Evidence map›Paper›PMID 21303360›Full record

ArticleClinical and experimental immunology2011

Distinct cytokine and regulatory T cell profile at pleural sites of dual HIV/tuberculosis infection compared to that in the systemic circulation.

Z Toossi, C S Hirsch, M Wu, H Mayanja-Kizza, J Baseke, B Thiel

Open access · bronzeAbstract read
In one paragraph

Article in Clinical and experimental immunology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 19% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  7. Journal of clinical & cellular immunology · 2016
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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

6 authors at 3 institutions in 2 countries.

Z ToossiDivision of Infectious Diseases, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-4984, USA. zxt2@po.cwru.edu
C S Hirsch
M Wu
H Mayanja-Kizza
J Baseke
B Thiel
Case Western Reserve University · USJoint Clinical Research Centre · UGVeterans Health Administration · 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
Tuberculosis Prevention Research Unit /TBRU/-266095383N01AI095383 · NIAID · CASE WESTERN RESERVE UNIVERSITY · 2000 to 2005
$5.6M
INTERACTION OF M TUBERCULOSIS AND HIV IN THE LUNGR01HL051636 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI TOOSSI, ZAHRA TOOSSI · 1993 to 2014
$4.9M
Impact of Tuberculosis on HIV DiseaseR56HL051636 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI TOOSSI, ZAHRA TOOSSI · 2009 to 2009
$305k
NHLBI NIH HHS HL-51636NHLBI NIH HHS R01 HL051636NHLBI NIH HHS R56 HL051636NIAID NIH HHS AI-95383NIAID NIH HHS N01 AI095383NIAID NIH HHS P30 AI036219
6 · The paper itself

Abstract

Pleural tuberculosis (TB) remains a common presentation of Mycobacterium tuberculosis (MTB) infection in HIV/TB dually infected subjects, and both cellular and acellular components of the pleural milieu promote HIV-1 replication; however, they remain uncharacterized. Using cytokine array of pleural fluid and real-time reverse transcription-polymerase chain reaction (RT-PCR) and immunophenotype analysis, pleural fluid mononuclear cells (PFMC) were compared to systemic counterparts [i.e. plasma and peripheral blood mononuclear cells (PBMC)]. Significant increases in pleural fluid cytokines compared to plasma were limited to interleukin (IL)-6, IL-8, interferon (IFN)-γ and transforming growth factor (TGF)-β, and did not include other T helper type 1 (Th1) (IL-2, IL-15), Th2 or Th17 cytokines. Patterns and levels of cytokines were indistinguishable between pleural fluid from HIV/TB and TB patients. Forkhead box P3 (FoxP3) mRNA in PFMC was increased significantly and correlated highly with levels of IL-6 and IL-8, less with TGF-β, and not with IFN-γ. Among CD4 T cells, FoxP3-reactive CD25(hi) were increased in HIV/TB dually infected subjects compared to their PBMC, and up to 15% of FoxP3(+) CD25(hi) CD4 T cells were positive for IL-8 by intracellular staining. These data implicate a dominant effect of MTB infection (compared to HIV-1) at pleural sites of dual HIV/TB infection on the local infectious milieu, that include IL-6, IL-8, IFN-γ and TGF-β and regulatory T cells (T(reg) ). A correlation in expansion of T(reg) with proinflammatory cytokines (IL-6 and IL-8) in pleural fluid was shown. T(reg) themselves may promote the inflammatory cytokine milieu through IL-8.

Indexed as

AdultCytokinesFemaleForkhead Transcription FactorsFusion Proteins, gag-polGene ExpressionHIV-1HIV InfectionsHumansInterferon-gammaInterleukin-6Interleukin-8Leukocytes, MononuclearMaleMiddle AgedPlasmaCytokinesForkhead Transcription FactorsFOXP3 protein, humanFusion Proteins, gag-polIL6 protein, humanInterferon-gammaInterleukin-6Interleukin-8Transforming Growth Factor beta

Identifiers

PMID21303360
PMCPMC3048616
OpenAlexW1480442635

What OpenQuestion holds

Textmetadata
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.