Evidence map›Paper›PMID 22241988›Full record

Trial reportPLoS pathogens2012

Lymphoid tissue damage in HIV-1 infection depletes naïve T cells and limits T cell reconstitution after antiretroviral therapy.

Ming Zeng, Peter J Southern, Cavan S Reilly, Greg J Beilman, Jeffrey G Chipman, Timothy W Schacker, Ashley T Haase

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in PLoS pathogens, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00001471 (Virologic and Immunologic Evaluation of Lymph Node, Tonsillar and Intestinal Biopsies, and Bronchoalveolar Lavage Fluid), which is not on this map. Cited by 109 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 2% 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
3 · Its place in the literature

Who cites it

109 citing papers in PubMed, 1 synthesis or guideline pooled it, 174 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. The Complex Dysregulations of CD4 T Cell Subtypes in HIV Infection.International journal of molecular sciences · 2024
    Review
  18. Article
  19. The immune response to SARS-CoV-2 in people with HIV.Cellular & molecular immunology · 2024
    Review
  20. Review

49 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

7 authors at 2 institutions in 1 country.

Ming ZengDepartment of Microbiology, Medical School, University of Minnesota, Minneapolis, Minnesota, United States of America.
Peter J Southern
Cavan S Reilly
Greg J Beilman
Jeffrey G Chipman
Timothy W Schacker
Ashley T Haase
University of Minnesota Medical Center · USUniversity of Minnesota · US

Funding

Virological Measurements of Cryptic ReplicationP01AI074340 · NIAID · UNIVERSITY OF MINNESOTA · PI SCHACKER, TIMOTHY W · 2008 to 2012
$12.1M
PATHOGENESIS OF HIV-INDUCED IMMUNODEFICIENCYR37AI028246 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI HAASE, ASHLEY T. · 1989 to 2008
$3.3M
PATHOGENESIS OF MUCOSAL TRANSMISSION/ACUTE SIV INFECTIONR01AI048484 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI HAASE, ASHLEY T. · 2000 to 2003
$3.2M
Functional Genomic Analysis of HIV-1 Infection in Lymphatic TissuesR01AI056997 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI HAASE, ASHLEY T. · 2004 to 2008
$3.0M
Damage to the Lymphoid Niche &Timing of HIV TherapyR01AI054232 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI SCHACKER, TIMOTHY W · 2003 to 2007
$2.4M
NIAID NIH HHS AI028246NIAID NIH HHS AI048484NIAID NIH HHS AI056997NIAID NIH HHS AI074340NIAID NIH HHS P01 AI074340NIAID NIH HHS R01 AI048484NIAID NIH HHS R01 AI054232NIAID NIH HHS R01 AI056997NIAID NIH HHS R37 AI028246
6 · The paper itself

Abstract

Highly active antiretroviral therapy (HAART) can suppress HIV-1 replication and normalize the chronic immune activation associated with infection, but restoration of naïve CD4+ T cell populations is slow and usually incomplete for reasons that have yet to be determined. We tested the hypothesis that damage to the lymphoid tissue (LT) fibroblastic reticular cell (FRC) network contributes to naïve T cell loss in HIV-1 infection by restricting access to critical factors required for T cell survival. We show that collagen deposition and progressive loss of the FRC network in LTs prior to treatment restrict both access to and a major source of the survival factor interleukin-7 (IL-7). As a consequence, apoptosis within naïve T cell populations increases significantly, resulting in progressive depletion of both naïve CD4+ and CD8+ T cell populations. We further show that the extent of loss of the FRC network and collagen deposition predict the extent of restoration of the naïve T cell population after 6 month of HAART, and that restoration of FRC networks correlates with the stage of disease at which the therapy is initiated. Because restoration of the FRC network and reconstitution of naïve T cell populations are only optimal when therapy is initiated in the early/acute stage of infection, our findings strongly suggest that HAART should be initiated as soon as possible. Moreover, our findings also point to the potential use of adjunctive anti-fibrotic therapies to avert or moderate the pathological consequences of LT fibrosis, thereby improving immune reconstitution.

Indexed as

HIV-1AdultAntiretroviral Therapy, Highly ActiveCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCell SurvivalFemaleFibrosisHIV InfectionsHumansInterleukin-7Lymphoid TissueMaleMiddle AgedTime FactorsIL7 protein, humanInterleukin-7

Identifiers

PMID22241988
PMCPMC3252371
OpenAlexW2075401994

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.