Evidence map›Paper›PMID 24461466›Full record

ArticleJournal of the International AIDS Society2014

Pattern of microbial translocation in patients living with HIV-1 from Vietnam, Ethiopia and Sweden.

Samir Abdurahman, Babilonia Barqasho, Piotr Nowak, Do Duy Cuong, Wondwossen Amogné, Mattias Larsson, Lars Lindquist, Gaetano Marrone, Anders Sönnerborg

Open access · goldAbstract read
In one paragraph

Article in Journal of the International AIDS Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Article
  3. Cardiovascular Disease and Thrombosis in HIV Infection.Arteriosclerosis, thrombosis, and vascular biology · 2023
    Review
  4. Review
  5. Barriers to HIV remission research in low- and middle-income countries.Journal of the International AIDS Society · 2017
    Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. 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

9 authors at 5 institutions in 3 countries.

Samir AbdurahmanDivision of Clinical Microbiology, Department of Laboratory Medicine, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden; Samir.abdurahman@ki.se.
Babilonia BarqashoDepartment of Medicine, Unit of Infectious Diseases, Karolinska Institutet, Karolinska University Hospital, Sweden.
Piotr NowakDepartment of Medicine, Unit of Infectious Diseases, Karolinska Institutet, Karolinska University Hospital, Sweden.
Do Duy CuongInfectious Diseases Department, Bach Mai Hospital, Hanoi, Vietnam.
Wondwossen AmognéDepartment of Medicine, Faculty of Medicine, Addis Ababa University, Ethiopia.
Mattias LarssonDivision of Global Health (IHCAR), Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden; Oxford University Clinical Research Unit (OUCRU), Hanoi, Vietnam.
Lars LindquistDepartment of Medicine, Unit of Infectious Diseases, Karolinska Institutet, Karolinska University Hospital, Sweden.
Gaetano MarroneDivision of Global Health (IHCAR), Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Anders SönnerborgDivision of Clinical Microbiology, Department of Laboratory Medicine, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden; Department of Medicine, Unit of Infectious Diseases, Karolinska Institutet, Karolinska University Hospital, Sweden.
Karolinska Institutet · SEKarolinska University Hospital · SEAddis Ababa University · ETBạch Mai Hospital · VNOxford University Clinical Research Unit · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe role of microbial translocation (MT) in HIV patients living with HIV from low- and middle-income countries (LMICs) is not fully known. The aim of this study is to investigate and compare the patterns of MT in patients from Vietnam, Ethiopia and Sweden.

methodsCross-sectional samples were obtained from treatment-naïve patients living with HIV-1 and healthy controls from Vietnam (n=83; n=46), Ethiopia (n=9492; n=50) and Sweden (n=51; n=19). Longitudinal samples were obtained from a subset of the Vietnamese (n=24) in whom antiretroviral therapy (ART) and tuberculostatics were given. Plasma lipopolysaccharide (LPS), sCD14 and anti-flagellin IgG were determined by the endpoint chromogenic Limulus Amebocyte Assay and enzyme-linked immunosorbent assay.

resultsAll three biomarkers were significantly increased in patients living with HIV-1 from all countries as compared to controls. No differences were found between males and females. Vietnamese and Ethiopian patients had significantly higher levels of anti-flagellin IgG and LPS, as compared to Swedes. ART reduced these levels for the Vietnamese. Vietnamese patients given tuberculostatics at initiation of ART had significantly lower levels of anti-flagellin IgG and higher sCD14. The biomarkers were lower in Vietnamese who did not develop opportunistic infection.

conclusionsHigher MT is common in patients living with HIV compared to healthy individuals, and in patients from LMICs compared to patients from a high-income country. Treatment with tuberculostatics decreased MT while higher levels of MT are associated with a poorer clinical outcome.

Indexed as

HIV-1AdultAIDS-Related Opportunistic InfectionsBacterial TranslocationEnzyme-Linked Immunosorbent AssayEthiopiaFemaleFlagellinHIV InfectionsHumansImmunoglobulin GLipopolysaccharide ReceptorsLipopolysaccharidesMaleMiddle AgedSwedenFlagellinImmunoglobulin GLipopolysaccharide ReceptorsLipopolysaccharidesHIV in EthiopiaHIV in SwedenHIV in Vietnamimmune activationLPSmicrobial translocationsCD14treatment-naïve patients living with HIV

Identifiers

PMID24461466
PMCPMC3902178
OpenAlexW2040245368

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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.