Evidence map›Paper›PMID 23886064›Full record

ReviewAdvances in immunology2013

Residual immune dysregulation syndrome in treated HIV infection.

Michael M Lederman, Nicholas T Funderburg, Rafick P Sekaly, Nichole R Klatt, Peter W Hunt

Abstract readReview
In one paragraph

Review in Advances in immunology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 207 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
207citing papers in PubMed, 3 pooled it
293.2field-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

207 citing papers in PubMed, 3 syntheses or guidelines pooled it, 349 citations in OpenAlex.

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  6. Pitavastatin to Prevent Cardiovascular Disease in HIV Infection.The New England journal of medicine · 2023 · on this map
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  9. Randomized Trial of Ruxolitinib in Antiretroviral-Treated Adults With Human Immunodeficiency Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
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147 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

5 authors at 5 institutions in 1 country.

Michael M LedermanDivision of Infectious Diseases and Center for AIDS Research, Case Western Reserve University and University Hospitals/Case Medical Center, Cleveland, Ohio, USA. lederman.michael@clevelandactu.org
Nicholas T Funderburg
Rafick P Sekaly
Nichole R Klatt
Peter W Hunt
University Hospitals Case Medical Center · USUniversity Hospitals of Cleveland · USUniversity of California, San Francisco · USUniversity of Washington · USVaccine & Gene Therapy Institute of Florida · US

Funding

Specimen Acquisition and Distribution CoreP01AI076174 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI LANDAY, ALAN L · 2008 to 2012
$10.9M
Novel Concepts for the Eradication of HIVDP1DA028871 · NIDA · VGTI FLORIDA · PI SEKALY, RAFICK PIERRE · 2009 to 2013
$4.5M
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 K99 HL108743NIAID NIH HHS AI 076174NIAID NIH HHS P01 AI076174NIDA NIH HHS DP1 DA028871
6 · The paper itself

Abstract

Antiretroviral therapy has revolutionized the course of HIV infection, improving immune function and decreasing dramatically the mortality and morbidity due to the opportunistic complications of the disease. Nonetheless, even with sustained suppression of HIV replication, many HIV-infected persons experience a syndrome characterized by increased T cell activation and evidence of heightened inflammation and coagulation. This residual immune dysregulation syndrome or RIDS is more common in persons who fail to increase circulating CD4+ T cells to normal levels and in several epidemiologic studies it has been associated with increased morbidity and mortality. These morbid and fatal events are not the typical opportunistic infections and malignancies seen in the early AIDS era but rather comprise a spectrum of cardiovascular events, liver disease, metabolic disorders, kidney disease, bone disease, and a spectrum of malignant complications distinguishable from the opportunistic malignancies that characterized the earlier days of the AIDS epidemic. While immune activation, inflammation, and coagulopathy are characteristic of untreated HIV infection and improve with drug-induced control of HIV replication, the drivers of RIDS in treated HIV infection are incompletely understood. And while inflammation, immune activation, and coagulopathy are more common in treated persons who fail to restore circulating CD4+ T cells, it is not entirely clear how these two phenomena are linked.

Indexed as

Immunity, InnateLymphocyte ActivationAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveCD4-Positive T-LymphocytesHIV InfectionsHumansInflammationLymphopeniaTreatment OutcomeAnti-HIV AgentsAntiretroviral therapyCD 127CD14CD163CD38Cell cyclingCoagulationCycling D-dimerGut-associated lymphoid tissueHLA-DRImmune activationImmune failureIndoleamine 2,3-dioxygenaseInflammationInterleukin-6 (IL-6)LipopolysaccharideLymph nodeMicrobial translocationResidual immune dysregulation syndrome

Identifiers

PMID23886064
PMCPMC4126613
OpenAlexW151256503

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.