transplantationR01AI151059 · NIAID · CORNELL UNIVERSITY · PI DADHANIA, DARSHANA, DE VLAMINCK, IWIJN · 2020 to 2024
$3.4M
Host-Pathogen Interactions From Measurements of Urinary Cell Free DNA in Kidney TransplantationR21AI133331 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI DE VLAMINCK, IWIJN, LEE, JOHN RICHARD · 2017 to 2018
$457k
Mitochondrial Cell-Free DNA as a Marker of Rejection and Damage-Associated Molecular Pattern in Organ TransplantationR21AI124237 · NIAID · CORNELL UNIVERSITY · PI DE VLAMINCK, IWIJN · 2016 to 2017
$427k
FIC NIH HHS D43 TW010540NIAID NIH HHS R01 AI146165NIAID NIH HHS R01 AI151059NIAID NIH HHS R21 AI124237NIAID NIH HHS R21 AI133331U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01AI146165U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01AI151059U.S. Department of Health & Human Services | National Institutes of Health (NIH) R21AI124237U.S. Department of Health & Human Services | National Institutes of Health (NIH) R21AI133331
6 · The paper itself

Abstract

Tuberculosis (TB) remains a leading cause of death from an infectious disease worldwide, partly due to a lack of effective strategies to screen and triage individuals with potential TB. Whole blood RNA signatures have been tested as biomarkers for TB, but have failed to meet the World Health Organization's (WHO) optimal target product profiles (TPP). Here, we use RNA sequencing and machine-learning to investigate the utility of plasma cell-free RNA (cfRNA) as a host-response biomarker for TB in cohorts from Uganda, Vietnam and Philippines. We report a 6-gene cfRNA signature, which differentiates TB-positive and TB-negative individuals with AUC = 0.95, 0.92, and 0.95 in test, training and validation, respectively. This signature meets WHO TPPs (sensitivity: 97.1% [95% CI: 80.9-100%], specificity: 85.2% [95% CI: 72.4-100%]) regardless of geographic location, sample collection method and HIV status. Overall, our results identify plasma cfRNA as a promising host response biomarker to diagnose TB.

Indexed as

BiomarkersCell-Free Nucleic AcidsTuberculosisAdultCohort StudiesFemaleHumansMachine LearningMaleMiddle AgedMycobacterium tuberculosisPhilippinesSensitivity and SpecificitySequence Analysis, RNAUgandaVietnamBiomarkersCell-Free Nucleic Acids

Identifiers

PMID38858368
PMCPMC11164910

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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.