Evidence map›Paper›PMID 39747050›Full record

ArticleNature communications2025

Immune correlates of early clearance of Mycobacterium tuberculosis among tuberculosis household contacts in Indonesia.

Todia P Setiabudiawan, Lika Apriani, Ayesha J Verrall, Fitria Utami, Marion Schneider, Agnes R Indrati, Pauline P Halim, Paulina Kaplonek, Hadar Malca, Jessica Shih-Lu Lee and 14 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Review
  2. Article
  3. Diverse infection models demonstrate robust resistance ofbioRxiv : the preprint server for biology · 2026
    Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Identification of inflammatory protein biomarkers for predicting the different subtype of adult with tuberculosis: an Olink proteomic study.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Article
  12. Article
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

24 authors.

Todia P SetiabudiawanDepartment of Internal Medicine and Radboud Community for Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0002-3252-1201
Lika AprianiResearch Center for Care and Control of Infectious Diseases, Universitas Padjadjaran, Bandung, Indonesia.
Ayesha J VerrallDepartment of Pathology and Molecular Medicine, University of Otago, Wellington, New Zealand.
Fitria UtamiResearch Center for Care and Control of Infectious Diseases, Universitas Padjadjaran, Bandung, Indonesia.
Marion SchneiderDepartment of Microbiology and Immunology, University of Otago, Dunedin, New Zealand.
Agnes R IndratiDepartment of Clinical Pathology, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
Pauline P HalimFaculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Paulina KaplonekRagon Institute of Mass General, MIT, and Harvard, Cambridge, Massachusetts, USA.
Hadar MalcaRagon Institute of Mass General, MIT, and Harvard, Cambridge, Massachusetts, USA.
Jessica Shih-Lu LeeRagon Institute of Mass General, MIT, and Harvard, Cambridge, Massachusetts, USA.
Simone J C F M MoorlagDepartment of Internal Medicine and Radboud Community for Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.
L Charlotte J de BreeDepartment of Internal Medicine and Radboud Community for Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.
Vera P MouritsDepartment of Internal Medicine and Radboud Community for Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.
Leo A B JoostenDepartment of Internal Medicine and Radboud Community for Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0001-6166-9830
Mihai G NeteaDepartment of Internal Medicine and Radboud Community for Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0003-2421-6052
Bachti AlisjahbanaResearch Center for Care and Control of Infectious Diseases, Universitas Padjadjaran, Bandung, Indonesia.
Ryan P McNamaraRagon Institute of Mass General, MIT, and Harvard, Cambridge, Massachusetts, USA.
Galit AlterRagon Institute of Mass General, MIT, and Harvard, Cambridge, Massachusetts, USA.ORCID 0000-0002-7680-9215
Arjan van LaarhovenDepartment of Internal Medicine and Radboud Community for Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0002-6607-4075
James E UssherDepartment of Microbiology and Immunology, University of Otago, Dunedin, New Zealand.ORCID 0000-0001-9222-7680
Katrina SharplesDepartment of Mathematics and Statistics, University of Otago, Dunedin, New Zealand.
Valerie A C M KoekenDepartment of Internal Medicine and Radboud Community for Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0002-5783-9013
Philip C HillCentre for International Health, University of Otago, Dunedin, New Zealand.
Reinout van CrevelDepartment of Internal Medicine and Radboud Community for Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, the Netherlands. Reinout.vanCrevel@radboudumc.nl.ORCID 0000-0002-6233-6410

Funding

EC | Seventh Framework Programme (EC Seventh Framework Programm) 305279Gates Foundation INV-001650Koninklijke Nederlandse Akademie van Wetenschappen (Royal Netherlands Academy of Arts and Sciences) 09-PD-14Nederlandse Organisatie voor Wetenschappelijk Onderzoek (Netherlands Organisation for Scientific Research) 017.106.310
6 · The paper itself

Abstract

Some individuals, even when heavily exposed to an infectious tuberculosis patient, do not develop a specific T-cell response as measured by interferon-gamma release assay (IGRA). This could be explained by an IFN-γ-independent adaptive immune response, or an effective innate host response clearing Mycobacterium tuberculosis (Mtb) without adaptive immunity. In heavily exposed Indonesian tuberculosis household contacts (n = 1347), a persistently IGRA negative status was associated with presence of a BCG scar, and - especially among those with a BCG scar - with altered innate immune cells dynamics, higher heterologous (Escherichia coli-induced) proinflammatory cytokine production, and higher inflammatory proteins in the IGRA mitogen tube. Neither circulating concentrations of Mtb-specific antibodies nor functional antibody activity associated with IGRA status at baseline or follow-up. In a cohort of adults in a low tuberculosis incidence setting, BCG vaccination induced heterologous innate cytokine production, but only marginally affected Mtb-specific antibody profiles. Our findings suggest that a more efficient host innate immune response, rather than a humoral response, mediates early clearance of Mtb. The protective effect of BCG vaccination against Mtb infection may be linked to innate immune priming, also termed 'trained immunity'.

Indexed as

BCG VaccineImmunity, InnateMycobacterium tuberculosisTuberculosisAdolescentAdultAntibodies, BacterialCytokinesFamily CharacteristicsFemaleHumansIndonesiaInterferon-gammaInterferon-gamma Release TestsMaleMiddle AgedAntibodies, BacterialBCG VaccineCytokinesInterferon-gamma

Identifiers

PMID39747050
PMCPMC11695729

What OpenQuestion holds

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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.