Evidence map›Paper›PMID 23886531›Full record

Trial reportInternational journal of cardiology2013

Perivascular fat, inflammation, and cardiovascular risk in HIV-infected patients on antiretroviral therapy.

Chris T Longenecker, Ying Jiang, Chun-Ho Yun, Sara Debanne, Nicholas T Funderburg, Michael M Lederman, Norma Storer, Danielle E Labbato, Hiram G Bezerra, Grace A McComsey

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of cardiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Rosuvastatin preserves renal function and lowers cystatin C in HIV-infected subjects on antiretroviral therapy: the SATURN-HIV trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2014
    Trial
  7. Review
  8. Article
  9. Review
  10. The Potential ofCells · 2022
    Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Sirtuin-1 and Its Relevance in Vascular Calcification.International journal of molecular sciences · 2020
    Review
  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

10 authors at 3 institutions in 2 countries.

Chris T LongeneckerUniversity Hospitals Harrington Heart & Vascular Institute, Division of Cardiology, Case Western Reserve University, Cleveland, OH, USA. Electronic address: chris.longenecker@uhhospitals.org.
Ying Jiang
Chun-Ho Yun
Sara Debanne
Nicholas T Funderburg
Michael M Lederman
Norma Storer
Danielle E Labbato
Hiram G Bezerra
Grace A McComsey
Case Western Reserve University · USMackay Memorial Hospital · TWUniversity Hospitals of Cleveland · US

Funding

Inflammation, Heart and BoneR01NR012642 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2010 to 2014
$2.5M
Training Program in Pediatric Infectious DiseasesT32AI052067 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2002 to 2012
$1.3M
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 T32 AI052067NINR NIH HHS NR012642NINR NIH HHS R01 NR012642
6 · The paper itself

Abstract

backgroundHIV-infection is characterized by chronic immune activation that persists despite effective antiretroviral therapy (ART) and is associated with elevated cardiovascular risk. Whether specific perivascular fat depots are associated with inflammation in HIV is unknown.

methodsIn a cross-sectional study, epicardial (EAT) and thoracic periaortic (TAT) adipose tissue volumes were measured by computed tomography in 100 HIV-infected adults, on stable ART, with LDL-cholesterol ≤130 mg/dL and evidence of heightened T-cell activation (CD8+CD38+HLA-DR+ ≥19%) or increased inflammation (high sensitivity C-reactive protein ≥2 mg/L).

resultsOverall, 77% were males and 70% African American. Mean (standard deviation) age and body mass index were 47 (10) years and 28 (6.4) kg/m(2), respectively. All subjects had HIV-1 RNA <1000 copies/mL with mean (standard deviation) CD4+ T cell count of 665 (280) cells/μL; 50% were on a protease inhibitor. EAT and TAT were correlated with each other (r = 0.766, p < 0.0001). Both were associated with metabolic syndrome, atherogenic lipid profile, insulin resistance, total and central body fat, serum biomarkers of inflammation, and soluble CD163, but not with cellular immune activation markers. In multivariable models that adjusted for age, sex, and other measures of adiposity, both perivascular fat depots were independently associated with the presence of coronary calcium.

conclusionsPerivascular fat is associated with soluble CD163, biomarkers of inflammation, insulin resistance, and subclinical atherosclerosis in this population of virologically suppressed HIV-infected patients on ART. The association of perivascular fat with coronary artery calcification appears to be independent of other measures of adiposity.

Indexed as

Adipose TissueAdultAnti-Retroviral AgentsCardiovascular DiseasesCross-Sectional StudiesDouble-Blind MethodFemaleHIV InfectionsHumansInflammationMaleMiddle AgedPericardiumRisk FactorsVascular CalcificationAnti-Retroviral AgentsAdipose tissueAtherosclerosisHIVInflammationMacrophages

Identifiers

PMID23886531
PMCPMC3805774
OpenAlexW2151934084

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.