Evidence map›Paper›PMID 25340778›Full record

Trial reportPloS one2014

Reconstitution of intestinal CD4 and Th17 T cells in antiretroviral therapy suppressed HIV-infected subjects: implication for residual immune activation from the results of a clinical trial.

Gabriella d'Ettorre, Silvia Baroncelli, Luca Micci, Giancarlo Ceccarelli, Mauro Andreotti, Prachi Sharma, Gianfranco Fanello, Fausto Fiocca, Eugenio Nelson Cavallari, Noemi Giustini and 7 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02097381 (HIV Infection and Gut Mucosal Immune Function), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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.

NCT02097381 naunknown statusnot on this map

HIV Infection and Gut Mucosal Immune Function: Longitudinal Analyses of Intestinal CD4+ and Th17 T Cells in HIV-infected Individuals on Short-term Antiretroviral Therapy

TypeinterventionalSponsorUniversity of Roma La SapienzaRan2010 to 2014Enrolled10ConditionsHIV InfectionArmsTenofovir-Emtricitabine plus Lopinavir/Ritonavir or Darunavir/Ritonavir
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  4. Identification of CD8AIDS research and therapy · 2022
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  19. A Summary of the First HIV Microbiome Workshop 2015.AIDS research and human retroviruses
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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

17 authors at 5 institutions in 2 countries.

Gabriella d'EttorreDepartment of Public Health and Infectious Diseases, Istituto Pasteur - Fondazione Cenci-Bolognetti, University of Rome "Sapienza", Rome, Italy.
Silvia BaroncelliDepartment of Therapeutic Research and Medicines Evaluation, Istituto Superiore di Sanità, Rome, Italy.
Luca MicciDivision of Microbiology and Immunology, Yerkes National Primate Research Center, Atlanta, Georgia, United States of America.
Giancarlo CeccarelliDepartment of Public Health and Infectious Diseases, Istituto Pasteur - Fondazione Cenci-Bolognetti, University of Rome "Sapienza", Rome, Italy.
Mauro AndreottiDepartment of Therapeutic Research and Medicines Evaluation, Istituto Superiore di Sanità, Rome, Italy.
Prachi SharmaDivision of Pathology, Yerkes National Primate Research Center, Atlanta, Georgia, United States of America.
Gianfranco FanelloDepartment of Emergency Surgery- Emergency Endoscopic Unit, Policlinico Umberto I, University of Rome "Sapienza", Rome, Italy.
Fausto FioccaDepartment of Emergency Surgery- Emergency Endoscopic Unit, Policlinico Umberto I, University of Rome "Sapienza", Rome, Italy.
Eugenio Nelson CavallariDepartment of Public Health and Infectious Diseases, Istituto Pasteur - Fondazione Cenci-Bolognetti, University of Rome "Sapienza", Rome, Italy.
Noemi GiustiniDepartment of Public Health and Infectious Diseases, Istituto Pasteur - Fondazione Cenci-Bolognetti, University of Rome "Sapienza", Rome, Italy.
Alessandra MallanoDepartment of Therapeutic Research and Medicines Evaluation, Istituto Superiore di Sanità, Rome, Italy.
Clementina M GalluzzoDepartment of Therapeutic Research and Medicines Evaluation, Istituto Superiore di Sanità, Rome, Italy.
Stefano VellaDepartment of Therapeutic Research and Medicines Evaluation, Istituto Superiore di Sanità, Rome, Italy.
Claudio M MastroianniInfectious Disease Unit, Fondazione Eleonora Lorillard Spencer Cenci, Sapienza University, Latina, Italy.
Guido SilvestriDivision of Microbiology and Immunology, Yerkes National Primate Research Center, Atlanta, Georgia, United States of America; Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Mirko PaiardiniDivision of Microbiology and Immunology, Yerkes National Primate Research Center, Atlanta, Georgia, United States of America; Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Vincenzo VulloDepartment of Public Health and Infectious Diseases, Istituto Pasteur - Fondazione Cenci-Bolognetti, University of Rome "Sapienza", Rome, Italy.
Istituto Pasteur · ITIstituto Superiore di Sanità · ITEmory National Primate Research CenterEmory University · USPoliclinico Umberto I · IT

Funding

Yerkes National Primate Research Center Role of type-I IFN in regulating COVID-19 induced inflammation and pathogenesisP51OD011132 · OD · EMORY UNIVERSITY · PI Joon Sup Lee · 2012 to 2026
$167.0M
TH17 cells in AIDS pathogenesis and HIV vaccinesR01AI084836 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI PAIARDINI, MIRKO · 2009 to 2013
$2.4M
NIAID NIH HHS R01 AI084836NIAID NIH HHS R01-AI-084836NIH HHS P51 OD011132
6 · The paper itself

Abstract

introductionDuring HIV infection the severe depletion of intestinal CD4+ T-cells is associated with microbial translocation, systemic immune activation, and disease progression. This study examined intestinal and peripheral CD4+ T-cell subsets reconstitution under combined antiretroviral therapy (cART), and systemic immune activation markers.

methodsThis longitudinal single-arm pilot study evaluates CD4+ T cells, including Th1 and Th17, in gut and blood and soluble markers for inflammation in HIV-infected individuals before (M0) and after eight (M8) months of cART. From January 2010 to December 2011, 10 HIV-1 naïve patients were screened and 9 enrolled. Blood and gut CD4+ T-cells subsets and cellular immune activation were determined by flow-cytometry and plasma soluble CD14 by ELISA. CD4+ Th17 cells were detected in gut biopsies by immunohistochemistry. Microbial translocation was measured by limulus-amebocyte-lysate assay to detect bacterial lipopolysaccharide (LPS) and PCR Real Time to detect plasma bacterial 16S rDNA.

resultsEight months of cART increased intestinal CD4+ and Th17 cells and reduced levels of T-cell activation and proliferation. The magnitude of intestinal CD4+ T-cell reconstitution correlated with the reduction of plasma LPS. Importantly, the magnitude of Th17 cells reconstitution correlated directly with blood CD4+ T-cell recovery.

conclusionShort-term antiretroviral therapy resulted in a significant increase in the levels of total and Th17 CD4+ T-cells in the gut mucosa and in decline of T-cell activation. The observation that pre-treatment levels of CD4+ and of CD8+ T-cell activation are predictors of the magnitude of Th17 cell reconstitution following cART provides further rationale for an early initiation of cART in HIV-infected individuals.

trial registrationClinicalTrials.gov NCT02097381.

Indexed as

Antiretroviral Therapy, Highly ActiveAdultCD4-Positive T-LymphocytesCell ProliferationHIV InfectionsHumansImmunohistochemistryInterferon-gammaInterleukin-17IntestinesLipopolysaccharidesLymphocyte ActivationMaleMiddle AgedTh17 CellsViral LoadInterferon-gammaInterleukin-17Lipopolysaccharides

Identifiers

PMID25340778
PMCPMC4207675
OpenAlexW2030416759

What OpenQuestion holds

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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.