Evidence map›Paper›PMID 40295813›Full record

ArticleNpj viruses2025

Coinfection with chikungunya and Zika results in mild disease and distinct inflammatory response.

Juliana Cardoso Alves, Lucas Sousa Magalhães, Priscila Lima Dos Santos, Regina Adalva de Lucena Couto Ócea, Alejandra Debbo, Jaira Vanessa de Carvalho, Mauro Martins Teixeira, Suresh Mahalingam, Amelia Ribeiro de Jesus, Angela Maria da Silva and 2 more

Abstract read
In one paragraph

Article in Npj viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. 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

12 authors.

Juliana Cardoso AlvesLaboratório de Imunologia e Biologia Molecular, Universidade Federal de Sergipe, Aracaju, Brazil.
Lucas Sousa MagalhãesLaboratório de Imunologia e Biologia Molecular, Universidade Federal de Sergipe, Aracaju, Brazil. lucas.smagalhaes@hotmail.com.
Priscila Lima Dos SantosLaboratório de Imunologia e Biologia Molecular, Universidade Federal de Sergipe, Aracaju, Brazil.
Regina Adalva de Lucena Couto ÓceaPrograma de Pós-Graduação em Ciências da Saúde, Universidade Federal de Sergipe, Aracaju, Brazil.
Alejandra DebboPrograma de Pós-Graduação em Ciências da Saúde, Universidade Federal de Sergipe, Aracaju, Brazil.
Jaira Vanessa de CarvalhoLaboratório de Imunologia e Biologia Molecular, Universidade Federal de Sergipe, Aracaju, Brazil.
Mauro Martins TeixeiraDepartamento de Bioquímica e Imunologia, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Suresh MahalingamInstitute for Biomedicine and Glycomics, Griffith University, Gold Coast, Australia.
Amelia Ribeiro de JesusLaboratório de Imunologia e Biologia Molecular, Universidade Federal de Sergipe, Aracaju, Brazil.
Angela Maria da SilvaLaboratório de Imunologia e Biologia Molecular, Universidade Federal de Sergipe, Aracaju, Brazil.
Roque Pacheco de AlmeidaLaboratório de Imunologia e Biologia Molecular, Universidade Federal de Sergipe, Aracaju, Brazil.
Camilla Natália Oliveira SantosLaboratório de Imunologia e Biologia Molecular, Universidade Federal de Sergipe, Aracaju, Brazil. camillanatallia@hotmail.com.

Funding

Financiadora de Estudos e Projetos #0116005600
6 · The paper itself

Abstract

Chikungunya (CHIKV) and Zika (ZIKV) viruses, both mosquito-borne, often circulate simultaneously, raising concerns about the effects of coinfection. This study evaluated cytokines, chemokines, and growth factors in 12 patients with concurrent CHIKV and ZIKV infections confirmed by RT-qPCR. Clinical data and 45 immune mediators were analyzed. Coinfected and monoinfected patients exhibited similar symptoms, although ZIKV-infected individuals experienced fewer instances of fever. No patients had persistent symptoms or required hospitalization. Chemokines CCL5, CXCL1, and CXCL10 were elevated across all groups. CHIKV-infected patients showed higher levels of CCL2, CCL4, EGF, CXCL12, and IFN-α compared to controls, while IL-1RA, IL-8, and IFN-γ were elevated in both CHIKV and coinfected groups. SCF was elevated only in the ZIKV group. Overall, CHIKV and ZIKV coinfection presented mild clinical symptoms similar to monoinfections and demonstrated a moderate inflammatory response.

Identifiers

PMID40295813
PMCPMC11814412

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.