Evidence map›Paper›PMID 26181817›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2015

Elevated Abundance, Size, and MicroRNA Content of Plasma Extracellular Vesicles in Viremic HIV-1+ Patients: Correlations With Known Markers of Disease Progression.

Audrey Hubert, Caroline Subra, Mohammad-Ali Jenabian, Pierre-François Tremblay Labrecque, Cécile Tremblay, Benoit Laffont, Patrick Provost, Jean-Pierre Routy, Caroline Gilbert

Open access · hybridAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

68 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Frontiers in microbiology · 2026
    Article
  5. Extracellular vesicles in viral disease management.Current research in microbial sciences · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. The diagnostic potential of extracellular vesicles in virus-related diseases.Frontiers in cellular and infection microbiology · 2025
    Review
  11. Review
  12. Virus infection and vesicle trafficking.Frontiers in immunology · 2025
    Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Phosphatidylserine-positive extracellular vesicles boost effector CD8Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  20. Article

8 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 2 institutions in 1 country.

Audrey Hubert*Centre de recherche du CHU de Québec and Faculty of Medicine, Département de microbiologie infectiologie et immunologie, Université Laval, Québec, Québec, Canada; †Département des Sciences Biologiques et Centre de recherche BioMed, Université du Québec à Montréal (UQAM), Montréal, Québec, Canada; ‡Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Département de microbiologie infectiologie et immunologie, Montréal, Québec, Canada; and §Chronic Viral Illness Service and Research Institute, McGill University Health Centre, Montréal, Québec, Canada.
Caroline Subra
Mohammad-Ali Jenabian
Pierre-François Tremblay Labrecque
Cécile Tremblay
Benoit Laffont
Patrick Provost
Jean-Pierre Routy
Caroline Gilbert
Centre hospitalier universitaire de Québec · CACentre Hospitalier de l’Université de Montréal · CA

Funding

Canadian Institutes of Health Research MOP-03230Canadian Institutes of Health Research MOP-188726Canadian Institutes of Health Research MOP-267056
6 · The paper itself

Abstract

backgroundBecause of factors only partly understood, the generalized elevated immune activation and inflammation characterizing HIV-1-infected patients are corrected incompletely with antiretroviral therapy (ART). Extracellular vesicles (EVs) including exosomes and microvesicles released by several cell types may contribute to immune activation and dysfunction. EV size, abundance, and content appear to differ according to infection phase, disease progression, and ART.

methodsWe examined whether the size of EVs and the abundance of exosomes in plasma are associated with cell and tissue activation as well as with viral production. Acetylcholinesterase-bearing (AChE+) exosomes in plasma were quantified using an AChE assay. EV size was analyzed using dynamic light scattering. Proteins and microRNAs present in EVs were detected by Western blot and real-time polymerase chain reaction, respectively.

resultsExosomes were found more abundant in the plasma of ART-naive patients. EV size was larger in ART-naive than in ART-suppressed patients, elite controllers, or healthy control subjects. Both exosome abundance and EV sizes were inversely correlated with CD4/CD8 T-cell ratio and neutrophil, platelet, and CD4 T-cell counts and positively correlated with CD8 T-cell counts. A negative correlation was found between CD4 T-cell nadir and exosome abundance, but not EV size. Levels of miR-155 and miR-223 but not miR-92 were strongly correlated negatively with EV abundance and size in ART-naive patients.

conclusionsMonitoring of circulating EVs and EV-borne microRNA is possible and may provide new insight into HIV-1 pathogenesis, disease progression, and the associated inflammatory state, as well as the efficacy of ART and the treatments intended to reduce immune activation.

Indexed as

AdultAnti-HIV AgentsBiomarkersCD4-CD8 RatioCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesExosomesExtracellular VesiclesFemaleHIV-1HIV InfectionsHumansMaleMicroRNAsMiddle AgedViremiaAnti-HIV AgentsBiomarkersMicroRNAs

Identifiers

PMID26181817
PMCPMC4627170
OpenAlexW2310641701

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.