Evidence map›Paper›PMID 23748193›Full record

ArticleAntiviral therapy2013

An association between adiposity and serum levels of macrophage inflammatory protein-1α and soluble CD14 in HIV-infected adults: results from a cross-sectional study.

John R Koethe, Aihua Bian, Ayumi K Shintani, C William Wester, Husamettin Erdem, Todd Hulgan

Abstract read
In one paragraph

Article in Antiviral therapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

John R KoetheDivision of Infectious Diseases, Vanderbilt University School of Medicine, Nashville, TN, USA. john.r.koethe@vanderbilt.edu.
Aihua Bian
Ayumi K Shintani
C William Wester
Husamettin Erdem
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
Vanderbilt Diabetes Research CenterP30DK020593 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI OWEN P MCGUINNESS · 2012 to 2026
$29.3M
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
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 UL1 TR000445NCCIH NIH HHS K23 AT002508NIAID NIH HHS AI54999NIAID NIH HHS K23 AI100700NIAID NIH HHS P30 AI054999NIAMS NIH HHS P60 AR056116NIDDK NIH HHS P30 DK020593NIDDK NIH HHS P60 DK020593PHS HHS K23 100700
6 · The paper itself

Abstract

backgroundGreater adipose tissue is associated with increased circulating high-sensitivity C-reactive protein (hsCRP) levels in HIV-infected adults on antiretroviral therapy (ART), but the relationship between adiposity and other inflammation biomarkers is not well-characterized.

methodsWe measured total and regional adipose tissue deposits using dual energy X-ray absorptiometry (DXA) and serum levels of interleukin-6 (IL-6), tumour necrosis factor-α (TNF-α) receptor 1 and 2, macrophage inflammatory protein-1α (MIP-1α), macrophage chemotactic protein-1 (MCP-1), soluble CD14 and hsCRP in a cohort of adults on long-term ART. Regression models were adjusted for age, sex, CD4(+) T-cell count, smoking status, protease-inhibitor-use and daily use of either non-steroidal anti-inflammatory drugs or aspirin.

resultsThe majority (77%) of the 85 study participants were male, median CD4(+) T-cell count was 500 cells/μl (IQR 315-734) and median BMI was 25.1 kg/m(2) (IQR 22.7-28.1). DXA measurements of total fat mass were positively associated with serum hsCRP (β=1.82, P<0.01) and MIP-1α (β=1.36, P<0.01), but negatively associated with soluble CD14 (β=0.90, P<0.01). Results were similar for trunk fat, limb fat and serum leptin level. The positive relationship between DXA measurements and TNF-α receptor 1 approached significance (P≤0.07 for all). There was no consistent relationship between adiposity and serum IL-6, TNF-α receptor 2 or MCP-1 levels.

conclusionsTotal and regional adiposity was associated with serum hsCRP, but not other inflammatory cytokines shown to predict morbidity and mortality in treated HIV. Greater adiposity is associated with higher MIP-1α and lower soluble CD14 levels, possibly reflecting an important role for cells of the monocyte/macrophage lineage.

Indexed as

AdiposityAdipose TissueAdultCD4 Lymphocyte CountChemokine CCL3Cross-Sectional StudiesFemaleHIV InfectionsHumansInflammation MediatorsLipopolysaccharide ReceptorsMaleMiddle AgedViral LoadChemokine CCL3Inflammation MediatorsLipopolysaccharide Receptors

Identifiers

PMID23748193
PMCPMC3923367
OpenAlexW11732777

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.