Evidence map›Paper›PMID 21252259›Full record

Trial reportThe Journal of infectious diseases2011

Plasma levels of soluble CD14 independently predict mortality in HIV infection.

Netanya G Sandler, Handan Wand, Annelys Roque, Matthew Law, Martha C Nason, Daniel E Nixon, Court Pedersen, Kiat Ruxrungtham, Sharon R Lewin, Sean Emery and 6 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05323396 (Impact of Parasitic Infections on Intestinal Epithelial Barrier and Immune Activation Among Persons Living With HIV in Lilongwe, Malawi), which is not on this map. Cited by 745 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
745citing papers in PubMed, 5 pooled it
86.3field-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.

NCT05323396 nacompletednot on this mapstarted 2022, after this paper: background citation

Impact of Parasitic Infections on Intestinal Epithelial Barrier and Immune Activation Among Persons Living With HIV in Lilongwe, Malawi

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2022 to 2023Enrolled120ConditionsHIV CoinfectionArmsAntiparasitic medication
3 · Its place in the literature

Who cites it

745 citing papers in PubMed, 5 syntheses or guidelines pooled it, 1,096 citations in OpenAlex.

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  14. Interleukin 6 Blockade With Tocilizumab Diminishes Indices of Inflammation That Are Linked to Mortality in Treated Human Immunodeficiency Virus Infection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
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685 more citing papers are in PubMed but not listed here.

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

16 authors at 8 institutions in 6 countries.

Netanya G SandlerHuman Immunology Section, Vaccine Research Center.
Handan Wand
Annelys Roque
Matthew Law
Martha C Nason
Daniel E Nixon
Court Pedersen
Kiat Ruxrungtham
Sharon R Lewin
Sean Emery
James D Neaton
Jason M Brenchley
Steven G Deeks
Irini Sereti
Daniel C Douek
INSIGHT SMART Study Group
National Institutes of Health · USUNSW Sydney · AUBurnet Institute · AUChulalongkorn University · THSan Francisco General Hospital · USUniversity of Minnesota · USUniversity of Southern Denmark · DKVirginia Commonwealth University · US

Funding

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
Immunopathogenic Mechanisms of Human Immunodeficiency Virus (HIV) DiseaseZIAAI001121 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI SERETI, IRINI · 2010 to 2025
$27.2M
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
InflammationZIAAI005031 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DOUEK, DANIEL CESAR · 2009 to 2024
$5.9M
Medical Research Council MC_U122886352NIAID NIH HHS AI-76174NIAID NIH HHS P01 AI076174
6 · The paper itself

Abstract

backgroundChronic human immunodeficiency virus (HIV) infection is associated with intestinal permeability and microbial translocation that contributes to systemic immune activation, which is an independent predictor of HIV disease progression. The association of microbial translocation with clinical outcome remains unknown.

methodsThis nested case-control study included 74 subjects who died, 120 of whom developed cardiovascular disease and 81 of whom developed AIDS during the Strategies for Management of Anti-Retroviral Therapy (SMART) study with matched control subjects. Intestinal fatty acid binding protein (I-FABP), lipopolysaccharide (LPS), soluble CD14 (sCD14), endotoxin core antibody (EndoCAb), and 16S ribosomal DNA (rDNA) were measured in baseline plasma samples.

resultsSubjects with the highest quartile of sCD14 levels had a 6-fold higher risk of death than did those in the lowest quartile (95% confidence interval, 2.2-16.1; P<.001), with minimal change after adjustment for inflammatory markers, CD4(+) T cell count, and HIV RNA level. No other marker was significantly associated with clinical outcomes. I-FABP, LPS, and sCD14 were increased and EndoCAb was decreased in study subjects, compared with healthy volunteers. sCD14 level correlated with levels of IL-6, C-reactive protein, serum amyloid A and D-dimer.

conclusionssCD14, a marker of monocyte response to LPS, is an independent predictor of mortality in HIV infection. Therapeutic attenuation of innate immune activation may improve survival in patients with HIV infection.

Indexed as

AdultBiomarkersCase-Control StudiesCause of DeathCD4-Positive T-LymphocytesFatty Acid-Binding ProteinsHIV InfectionsHumansLipopolysaccharide ReceptorsLipopolysaccharidesLogistic ModelsMaleMiddle AgedRNA, ViralYoung AdultBiomarkersFatty Acid-Binding ProteinsLipopolysaccharide ReceptorsLipopolysaccharidesRNA, Viral

Identifiers

PMID21252259
PMCPMC3071127
OpenAlexW2098152094

What OpenQuestion holds

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Read underepoch 390

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.