Evidence map›Paper›PMID 40407654›Full record

ArticleInfectious disease reports2025

Delineating the Significance of Several Inflammatory Markers in a Lung Tuberculosis Cohort During the Active and Post-Tuberculosis Stages of the Disease: An Observational Study in Cape Town, South Africa (2019 to 2024).

Chrisstoffel Jumaar, Lindiwe Malefane, Steve Jacobs, Olakunle Sanni, Elize Louw, Nicola Baines, Carmen Payne, Sigrid Schulz, Carl Lombard, Merga Feyasa and 6 more

Abstract read
In one paragraph

Article in Infectious disease reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Molecular signaling in coinfection: howFrontiers in immunology · 2026
    Review
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

16 authors.

Chrisstoffel JumaarCentre for Cardio-Metabolic Research in Africa, Division of Medical Physiology, Department of Biomedical Sciences, Faculty of Medicine & Health Sciences, Stellenbosch University, Cape Town 8000, South Africa.
Lindiwe MalefaneCentre for Cardio-Metabolic Research in Africa, Division of Medical Physiology, Department of Biomedical Sciences, Faculty of Medicine & Health Sciences, Stellenbosch University, Cape Town 8000, South Africa.ORCID 0000-0003-1342-0584
Steve JacobsCentre for Cardio-Metabolic Research in Africa, Division of Medical Physiology, Department of Biomedical Sciences, Faculty of Medicine & Health Sciences, Stellenbosch University, Cape Town 8000, South Africa.ORCID 0000-0001-5674-252X
Olakunle SanniCentre for Cardio-Metabolic Research in Africa, Division of Medical Physiology, Department of Biomedical Sciences, Faculty of Medicine & Health Sciences, Stellenbosch University, Cape Town 8000, South Africa.ORCID 0000-0002-4924-9005
Elize LouwDivision of Pulmonology, Department of Medicine, Faculty of Medicine & Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town 8000, South Africa.
Nicola BainesDivision of Pulmonology, Department of Medicine, Faculty of Medicine & Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town 8000, South Africa.ORCID 0009-0004-1165-0858
Carmen PayneCentre for Cardio-Metabolic Research in Africa, Division of Medical Physiology, Department of Biomedical Sciences, Faculty of Medicine & Health Sciences, Stellenbosch University, Cape Town 8000, South Africa.
Sigrid SchulzDivision of Pulmonology, Department of Medicine, Faculty of Medicine & Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town 8000, South Africa.
Carl LombardBiostatistics Research Unit, South African Medical Research Council, Cape Town 8000, South Africa.
Merga FeyasaCDT-Africa Center of Excellence, College of Health Sciences, Addis Ababa University, Addis Ababa 10001, Ethiopia.ORCID 0000-0001-5862-5941
David MareeDivision of Pulmonology, Department of Medicine, Faculty of Medicine & Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town 8000, South Africa.
Shantal WindvogelCentre for Cardio-Metabolic Research in Africa, Division of Medical Physiology, Department of Biomedical Sciences, Faculty of Medicine & Health Sciences, Stellenbosch University, Cape Town 8000, South Africa.
Hans StrijdomCentre for Cardio-Metabolic Research in Africa, Division of Medical Physiology, Department of Biomedical Sciences, Faculty of Medicine & Health Sciences, Stellenbosch University, Cape Town 8000, South Africa.ORCID 0000-0003-3726-9153
Benjamin BothaCape Winelands TB Centre, Brewelskloof Hospital, Worcester 6850, South Africa.ORCID 0009-0005-9847-4283
Brian AllwoodDivision of Pulmonology, Department of Medicine, Faculty of Medicine & Health Sciences, Stellenbosch University & Tygerberg Hospital, Cape Town 8000, South Africa.
Gerald J MaarmanCentre for Cardio-Metabolic Research in Africa, Division of Medical Physiology, Department of Biomedical Sciences, Faculty of Medicine & Health Sciences, Stellenbosch University, Cape Town 8000, South Africa.ORCID 0000-0003-3336-5594

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary tuberculosis (TB) frequently leads to long-term lung complications that contribute to increased mortality. Understanding the pathogenesis of post-TB lung impairments is crucial for improving long-term outcomes in TB patients; yet this area remains poorly researched.

methodsOur study assessed circulatory inflammatory markers in patients who completed TB treatment more than one year before enrolment (population 1) and patients receiving in-hospital treatment for active drug-sensitive TB (population 2).

resultsIL-6 was seven times higher in both populations compared to the normal range. IL-8 was below the limit of detection (LOD) in population 1, while it was approximately 2.5 times higher in population 2 compared to the normal range. TNF-α was 21 times higher in population 1 and 19 times higher in population 2 compared to the normal range. CRP was almost 49 times higher in both populations, and IL-1Ra was below the LOD in population 1, while it was ~1.5 times higher in population 2 compared to the normal range.

conclusionsThese inflammatory biomarkers correlated well with lung function in the post-TB state, and their high levels suggest a persistent pro-inflammatory state post-TB, which may contribute to post-TB lung disease. More research is warranted to better understand this phenomenon, but these findings may highlight a need to consider anti-inflammatory therapy for patients with post-TB lung disease, especially since these high levels of cytokines can directly contribute to lung damage.

Indexed as

inflammationinflammatory pathwayspost-TB lung diseasetuberculosis

Identifiers

PMID40407654
PMCPMC12101205

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.