Evidence map›Paper›PMID 22820806›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2012

Changes in the soluble mucosal immune environment during genital herpes outbreaks.

Marla J Keller, Rebecca P Madan, Gail Shust, Colleen A Carpenter, N Merna Torres, Sylvia Cho, Hnin Khine, Meei-Li Huang, Lawrence Corey, Mimi Kim and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

21 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Association of High-Risk Human Papillomavirus with Genital Tract Mucosal Immune Factors in HIV-Infected Women.American journal of reproductive immunology (New York, N.Y. : 1989) · 2016
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Research gaps in defining the biological link between HIV risk and hormonal contraception.American journal of reproductive immunology (New York, N.Y. : 1989) · 2014
    Review
  18. Article
  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

11 authors at 3 institutions in 2 countries.

Marla J KellerDepartment of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.
Rebecca P Madan
Gail Shust
Colleen A Carpenter
N Merna Torres
Sylvia Cho
Hnin Khine
Meei-Li Huang
Lawrence Corey
Mimi Kim
Betsy C Herold
Pediatrics and Genetics · USFred Hutch Cancer Center · USMontefiore Medical Center · US

Funding

Immunology/Pathology CoreP30AI051519 · NIAID · YESHIVA UNIVERSITY · PI PORCELLI, STEVEN A · 2003 to 2013
$18.6M
Impact of HSV-2 on Female Genital Tract Mucosal Immunity & HIV InfectionR01AI065309 · NIAID · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI HEROLD, BETSY C. · 2005 to 2014
$5.1M
Geographic Medicine and Emerging InfectionsT32AI070117 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI WEISS, LOUIS M. · 2008 to 2023
$5.1M
CYTOTOXIC T CELL RESPONSES TO HSV IN HIV INFECTIONR01AI042528 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI COREY, LAWRENCE, ZHU, JIA · 1998 to 2016
$2.7M
Genital Mucosal Immunity in Adolescent WomenK23AI089271 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MADAN, REBECCA PELLETT · 2011 to 2015
$668k
NCRR NIH HHS UL1RR02570NIAID NIH HHS K23 AI089271NIAID NIH HHS K23AI089271NIAID NIH HHS P30 AI051519NIAID NIH HHS P30AI051519NIAID NIH HHS R01 AI042528NIAID NIH HHS R01 AI065309NIAID NIH HHS R01AI065309NIAID NIH HHS T32 AI070117NIAID NIH HHS T32AI070117
6 · The paper itself

Abstract

backgroundGenital tract secretions provide variable inhibitory activity against herpes simplex virus (HSV) ex vivo. We hypothesize that the anti-HSV activity may prevent the spread of virus from the more commonly affected sites, such as the external genitalia, to the upper genital tract.

methodsThe antimicrobial activity of cervicovaginal lavage (CVL) and concentrations of mucosal immune mediators were measured in 10 HIV-seronegative women with an active external herpetic lesion and compared with 10 HIV-seronegative women who were HSV-1 and HSV-2 seronegative. Samples were obtained at the time of a symptomatic external lesion (day 0), after 1 week of oral acyclovir (day 7), and 1 week after completing treatment (day 14). Controls were evaluated at parallel intervals.

resultsThe anti-HSV activity was higher in CVL obtained from cases compared to controls at presentation (day 0) (54.3% vs. 28%), fell to similar levels on day 7, and then rebounded on day 14 (69% vs. 25%). The anti-HSV activity correlated positively and significantly with the concentrations of several inflammatory proteins; the concentrations of these proteins tended to be higher in cases compared with controls and followed a similar temporal pattern.

conclusionsIncreases in inflammatory immune mediators and anti-HSV activity were detected in CVL at the time of clinical outbreaks and after completion of a short course of acyclovir. These mucosal responses may protect against HSV spread but could facilitate HIV infection and contribute to the clinical observation that, independent of clinical lesions, HSV-2 is a risk factor for HIV acquisition.

Indexed as

Disease OutbreaksAcyclovirAdolescentAdultAntiviral AgentsCervix MucusFemaleHerpes GenitalisHerpesvirus 1, HumanHerpesvirus 2, HumanHumansMiddle AgedVaginal DouchingYoung AdultAcyclovirAntiviral Agents

Identifiers

PMID22820806
PMCPMC3685489
OpenAlexW2034327284

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.