Evidence map›Paper›PMID 25506120›Full record

ArticleDisease markers2014

The use of humoral responses as a marker of CMV burden in HIV patients on ART requires consideration of T-cell recovery and persistent B-cell activation.

Samantha J Brunt, Silvia Lee, Lloyd D'Orsogna, Christine Bundell, Sally Burrows, Patricia Price

Open access · hybridAbstract read
In one paragraph

Article in Disease markers, 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
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.

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, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Variants of HCMVInternational journal of molecular sciences · 2022
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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

6 authors at 2 institutions in 1 country.

Samantha J BruntSchool of Pathology and Laboratory Medicine, University of WA, Nedlands, WA 6009, Australia.
Silvia LeeMicrobiology and Infectious Diseases, Royal Perth Hospital, Perth, WA 6000, Australia.ORCID 0000-0001-5405-9735
Lloyd D'OrsognaSchool of Pathology and Laboratory Medicine, University of WA, Nedlands, WA 6009, Australia ; Clinical Immunology and Immunogenetics, Royal Perth Hospital, Perth, WA 6000, Australia.
Christine BundellSchool of Pathology and Laboratory Medicine, University of WA, Nedlands, WA 6009, Australia ; Immunology & Immunopathology, PathWest Laboratory Medicine, Nedlands, WA 6009, Australia.ORCID 0000-0002-6372-1513
Sally BurrowsMedicine and Pharmacology, University of WA, Nedlands, WA 6009, Australia.ORCID 0000-0002-8499-4537
Patricia PriceSchool of Pathology and Laboratory Medicine, University of WA, Nedlands, WA 6009, Australia ; Clinical Immunology and Immunogenetics, Royal Perth Hospital, Perth, WA 6000, Australia.ORCID 0000-0002-6312-2203
The University of Western Australia · AURoyal Perth Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesElevated humoral responses to cytomegalovirus (CMV) associate with increased risk of cardiovascular disease (CVD) in HIV patients on antiretroviral therapy (ART). To better understand the persistence of CMV humoral responses in relation to CVD, we determined trends in CMV antibody levels over the first 10 years on ART.

designWe describe longitudinal analyses of plasma from 13 HIV patients commencing ART with <210 CD4 T-cells/µL and 27 controls. Antibodies reactive with CMV (fibroblast lysate, gB and IE-1 antigens), EBV-VCA, and HIVgp41 were quantitated. B-cell activation was assessed via total IgG and sBAFF. Inflammation was assessed via sTNF-RI and sCD14.

resultsAmongst CMV seropositive HIV patients, levels of antibody reactive with CMV (P = 0.03) and EBV-VCA (P = 0.02) peaked after 1 year on ART. Levels of total IgG, sCD14, and sTNF-RI declined to approximate those in controls after 10 years, but sBAFF (P = 0.0002), EBV-VCA (P = 0.001), and CMV (P = 0.0004) antibodies remained elevated. A strong correlation between sBAFF and CMVgB antibody was seen at 10 years (R = 0.93, P = 0.0009) and verified in a second cohort.

conclusionsCMV antibody titres peak on ART and remain high. A correlation between CMV antibody and sBAFF suggests a role for HIV-induced B-cell pathology that may affect its use as a marker of CMV burden.

Indexed as

Immunity, HumoralAdultAntibodies, ViralAnti-HIV AgentsB-Cell Activating FactorBiomarkersB-LymphocytesCoinfectionCytomegalovirusCytomegalovirus InfectionsFemaleHIV InfectionsHumansLymphocyte ActivationMaleMiddle AgedAntibodies, ViralAnti-HIV AgentsB-Cell Activating FactorBiomarkersTNFSF13B protein, human

Identifiers

PMID25506120
PMCPMC4259131
OpenAlexW2152911767

What OpenQuestion holds

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LicenceCC BY
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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.