Evidence map›Paper›PMID 33339949›Full record

ArticleScientific reports2020

Detection of parvovirus mRNAs as markers for viral activity in endomyocardial biopsy-based diagnosis of patients with unexplained heart failure.

Heiko Pietsch, Felicitas Escher, Ganna Aleshcheva, Dirk Lassner, Claus-Thomas Bock, Heinz-Peter Schultheiss

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 10% of its field
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Fulminant parvovirus B19 myocarditis after chemotherapy: full recovery after antiviral therapy with tenofovir.Clinical research in cardiology : official journal of the German Cardiac Society · 2022
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Viral Myocarditis-From Pathophysiology to Treatment.Journal of clinical medicine · 2021
    Review
  16. Article
  17. 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

6 authors at 3 institutions in 1 country.

Heiko PietschIKDT Institute of Cardiac Diagnostics and Therapy GmbH, Moltkestrasse 31, 12203, Berlin, Germany.
Felicitas EscherIKDT Institute of Cardiac Diagnostics and Therapy GmbH, Moltkestrasse 31, 12203, Berlin, Germany.
Ganna AleshchevaIKDT Institute of Cardiac Diagnostics and Therapy GmbH, Moltkestrasse 31, 12203, Berlin, Germany.
Dirk LassnerIKDT Institute of Cardiac Diagnostics and Therapy GmbH, Moltkestrasse 31, 12203, Berlin, Germany.
Claus-Thomas BockIKDT Institute of Cardiac Diagnostics and Therapy GmbH, Moltkestrasse 31, 12203, Berlin, Germany.
Heinz-Peter SchultheissIKDT Institute of Cardiac Diagnostics and Therapy GmbH, Moltkestrasse 31, 12203, Berlin, Germany. heinz-peter.schultheiss@ikdt.de.
CS Diagnostics · DECharité - Universitätsmedizin Berlin · DEGerman Centre for Cardiovascular Research · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Erythroparvovirus (B19V) genomes have been detected in various organs of infected individuals including endothelial cells of the heart muscle. However, the role of B19V as a causative pathogen of myocardial damage is still unknown. The majority of reports focus on the presence of viral DNA ignoring proof of viral RNAs as important markers for viral activity. During this study, we established (RT-) qPCR to characterize expression of B19V RNAs (NS1 and VP1/2) in endomyocardial biopsies (EMBs) of 576 patients with unexplained heart failure. 403/576 (70%) EMBs were positive for B19V DNA. B19V mRNAs NS1 and/or VP1/2, indicating viral activity, could be detected in 38.5% of B19V DNA positive samples using the newly established B19V RT-PCRs. 22.1% of samples were characterized by only NS1 mRNA detection while 6.0% revealed only VP1/2 mRNA expression. Detection of both intermediates was successful in 10.4% of samples. Applying the molecular testing, our study revealed that a high proportion (38.5%) of B19V DNA positive EMBs was characterized by viral transcriptional activity. Further prospective studies will evaluate relevance of viral transcription intermediates as a diagnostic marker to differentiate between latent B19V infection and clinically relevant transcriptionally active B19V-infection of the heart muscle.

Indexed as

AdultBiopsyFemaleHeartHeart FailureHumansMaleMiddle AgedParvovirus B19, HumanRNA, MessengerSomatoform DisordersViral ProteinsVirus DiseasesRNA, MessengerViral Proteins

Identifiers

PMID33339949
PMCPMC7749156
OpenAlexW3116290008

What Socratic 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 Socratic graph.