Evidence map›Paper›PMID 24401638›Full record

ArticleAIDS (London, England)2014

Inflammatory cytokines and mortality in a cohort of HIV-infected adults with alcohol problems.

Daniel Fuster, Debbie M Cheng, Emily K Quinn, Kaku A Armah, Richard Saitz, Matthew S Freiberg, Jeffrey H Samet, Judith I Tsui

Abstract read
In one paragraph

Article in AIDS (London, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  10. Early activation of peripheral monocytes with hallmarks of M1 and M2 monocytic cells in excessive alcohol drinkers: a pilot study.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2018
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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

8 authors.

Daniel FusteraClinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Boston Medical Center and Boston University School of Medicine bDepartment of Biostatistics cData Coordinating Center, Boston University School of Public Health, Boston, Massachusetts dDepartment of Epidemiology, University of Pittsburgh Graduate School of Public Health eDivision of General Internal Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania fDepartment of Epidemiology gDepartment of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts, USA.
Debbie M Cheng
Emily K Quinn
Kaku A Armah
Richard Saitz
Matthew S Freiberg
Jeffrey H Samet
Judith I Tsui

Funding

Clinical Addiction Research and Education ProgramR25DA013582 · NIDA · BOSTON MEDICAL CENTER · PI JEFFREY H. SAMET, Alexander Yale Walley · 2001 to 2026
$8.9M
CLINICAL IMPACT ON HCV &ALCOHOL IN HIV INFECTED PERSONSR01AA013216 · NIAAA · BOSTON MEDICAL CENTER · PI SAMET, JEFFREY H · 2000 to 2004
$3.7M
URBAN ARCH (2/5) Biostatistics and Data Management Core (BDM)U24AA020779 · NIAAA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI CHENG, DEBBIE M. · 2011 to 2020
$3.6M
URBAN ARCH (1/5) Administrative Coordinating Core (Admin Core)U24AA020778 · NIAAA · BOSTON MEDICAL CENTER · PI SAMET, JEFFREY H. · 2011 to 2020
$3.5M
Impact of Alcohol Use on HIV Infection--In the United States and RussiaK24AA015674 · NIAAA · BOSTON MEDICAL CENTER · PI SAMET, JEFFREY H. · 2006 to 2010
$756k
NIAAA NIH HHS K24 AA015674NIAAA NIH HHS K24-AA015674NIAAA NIH HHS R01 AA013216NIAAA NIH HHS R01-AA13216NIAAA NIH HHS U24 AA020778NIAAA NIH HHS U24 AA020779NIDA NIH HHS R25 DA013582NIDA NIH HHS R25DA13582
6 · The paper itself

Abstract

backgroundHIV infection leads to chronic inflammation and alterations in levels of inflammatory cytokines. The association between cytokine levels and mortality in HIV infection is not fully understood.

methodsWe analyzed data from a cohort of HIV-infected adults with alcohol problems who were recruited in 2001-2003, and were prospectively followed until 2010 for mortality using the National Death Index. The main independent variables were inflammatory biomarkers [interleukin-6 (IL-6), IL-10, tumor necrosis factor-α, C-reactive protein, serum amyloid A, monocyte chemotactic protein-1, and cystatin-C], measured at baseline in peripheral blood and categorized as high (defined as being in the highest quartile) vs. low. A secondary analysis was conducted using inflammatory burden score, defined as the number of biomarkers in the highest quartile (0, 1, 2 or ≥ 3). Cox models were used to assess the association between both biomarker levels and inflammatory burden with mortality adjusting for potential confounders.

resultsFour hundred HIV-infected patients were included (74.8% men, mean age 42 years, 50% hepatitis C virus-infected). As of 31 December 2009, 85 patients had died. In individual multivariable analyses for each biomarker, high levels of IL-6 and C-reactive protein were significantly associated with mortality [hazard ratio=2.49 (1.69-5.12), P<0.01] and [hazard ratio=1.87 (1.11-3.15), P=0.02], respectively. There was also a significant association between inflammatory burden score and mortality [hazard ratio=2.18 (1.29-3.66) for ≥ 3 vs. 0, P=0.04]. In the fully adjusted multivariable analysis, high levels of IL-6 remained independently associated with mortality [hazard ratio=2.57 (1.58-4.82), P<0.01].

conclusionHigh IL-6 levels and inflammatory burden score were associated with mortality in a cohort of HIV-infected adults with alcohol problems.

Indexed as

AdultAlcoholismBiomarkersCohort StudiesFemaleHIV InfectionsHumansInterleukin-6MaleMiddle AgedSurvival AnalysisBiomarkersInterleukin-6

Identifiers

PMID24401638
PMCPMC4105144

What OpenQuestion holds

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Registered trials

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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.