Evidence map›Paper›PMID 25722296›Full record

ArticleThe Journal of infectious diseases2015

Factors Associated With Plasma IL-6 Levels During HIV Infection.

Álvaro H Borges, Jemma L O'Connor, Andrew N Phillips, Frederikke F Rönsholt, Sarah Pett, Michael J Vjecha, Martyn A French, Jens D Lundgren, INSIGHT SMART and ESPRIT Study Groups and the SILCAAT Scientific Committee

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 3 pooled it
10.6field-weighted citation impact, top 1% 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

100 citing papers in PubMed, 3 syntheses or guidelines pooled it, 178 citations in OpenAlex.

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  6. Inflammation-Related Morbidity and Mortality Among HIV-Positive Adults: How Extensive Is It?Journal of acquired immune deficiency syndromes (1999) · 2018
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40 more citing papers are in PubMed but not listed here.

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 4 institutions in 3 countries.

Álvaro H BorgesCentre for Health and Infectious Diseases Research (CHIP), Department of Infectious Diseases, Rigshospitalet, University of Copenhagen, Denmark.
Jemma L O'ConnorResearch Department of Infection and Population Health, University College London, United Kingdom.
Andrew N PhillipsResearch Department of Infection and Population Health, University College London, United Kingdom.
Frederikke F RönsholtDepartment of Infectious Diseases, Rigshospitalet, University of Copenhagen, Denmark.
Sarah PettResearch Department of Infection and Population Health, University College London, United Kingdom MRC Clinical Trials Unit, University College London, United Kingdom Kirby Institute, University of New South Wales Australia, Sydney.
Michael J VjechaInstitute for Clinical Research, Inc., Veterans Affairs Medical Center, Washington, District of Columbia.
Martyn A FrenchSchool of Pathology and Laboratory Medicine, University of Western Australia Department of Clinical Immunology, Royal Perth Hospital and PathWest Laboratory Medicine, Australia.
Jens D LundgrenCentre for Health and Infectious Diseases Research (CHIP), Department of Infectious Diseases, Rigshospitalet, University of Copenhagen, Denmark.
INSIGHT SMART and ESPRIT Study Groups and the SILCAAT Scientific Committee
University College London · GBUniversity of Copenhagen · DKCentre of Excellence for Health, Immunity and Infections · DKUniversity of Western Australia · AU

Funding

International Network for Strategic Initiatives in Global HIV Trials (INSIGHT)U01AI068641 · NIAID · UNIVERSITY OF MINNESOTA · PI NEATON, JAMES DENNIS · 2006 to 2010
$120.1M
COMMUNITY PROGRAMS FOR CLINICAL RESEARCH ON AIDSU01AI046362 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI GORDIN, FRED M · 2000 to 2006
$75.9M
INTERNATIONAL PHASE III IL-2 STUDYU01AI046957 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI NEATON, JAMES DENNIS · 1999 to 2005
$56.4M
TERRY BEIRN COMMUNITY PROGRAMS FOR CLINICAL RESEARCH ONU01AI042170 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI NEATON, JAMES DENNIS · 1997 to 2006
$23.2M
NIAID NIH HHS U01 AI042170NIAID NIH HHS U01AI042170NIAID NIH HHS U01 AI046362NIAID NIH HHS U01 AI046957NIAID NIH HHS U01 AI068641NIAID NIH HHS U01AI068641NIAID NIH HHS U01AI46362NIAID NIH HHS U01AI46957
6 · The paper itself

Abstract

backgroundElevated interleukin 6 (IL-6) levels have been linked to cardiovascular disease, cancer and death. Persons with human immunodeficiency virus (HIV) infection receiving treatment have higher IL-6 levels, but few data are available on factors associated with circulating IL-6.

methodsParticipants in 3 trials with IL-6 measured at baseline were included (N = 9864). Factors associated with IL-6 were identified by linear regression. Demographic and HIV variables (nadir/entry CD4(+) cell count, HIV RNA level, antiretroviral therapy regimen) were investigated in all 3 trials. In the SMART (Strategies for Management of Anti-Retroviral Therapy) trial, CD4/CD8 ratio, smoking, comorbid conditions, serum lipids, renal function (estimated glomerular filtration rate [eGFR]), and educational level were assessed.

resultsDemographics associated with higher IL-6 levels were older age and lower education, whereas black race was associated with lower IL-6. Higher HIV RNA levels were associated with higher IL-6 levels, and higher nadir CD4(+) cell counts with lower IL-6 levels. Compared with efavirenz, protease inhibitors were associated with higher and nevirapine with lower IL-6 levels. Smoking and all comorbid conditions were related to higher IL-6. IL-6 levels increased with decreasing eGFR and decreasing serum lipids.

conclusionsHigher levels of IL-6 were associated with older age, nonblack race, higher body mass index, lower serum lipid levels, HIV replication, low nadir CD4(+) cell count, protease inhibitor use, comorbid conditions, and decreased eGFR. Multiple factors affect inflammation in HIV and should be considered in studies of IL-6 as a biomarker of clinical outcomes.

Indexed as

AdultBiomarkersCross-Sectional StudiesFemaleFibrin Fibrinogen Degradation ProductsHIV InfectionsHumansInflammationInterleukin-6MaleMiddle AgedRNA, ViralSmokingViral LoadBiomarkersFibrin Fibrinogen Degradation Productsfibrin fragment DInterleukin-6RNA, Viralcancercardiovascular diseaseHIVIL-6inflammation

Identifiers

PMID25722296
PMCPMC4598808
OpenAlexW2145212574

What OpenQuestion holds

Textmetadata
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.