Evidence map›Paper›PMID 20179751›Full record

Trial reportPloS one2010

Tuberculosis treatment in HIV infected Ugandans with CD4 counts>350 cells/mm reduces immune activation with no effect on HIV load or CD4 count.

C Scott Mahan, Maria Walusimbi, Denise F Johnson, Christina Lancioni, Edwin Charlebois, Joyce Baseke, Keith A Chervenak, Roy D Mugerwa, Diane V Havlir, Harriet Mayanja-Kizza and 3 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 27% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 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

13 authors at 6 institutions in 2 countries.

C Scott MahanTuberculosis Research Unit, Case Western Reserve University School of Medicine, and University Hospitals-Case Medical Center, Cleveland, Ohio, United States of America. csmahan@gmail.com
Maria Walusimbi
Denise F Johnson
Christina Lancioni
Edwin Charlebois
Joyce Baseke
Keith A Chervenak
Roy D Mugerwa
Diane V Havlir
Harriet Mayanja-Kizza
Christopher C Whalen
W Henry Boom
Uganda-Case Western Research Collaboration
Makerere University · UGUniversity School · USCase Western Reserve University · USSan Francisco General Hospital · USMulago Hospital · UGUniversity of Georgia · US

Funding

WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Sharon L. Hillier, JONATHAN KARN · 1994 to 2026
$50.0M
HIV/TB in Uganda: Punctuated Antiretroviral TherapyR01AI051219 · NIAID · UNIVERSITY OF GEORGIA · PI WHALEN, CHRISTOPHER C. · 2003 to 2007
$6.1M
Tuberculosis Prevention Research Unit /TBRU/-266095383N01AI095383 · NIAID · CASE WESTERN RESERVE UNIVERSITY · 2000 to 2005
$5.6M
PULMONARY PATHOGEN DEFENSE MECHANISMST32HL007889 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI BOOM, HENRY · 1998 to 2007
$1.1M
NHLBI NIH HHS T32 HL007889NHLBI NIH HHS T32-HL07889NIAID NIH HHS AI36219NIAID NIH HHS HHSN266200700022C/NO1-AI70022NIAID NIH HHS L40 AI079847NIAID NIH HHS N01 AI070022NIAID NIH HHS N01 AI095383NIAID NIH HHS P30 AI036219NIAID NIH HHS R01 AI051219NIAID NIH HHS R01-AI 51219
6 · The paper itself

Abstract

backgroundBoth HIV and TB cause a state of heightened immune activation. Immune activation in HIV is associated with progression to AIDS. Prior studies, focusing on persons with advanced HIV, have shown no decline in markers of cellular activation in response to TB therapy alone. METHODOLOGY: This prospective cohort study, composed of participants within a larger phase 3 open-label randomized controlled clinical trial, measured the impact of TB treatment on immune activation in persons with non-advanced HIV infection (CD4>350 cells/mm3) and pulmonary TB. HIV load, CD4 count, and markers of immune activation (CD38 and HLA-DR on CD4 and CD8 T cells) were measured prior to starting, during, and for 6 months after completion of standard 6 month anti-tuberculosis (TB) therapy in 38 HIV infected Ugandans with smear and culture confirmed pulmonary TB.

resultsExpression of CD38, and co-expression of CD38 and HLA-DR, on CD8 cells declined significantly within 3 months of starting standard TB therapy in the absence of anti-retroviral therapy, and remained suppressed for 6 months after completion of therapy. In contrast, HIV load and CD4 count remained unchanged throughout the study period.

conclusionTB therapy leads to measurable decreases in immune activation in persons with HIV/TB co-infection and CD4 counts>350 cells/mm3.

Indexed as

AdultAntitubercular AgentsCD4 Lymphocyte CountCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCohort StudiesEthambutolFemaleFlow CytometryHIV-1HIV InfectionsHumansIsoniazidMaleMiddle AgedProspective StudiesAntitubercular AgentsEthambutolIsoniazidPyrazinamideRifampin

Identifiers

PMID20179751
PMCPMC2825253
OpenAlexW1994607591

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.