Evidence map›Paper›PMID 21372726›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2011

Serologic responses to pneumocystis proteins in HIV patients with and without Pneumocystis jirovecii pneumonia.

Matthew R Gingo, Lorrie Lucht, Kieran R Daly, Kpandja Djawe, Frank J Palella, Alison G Abraham, Jay H Bream, Mallory D Witt, Lawrence A Kingsley, Karen A Norris and 2 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00869544 (Pneumocystis in Pathogenesis of HIV-associated Emphysema), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.0field-weighted citation impact, top 24% 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.

NCT00869544 completednot on this map

Pneumocystis in Pathogenesis of HIV-associated Emphysema

TypeobservationalSponsorUniversity of PittsburghRan2007 to 2013Enrolled250ConditionsHIV Infections, Pneumocystis Pneumonia, Emphysema, Chronic Obstructive Pulmonary Disease
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 32 citations in OpenAlex.

  1. Development of a vaccine construct againstNAR genomics and bioinformatics · 2025
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. A therapeutic vaccine strategy to preventFrontiers in immunology · 2022
    Article
  7. Immune Response inJournal of fungi (Basel, Switzerland) · 2021
    Review
  8. Relationship ofBMJ open respiratory research · 2021
    Article
  9. Pathogens (Basel, Switzerland) · 2021
    Review
  10. Detection of anti-Pneumocystis jirovecii antibodies in human serum using a recombinant synthetic multi-epitope kexin-based antigen.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Observational
  11. Article
  12. Immunization withHuman vaccines & immunotherapeutics · 2019
    Article
  13. Review
  14. Article
  15. An Emerging Role of B Cell Immunity in Susceptibility to Pneumocystis Pneumonia.American journal of respiratory cell and molecular biology · 2017
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

12 authors at 5 institutions in 1 country.

Matthew R GingoDepartment of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Lorrie Lucht
Kieran R Daly
Kpandja Djawe
Frank J Palella
Alison G Abraham
Jay H Bream
Mallory D Witt
Lawrence A Kingsley
Karen A Norris
Peter D Walzer
Alison Morris
University of Pittsburgh · USJohns Hopkins University · USNorthwestern University · USThe Lundquist Institute · USVeterans Health Administration · US

Funding

NATURAL HISTORY OF AIDS IN HOMOSEXUAL MENU01AI035040 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DETELS, ROGER, MARTINEZ-MAZA, OTONIEL · 1993 to 2018
$75.2M
ZONA-FREE HAMSTER OVA ASSAY AS AN INDICATOR OF MALE FERTILITYM01RR000425 · NCRR · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI ANDERSON, GAIL V · 1985 to 2011
$74.2M
University of Pittsburgh Multicenter AIDS Cohort Study (MACS)U01AI035041 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MARTINSON, JEREMY JAMES, RINALDO, CHARLES R · 1993 to 2018
$71.4M
MULTICENTER AIDS COHORT STUDYU01AI035039 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI WOLINSKY, STEVEN M · 1993 to 2018
$66.4M
Multicenter Aids Cohort Study- Part B (Baltimore Site)U01AI035042 · NIAID · JOHNS HOPKINS UNIVERSITY · PI BROWN, TODD T, MARGOLICK, JOSEPH B. · 1993 to 2018
$61.5M
ZINC AND CA EDTA THERAPY OF PLUMBISMM01RR000052 · NCRR · JOHNS HOPKINS UNIVERSITY · PI BELCHER, HAROLYN MILLICENT EDITH · 1985 to 2007
$37.3M
METHODOLOGICAL EXPERTISE IN INTREPRETING MACS DATAU01AI035043 · NIAID · JOHNS HOPKINS UNIVERSITY · PI JACOBSON, LISA P · 1993 to 2011
$26.9M
Translational Training Program in Pulmonary Biology and MedicineT32HL007563 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Melanie Koenigshoff · 1985 to 2026
$12.3M
Prevalence & Pathogenesis of Pulmonary Disease in a Large Multicenter HIV CohortR01HL090339 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MORRIS, ALISON · 2007 to 2011
$4.0M
Pneumocystis in Pathogenesis of HIV-associated EmphysemaR01HL083461 · NHLBI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MORRIS, ALISON · 2005 to 2009
$2.2M
Global Serological Study of Pneumocystis InfectionF33AI065207 · NIAID · U OF L LONDON SCH/HYGIENE &TROPICAL MED · PI WALZER, PETER D · 2005 to 2005
$74k
NCRR NIH HHS 5-MO1-RR-00052NCRR NIH HHS M01 RR000052NCRR NIH HHS M01 RR000425NCRR NIH HHS M01 RR00425NHLBI NIH HHS HL090339NHLBI NIH HHS R01 HL083461NHLBI NIH HHS R01 HL090339NHLBI NIH HHS T32 HL007563NHLBI NIH HHS T32HL007563NIAID NIH HHS F33 AI-065207NIAID NIH HHS F33 AI065207NIAID NIH HHS R01AI-06492NIAID NIH HHS U01 AI035039NIAID NIH HHS U01 AI035040NIAID NIH HHS U01 AI035041NIAID NIH HHS U01 AI035042NIAID NIH HHS U01 AI035043NIAID NIH HHS UO1-AI-35039NIAID NIH HHS UO1-AI-35040NIAID NIH HHS UO1-AI-35041NIAID NIH HHS UO1-AI-35042NIAID NIH HHS UO1-AI-35043
6 · The paper itself

Abstract

backgroundImmune responses to Pneumocystis jirovecii are not well understood in HIV infection, but antibody responses to proteins may be useful as a marker of Pneumocystis risk or presence of Pneumocystis pneumonia (PcP).

designRetrospective analysis of a prospective cohort.

methodsEnzyme-linked immunosorbent assays of antibodies to recombinant Pneumocystis proteins of major surface glycoprotein fragments (MsgC1, C3, C8, and C9) and of antibody titers to recombinant kexin protein (KEX1) were performed on 3 sequential serum samples up to 18 months before and 3 samples after first AIDS-defining illness from Multicenter AIDS Cohort Study participants and compared between those who had PcP or a non-PcP AIDS-defining illness.

resultsFifty-four participants had PcP and 47 had a non-PcP AIDS-defining illness. IgG levels to MsgC fragments were similar between groups before first AIDS-defining illness, but the PcP group had higher levels of IgG to MsgC9 (median units/mL 50.2 vs. 22.2, P = 0.047) post-illness. Participants with PcP were more likely to have an increase in MsgC3 [odds ratio (OR): 3.9, P = 0.02], MsgC8 (OR: 5.5, P = 0.001), and MsgC9 (OR: 4.0, P = 0.007). The PcP group was more likely to have low KEX1 IgG before development of PcP (OR: 3.6, P = 0.048) independent of CD4 cell count and to have an increase in high IgG titers to KEX1 after PcP.

conclusionsHIV-infected individuals develop immune responses to both Msg and kexin proteins after PcP. Low KEX1 IgG titers may be a novel marker of future PcP risk before CD4 cell count has declined below 200 cells per microliter.

Indexed as

AdultAIDS-Related Opportunistic InfectionsAntibodies, FungalBiomarkersEnzyme-Linked Immunosorbent AssayFungal ProteinsHIV InfectionsHumansImmunoglobulin GImmunoglobulin MMembrane GlycoproteinsMiddle AgedPneumocystis cariniiPneumonia, PneumocystisRisk FactorsSerine EndopeptidasesAntibodies, FungalBiomarkersFungal ProteinsGPA protein, Pneumocystis carinii sp.Immunoglobulin GImmunoglobulin MKex1 protein, Pneumocystis jiroveciiMembrane GlycoproteinsSerine Endopeptidases

Identifiers

PMID21372726
PMCPMC3150634
OpenAlexW1976491190

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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.