Evidence map›Paper›PMID 26392000›Full record

ArticleNature communications2015

Role of T-cell reconstitution in HIV-1 antiretroviral therapy-induced bone loss.

Ighovwerha Ofotokun, Kehmia Titanji, Tatyana Vikulina, Susanne Roser-Page, Masayoshi Yamaguchi, Majd Zayzafoon, Ifor R Williams, M Neale Weitzmann

Abstract read
In one paragraph

Article in Nature communications, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
–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

61 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Diagnosis, prevention, and treatment of bone fragility in people living with HIV: a position statement from the Swiss Association against Osteoporosis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
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  7. A Single-dose Zoledronic Acid Infusion Prevents Antiretroviral Therapy-induced Bone Loss in Treatment-naive HIV-infected Patients: A Phase IIb Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Ighovwerha OfotokunDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia 30303, USA.
Kehmia TitanjiDivision of Endocrinology &Metabolism &Lipids, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia 30322, USA.
Tatyana VikulinaDivision of Endocrinology &Metabolism &Lipids, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia 30322, USA.
Susanne Roser-PageAtlanta Department of Veterans Affairs Medical Center, Decatur, Georgia 30033, USA.
Masayoshi YamaguchiDivision of Endocrinology &Metabolism &Lipids, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia 30322, USA.
Majd ZayzafoonDepartment of Pathology, University of Alabama at Birmingham, Birmingham, Alabama 35223, USA.
Ifor R WilliamsDepartment of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30303, USA.
M Neale WeitzmannDivision of Endocrinology &Metabolism &Lipids, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia 30322, USA.

Funding

Prostate Cancer Bone Metastasis: Biology and TargetingP01CA098912 · NCI · EMORY UNIVERSITY · PI TIGHIOUART, MOURAD · 2003 to 2019
$24.0M
Neuro HPA Project 1U54AG062334 · NIA · EMORY UNIVERSITY · PI Ighovwerha Ofotokun · 2018 to 2026
$12.2M
UAB Core Center for Musculoskeletal DisordersP30AR046031 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, SHAWN ROBERT · 2001 to 2010
$5.6M
Effect of HIV Infection and HAART on Bone HomeostasisR01AR059364 · NIAMS · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, WEITZMANN, MERVYN NEALE · 2009 to 2013
$3.2M
Bone Loss and Immune Reconstitution in HIV/AIDSR01AG040013 · NIA · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, WEITZMANN, MERVYN NEALE · 2011 to 2015
$2.8M
The Role of Transcription Factor NFAT in Osteoblast DifferentiationR01AR053898 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ZAYZAFOON, MAJD · 2007 to 2011
$1.5M
Emory R38 Research Training ProgramR38AI140299 · NIAID · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, ROUPHAEL, NADINE GEORGES · 2018 to 2021
$1.4M
Biological Actions and Cellular Targeting of Nanoparticles for Medical ApplicatioR01AR056090 · NIAMS · EMORY UNIVERSITY · PI BECK, GEORGE R., WEITZMANN, MERVYN NEALE · 2008 to 2010
$984k
Immune Regulation of Bone HomeostasisI01BX000105 · VA · VETERANS HEALTH ADMINISTRATION · PI WEITZMANN, MERVYN NEALE · 2009 to 2022
–
BLRD VA I01 BX000105NCI NIH HHS P01 CA098912NIAID NIH HHS R38 AI140299NIAMS NIH HHS P30 AR046031NIAMS NIH HHS P30AR46031NIAMS NIH HHS R01 AR053898NIAMS NIH HHS R01AR053898NIAMS NIH HHS R01 AR056090NIAMS NIH HHS R01AR056090NIAMS NIH HHS R01 AR059364NIAMS NIH HHS R01AR059364NIA NIH HHS R01 AG040013NIA NIH HHS R01AG040013NIA NIH HHS U54 AG062334
6 · The paper itself

Abstract

HIV infection causes bone loss. We previously reported that immunosuppression-mediated B-cell production of receptor activator of NF-κB ligand (RANKL) coupled with decline in osteoprotegerin correlate with decreased bone mineral density (BMD) in untreated HIV infection. Paradoxically, antiretroviral therapy (ART) worsens bone loss although existing data suggest that such loss is largely independent of specific antiretroviral regimen. This led us to hypothesize that skeletal deterioration following HIV disease reversal with ART may be related to T-cell repopulation and/or immune reconstitution. Here we transplant T cells into immunocompromised mice to mimic ART-induced T-cell expansion. T-cell reconstitution elicits RANKL and TNFα production by B cells and/or T cells, accompanied by enhanced bone resorption and BMD loss. Reconstitution of TNFα- or RANKL-null T-cells and pharmacological TNFα antagonist all protect cortical, but not trabecular bone, revealing complex effects of T-cell reconstitution on bone turnover. These findings suggest T-cell repopulation and/or immune reconstitution as putative mechanisms for bone loss following ART initiation.

Indexed as

HIV-1Adoptive TransferAnimalsAnti-HIV AgentsBone DensityBone ResorptionCD4 Lymphocyte CountFemaleGenes, T-Cell Receptor betaMiceMice, Inbred C57BLMice, KnockoutOsteoporosisSpleenT-LymphocytesTumor Necrosis Factor-alphaAnti-HIV AgentsTumor Necrosis Factor-alpha

Identifiers

PMID26392000
PMCPMC4580984

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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.