Evidence map›Paper›PMID 20657770›Full record

Trial reportPloS one2010

Relationship between regulatory T cells and immune activation in human immunodeficiency virus-infected patients interrupting antiretroviral therapy.

Laurence Weiss, Christophe Piketty, Lambert Assoumou, Céline Didier, Laure Caccavelli, Vladimira Donkova-Petrini, Yves Levy, Pierre-Marie Girard, Marianne Burgard, Jean-Paul Viard and 3 more

Registry-linked trialAbstract readClinical TrialMulticenter Study
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. It is linked to trial NCT00118677 (Long-Term Supervised Treatment Interruption in HIV-Infected Patients Who Started Antiretroviral Treatment With CD4 Over 350/mm3 and Plasma HIV RNA Below 50 000/mL ANRS 116 Trial SALTO), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
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.

NCT00118677 phase3completednot on this map

Long-Term Supervised Treatment Interruption in HIV-Infected Patients Who Started Antiretroviral Treatment With CD4 Over 350/mm3 and Plasma HIV RNA Below 50 000/mL ANRS 116 Trial SALTO

TypeinterventionalSponsorFrench National Agency for Research on AIDS and Viral HepatitisRan2003 to 2007Enrolled130ConditionsHIV InfectionsArmsTreatment interruption
3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. High-frequency and activation of CD4Veterinary research · 2021
    Article
  6. The role of CD38 in HIV infection.AIDS research and therapy · 2021
    Review
  7. Review
  8. Review
  9. Article
  10. Foxp3BMC immunology · 2019
    Article
  11. Article
  12. Regulatory T Cell Effect on CD8AIDS research and human retroviruses · 2017
    Article
  13. Potential Role of Vδ2Frontiers in immunology · 2017
    Article
  14. Article
  15. Article
  16. Review
  17. Epigenetic modification of FOXP3 in patients with chronic HIV infection.Journal of acquired immune deficiency syndromes (1999) · 2014
    Article
  18. Article
  19. HIV-associated chronic immune activation.Immunological reviews · 2013
    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

13 authors.

Laurence WeissFaculté de Médecine, Université Paris Descartes, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Européen Georges Pompidou, Paris, France. laurence.weiss@egp.aphp.fr
Christophe Piketty
Lambert Assoumou
Céline Didier
Laure Caccavelli
Vladimira Donkova-Petrini
Yves Levy
Pierre-Marie Girard
Marianne Burgard
Jean-Paul Viard
Christine Rouzioux
Dominique Costagliola
ANRS 116 SALTO study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledPersistent immune activation plays a central role in driving Human Immunodeficiency Virus (HIV) disease progression. Whether CD4+CD25+ regulatory T cells (Tregs) are harmful by suppressing HIV-specific immune responses and/or beneficial through a decrease in immune activation remains debatable. We analysed the relationship between proportion and number of regulatory T cells (Tregs) and immune activation in HIV-infected patients interrupting an effective antiretroviral therapy (ART). Twenty-five patients were included in a substudy of a prospective multicenter trial of treatment interruption (TI) (ANRS 116). Proportions and numbers of Tregs and the proportion of activated CD4 and CD8 T cells were assessed at baseline and month 12 (M12) of TI. Specific anti-HIV CD4 and CD8 responses were investigated at baseline and M12. Non parametric univariate analyses and multivariate linear regression models were conducted. At baseline, the proportion of Tregs negatively correlated with the proportion of HLA-DR+CD8+T cells (r=-0.519). Following TI, the proportion of Tregs increased from 6.3% to 7.2% (p=0.029); absolute numbers of Tregs decreased. The increase in the proportion of HLA-DR+CD38+CD8+T cells was significantly related to the increase in proportion of Tregs (p=0.031). At M12, the proportion of Tregs did not negatively correlate with CD8 T-cell activation. Nevertheless, Tregs retain a suppressive function since depletion of Treg-containing CD4+CD25+ cells led to an increase in lymphoproliferative responses in most patients studied. Our data suggest that Tregs are efficient in controlling residual immune activation in patients with ART-mediated viral suppression. However, the insufficient increase in the proportion and/or the decrease in the absolute number of Tregs result in a failure to control immune activation following TI.

trial registrationClinicalTrials.gov NCT00118677.

Indexed as

AdultAnti-HIV AgentsCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCells, CulturedFemaleFlow CytometryHIVHIV InfectionsHumansInterleukin-2 Receptor alpha SubunitMaleMiddle AgedT-Lymphocytes, RegulatoryAnti-HIV AgentsInterleukin-2 Receptor alpha Subunit

Identifiers

PMID20657770
PMCPMC2908121

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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.