Evidence map›Paper›PMID 25544986›Full record

ArticlePloS one2014

Elevated plasma soluble CD14 and skewed CD16+ monocyte distribution persist despite normalisation of soluble CD163 and CXCL10 by effective HIV therapy: a changing paradigm for routine HIV laboratory monitoring?

Alison Castley, Cassandra Berry, Martyn French, Sonia Fernandez, Romano Krueger, David Nolan

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.0field-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

22 citing papers in PubMed, 39 citations in OpenAlex.

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  20. Role of immune activation in progression to AIDS.Current opinion in HIV and AIDS · 2016
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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 3 institutions in 1 country.

Alison CastleyMolecular and Biomedical Sciences, School of Veterinary and Life Sciences, Murdoch University, Murdoch, Perth, Western Australia, Australia; Department of Clinical Immunology, Royal Perth Hospital, Wellington Street, Perth, Western Australia, Australia.
Cassandra BerryMolecular and Biomedical Sciences, School of Veterinary and Life Sciences, Murdoch University, Murdoch, Perth, Western Australia, Australia.
Martyn FrenchDepartment of Clinical Immunology, Royal Perth Hospital, Wellington Street, Perth, Western Australia, Australia; School of Pathology and Laboratory Medicine, University of Western Australia, Nedlands, Perth, Western Australia, Australia.
Sonia FernandezSchool of Pathology and Laboratory Medicine, University of Western Australia, Nedlands, Perth, Western Australia, Australia.
Romano KruegerDepartment of Clinical Immunology, Royal Perth Hospital, Wellington Street, Perth, Western Australia, Australia.
David NolanInstitute for Immunology and Infectious Diseases, Murdoch University, Murdoch, Perth, Western Australia, Australia; Department of Clinical Immunology, Royal Perth Hospital, Wellington Street, Perth, Western Australia, Australia.
Royal Perth Hospital · AUUniversity of Western Australia · AUMurdoch University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe investigated plasma and flow cytometric biomarkers of monocyte status that have been associated with prognostic utility in HIV infection and other chronic inflammatory diseases, comparing 81 HIV+ individuals with a range of treatment outcomes to a group of 21 healthy control blood donors. Our aim is to develop and optimise monocyte assays that combine biological relevance, clinical utility, and ease of adoption into routine HIV laboratory practice.

designCross-sectional evaluation of concurrent plasma and whole blood samples.

methodsA flow cytometry protocol was developed comprising single-tube CD45, CD14, CD16, CD64, CD163, CD143 analysis with appropriately matched isotype controls. Plasma levels of soluble CD14 (sCD14), soluble CD163 (sCD163) and CXCL10 were measured by ELISA.

resultsHIV status was associated with significantly increased expression of CD64, CD143 and CD163 on CD16+ monocytes, irrespective of the virological response to HIV therapy. Plasma levels of sCD14, sCD163 and CXCL10 were also significantly elevated in association with viremic HIV infection. Plasma sCD163 and CXCL10 levels were restored to healthy control levels by effective antiretroviral therapy while sCD14 levels remained elevated despite virological suppression (p<0.001).

conclusionsFlow cytometric and plasma biomarkers of monocyte activation indicate an ongoing systemic inflammatory response to HIV infection, characterised by persistent alterations of CD16+ monocyte expression profiles and elevated sCD14 levels, that are not corrected by antiretroviral therapy and likely to be prognostically significant. In contrast, sCD163 and CXCL10 levels declined on antiretroviral therapy, suggesting multiple activation pathways revealed by these biomarkers. Incorporation of these assays into routine clinical care is feasible and warrants further consideration, particularly in light of emerging therapeutic strategies that specifically target innate immune activation in HIV infection.

Indexed as

AdultAgedAntigens, CDAntigens, Differentiation, MyelomonocyticAnti-HIV AgentsCase-Control StudiesCD163 AntigenChemokine CXCL10FemaleHIV InfectionsHumansLipopolysaccharide ReceptorsMaleMiddle AgedMonocytesReceptors, Cell SurfaceAntigens, CDAntigens, Differentiation, MyelomonocyticAnti-HIV AgentsCD163 AntigenChemokine CXCL10Lipopolysaccharide ReceptorsReceptors, Cell SurfaceReceptors, IgG

Identifiers

PMID25544986
PMCPMC4278884
OpenAlexW2133426611

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.