Evidence map›Paper›PMID 38156376›Full record

ArticleImmunity, inflammation and disease2023

Cluster analysis of flowcytometric immunophenotyping with extended T cell subsets in suspected immunodeficiency.

Luca Seitz, Daniel Gaitan, Caroline M Berkemeier, Christoph T Berger, Mike Recher

Open access · goldAbstract read
In one paragraph

Article in Immunity, inflammation and disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

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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

5 authors at 3 institutions in 1 country.

Luca SeitzImmunodeficiency Laboratory, Department of Biomedicine, University Hospital Basel and University of Basel, Basel, Switzerland.
Daniel GaitanImmunodeficiency Laboratory, Department of Biomedicine, University Hospital Basel and University of Basel, Basel, Switzerland.
Caroline M BerkemeierDivision of Medical Immunology, Laboratory Medicine, University Hospital Basel, Basel, Switzerland.
Christoph T BergerUniversity Center for Immunology, University Hospital Basel, Basel, Switzerland.ORCID 0000-0002-1730-8824
Mike RecherImmunodeficiency Laboratory, Department of Biomedicine, University Hospital Basel and University of Basel, Basel, Switzerland.ORCID 0000-0002-9121-6936
University of Basel · CHUniversity Hospital of Basel · CHUniversity of Bern · CH

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 310030_192652Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung PP00P3_181038
6 · The paper itself

Abstract

backgroundPatients with immunodeficiencies commonly experience diagnostic delays resulting in morbidity. There is an unmet need to identify patients earlier, especially those with high risk for complications. Compared to immunoglobulin quantification and flowcytometric B cell subset analysis, expanded T cell subset analysis is rarely performed in the initial evaluation of patients with suspected immunodeficiency. The simultaneous interpretation of multiple immune variables, including lymphocyte subsets, is challenging.

objectiveTo evaluate the diagnostic value of cluster analyses of immune variables in patients with suspected immunodeficiency.

methodsRetrospective analysis of 38 immune system variables, including seven B cell and sixteen T cell subpopulations, in 107 adult patients (73 with immunodeficiency, 34 without) evaluated at a tertiary outpatient immunology clinic. Correlation analyses of individual variables, k-means cluster analysis with evaluation of the classification into "no immunodeficiency" versus "immunodeficiency" and visual analyses of hierarchical heatmaps were performed.

resultsBinary classification of patients into groups with and without immunodeficiency was correct in 54% of cases with the full data set and increased to 69% and 75% of cases, respectively, when only 16 variables with moderate (p < .05) or 7 variables with strong evidence (p < .01) for a difference between groups were included. In a cluster heatmap with all patients but only moderately differing variables and a heatmap with only immunodeficient patients restricted to T cell variables alone, segregation of most patients with common variable immunodeficiency and combined immunodeficiency was observed.

conclusionCluster analyses of immune variables, including detailed lymphocyte flowcytometry with T cell subpopulations, may support clinical decision making for suspected immunodeficiency in daily practice.

Indexed as

Common Variable ImmunodeficiencyT-Lymphocyte SubsetsAdultB-LymphocytesHumansImmunophenotypingRetrospective Studiescluster analysisflowcytometryinborn errors of immunityprimary immunodeficiencyT cell subsets

Identifiers

PMID38156376
PMCPMC10698832
OpenAlexW4389391095

What Socratic holds

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LicenceCC BY
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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 Socratic graph.