Evidence map›Paper›PMID 21552185›Full record

Trial reportThe Pediatric infectious disease journal2011

Increased microbial translocation in ≤ 180 days old perinatally human immunodeficiency virus-positive infants as compared with human immunodeficiency virus-exposed uninfected infants of similar age.

Emmanouil Papasavvas, Livio Azzoni, Andrea Foulkes, Avy Violari, Mark F Cotton, Maxwell Pistilli, Griffin Reynolds, Xiangfan Yin, Deborah K Glencross, Wendy S Stevens and 2 more

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in The Pediatric infectious disease journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

26 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
  2. Systemic cytokine and interferon responsiveness Patterns in HIV and HCV mono and co-infections.Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research · 2014
    Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Paediatric HIV infection: the potential for cure.Nature reviews. Immunology · 2016
    Review
  13. Article
  14. Immune activation and paediatric HIV-1 disease outcome.Current opinion in HIV and AIDS · 2016
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Immunity to HIV in Early Life.Frontiers in immunology · 2014
    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 6 institutions in 2 countries.

Emmanouil PapasavvasThe Wistar Institute, Philadelphia, PA, USA.
Livio Azzoni
Andrea Foulkes
Avy Violari
Mark F Cotton
Maxwell Pistilli
Griffin Reynolds
Xiangfan Yin
Deborah K Glencross
Wendy S Stevens
James A McIntyre
Luis J Montaner
The Wistar Institute · USPerinatal HIV Research Unit · ZANational Health Laboratory Service · ZATygerberg Children’s Hospital · ZAUniversity of Massachusetts Amherst · USUniversity of the Witwatersrand · ZA

Funding

Tumor Microenvironment and MetastasisP30CA010815 · NCI · WISTAR INSTITUTE · PI Luis J Montaner · 1985 to 2026
$75.9M
The effect of ART on rates and transmission of TBU19AI053217 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI VIOLARI, AVY · 2002 to 2011
$44.9M
Pediatric Immune Correlates of Early Anti-HIV TherapyR01AI062512 · NIAID · WISTAR INSTITUTE · PI MONTANER, LUIS J · 2005 to 2010
$3.3M
Methods for high-dimensional data in HIV/CVD researchR01HL107196 · NHLBI · UNIVERSITY OF MASSACHUSETTS AMHERST · PI FOULKES, ANDREA S · 2011 to 2015
$2.0M
NCI NIH HHS P30 CA010815NCI NIH HHS P30 CA10815NHLBI NIH HHS R01 HL107196NIAID NIH HHS AI062512NIAID NIH HHS R01 AI062512NIAID NIH HHS U19 AI053217NIAID NIH HHS U19 AI53217
6 · The paper itself

Abstract

backgroundThe effect of early versus deferred antiretroviral treatment (ART) on plasma concentration of lipopolysaccharide (LPS) and host LPS-binding molecules in human immunodeficiency virus (HIV)-infected infants up to 1 year of age was investigated.

methodsWe evaluated 54 perinatally HIV-infected and 22 HIV-exposed uninfected infants (controls) at the first and second semester of life. All HIV-infected infants had a baseline CD4 of ≥ 25%, participated in the Comprehensive International Program of Research on AIDS Children with HIV Early Antiretroviral Therapy trial in South Africa, and were randomized in the following groups: group 1 (n = 20), ART deferred until CD4 < 25% or severe HIV disease; and group 2 (n = 34), ART initiation within 6 to 12 weeks of age. LPS, endotoxin-core antibodies, soluble CD14 (sCD14), and LPS-binding protein (LBP) were measured in cryopreserved plasma. T-cell activation was measured in fresh whole blood.

resultsAt the first semester, LPS concentration was higher in HIV-infected infants than in controls; sCD14, LBP, and T-cell activation were higher in group 1 than in group 2 and controls. Although LPS was not correlated with study variables, viral load was positively associated with sCD14, LBP, or endotoxin-core antibodies. At the second semester, LPS was not detectable and elevated host LPS-control molecules values were sustained in all groups and in conjunction with ART in all HIV-infected infants.

conclusionsAlthough plasma concentration of LPS was higher in perinatally HIV-infected infants 0 to 6 months of age than in controls independent of ART initiation strategy, concentration of LPS-control molecules was higher in infants with deferred ART, suggesting the presence of increased microbial translocation in HIV-infected infants with sustained early viral replication.

Indexed as

Bacterial TranslocationAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveBacteremiaHIVHIV InfectionsHumansInfantLipopolysaccharidesSouth AfricaTime FactorsAnti-HIV AgentsLipopolysaccharides

Identifiers

PMID21552185
PMCPMC3173518
OpenAlexW2138464656

What OpenQuestion holds

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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.