Evidence map›Paper›PMID 12149467›Full record

Trial reportProceedings of the National Academy of Sciences of the United States of America2002

Increased peripheral expansion of naive CD4+ T cells in vivo after IL-2 treatment of patients with HIV infection.

Ven Natarajan, Richard A Lempicki, Irini Sereti, Yunden Badralmaa, Joseph W Adelsberger, Julia A Metcalf, Darue A Prieto, Randy Stevens, Michael W Baseler, Joseph A Kovacs and 1 more

Open access · greenAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Proceedings of the National Academy of Sciences of the United States of America, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.5field-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

20 citing papers in PubMed, 64 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Ex Vivo HIV Infection Model of Cervico-Vaginal and Rectal Tissue.Methods in molecular biology (Clifton, N.J.) · 2022
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Thymic function in HIV infection.Current HIV/AIDS reports · 2005
    Review
  19. Article
  20. 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

11 authors at 3 institutions in 1 country.

Ven NatarajanScience Applications International Corporation-Frederick, Inc., Frederick, MD 21702, USA.
Richard A Lempicki
Irini Sereti
Yunden Badralmaa
Joseph W Adelsberger
Julia A Metcalf
Darue A Prieto
Randy Stevens
Michael W Baseler
Joseph A Kovacs
H Clifford Lane
National Institute of Allergy and Infectious Diseases · USNational Institutes of Health · USScience Applications International Corporation (United States) · US

Funding

OPERATIONS &TECHNICAL SUPPORTN01CO056000 · CO · SCIENCE APPLICATIONS INTERNATIONAL CORP · PI FISCHINGER, PETER J · 1995 to 2000
$95.0M
PATHOGENIC MECHANISMS IN HUMAN IMMUNODEFICIENCY VIRUS INFECTIONSZ01AI000585 · NIAID · NIAID EXTRAMURAL ACTIVITIES · PI LANE, HENRY C · 1990 to 2008
$4.5M
STUDIES OF LYMPHOCYTE KINETICS IN HEALTHY AND HIV-INFECTED PATIENTSZ01CL000191 · CLC · CLINICAL CENTER · PI KOVACS, JOSEPH A · 1998 to 2008
$128k
The Role Of Interleukin-2 In The Management Of HIVZ01CL000036 · CLC · CLINICAL CENTER · PI KOVACS, JOSEPH A · 1990 to 2008
$85k
NCI NIH HHS N01-CO-56000
6 · The paper itself

Abstract

Intermittent interleukin-2 (IL-2) therapy has been shown to increase the number of CD4+ T cells, preferentially cells with a naive phenotype, in patients with HIV infection. For this report we investigated the mechanism underlying this expansion by studying the relative roles of peripheral expansion and thymic output. In a cohort of six patients receiving IL-2 over a period of 1 year, the mean number of naive CD4+ T cells increased from 139 to 387 cells per microl while levels of T cell receptor rearrangement excision circles (TRECs) declined from 47,946 to 26,510 copies per 10(6) naive T cells, thus making it unlikely that the CD4+ T cell count increases were secondary to increase in thymic output. To examine directly the impact of IL-2 on peripheral expansion, peripheral blood mature, naive CD4+ T cells were labeled ex vivo with 5-bromodeoxyuridine as well as stained directly for Ki67. These studies revealed a 7-fold increase in the percentage of 5-bromodeoxyuridine-positive cells and a 20-40-fold increase in Ki67 staining in the naive CD4+ T cell pool in the setting of IL-2 administration. This degree of increase in mature CD4+ T cell turnover induced by IL-2 does not compromise the future replicative potential of these cells, because longitudinal measurements of telomere length went from 6,981 to 7,153 bp after 1 year of IL-2 therapy. These data strongly suggest that much of the increase in CD4+ cells associated with IL-2 treatment is caused by peripheral expansion of existing naive CD4+ T cells rather than increased thymic output and that these increases occur without compromising the potential of these cells for further cell division.

Indexed as

AdultCD4 Lymphocyte CountCD4-Positive T-LymphocytesCell DivisionCohort StudiesGene Rearrangement, T-LymphocyteHIV InfectionsHumansInterleukin-2Leukocytes, MononuclearTelomereTreatment OutcomeInterleukin-2

Identifiers

PMID12149467
PMCPMC125022
OpenAlexW1993825546

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.