Evidence map›Paper›PMID 42015041›Full record

Observational studyBMC infectious diseases2026

Interferon-gamma autoantibodies in patients with infectious uveitis: a pilot case-control study.

Apichaya Opasatian, Chatchai Tayapiwatana, Weeraya Thongkum, Umpa Yasamut, Kessara Pathanapitoon

Abstract readObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Apichaya OpasatianDepartment of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand.
Chatchai TayapiwatanaDivision of Clinical Immunology, Department of Medical Technology, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand.
Weeraya ThongkumDivision of Clinical Immunology, Department of Medical Technology, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand.
Umpa YasamutDivision of Clinical Immunology, Department of Medical Technology, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand.
Kessara PathanapitoonDepartment of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand. kessara.pathana@cmu.ac.th.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate the association between infectious uveitis in immunocompetent individuals and adult-onset immunodeficiency (AOID).

methodsA pilot prospective observational case-control study was conducted involving 28 patients with infectious uveitis unrelated to human immunodeficiency virus (non–HIV). These patients were categorized into two groups: Cytomegalovirus (CMV)–associated uveitis (n = 15) and non–CMV infectious uveitis (n = 13). Blood donors (n = 41) served as controls to establish the positivity threshold for interferon-gamma (IFN-γ) autoantibodies. Autoantibody and neutralizing autoantibody levels were measured using indirect and competitive ELISA methods, respectively. Demographic data, key clinical characteristics, disease course and laboratory investigations—including complete blood count, anti–HIV antibody test, and CD4+ T-cell count—were collected from participants.

resultsOne patient in the CMV group tested positive for IFN-γ autoantibodies (level: 1.02), exceeding the 99th percentile positivity threshold defined by the control group. This patient, diagnosed with AOID, also had the highest neutralizing autoantibodies level (41.02%) and presented with severe CMV anterior uveitis and endotheliitis leading to bullous keratopathy and corneal decompensation. There were no differences in demographic data or basic immunologic parameters between the CMV and non-CMV groups. Likewise, no significant differences in IFN-γ autoantibody level were observed among cases and controls, with median (IQR) value of 0.15 (0.12–0.21) in CMV group; 0.14 (0.11–0.17) in non-CMV groups; and 0.14 (0.12–0.18) in control group (P > .05).

conclusionsIn this pilot study, one patient with severe CMV–associated uveitis was identified as having underlying AOID. The findings are hypothesis-generating, and an association cannot be established from the current data. The pathogenesis of infectious uveitis in presumed immunocompetent individuals remains unclear and warrants further investigation. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

AutoantibodiesInterferon-gammaUveitisAdultAgedCase-Control StudiesCytomegalovirusCytomegalovirus InfectionsFemaleHumansImmunologic Deficiency SyndromesMaleMiddle AgedPilot ProjectsProspective StudiesAutoantibodiesInterferon-gammaAdult-onset immunodeficiencyCytomegalovirus infectionsImmunocompetentInfectious uveitisInterferon-gamma autoantibodiesNeutralizing antibodies

Identifiers

PMID42015041
PMCPMC13235090

What Socratic holds

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LicenceCC BY-NC-ND
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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.