Evidence map›Paper›PMID 19265479›Full record

Trial reportThe Journal of infectious diseases2009

Plasma levels of bacterial DNA correlate with immune activation and the magnitude of immune restoration in persons with antiretroviral-treated HIV infection.

Wei Jiang, Michael M Lederman, Peter Hunt, Scott F Sieg, Kathryn Haley, Benigno Rodriguez, Alan Landay, Jeffrey Martin, Elizabeth Sinclair, Ava I Asher and 3 more

Erratum issued Registry-linked trialOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT00988780 (CCR5 Antagonism to Decrease the Incidence of the Immune Reconstitution Inflammatory Syndrome in HIV-Infected Patients), which is not on this map. Cited by 371 papers.

0numbers the graph read from it
0cells of the map it votes in
371citing papers in PubMed
19.1field-weighted citation impact, top 1% 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.

NCT00988780 naunknown statusnot on this map

CCR5 Antagonism to Decrease the Incidence of the Immune Reconstitution Inflammatory Syndrome in HIV-Infected Patients

TypeinterventionalSponsorInstituto Nacional de Ciencias Medicas y Nutricion Salvador ZubiranRan2009 to 2013Enrolled276ConditionsImmune Reconstitution Inflammatory Syndrome, HIV, HIV InfectionsArmsmaraviroc, Placebo
3 · Its place in the literature

Who cites it

371 citing papers in PubMed, 591 citations in OpenAlex.

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  12. ProbioticBrain sciences · 2026
    Article
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311 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Wei JiangCase Western Reserve University, Cleveland, Ohio 44106, USA.
Michael M Lederman
Peter Hunt
Scott F Sieg
Kathryn Haley
Benigno Rodriguez
Alan Landay
Jeffrey Martin
Elizabeth Sinclair
Ava I Asher
Steven G Deeks
Daniel C Douek
Jason M Brenchley
Case Western Reserve University · USInstitut de Recherche Vaccinale · FRSan Francisco General Hospital · USUniversity of San Francisco · USNational Institutes of Health · USRush University · US

Funding

WOMEN'S HEALTH AGENDAU01AI038858 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI BENSON, CONSTANCE ANN · 1996 to 2008
$157.5M
UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Sheri Ann Lippman · 2001 to 2026
$57.4M
WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Sharon L. Hillier, JONATHAN KARN · 1994 to 2026
$50.0M
Mechanisms of Immune Activation and Disease Progression in Animal ModelsZIAAI001029 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI BRENCHLEY, JASON · 2009 to 2025
$28.2M
WOMEN'S HEALTH AGENDAU01AI025879 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI LEDERMAN, MICHAEL MARCEL · 1987 to 2006
$14.0M
Specimen Acquisition and Distribution CoreP01AI076174 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI LEDERMAN, MICHAEL MARCEL · 2008 to 2012
$10.9M
The HIV ReservoirZIAAI005034 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DOUEK, DANIEL CESAR · 2009 to 2025
$7.5M
UCSF-GIVI CENTER FOR AIDS RESEARCHP30MH059037 · NIMH · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI VOLBERDING, PAUL A · 1998 to 2001
$4.9M
DYNAMICS OF HIV1 SPECIFIC CTL IN HIV1 INFECTIONR01AI044595 · NIAID · J. DAVID GLADSTONE INSTITUTES · PI NIXON, DOUGLAS F · 1999 to 2003
$1.3M
Treatment Intensification for Drug-Resistant HIVR21AI055273 · NIAID · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI DEEKS, STEVEN GRANT · 2003 to 2004
$454k
Intramural NIH HHS Z99 AI999999NCRR NIH HHS UL1 RR024131NCRR NIH HHS UL1 RR024131-01NIAID NIH HHS AI055273NIAID NIH HHS AI 076174NIAID NIH HHS AI 25879NIAID NIH HHS AI 36219NIAID NIH HHS AI 38858NIAID NIH HHS AI44595NIAID NIH HHS P01 AI076174NIAID NIH HHS P30 AI027763NIAID NIH HHS P30 AI036219NIAID NIH HHS P30 AI27763NIAID NIH HHS R01 AI044595NIAID NIH HHS R21 AI055273NIAID NIH HHS U01 AI025879NIAID NIH HHS U01 AI038858NIMH NIH HHS P30 MH062246NIMH NIH HHS P30 MH59037NIMH NIH HHS P30 MH62246
6 · The paper itself

Abstract

The significance of elevated plasma levels of bacterial lipopolysaccharide (LPS) in persons with chronic HIV infection remains undefined. We measured LPS levels by use of limulus lysate assay, and DNA sequences encoding bacterial ribosomal 16S RNA (16S rDNA) were assessed by quantitative polymerase chain reactions in plasma samples obtained from 242 donors. Plasma levels of 16S rDNA were significantly higher in human immunodeficiency virus (HIV)-infected subjects than in uninfected subjects, and they correlated with LPS levels. Higher levels of 16S rDNA were associated with higher levels of T cell activation and with lower levels of CD4 T cell restoration during antiretroviral therapy. Antiretroviral therapy reduces but does not fully normalize plasma levels of bacterial 16S rDNA, an index of microbial translocation from the gastrointestinal tract. High levels of 16S rDNA during therapy are strongly associated with reduced increases in the CD4(+) T lymphocyte count, irrespective of plasma HIV RNA levels. These findings are consistent with the importance of microbial translocation in immunodeficiency and T cell homeostasis in chronic HIV infection.

Indexed as

AdultAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveCase-Control StudiesCD4-Positive T-LymphocytesCohort StudiesDNA, BacterialDNA, RibosomalHIV InfectionsHumansLipopolysaccharidesMiddle AgedPolymerase Chain ReactionRNA, BacterialRNA, Ribosomal, 16SViral LoadAnti-HIV AgentsDNA, BacterialDNA, RibosomalLipopolysaccharidesRNA, BacterialRNA, Ribosomal, 16S

Identifiers

PMID19265479
PMCPMC2728622
OpenAlexW2130603879

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Registered trials

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.