Evidence map›Paper›PMID 23522788›Full record

Trial reportMetabolism: clinical and experimental2013

Altered relationship of plasma triglycerides to HDL cholesterol in patients with HIV/HAART-associated dyslipidemia: further evidence for a unique form of metabolic syndrome in HIV patients.

Catherine N Vu, Raul Ruiz-Esponda, Eric Yang, Evelyn Chang, Baiba Gillard, Henry J Pownall, Ron C Hoogeveen, Ivonne Coraza, Ashok Balasubramanyam

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Metabolism: clinical and experimental, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. New Insights into the High-Density Lipoprotein Dilemma.Trends in endocrinology and metabolism: TEM · 2016
    Review
  14. Review
  15. Review
  16. Observational
  17. 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

9 authors at 2 institutions in 1 country.

Catherine N VuTranslational Metabolism Unit, Diabetes Research Center, Division of Diabetes, Endocrinology and Metabolism, Houston, TX, USA.
Raul Ruiz-Esponda
Eric Yang
Evelyn Chang
Baiba Gillard
Henry J Pownall
Ron C Hoogeveen
Ivonne Coraza
Ashok Balasubramanyam
Iowa Diabetes and Endocrinology Research Center · USBaylor College of Medicine · US

Funding

Virology CoreP30AI036211 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI BUTEL, JANET S · 1994 to 2015
$21.7M
Diet/Exercise, Niacin, Fenofibrate for HIV LipodystrophyR01HL073696 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI BALASUBRAMANYAM, ASHOK · 2003 to 2008
$1.5M
NHLBI NIH HHS R01 HL073696NHLBI NIH HHS R01 HL47696NIAID NIH HHS P30 AI036211
6 · The paper itself

Abstract

introductionPlasma triglycerides (TG) and HDL-C are inversely related in Metabolic Syndrome (MetS), due to exchange of VLDL-TG for HDL-cholesteryl esters catalyzed by cholesteryl ester transfer protein (CETP). We investigated the relationship of TG to HDL-C in highly-active antiretroviral drug (HAART)-treated HIV patients.

methodsFasting plasma TG and HDL-C levels were compared in 179 hypertriglyceridemic HIV/HAART patients and 71 HIV-negative persons (31 normotriglyceridemic (NL) and 40 hypertriglyceridemic due to type IV hyperlipidemia (HTG)). CETP mass and activity were compared in 19 NL and 87 HIV/HAART subjects.

resultsAmong the three groups, a plot of HDL-C vs. TG gave similar slopes but significantly different y-intercepts (9.24±0.45, 8.16±0.54, 6.70±0.65, sqrt(HDL-C) for NL, HIV and HTG respectively; P<0.001); this difference persisted after adjusting HDL-C for TG, age, BMI, gender, glucose, CD4 count, viral load and HAART strata (7.18±0.20, 6.20±0.05 and 4.55±0.15 sqrt(HDL-C) for NL, HIV and HTG, respectively, P<0.001). CETP activity was not different between NL and HIV, but CETP mass was significantly higher in HIV (1.47±0.53 compared to 0.93±0.27μg/mL, P<0.0001), hence CETP specific activity was lower in HIV (22.67±13.46 compared to 28.46±8.24nmol/μg/h, P=0.001).

conclusionsDyslipidemic HIV/HAART patients have a distinctive HDL-C plasma concentration adjusted for TG. The weak inverse relationship between HDL-C and TG is not explained by altered total CETP activity; it could result from a non-CETP-dependent mechanism or a decrease in CETP function due to inhibitors of CETP activity in HIV patients' plasma.

Indexed as

AdultAntiretroviral Therapy, Highly ActiveBiomarkersBody Mass IndexCD4 Lymphocyte CountCholesterol Ester Transfer ProteinsCholesterol, HDLCohort StudiesHIV-Associated Lipodystrophy SyndromeHIV InfectionsHumansHyperlipoproteinemia Type IVMaleMetabolic SyndromeMiddle AgedOverweightBiomarkersCETP protein, humanCholesterol Ester Transfer ProteinsCholesterol, HDLTriglycerides

Identifiers

PMID23522788
PMCPMC3691339
OpenAlexW2056154722

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.