Evidence map›Paper›PMID 22156200›Full record

ArticleThe Journal of clinical investigation2012

Altered CD4+ T cell homing to the gut impairs mucosal immune reconstitution in treated HIV-infected individuals.

Maud Mavigner, Michelle Cazabat, Martine Dubois, Fatima-Ezzahra L'Faqihi, Mary Requena, Christophe Pasquier, Pascale Klopp, Jacques Amar, Laurent Alric, Karl Barange and 5 more

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 105 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed, 1 pooled it
5.0field-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.

NCT00001471 completednot on this map

Virologic and Immunologic Evaluation of Lymph Node, Tonsillar and Intestinal Biopsies, and Bronchoalveolar Lavage Fluid

TypeobservationalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran1994Enrolled386ConditionsHIV, ICL, Healthy Volunteers
NCT01038401 nacompletednot on this map

Characterization of the Residual Replication of HIV-1 in the Gut-associated Lymphoid Tissue in Patients Receiving Effective Highly Active Antiretroviral Therapy: the ANRS EP 44 Study

TypeinterventionalSponsorANRS, Emerging Infectious DiseasesRan2008 to 2010Enrolled30ConditionsHIV InfectionArmsGI endoscopy and GALT biopsies, A sample of venous blood will also be collected
3 · Its place in the literature

Who cites it

105 citing papers in PubMed, 1 synthesis or guideline pooled it, 170 citations in OpenAlex.

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45 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

15 authors at 2 institutions in 1 country.

Maud MavignerINSERM, UMR1043, Toulouse, France.
Michelle Cazabat
Martine Dubois
Fatima-Ezzahra L'Faqihi
Mary Requena
Christophe Pasquier
Pascale Klopp
Jacques Amar
Laurent Alric
Karl Barange
Jean-Pierre Vinel
Bruno Marchou
Patrice Massip
Jacques Izopet
Pierre Delobel
Centre Hospitalier Universitaire de Toulouse · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Depletion of CD4+ T cells from the gut occurs rapidly during acute HIV-1 infection. This has been linked to systemic inflammation and disease progression as a result of translocation of microbial products from the gut lumen into the bloodstream. Combined antiretroviral therapy (cART) substantially restores CD4+ T cell numbers in peripheral blood, but the gut compartment remains largely depleted of such cells for poorly understood reasons. Here, we show that a lack of recruitment of CD4+ T cells to the gut could be involved in the incomplete mucosal immune reconstitution of cART-treated HIV-infected individuals. We investigated the trafficking of CD4+ T cells expressing the gut-homing receptors CCR9 and integrin α4β7 and found that many of these T cells remained in the circulation rather than repopulating the mucosa of the small intestine. This is likely because expression of the CCR9 ligand CCL25 was lower in the small intestine of HIV-infected individuals. The defective gut homing of CCR9+β7+ CD4+ T cells - a population that we found included most gut-homing Th17 cells, which have a critical role in mucosal immune defense - correlated with high plasma concentrations of markers of mucosal damage, microbial translocation, and systemic T cell activation. Our results thus describe alterations in CD4+ T cell homing to the gut that could prevent efficient mucosal immune reconstitution in HIV-infected individuals despite effective cART.

Indexed as

Immunity, MucosalAntiretroviral Therapy, Highly ActiveCase-Control StudiesCD4-Positive T-LymphocytesCell MovementChemokines, CCHIV-1HIV InfectionsHumansIntegrin beta ChainsIntestinal MucosaIntestine, SmallReceptors, CCRRNA, MessengerTh17 CellsT-Lymphocyte SubsetsCC chemokine receptor 9CCL25 protein, humanChemokines, CCintegrin beta7Integrin beta ChainsReceptors, CCRRNA, Messenger

Identifiers

PMID22156200
PMCPMC3248296
OpenAlexW2058983339

What OpenQuestion holds

Textmetadata
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.