Evidence map›Paper›PMID 26110165›Full record

ArticleOpen forum infectious diseases2015

Increased Regulatory T-Cell Percentage Contributes to Poor CD4(+) Lymphocytes Recovery: A 2-Year Prospective Study After Introduction of Antiretroviral Therapy.

Julien Saison, Delphine Maucort Boulch, Christian Chidiac, Julie Demaret, Christophe Malcus, Laurent Cotte, Francoise Poitevin-Later, Patrick Miailhes, Fabienne Venet, Mary Anne Trabaud and 2 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2015. 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
–field-weighted citation impact
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.

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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

12 authors.

Julien SaisonImmunology Laboratory , Hospices Civils de Lyon, Hôpital Edouard Herriot , France ; Infectious and Tropical Disease Unit ; Lyon-1 University ; Centre International de Recherche en Infectiologie , Centre CNRS U1111 (INSERM ) - UMR5308, ENS de Lyon, UCBL1.
Delphine Maucort BoulchLyon-1 University ; Service de Biostatistique , Hospices Civils de Lyon ; Equipe Biostatistique Santé CNRS UMR 5558 , Villeurbanne.
Christian ChidiacInfectious and Tropical Disease Unit ; Lyon-1 University ; Centre International de Recherche en Infectiologie , Centre CNRS U1111 (INSERM ) - UMR5308, ENS de Lyon, UCBL1.
Julie DemaretImmunology Laboratory , Hospices Civils de Lyon, Hôpital Edouard Herriot , France.
Christophe MalcusImmunology Laboratory , Hospices Civils de Lyon, Hôpital Edouard Herriot , France.
Laurent CotteInfectious and Tropical Disease Unit.
Francoise Poitevin-LaterImmunology Laboratory , Hospices Civils de Lyon, Hôpital Edouard Herriot , France.
Patrick MiailhesInfectious and Tropical Disease Unit.
Fabienne VenetImmunology Laboratory , Hospices Civils de Lyon, Hôpital Edouard Herriot , France ; Lyon-1 University.
Mary Anne TrabaudVirology Laboratory , Hospices Civils de Lyon, Hôpital Croix-Rousse , France.
Guillaume MonneretImmunology Laboratory , Hospices Civils de Lyon, Hôpital Edouard Herriot , France ; Lyon-1 University.
Tristan FerryInfectious and Tropical Disease Unit ; Lyon-1 University ; Centre International de Recherche en Infectiologie , Centre CNRS U1111 (INSERM ) - UMR5308, ENS de Lyon, UCBL1.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background.  The primary aim of this study was to determine the impact of regulatory T cells (Tregs) percentage on immune recovery in human immunodeficiency virus (HIV)-infected patients after antiretroviral therapy introduction. Methods.  A 2-year prospective study was conducted in HIV-1 chronically infected naive patients with CD4 count <500 cells/mm(3). Regulatory T cells were identified as CD4(+)CD25(high)CD127(low) cells among CD4(+) lymphocytes. Effect of Treg percentage at inclusion on CD4 evolution overtime was analyzed using a mixed-effect Poisson regression for count data. Results.  Fifty-eight patients were included (median CD4 = 293/mm(3), median Treg percentage = 6.1%). Percentage of Treg at baseline and CD4 nadir were independently related to the evolution of CD4 absolute value according to time: (1) at any given nadir CD4 count, 1% increase of initial Treg was associated with a 1.9% lower CD4 absolute value at month 24; (2) at any given Treg percentage at baseline, 10 cell/mm(3) increase of CD4 nadir was associated with a 2.4% increase of CD4 at month 24; and (3) both effects did not attenuate with time. The effect of Treg at baseline on CD4 evolution was as low as the CD4 nadir was high. Conclusions.  Regulatory T-cell percentage at baseline is a strong independent prognostic factor of immune recovery, particularly among patients with low CD4 nadir.

Indexed as

ARTimmune responseimmunological failurenadir CD4T-regulatory cells

Identifiers

PMID26110165
PMCPMC4473110

What OpenQuestion holds

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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.