Evidence map›Paper›PMID 40371633›Full record

SynthesisEuropean journal of clinical investigation2025

Torque teno virus as a marker of immune status in immunocompromised patients: A systematic review.

Janaina B Medina, Fábio França Vieira E Silva, Rafael Antônio Velôso Caixeta, Bruna de Oliveira Rech, Alba Perez-Jardón, María Elena Padín-Iruegas, Mario Pérez-Sayáns, Paulo Henrique Braz-Silva, Karem L Ortega

Abstract readSystematic Review
In one paragraph

Synthesis in European journal of clinical investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Torque teno virus in the lower respiratory tract: association with immunosuppression but not mortality in severe pneumonia-a multicenter retrospective cohort study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. 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

9 authors.

Janaina B MedinaOral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain.ORCID https://orcid.org/0000-0002-2879-4784
Fábio França Vieira E SilvaOral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain.ORCID https://orcid.org/0000-0001-8389-086X
Rafael Antônio Velôso CaixetaDepartment of Stomatology, School of Dentistry, University of São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-1351-6941
Bruna de Oliveira RechHuman Anatomy Area, University of Vigo, Vigo, Spain.ORCID https://orcid.org/0000-0002-6560-8493
Alba Perez-JardónOral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain.ORCID https://orcid.org/0000-0001-5174-8922
María Elena Padín-IruegasORALRES Group, Health Research Institute of Santiago de Compostela (FIDIS), Santiago de Compostela, Spain.ORCID https://orcid.org/0000-0002-9302-7768
Mario Pérez-SayánsOral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain.ORCID https://orcid.org/0000-0003-2196-9868
Paulo Henrique Braz-SilvaDepartment of Stomatology, School of Dentistry, University of São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-1842-9521
Karem L OrtegaOral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain.ORCID https://orcid.org/0000-0002-9573-2858

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 2021/07490-0Pro-Reitoria de Pesquisa, Universidade de São Paulo 2021.1.10424.1.9
6 · The paper itself

Abstract

backgroundTorque teno virus (TTV) is not known to cause disease in humans; however, chronic inflammatory conditions and immunosuppression states can favour TTV replication. This study aimed to verify the effectiveness of TTV as an immune biomarker.

methodsThe protocol of this review was registered in PROSPERO (CRD42022331049) and performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.

resultsThirty-three articles were selected and different groups of patients were assessed. In the solid organ and hematopoietic stem cell transplant groups, most studies reported that TTV viral load (VL) was highly detectable after transplantation and compared to controls, but the association with immune parameters showed conflicting results. In melanoma patients, no statistical difference in TTV VL was identified between susceptible and treatment-resistant patients. In lung cancer patients, viral load increases significantly with disease progression but decreases after chemotherapy. HIV-positive patients showed a higher VL than controls, but an inverse correlation with CD4+ was observed in half of the studies. Although 57.14% of all studies presented a low risk of bias, significant differences were observed between studies, particularly in the choice of the analyzed outcome, the parameter used to evaluate the patient's immune status, the presence of a control group, and the sample collection time points.

conclusionsAlthough TTV seems to have the potential to be a promising biomarker of immunosuppression, further high-quality prospective clinical studies are still needed.

Indexed as

DNA Virus InfectionsImmunocompromised HostTorque teno virusBiomarkersHematopoietic Stem Cell TransplantationHumansOrgan TransplantationViral LoadBiomarkersbiomarkerimmunosuppressionprognosistorque teno virustransplantation

Identifiers

PMID40371633
PMCPMC12257264

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.