Evidence map›Paper›PMID 22136114›Full record

ArticleHIV medicine2012

Metabolic abnormalities and viral replication are associated with biomarkers of vascular dysfunction in HIV-infected children.

T I Miller, W Borkowsky, L A DiMeglio, L Dooley, M E Geffner, R Hazra, E J McFarland, A J Mendez, K Patel, G K Siberry and 50 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in HIV medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01418014 (Adolescent Master Protocol), which is not on this map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
5.6field-weighted citation impact, top 4% 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.

NCT01418014 completednot on this map

Adolescent Master Protocol

TypeobservationalSponsorHarvard School of Public Health (HSPH)Ran2007 to 2021Enrolled678ConditionsHIV/AIDS
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 65 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Health-Related Physical Fitness Evaluation in HIV-Diagnosed Children and Adolescents: A Scoping Review.International journal of environmental research and public health · 2024
    Article
  6. Review
  7. Review
  8. Observational
  9. Observational
  10. Subclinical Vascular Disease in Children With Human Immunodeficiency Virus in Uganda Is Associated With Intestinal Barrier Dysfunction.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  11. Article
  12. Article
  13. Altered Intestinal Permeability and Fungal Translocation in Ugandan Children With Human Immunodeficiency Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  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

60 authors at 9 institutions in 1 country.

T I MillerDepartment of Pediatrics, Division of Pediatric Clinical Research, Miller School of Medicine at the University of Miami, Miami, FL, USA.
W Borkowsky
L A DiMeglio
L Dooley
M E Geffner
R Hazra
E J McFarland
A J Mendez
K Patel
G K Siberry
R B Van Dyke
C J Worrell
D L Jacobson
Pediatric HIV/AIDS Cohort Study (PHACS)
William Shearer
Norma Cooper
Lynette Harris
Murli Purswani
Mahboobullah Baig
Anna Cintron
Ana Puga
Sandra Navarro
Doyle Patton
Sandra Burchett
Nancy Karthas
Betsy Kammerer
Ram Yogev
Kathleen Malee
Scott Hunter
Eric Cagwin
Andrew Wiznia
Marlene Burey
Molly Nozyce
Janet Chen
Elizabeth Gobs
Mitzie Grant
Katherine Knapp
Kim Allison
Patricia Garvie
Midnela Acevedo-Flores
Heida Rios
Vivian Olivera
Margarita Silio
Cheryl Borne
Patricia Sirois
Stephen Spector
Kim Norris
Sharon Nichols
Elizabeth McFarland
Emily Barr
Carrie Chambers
Douglas Watson
Nicole Messenger
Rose Belanger
Arry Dieudonne
Linda Bettica
Susan Adubato
Gwendolyn Scott
Lisa Himic
Elizabeth Willen
Eunice Kennedy Shriver National Institute of Child Health and Human Development · USCancer Research And Biostatistics · USUniversity of Miami · USFrontier Science & Technology Research Foundation · USIndiana University School of MedicineNew York University · USSouthern California University for Professional Studies · USTulane University · USUniversity of Colorado Denver · US

Funding

PHACS - Data and Operations CenterU01HD052102 · NICHD · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI WILLIAMS, PAIGE L · 2005 to 2019
$242.7M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
Pediatric HIV/AIDS Cohort Study (PHACS): Understanding Maternal HIV Disease through Pregnancy and the Postpartum Period and its Role in Child Health OutcomesU01HD052104 · NICHD · TULANE UNIVERSITY OF LOUISIANA · PI VAN DYKE, RUSSELL B. · 2005 to 2019
$15.7M
Atherosclerotic Risk and Response to Exercise Intervention in HIV+ ChildrenR01HL095127 · NHLBI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI MILLER, TRACIE L · 2008 to 2010
$1.1M
NCRR NIH HHS UL1 RR025780NHLBI NIH HHS R01 HL095127NICHD NIH HHS U01 HD052102NICHD NIH HHS U01 HD052102-04NICHD NIH HHS U01 HD052104NICHD NIH HHS U01 HD052104-01
6 · The paper itself

Abstract

objectivesHIV-infected children may be at risk for premature cardiovascular disease. We compared levels of biomarkers of vascular dysfunction in HIV-infected children (with and without hyperlipidaemia) with those in HIV-exposed, uninfected (HEU) children enrolled in the Pediatric HIV/AIDS Cohort Study (PHACS), and determined factors associated with these biomarkers.

methodsA prospective cohort study was carried out. Biomarkers of inflammation [C-reactive protein (CRP), interleukin-6 (IL-6) and monocyte chemoattractant protein-1 (MCP1)], coagulant dysfunction (fibrinogen and P-selectin), endothelial dysfunction [soluble intracellular cell adhesion molecule-1 (sICAM), soluble vascular cell adhesion molecule-1 (sVCAM) and E-selectin], and metabolic dysfunction (adiponectin) were measured in 226 HIV-infected and 140 HEU children. Anthropometry, body composition, lipids, glucose, insulin, HIV disease severity, and antiretroviral therapy were recorded.

resultsThe median ages of the children were 12.3 years in the HIV-infected group and 10.1 years in the HEU group. Body mass index (BMI) z-scores, waist and hip circumferences, and percentage body fat were lower in the HIV-infected children. Total and non-high-density lipoprotein (HDL) cholesterol and triglycerides were higher in HIV-infected children. HIV-infected children also had higher MCP-1, fibrinogen, sICAM and sVCAM levels. In multivariable analyses in the HIV-infected children alone, BMI z-score was associated with higher CRP and fibrinogen, but lower MCP-1 and sVCAM. Unfavourable lipid profiles were positively associated with IL-6, MCP-1, fibrinogen, and P- and E-selectin, whereas increased HIV viral load was associated with markers of inflammation (MCP-1 and CRP) and endothelial dysfunction (sICAM and sVCAM).

conclusionsHIV-infected children have higher levels of biomarkers of vascular dysfunction than do HEU children. Risk factors associated with higher biomarkers include unfavourable lipid levels and active HIV replication.

Indexed as

AdolescentBiomarkersCardiovascular DiseasesCell Adhesion MoleculesChemokine CCL2ChildCohort StudiesC-Reactive ProteinE-SelectinFemaleFibrinogenHIV-1HIV InfectionsHumansHyperlipidemiasInterleukin-6BiomarkersCCL2 protein, humanCell Adhesion MoleculesChemokine CCL2C-Reactive ProteinE-SelectinFibrinogenInterleukin-6P-Selectin

Identifiers

PMID22136114
PMCPMC3297698
OpenAlexW1513140710

What OpenQuestion holds

Textmetadata
LicenceTDM
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.