Evidence map›Paper›PMID 16275944›Full record

ArticleClinical and diagnostic laboratory immunology2005

Persistent replication of human immunodeficiency virus type 1 despite treatment of pulmonary tuberculosis in dually infected subjects.

Harriet Mayanja Kizza, Benigno Rodriguez, Miguel Quinones-Mateu, Muneer Mirza, Htin Aung, Belinda Yen-Lieberman, Colleen Starkey, Libby Horter, Pierre Peters, Joy Baseke and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Clinical and diagnostic laboratory immunology, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 29% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 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

12 authors at 4 institutions in 2 countries.

Harriet Mayanja KizzaCase Western Reserve University, Department of Medicine, Cleveland Clinic Foundation, Cleveland, OH 44106-4984, USA.
Benigno Rodriguez
Miguel Quinones-Mateu
Muneer Mirza
Htin Aung
Belinda Yen-Lieberman
Colleen Starkey
Libby Horter
Pierre Peters
Joy Baseke
John L Johnson
Zahra Toossi
Case Western Reserve University · USLouis Stokes Cleveland VA Medical Center · USUniversity Hospitals of Cleveland · USCleveland Clinic · US

Funding

WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI CHERYL M CAMERON · 1994 to 2026
$50.0M
Tuberculosis Prevention Research Unit /TBRU/-266095383N01AI095383 · NIAID · CASE WESTERN RESERVE UNIVERSITY · 2000 to 2005
$5.6M
INTERACTION OF M TUBERCULOSIS AND HIV IN THE LUNGR01HL051636 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI TOOSSI, ZAHRA TOOSSI · 1993 to 2014
$4.9M
Impact of Tuberculosis on HIV DiseaseR56HL051636 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI TOOSSI, ZAHRA TOOSSI · 2009 to 2009
$305k
NHLBI NIH HHS HL 51636NHLBI NIH HHS R01 HL051636NHLBI NIH HHS R56 HL051636NIAID NIH HHS AI-36219NIAID NIH HHS AI-95383NIAID NIH HHS N01 AI095383NIAID NIH HHS P30 AI036219
6 · The paper itself

Abstract

Tuberculosis (TB) is the most common life-threatening infection in human immunodeficiency virus (HIV)-infected persons and frequently occurs before the onset of severe immunodeficiency. Development of TB is associated with increased HIV type 1 (HIV-1) viral load, a fall in CD4 lymphocyte counts, and increased mortality. The aim of this study was to examine how treatment of pulmonary TB affected HIV-1 activity in HIV-1/TB-coinfected subjects with CD4 cell counts of >100 cells/mul. HIV-1/TB-coinfected subjects were recruited in Kampala, Uganda, and were monitored over time. Based upon a significant (0.5 log10 copies/ml) decrease in viral load by the end of treatment, two patient groups could be distinguished. Responders (n = 17) had more rapid resolution of anemia and pulmonary lesions on chest radiography during TB treatment. This group had a significant increase in viral load to levels not different from those at baseline 6 months after completion of TB treatment. HIV-1 viral load in nonresponders (n = 10) with TB treatment increased and at the 6 month follow-up was significantly higher than that at the time of diagnosis of TB. Compared to baseline levels, serum markers of macrophage activation including soluble CD14 decreased significantly by the end of TB treatment in responders but not in nonresponders. These data further define the impact of pulmonary TB on HIV-1 disease. HIV-1 replication during dual HIV-1/TB infection is not amenable to virologic control by treatment of TB alone. Concurrent institution of highly active antiretroviral treatment needs to be evaluated in patients dually infected with pulmonary TB and HIV-1.

Indexed as

AdultBiomarkersComorbidityFemaleFollow-Up StudiesHIV-1HIV InfectionsHumansMaleProspective StudiesRNA, ViralTuberculosis, PulmonaryUgandaViral LoadVirus ActivationVirus ReplicationBiomarkersRNA, Viral

Identifiers

PMID16275944
PMCPMC1287765
OpenAlexW2125382031

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.