Evidence map›Paper›PMID 23469772›Full record

ArticleAIDS research and human retroviruses2013

Circulating interleukin-6, soluble CD14, and other inflammation biomarker levels differ between obese and nonobese HIV-infected adults on antiretroviral therapy.

John R Koethe, Kevin Dee, Aihua Bian, Ayumi Shintani, Megan Turner, Sally Bebawy, Timothy R Sterling, Todd Hulgan

Open access · greenAbstract read
In one paragraph

Article in AIDS research and human retroviruses, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  9. HIV and Obesity Comorbidity Increase Interleukin 6 but Not Soluble CD14 or D-Dimer.Journal of acquired immune deficiency syndromes (1999) · 2017
    Observational
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  15. Observational
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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

8 authors at 1 institution in 1 country.

John R KoetheDivision of Infectious Diseases, Vanderbilt University School of Medicine, Nashville, TN 37232-2582, USA. john.r.koethe@vanderbilt.edu
Kevin Dee
Aihua Bian
Ayumi Shintani
Megan Turner
Sally Bebawy
Timothy R Sterling
Todd Hulgan
Vanderbilt University · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
TRANSGENIC MOUSE/ ES CELL SHARES RESOURCESP60DK020593 · NIDDK · VANDERBILT UNIVERSITY · PI WASSERMAN, DAVID A · 1986 to 2011
$28.1M
VIROLOGY COREP30AI054999 · NIAID · VANDERBILT UNIVERSITY · PI KALAMS, SPYROS A · 2003 to 2011
$10.3M
Vanderbilt Multidisciplinary Clinical Research CenterP60AR056116 · NIAMS · VANDERBILT UNIVERSITY · PI STEIN, CHARLES M. · 2008 to 2012
$6.2M
Mentoring in HIV and Tuberculosis ResearchK24AI065298 · NIAID · VANDERBILT UNIVERSITY · PI STERLING, TIMOTHY R · 2005 to 2014
$1.6M
The Role of Obesity and Adipocytes in Immune Activation on Antiretroviral TherapyK23AI100700 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KOETHE, JOHN · 2012 to 2016
$600k
Oxidant Stress and Antioxidants during HIV TherapyK23AT002508 · NCCIH · VANDERBILT UNIVERSITY · PI HULGAN, TODD M · 2004 to 2007
$473k
NCATS NIH HHS UL1TR000445NCCIH NIH HHS K23 AT002508NIAID NIH HHS K23 AI100700NIAID NIH HHS K24 AI065298NIAID NIH HHS P30 AI54999NIAMS NIH HHS P60 AR056116NIDDK NIH HHS P60 DK020593PHS HHS A1065298
6 · The paper itself

Abstract

Obesity and chronic, treated HIV infection are both associated with persistent systemic inflammation and a similar constellation of metabolic and cardiovascular diseases, but the combined effects of excess adiposity and HIV on circulating proinflammatory cytokines and other biomarkers previously shown to predict disease risk is not well described. We measured inflammation biomarker levels in 158 predominantly virologically suppressed adults on long-term antiretroviral therapy (ART) with a range of body mass index (BMI) values from normal to morbidly obese. We assessed the relationship between BMI and each biomarker using multivariable linear regression adjusted for age, sex, race, CD4(+) count, tobacco use, data source, protease inhibitor use, and routine nonsteroidal antiinflammatory drug (NSAID) or aspirin use. Among normal-weight (n=48) and overweight participants (n=41; BMI <30 kg/m(2)), incremental BMI increases were associated with significantly higher serum highly sensitive C-reactive protein (hsCRP; β=2.47, p=0.02) and tumor necrosis factor (TNF)-α receptor 1 levels (β=1.53, p=0.03), and significantly lower CD14 levels (β=0.84, p=0.01), but similar associations were not observed in the obese participants. Among the obese (n=69; BMI ≥30 kg/m(2)), however, higher serum levels of interleukin-6 (IL-6; β=1.30, p=0.02) and macrophage inflammatory protein-1α (β=1.77, p<0.01) were associated with higher BMI, a finding not observed among the nonobese. Among all participants, IL-6 and TNF-α receptor 1 levels were most closely associated with hsCRP (p<0.01). Further studies are needed to determine whether higher serum inflammation biomarker levels found in obese HIV-infected individuals on ART reflect an increased likelihood of adverse health outcomes, or if novel markers to estimate mortality and disease risk are needed in this population.

Indexed as

AdultAnti-HIV AgentsBiomarkersBody Mass IndexChemokine CCL3Cohort StudiesC-Reactive ProteinFemaleHIV InfectionsHumansInflammation MediatorsInterleukin-6Lipopolysaccharide ReceptorsMaleMiddle AgedObesityAnti-HIV AgentsBiomarkersCCL3 protein, humanChemokine CCL3C-Reactive ProteinIL6 protein, humanInflammation MediatorsInterleukin-6Lipopolysaccharide ReceptorsReceptors, Tumor Necrosis Factor, Type I

Identifiers

PMID23469772
PMCPMC3685684
OpenAlexW1969412791

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.