Evidence map›Paper›PMID 40048709›Full record

ArticleImmunoHorizons2025

Comprehensive immune profiling of dengue and chikungunya viral responses using a novel miniaturized automated whole blood cellular analysis system and mass cytometry in a pediatric cohort in Msambweni, Kenya.

Sangeeta Kowli, Amy Krystosik, Matthew Hale, Francis Mutuku, Jael S Amugongo, Said L Malumbo, Phillip K Chebii, Priscillah W Maina, Kavita Mathi, Elysse N Grossi-Soyster and 3 more

Erratum issuedAbstract read
In one paragraph

Article in ImmunoHorizons, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Sangeeta KowliInstitute for Immunity, Transplantation, and Infection, Stanford University School of Medicine, Stanford, CA, United States.
Amy KrystosikDepartment of Pediatrics, Division of Infectious Disease, Stanford University School of Medicine, Stanford, CA, United States.
Matthew HaleSmart Tube Inc, Menlo Park, CA, United States.
Francis MutukuDepartment of Environment and Health Sciences, Technical University of Mombasa, Mombasa, Kenya.ORCID 0000-0002-9000-7008
Jael S AmugongoDepartment of Environment and Health Sciences, Technical University of Mombasa, Mombasa, Kenya.
Said L MalumboVector-Borne Diseases Unit, Msambweni County Referral Hospital, Msambweni, Kwale, Kenya.
Phillip K ChebiiVector-Borne Diseases Unit, Msambweni County Referral Hospital, Msambweni, Kwale, Kenya.
Priscillah W MainaVector-Borne Diseases Unit, Msambweni County Referral Hospital, Msambweni, Kwale, Kenya.
Kavita MathiInstitute for Immunity, Transplantation, and Infection, Stanford University School of Medicine, Stanford, CA, United States.
Elysse N Grossi-SoysterDepartment of Pediatrics, Division of Infectious Disease, Stanford University School of Medicine, Stanford, CA, United States.
Mary RieckInstitute for Immunity, Transplantation, and Infection, Stanford University School of Medicine, Stanford, CA, United States.
Angelle Desiree LaBeaudDepartment of Pediatrics, Division of Infectious Disease, Stanford University School of Medicine, Stanford, CA, United States.
Holden T MaeckerInstitute for Immunity, Transplantation, and Infection, Stanford University School of Medicine, Stanford, CA, United States.

Funding

The child health impacts of overlapping vector-borne diseases in KenyaR01AI102918 · NIAID · STANFORD UNIVERSITY · PI Angelle Desiree LaBeaud · 2013 to 2026
$7.7M
Miniaturized Automated Whole Blood Cellular Analysis SystemU24AI118648 · NIAID · STANFORD UNIVERSITY · PI LABEAUD, ANGELLE DESIREE, MAECKER, HOLDEN T. · 2015 to 2019
$1.9M
NIAID NIH HHS R01 AI102918NIAID NIH HHS U24 AI118648NIH HHS U24AI118648
6 · The paper itself

Abstract

Chikungunya (CHIKV) and dengue (DENV) are mosquito-borne viruses that cause severe epidemics, often in remote regions. A limitation to our understanding of these pathogens is the difficulty of performing assays of the cellular immune response. To fill this gap, we developed a novel miniaturized automated system capable of processing 250 μl of whole blood for high-throughput cellular analysis. In a field study with a pediatric cohort in Msambweni, Kenya, known for previous exposure to CHIKV and/or DENV, we processed 133 whole blood samples using our system under three conditions: no stimulation, and stimulation with CHIKV or DENV peptide pools. These samples underwent CyTOF or flow cytometry analysis to evaluate virus-specific memory T cell responses and phenotypes. CyTOF analysis of 81 participant samples revealed significant cytokine responses to CHIKV and DENV, particularly IFNγ (P < 0.01 and P < 0.0001, respectively) and TNF-α (P < 0.0001) by γδ T cells. Additionally, a significant TNF-α response was observed in the CD8+ TEMRA memory subset to DENV, albeit to a lesser degree than in γδ T cells. To confirm our CyTOF findings, we employed flow cytometry on the remaining 40 samples using a targeted panel, validating significant TNF-α (P < 0.0001 and P < 0.01) and IFN-γ (P < 0.05) responses by γδ T cells to CHIKV and DENV, respectively. Our study demonstrates that our innovative automated system enables detailed assessment of immune function, particularly beneficial in pediatric populations and resource-limited settings with limited sample volumes. This approach holds promise for advancing our understanding of cellular immune responses to various viral and infectious diseases.

Indexed as

Chikungunya FeverChikungunya virusDengueDengue VirusAdolescentChildChild, PreschoolCohort StudiesCytokinesFemaleFlow CytometryHumansImmunity, CellularKenyaMaleMemory T CellsCytokinesChikungunya (CHIKV)CyTOFDengue (DENV)fixed whole blood processingpediatric immunology

Identifiers

PMID40048709
PMCPMC11884800

What OpenQuestion holds

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LicenceCC BY
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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.