Evidence map›Paper›PMID 26365671›Full record

ArticleHIV medicine2016

Soluble urokinase plasminogen activator receptor (suPAR) is a novel, independent predictive marker of myocardial infarction in HIV-1-infected patients: a nested case-control study.

L J H Rasmussen, A Knudsen, T L Katzenstein, J Gerstoft, N Obel, N R Jørgensen, G Kronborg, T Benfield, A Kjaer, J Eugen-Olsen and 1 more

Open access · hybridAbstract read
In one paragraph

Article in HIV medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  4. Brief Report: Sex and HIV Modify Immune Activation Biomarkers in Ugandans Post-Tuberculosis.Journal of acquired immune deficiency syndromes (1999) · 2025
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  11. Beneficial Effects of Cannabis on Blood-Brain Barrier Function in Human Immunodeficiency Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  12. Review
  13. Observational
  14. Therapeutics targeting the fibrinolytic system.Experimental & molecular medicine · 2020
    Review
  15. Article
  16. Article
  17. Soluble Urokinase Plasminogen Activator Receptor Is Predictive of Non-AIDS Events During Antiretroviral Therapy-mediated Viral Suppression.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Observational
  18. Article
  19. Review
  20. Observational
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

11 authors at 4 institutions in 1 country.

L J H RasmussenClinical Research Centre, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
A KnudsenDepartment of Infectious Diseases, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
T L KatzensteinDepartment of Infectious Diseases, Rigshospitalet, Copenhagen, Denmark.
J GerstoftDepartment of Infectious Diseases, Rigshospitalet, Copenhagen, Denmark.
N ObelDepartment of Infectious Diseases, Rigshospitalet, Copenhagen, Denmark.
N R JørgensenDepartment of Diagnostics and Medicine, Research Centre for Aging and Osteoporosis, Copenhagen University Hospital Glostrup, Glostrup, Denmark.
G KronborgDepartment of Infectious Diseases, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
T BenfieldDepartment of Infectious Diseases, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
A KjaerDepartment of Clinical Physiology, Nuclear Medicine & PET and Cluster for Molecular Imaging, Rigshospitalet and University of Copenhagen, Copenhagen, Denmark.
J Eugen-OlsenClinical Research Centre, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
A-M LebechDepartment of Infectious Diseases, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
Copenhagen University Hospital · DKHvidovre Hospital · DKRigshospitalet · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPatients infected with HIV are at increased risk of myocardial infarction (MI). Increased plasma levels of the inflammatory biomarker soluble urokinase plasminogen activator receptor (suPAR) have been associated with increased risk of cardiovascular diseases (CVD), including MI in the general population. We tested suPAR as a predictive biomarker of MI in HIV-1-infected individuals.

methodssuPAR levels were investigated in a nested case-control study of 55 HIV-1-infected cases with verified first-time MI and 182 HIV-1-infected controls with no known CVD. Controls were matched for age, gender, duration of antiretroviral therapy (ART), smoking and no known CVD. suPAR was measured in the four plasma samples available for each patient at different time-points; 1, Before initiation of ART; 2, 3 months after initiation of ART; 3, 1 year before the case's MI; and 4, The last sample available before the case's MI.

resultsIn unadjusted conditional regression analysis, higher levels of suPAR were associated with a significant increase in risk of MI at all time-points. Patients in the third and fourth suPAR quartiles had a three- to 10-fold higher risk of MI compared to patients in the lowest suPAR quartile at all time-points. suPAR remained a strong significant predictor of MI, when adjusting for HIV-1 RNA, total cholesterol, triglycerides and high-density lipoprotein.

conclusionElevated suPAR levels were associated with increased risk of MI in HIV-infected patients, suggesting that suPAR could be a useful biomarker for prediction of first-time MI in this patient group, even years before the event.

Indexed as

AdultBiomarkersCase-Control StudiesFemaleHIV InfectionsHumansMaleMiddle AgedMyocardial InfarctionReceptors, Urokinase Plasminogen ActivatorRegression AnalysisRisk FactorsBiomarkersPLAUR protein, humanReceptors, Urokinase Plasminogen Activatoratherosclerosisbiomarkercardiovascular diseaseinflammationlipids

Identifiers

PMID26365671
PMCPMC5054925
OpenAlexW1907946315

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.