Evidence map›Paper›PMID 18525261›Full record

Trial reportAIDS (London, England)2008

Increased soluble vascular cell adhesion molecule-1 plasma levels and soluble intercellular adhesion molecule-1 during antiretroviral therapy interruption and retention of elevated soluble vascular cellular adhesion molecule-1 levels following resumption of antiretroviral therapy.

Emmanouil Papasavvas, Livio Azzoni, Maxwell Pistilli, Aidan Hancock, Griffin Reynolds, Cecile Gallo, Joe Ondercin, Jay R Kostman, Karam Mounzer, Jane Shull and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS (London, England), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
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  8. Observational
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  10. Review
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  15. Review
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  18. Review
  19. Biomarkers and HIV-associated cardiovascular disease.Current opinion in HIV and AIDS · 2010
    Review
  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.

Emmanouil PapasavvasThe Wistar Institute, Philadelphia, PA 19104, USA.
Livio Azzoni
Maxwell Pistilli
Aidan Hancock
Griffin Reynolds
Cecile Gallo
Joe Ondercin
Jay R Kostman
Karam Mounzer
Jane Shull
Luis J Montaner
The Wistar Institute · USPhiladelphia Fight · USUniversity of Pennsylvania · US

Funding

IMMUNE AND VIRAL OUTCOMES OF HIV-1 THERAPY INTERRUPTIONR01AI048398 · NIAID · WISTAR INSTITUTE · PI MONTANER, LUIS J. · 2000 to 2003
$2.4M
NIAID NIH HHS AI48398NIAID NIH HHS R01 AI048398
6 · The paper itself

Abstract

objectiveWe investigated the effect of short viremic episodes on soluble markers associated with endothelial stress and cardiovascular disease risk in chronically HIV-1-infected patients followed during continuous antiretroviral therapy, antiretroviral therapy interruption and antiretroviral therapy resumption. DESIGN AND

methodsWe assessed changes in plasma levels of von Willebrand factor, soluble vascular cell adhesion molecule-1 and intercellular adhesion molecule-1 by enzyme-linked immunosorbent assay, as well as T-cell activation (CD8+/CD38+, CD8+/HLA-DR+ and CD3+/CD95+) by flow cytometry, in 36 chronically HIV-1-infected patients participating in a randomized study. Patients were divided into the following three groups: a, on continuous antiretroviral therapy; b, on a 6-week antiretroviral therapy interruption; or c, on antiretroviral therapy interruption extended to the achievement of viral set point.

resultsAlthough all measurements remained stable over a 40-week follow-up on antiretroviral therapy, plasma levels of soluble vascular cell adhesion molecule-1 (P < 0.0001) and soluble intercellular adhesion molecule-1 (P = 0.003) increased during treatment interruption in correlation with viral rebound and T-cell activation. No significant changes in von Willebrand factor were observed in any of the groups. After resuming antiretroviral therapy, soluble vascular cell adhesion molecule-1 levels remained elevated even after achievement of viral suppression to less than 50 copies/ml.

conclusionThe prompt rise in plasma soluble vascular cell adhesion molecule-1 and soluble intercellular adhesion molecule-1 upon viral rebound suggests an acute increase in endothelial stress upon treatment interruption, which may persists after viral resuppression of virus. Thus, viral replication during short-term treatment interruption may increase the overall cardiovascular risk during and beyond treatment interruption.

Indexed as

HIV-1AdolescentAdultAgedAnti-HIV AgentsBiomarkersChronic DiseaseEndothelium, VascularHIV InfectionsHumansIntercellular Adhesion Molecule-1Middle AgedVascular Cell Adhesion Molecule-1Viral Loadvon Willebrand FactorAnti-HIV AgentsBiomarkersIntercellular Adhesion Molecule-1Vascular Cell Adhesion Molecule-1von Willebrand Factor

Identifiers

PMID18525261
PMCPMC2726750
OpenAlexW2076887850

What OpenQuestion holds

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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 OpenQuestion graph.