Evidence map›Paper›PMID 39098064›Full record

ArticleTuberculosis (Edinburgh, Scotland)2024

Detection of Mycobacterium tuberculosis transrenal DNA in urine samples among adults in Peru.

Annelies W Mesman, Roger I Calderon, Laura Hauns, Nira R Pollock, Milagros Mendoza, Rebecca C Holmberg, Molly F Franke

Abstract read
In one paragraph

Article in Tuberculosis (Edinburgh, Scotland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Annelies W MesmanDepartment of Global Health and Social Medicine, Harvard Medical School, 641 Huntington Ave, Boston, MA, 02115, USA. Electronic address: anneliesmesman@gmail.com.
Roger I CalderonSocios En Salud Sucursal Perú, Av. Javier Prado Este 492, San Isidro, Lima, 15001, Peru. Electronic address: rcalderon_ses@pih.org.
Laura HaunsAkonni Biosystems, 400 Sagner Ave, Frederick, MD, 21701, USA. Electronic address: lhauns@akonni.com.
Nira R PollockDepartment of Laboratory Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA. Electronic address: nira.pollock@childrens.harvard.edu.
Milagros MendozaSocios En Salud Sucursal Perú, Av. Javier Prado Este 492, San Isidro, Lima, 15001, Peru. Electronic address: mmendoza_ses@pih.org.
Rebecca C HolmbergAkonni Biosystems, 400 Sagner Ave, Frederick, MD, 21701, USA. Electronic address: rholmberg@akonni.com.
Molly F FrankeDepartment of Global Health and Social Medicine, Harvard Medical School, 641 Huntington Ave, Boston, MA, 02115, USA. Electronic address: molly_franke@hms.harvard.edu.

Funding

Sequencing CoreU19AI109755 · NIAID · HARVARD MEDICAL SCHOOL · PI CHANDLER, DARRELL P, CULHANE, AEDIN C · 2014 to 2018
$29.1M
Gerome Wide Association Study of Bacterial Determinants of Clinical Response in TuberculosisU19AI142793 · NIAID · HARVARD MEDICAL SCHOOL · PI MURRAY, MEGAN B · 2019 to 2023
$14.6M
Detection of transrenal Mycobacterium tuberculosis DNA in urineR03AI153554 · NIAID · HARVARD MEDICAL SCHOOL · PI FRANKE, MOLLY FORREST · 2020 to 2021
$169k
NIAID NIH HHS R03 AI153554NIAID NIH HHS U19 AI109755NIAID NIH HHS U19 AI142793
6 · The paper itself

Abstract

Diagnosis of pulmonary tuberculosis (TB) relies on a sputum sample, which cannot be obtained from all symptomatic individuals. Mycobacterium tuberculosis (Mtb) transrenal DNA (trDNA) has been detected in urine, an easily obtainable, noninvasive, alternative sample type. However, reported sensitivities have been variable and likely depend on collection and assay procedures and aspects of trDNA biology. We analyzed three serial urine samples from each of 75 adults with culture-confirmed pulmonary TB disease in Lima, Peru for detection of trDNA using short-fragment real-time PCR. Additionally, we examined host, urine, and sampling factors associated with detection. Overall per-sample sensitivity was 38 % (95 % Confidence Interval [CI] 30-45 %). On an individual level (i.e., any of the three samples positive), sensitivity was 73 % (95 % CI: 62-83 %). Sensitivity was highest among samples from patients with smear-positive TB, 92 % (95 % CI: 62-100 %). Specificity from a single sample from each of 10 healthy controls was 100 % (95 % CI: 69-100 %). Adjusting our assay positivity threshold increased individual-level sensitivity to 88 % (95 % CI: 78-94 %) overall without affecting the specificity. We did not find associations between Mtb trDNA detection and individual characteristics or urine sample characteristics. Overall, our results support the potential of trDNA detection for TB diagnosis.

Indexed as

DNA, BacterialMycobacterium tuberculosisTuberculosis, PulmonaryAdultAgedCase-Control StudiesFemaleHumansMaleMiddle AgedPeruPredictive Value of TestsReal-Time Polymerase Chain ReactionReproducibility of ResultsUrinalysisYoung AdultDNA, BacterialCell-free DNADiagnosisDiagnosticsTuberculosis

Identifiers

PMID39098064
PMCPMC11381138

What OpenQuestion holds

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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.