Evidence map›Paper›PMID 19432547›Full record

ArticleThe Journal of infectious diseases2009

Evaluation of the pathogenesis of decreasing CD4(+) T cell counts in human immunodeficiency virus type 1-infected patients receiving successfully suppressive antiretroviral therapy.

Elizabeth Nies-Kraske, Timothy W Schacker, David Condoluci, Jan Orenstein, Jason Brenchley, Cecil Fox, Marybeth Daucher, Robin Dewar, Elizabeth Urban, Brenna Hill and 17 more

Open access · bronzeAbstract read
In one paragraph

Article 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. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Cardiovascular Disease, Statins, and HIV.The Journal of infectious diseases · 2016
    Review
  7. Article
  8. Article
  9. Observational
  10. Review
  11. Article
  12. 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

27 authors at 9 institutions in 2 countries.

Elizabeth Nies-KraskeNational Institute of Allergy and Infectious Diseases, National Institutes of Health, MD, USA.
Timothy W Schacker
David Condoluci
Jan Orenstein
Jason Brenchley
Cecil Fox
Marybeth Daucher
Robin Dewar
Elizabeth Urban
Brenna Hill
Javier Guenaga
Shelley Hoover
Frank Maldarelli
Claire W Hallahan
Judith Horn
Shyamasundaran Kottilil
Tae-Wook Chun
Marlene Folino
Sara Palmer
Ann Wiegand
M Angeline O'Shea
Julia A Metcalf
Daniel C Douek
John Coffin
Ashley Haase
Anthony S Fauci
Mark Dybul
National Institute of Allergy and Infectious Diseases · USInstitut de Recherche Vaccinale · FRUnited States Department of Health and Human Services · USAdvanced Bioscience Laboratories (United States) · USGeorge Washington University · USUniversity of Minnesota · USVirtua Voorhees Hospital · USNational Institutes of Health · USScience Applications International Corporation (United States) · US

Funding

Role of Viral Reservoirs in the Pathogenesis of HIV DiseaseZIAAI000851 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI CHUN, TAE-WOOK · 2009 to 2025
$29.3M
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
T Cell Immune Responses To HIV And Other PathogensZIAAI005033 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DOUEK, DANIEL CESAR · 2009 to 2025
$11.4M
Role Of Innate Immunity In The Initiation And Pathogenesis Of HIV InfectionZIAAI000886 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI FAUCI, ANTHONY S. · 2009 to 2009
$528k
Intramural NIH HHS Z99 AI999999NCI NIH HHS N01 CO012400NCI NIH HHS N01-CO-12400
6 · The paper itself

Abstract

Most human immunodeficiency virus (HIV)-infected individuals experience increases in peripheral CD4(+) T cell counts with suppressive antiretroviral therapy (ART) that achieves plasma HIV RNA levels that are less than the limit of detection. However, some individuals experience decreasing CD4(+) T cell counts despite suppression of plasma viremia. We evaluated 4 patients with a history of CD4(+) T cell decline despite successfully suppressive ART, from a median of 719 cells/mm(3) (range, 360-1141 cells/mm(3)) to 227 cells/mm(3) (range, 174-311 cells/mm(3)) over a period of 18-24 months; 3 of the patients were receiving tenofovir and didanosine, which may have contributed to this decrease. There was no evidence of HIV replication, nor of antiretroviral drug resistance in the blood or lymphoid tissue, or increased proliferation or decreased thymic production of naive CD4(+) T cells. All 4 patients had significant fibrosis of the T cell zone of lymphoid tissue, which appeared to be an important factor in the failure to reconstitute T cells.

Indexed as

CD4 Lymphocyte CountCD4-Positive T-LymphocytesDNA, ViralHIV-1HIV InfectionsHumansIn Situ HybridizationLymph NodesLymphocyte SubsetsMutationRNA, ViralThymus GlandViral LoadDNA, ViralRNA, Viral

Identifiers

PMID19432547
PMCPMC4826569
OpenAlexW2158577304

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.