Evidence map›Paper›PMID 23898208›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2013

Induction of IL-17 and nonclassical T-cell activation by HIV-Tat protein.

Tory P Johnson, Karan Patel, Kory R Johnson, Dragan Maric, Peter A Calabresi, Rodrigo Hasbun, Avindra Nath

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04263207 (Observational Study for the Evaluation of the Role of HIV-1 Tat Protein and Anti-Tat Immune Response in Peripheral Blood HIV Reservoir Dynamics), which is not on this map. Cited by 204 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
204citing papers in PubMed, 1 pooled it
8.9field-weighted citation impact, top 2% 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.

NCT04263207 suspendednot on this mapstarted 2020, after this paper: background citation

Observational Study for the Evaluation of the Role of HIV-1 Tat Protein and Anti-Tat Immune Response in Peripheral Blood HIV Reservoir Dynamics

TypeobservationalSponsorBarbara Ensoli, MD, PhDRan2020 to 2025Enrolled100ConditionsHIV/AIDSArmsNo intervention
3 · Its place in the literature

Who cites it

204 citing papers in PubMed, 1 synthesis or guideline pooled it, 256 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article

144 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

7 authors at 4 institutions in 1 country.

Tory P JohnsonSection of Infections of the Nervous System, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892, USA.
Karan Patel
Kory R Johnson
Dragan Maric
Peter A Calabresi
Rodrigo Hasbun
Avindra Nath
National Institutes of Health · USNational Institute of Neurological Disorders and Stroke · USJohns Hopkins University · USThe University of Texas Health Science Center at Houston · US

Funding

Neuropathogenesis of Retroviral InfectionsZIANS003130 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI NATH, AVINDRA · 2011 to 2025
$73.7M
Role of HIV Tat protein in pathogenesis of HIV dementiaR01NS039253 · NINDS · UNIVERSITY OF KENTUCKY · PI SCHNAAR, RONALD L · 1999 to 2014
$4.5M
Neuropathogenesis of Immune Reconstitution Syndrome with HIV InfectionR01NS056884 · NINDS · JOHNS HOPKINS UNIVERSITY · PI NATH, AVINDRA · 2006 to 2010
$1.7M
Mechanism of CNS-Immune Reconstitution Inflammatory Syndrome with HIV infectionF31NS063855 · NINDS · JOHNS HOPKINS UNIVERSITY · PI JOHNSON, TORY PATRICIA · 2008 to 2010
$97k
Intramural NIH HHSNINDS NIH HHS F31 NS063855NINDS NIH HHS F31NS063855NINDS NIH HHS R01 NS039253NINDS NIH HHS R01NS039253NINDS NIH HHS R01 NS056884NINDS NIH HHS R01NS056884
6 · The paper itself

Abstract

Chronic immune activation is a major complication of antiretroviral therapy (ART) for HIV infection and can cause a devastating immune reconstitution inflammatory syndrome (IRIS) in the brain. The mechanism of T-cell activation in this population is not well understood. We found HIV-Tat protein and IL-17-expressing mononuclear cells in the brain of an individual with IRIS. Tat was also present in the CSF of individuals virologically controlled on ART. Hence we examined if Tat protein could directly activate T cells. Tat transcriptionally dysregulated 94 genes and induced secretion of 11 cytokines particularly activation of IL-17 signaling pathways supporting the development of a proinflammatory state. Tat increased IL-17 transcription and secretion in T cells. Tat entered the T cells rapidly by clathrin-mediated endocytosis and localized to both the cytoplasm and the nucleus. Tat activated T cells through a nonclassical pathway dependent upon vascular endothelial growth factor receptor-2 and downstream secondary signaling pathways but independent of the T-cell receptor. However, Tat stimulation of T cells did not induce T-cell proliferation but increased viral infectivity. This study demonstrates Tat's role as a virulence factor, by driving T-cell activation and contributing to IRIS pathophysiology. This supports the necessity of an anti-Tat therapy in conjunction with ART and identifies multiple targetable pathways to prevent Tat-mediated T-cell activation.

Indexed as

Anti-Retroviral AgentsBrainEnzyme-Linked Immunosorbent AssayFlow CytometryGene Expression Regulation, ViralHIV InfectionsHumansImmune Reconstitution Inflammatory SyndromeImmunoblottingInterleukin-17Leukocytes, MononuclearLymphocyte ActivationMicroarray AnalysisSignal Transductiontat Gene Products, Human Immunodeficiency VirusT-LymphocytesAnti-Retroviral AgentsInterleukin-17tat Gene Products, Human Immunodeficiency VirusVirulence Factorscentral nervous systemchromatinchronic inflammationCNS inflammationlymphocyte

Identifiers

PMID23898208
PMCPMC3746932
OpenAlexW2084251620

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.