Evidence map›Paper›PMID 22457273›Full record

ArticleThe Journal of infectious diseases2012

Severe immune dysregulation affects CD4⁺CD25(hi)FoxP3⁺ regulatory T cells in HIV-infected patients with low-level CD4 T-cell repopulation despite suppressive highly active antiretroviral therapy.

Gema Méndez-Lagares, María M Pozo-Balado, María del Mar del Pozo Balado, Miguel Genebat, Miguel Genebat González, Antonio García Pergañeda, Antonio García Pergañeda Sánchez, Manuel Leal, Manuel Leal Noval, Yolanda María Pacheco and 1 more

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In one paragraph

Article in The Journal of infectious diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
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

28 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Review
  6. The role of CD38 in HIV infection.AIDS research and therapy · 2021
    Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

  • Commented on by
  • Erratum issued
    del Mar del Pozo Balado, María [corrected to Pozo-Balado, María M]; Genebat González, Miguel [corrected to Genebat, Miguel]; García Pergañeda Sánchez, Antonio [corrected to García-Pergañeda, Antonio]; Leal Noval, Manuel [corrected to Leal, Manuel];
5 · Who and what money

Authors and funding

11 authors.

Gema Méndez-LagaresImmunovirology Laboratory, Institute of Biomedicine of Seville, Infectious Diseases Service and Department of Clinical Biochemistry, Virgen del Rocío University Hospital, IBIS/CSIC/University of Seville, Spain.
María M Pozo-Balado
María del Mar del Pozo Balado
Miguel Genebat
Miguel Genebat González
Antonio García Pergañeda
Antonio García Pergañeda Sánchez
Manuel Leal
Manuel Leal Noval
Yolanda María Pacheco
Yolanda María Pacheco López

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We hypothesized that CD4(+)CD25(hi)FoxP3(+) regulatory T cells (Tregs) could be involved in the high immune activation existing in patients with low-level CD4 T-cell repopulation under suppressive high active antiretroviral therapy (hereafter, "LLR patients"). Sixteen LLR patients, 18 human immunodeficiency virus (HIV)-infected controls (hereafter, "HIV controls"), and 16 healthy subjects were included. The frequency of CD4(+)CD25(hi)FoxP3(+) and HIV-specific Treg suppressive function were assessed. Relationships between Treg and CD4/CD8 activation (HLA-DR/CD38) and the frequency of naive CD4 T-cells were assessed. Low-level patients showed a higher Treg frequency but reduced HIV-specific immunosuppressive functions than HIV controls. Whereas in healthy subjects a strong negative correlation between Tregs and activated CD8 T cells emerged (r = -0.75, P < .001), it appeared disrupted in both HIV-infected groups (r = -0.06 and P = .83 for LLR patients; r = -0.11 and P = .68 for and HIV controls). Nevertheless, in LLR patients, Tregs negatively correlated with naive CD4 T cells (r = -0.60, P = .01), whereas there was no such correlation in HIV controls (r = -0.19, P = .46) or healthy subjects (r = -0.10, P = .73). Remarkably, a higher ratio of Tregs to naive CD4 T cells was observed in LLR patients than in HIV controls (P = .001) and healthy subjects (P < .001). We conclude that LLR patients have important alterations in immunoregulation involving CD4(+)CD25(hi)FoxP3(+) Tregs. In this scenario, the role of Tregs seems to be more related to the control of the naive CD4 T-cell homeostatic proliferation, rather than to the immune activation.

Indexed as

Antiretroviral Therapy, Highly ActiveAdultCase-Control StudiesCD4 AntigensCD4 Lymphocyte CountCD8-Positive T-LymphocytesCell ProliferationCohort StudiesCross-Sectional StudiesCTLA-4 AntigenFemaleForkhead Transcription FactorsGene Expression RegulationGlucocorticoid-Induced TNFR-Related ProteinHIV-1HIV InfectionsCD4 AntigensCTLA-4 AntigenForkhead Transcription FactorsFOXP3 protein, humanGlucocorticoid-Induced TNFR-Related ProteinIL2RA protein, humanInterleukin-2Interleukin-2 Receptor alpha SubunitRNA, ViralTNFRSF18 protein, human

Identifiers

PMID22457273

What OpenQuestion holds

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Registered trials

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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.