Evidence map›Paper›PMID 19194270›Full record

Trial reportAIDS (London, England)2009

GBV-C viremia is associated with reduced CD4 expansion in HIV-infected people receiving HAART and interleukin-2 therapy.

Jack T Stapleton, Kathryn Chaloner, Jingyang Zhang, Donna Klinzman, Inara E Souza, Jinhua Xiang, Alan Landay, John Fahey, Richard Pollard, Ronald Mitsuyasu

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS (London, England), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

26 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. A novel T cell evasion mechanism in persistent RNA virus infection.Transactions of the American Clinical and Climatological Association · 2014
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. GB virus C: the good boy virus?Trends in microbiology · 2012
    Review
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

10 authors at 6 institutions in 1 country.

Jack T StapletonThe University of Iowa, Department of Internal Medicine, Iowa City VA Medical Center, Iowa City, Iowa, USA.
Kathryn Chaloner
Jingyang Zhang
Donna Klinzman
Inara E Souza
Jinhua Xiang
Alan Landay
John Fahey
Richard Pollard
Ronald Mitsuyasu
University of California, Los Angeles · USIowa City VA Medical Center · USActuarial Foundation · USCancer Research And Biostatistics · USOffice of Infectious Diseases · USUniversity of Iowa · US

Funding

UCLA AIDS Prevention and Treatment Clinical Trials UnitUM1AI069424 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Judith S. Currier, RAPHAEL J LANDOVITZ · 2012 to 2026
$51.8M
UCLA AIDS Prevention and Treatment Clinical Trials UnitU01AI069424 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CURRIER, JUDITH S. · 2007 to 2011
$13.9M
WOMEN'S HEALTH AGENDAU01AI027660 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CURRIER, JUDITH S. · 1988 to 2006
$11.8M
GB Virus type C Natural History, Epidemiology, HIV InteractionR01AI058740 · NIAID · UNIVERSITY OF IOWA · PI STAPLETON, JACK T. · 2004 to 2012
$5.5M
NIAID NIH HHS AI-27660NIAID NIH HHS AI-58740NIAID NIH HHS AI-69424NIAID NIH HHS R01 AI058740NIAID NIH HHS U01 AI027660NIAID NIH HHS U01 AI069424NIAID NIH HHS UM1 AI069424
6 · The paper itself

Abstract

objectiveInterleukin-2 (IL-2) is a cytokine with multiple effects on lymphocytes including induction of CD4 T-cell proliferation. IL-2 administration has been shown to increase CD4 cell counts in HIV-infected people receiving antiretroviral therapy. GB virus C (GBV-C) is an apparently nonpathogenic flavivirus that replicates in CD4 T cells and inhibits HIV replication in vitro by mechanisms including downregulation of HIV entry coreceptors (CCR5 and CXCR4) and induction of chemokines (RANTES, MIP-1alpha, MIP-1 beta, and SDF-1). GBV-C replication is significantly inhibited in vitro by activation of primary CD4 cell cultures with IL-2 and phytohemagglutinin. We sought to determine if there is an interaction between GBV-C and IL-2 in vivo.

methodsGBV-C viremia status was characterized in 92 HIV-infected individuals participating in a randomized trial of IL-2 and antiretroviral therapy [AIDS Clinical Trials Group Study (ACTG) 328]. Changes in CD4 cell counts and HIV RNA levels in individuals assigned IL-2 were compared with those in individuals assigned antiretroviral therapy alone.

resultsIndividuals lacking GBV-C viremia had a significantly greater rise in CD4 cell count with IL-2, compared with GBV-C viremic individuals (by 511 cells/microl at week 84; interaction P = 0.02): GBV-C viremic individuals assigned IL-2 did not demonstrate a significant increase in CD4 cell count compared with individuals not assigned to receive IL-2 (95% CI for difference -255 to 397 cells/microl).

conclusionGBV-C viremia was associated with a block in CD4 cell expansion following IL-2 therapy in the ACTG 328 study, and GBV-C status may be an important factor in IL-2 treatment response.

Indexed as

AdolescentAdultAgedAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveCD4 Lymphocyte CountCD4-Positive T-LymphocytesFemaleFlaviviridae InfectionsGB virus CHIV-1HIV InfectionsHumansInterleukin-2MaleMiddle AgedAnti-HIV AgentsInterleukin-2Recombinant Proteins

Identifiers

PMID19194270
PMCPMC2739595
OpenAlexW2048650152

What OpenQuestion holds

Textmetadata
LicenceTDM
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.