Evidence map›Paper›PMID 23479321›Full record

Trial reportThe Journal of infectious diseases2013

Systemic immune activation and microbial translocation in dual HIV/tuberculosis-infected subjects.

Zahra Toossi, Nicholas T Funderburg, Sohani Sirdeshmuk, Christopher C Whalen, Maria W Nanteza, Denise F Johnson, Harriet Mayanja-Kizza, Christina S Hirsch

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

20 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Heightened Microbial Translocation Is a Prognostic Biomarker of Recurrent Tuberculosis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Plasma Cytokine Predictors of Tuberculosis Recurrence in Antiretroviral-Treated Human Immunodeficiency Virus-infected Individuals from Durban, South Africa.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Article
  14. Article
  15. Observational
  16. Article
  17. Observational
  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

8 authors at 3 institutions in 2 countries.

Zahra ToossiCase Western Reserve University, Cleveland, Ohio, USA. zxt2@case.edu
Nicholas T Funderburg
Sohani Sirdeshmuk
Christopher C Whalen
Maria W Nanteza
Denise F Johnson
Harriet Mayanja-Kizza
Christina S Hirsch
Case Western Reserve University · USMakerere University · UGUniversity of Georgia · US

Funding

Mechanisms of increased susceptibility to TB in HIV-Infected individualsR01AI080313 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI CANADAY, DAVID H · 2010 to 2013
$2.0M
Tissue factor expression in HIV disease - Implications for cardiovascular riskK99HL108743 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI FUNDERBURG, NICHOLAS T. · 2012 to 2013
$178k
NHLBI NIH HHS HL-05636NHLBI NIH HHS K99 HL108743NIAID NIH HHS AI 70022NIAID NIH HHS N01 AI070022NIAID NIH HHS R01 AI080313PHS HHS AL 080313
6 · The paper itself

Abstract

backgroundSystemic immune activation is a strong predictor of progression of human immunodeficiency virus type 1 (HIV-1) disease and a prominent feature of infection with Mycobacterium tuberculosis.

objectiveTo understand the role of systemic immune activation and microbial translocation in HIV/tuberculosis dually infected patients over the full spectrum of HIV-1 immunodeficiency, we studied circulating sCD14 and lipopolysaccharide (LPS) and their relationship to HIV-1 activity.

methodsTwo cohorts of HIV/tuberculosis subjects defined by CD4 T-cell count at time of diagnosis of tuberculosis were studied: those with low (<350/μL) and those with high (≥ 350/μL) CD4 T-cell count. Circulating soluble CD14 (sCD14) and LPS were assessed.

resultsLevels of sCD14 were higher in HIV/tuberculosis with high (≥ 350/μL) as compared to low CD4 T-cell count (P < .001). Whereas sCD14 levels remained elevated in HIV/tuberculosis subjects with lower CD4 T-cell counts despite treatment of tuberculosis, in HIV/tuberculosis patients with higher CD4 T-cell count (≥ 350/μL), levels declined regardless of whether highly active antiretroviral therapy (HAART) was included with the anti-tuberculosis regimen. Circulating LPS levels in HIV/tuberculosis patients with CD4 T-cell count ≥ 350/μL were unaffected by treatment of tuberculosis with or without HAART.

conclusionDuring HIV/tuberculosis, systemic immune activation is dissociated from microbial translocation. Changes in circulating sCD14 and LPS are dependent on CD4 T-cell count.

Indexed as

Bacterial TranslocationAdultAntiretroviral Therapy, Highly ActiveAntitubercular AgentsCase-Control StudiesCD4 Lymphocyte CountCD4-Positive T-LymphocytesCohort StudiesDisease ProgressionFemaleFollow-Up StudiesGastrointestinal TractHIV-1HIV InfectionsHumansLipopolysaccharide ReceptorsAntitubercular AgentsLipopolysaccharide ReceptorsLipopolysaccharidesHIV-1LPSsoluble CD14tuberculosis

Identifiers

PMID23479321
PMCPMC3654743
OpenAlexW2164637709

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.