Evidence map›Paper›PMID 22829639›Full record

ArticleThe Journal of infectious diseases2012

Innate immune activation enhances hiv acquisition in women, diminishing the effectiveness of tenofovir microbicide gel.

Vivek Naranbhai, Salim S Abdool Karim, Marcus Altfeld, Natasha Samsunder, Raveshni Durgiah, Sengeziwe Sibeko, Quarraisha Abdool Karim, William H Carr, CAPRISA004 TRAPS team

Open access · bronzeAbstract read
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. Cited by 99 papers.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed
10.9field-weighted citation impact, top 1% 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

99 citing papers in PubMed, 141 citations in OpenAlex.

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  9. Self-Assembly of Anti-Inflammatory Peptide Amphiphiles for Mucosal Health.Chembiochem : a European journal of chemical biology · 2026
    Article
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  19. HPV and the Risk of HIV Acquisition in Women.Frontiers in cellular and infection microbiology · 2022
    Review
  20. Article

39 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

9 authors at 4 institutions in 2 countries.

Vivek NaranbhaiCAPRISA - Centre for the AIDS Programme of Research in South Africa.
Salim S Abdool Karim
Marcus Altfeld
Natasha Samsunder
Raveshni Durgiah
Sengeziwe Sibeko
Quarraisha Abdool Karim
William H Carr
CAPRISA004 TRAPS team
Centre for the AIDS Programme of Research in South Africa · ZAUniversity of KwaZulu-Natal · ZAColumbia University · USRagon Institute of MGH, MIT and Harvard · US

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI ROBERT A. PARKER · 2004 to 2026
$94.4M
The Viral Set Point in HIV-1 Subtype C InfectionU19AI051794 · NIAID · UNIVERSITY OF KWAZULU-NATAL · PI ABDOOL KARIM, SALIM S · 2002 to 2007
$22.5M
TUBERCULOSIS SUPPLEMENTD43TW000231 · FIC · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI ABDOOL KARIM, QUARRAISHA · 1993 to 2014
$13.1M
AIDS-Restrictive Innate Immune MechanismsK01TW007793 · FIC · MASSACHUSETTS GENERAL HOSPITAL · PI CARR, WILLIAM H · 2008 to 2011
$489k
FIC NIH HHS D43 TW000231FIC NIH HHS K01 TW007793FIC NIH HHS K01-TW007793NIAID NIH HHS AI51794NIAID NIH HHS P30 AI060354NIAID NIH HHS U19 AI051794
6 · The paper itself

Abstract

The antiretroviral agent, tenofovir, formulated as a vaginal microbicide gel, reduces human immunodeficiency virus (HIV) acquisition by 39% in women. This study assessed the role of preexisting immune activation in HIV acquisition in women from the CAPRISA 004 trial, to identify potential strategies to increase the effectiveness of tenofovir gel. Systemic cytokine and cellular immune mediators (platelets and natural killer [NK] cells) were assessed in women at high risk for HIV assigned to either tenofovir or placebo gel in the CAPRISA 004 trial. Notwithstanding tenofovir gel use, women who acquired HIV had significantly higher systemic innate immune activation prior to infection than women who remained uninfected. Activation of both soluble (cytokine) and cellular (NK cells) immune mediators were associated with HIV acquisition, individually or in combination. Hence, an innate immune activation suppressant could be added to tenofovir gel as a potential combination gel strategy in developing the next generation of higher efficacy antiretroviral microbicides.

Indexed as

Immunity, InnateAdenineAdultAnti-HIV AgentsAvian ProteinsCase-Control StudiesCoinfectionCytokinesDisease SusceptibilityFemaleHerpes GenitalisHerpesvirus 2, HumanHIV InfectionsHumansLogistic ModelsLymphocyte ActivationAdenineAnti-HIV AgentsAvian ProteinsCytokinesEMF-1 protein, Gallus gallusOrganophosphonatesTenofovirVaginal Creams, Foams, and Jellies

Identifiers

PMID22829639
PMCPMC3501691
OpenAlexW2166192929

What OpenQuestion holds

Textmetadata
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.