Evidence map›Paper›PMID 26609048›Full record

ArticleJournal of leukocyte biology2016

Antiretroviral therapy in HIV-1-infected individuals with CD4 count below 100 cells/mm3 results in differential recovery of monocyte activation.

Sean C Patro, Livio Azzoni, Jocelin Joseph, Matthew G Fair, Juan G Sierra-Madero, Mohammed S Rassool, Ian Sanne, Luis J Montaner

Open access · bronzeAbstract read
In one paragraph

Article in Journal of leukocyte biology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Effect of Opioid Use on Immune Activation and HIV Persistence on ART.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2020
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
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

8 authors at 4 institutions in 3 countries.

Sean C PatroHIV Immunopathogenesis Laboratory, The Wistar Institute, Philadelphia, Pennsylvania, USA; Department of Microbiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA;
Livio AzzoniHIV Immunopathogenesis Laboratory, The Wistar Institute, Philadelphia, Pennsylvania, USA;
Jocelin JosephHIV Immunopathogenesis Laboratory, The Wistar Institute, Philadelphia, Pennsylvania, USA;
Matthew G FairHIV Immunopathogenesis Laboratory, The Wistar Institute, Philadelphia, Pennsylvania, USA;
Juan G Sierra-MaderoDepartmento de Infectología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico Distrito Federal, Mexico; and.
Mohammed S RassoolClinical HIV Research Unit, Department of Internal Medicine, Faculty of Heath Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Ian SanneClinical HIV Research Unit, Department of Internal Medicine, Faculty of Heath Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Luis J MontanerHIV Immunopathogenesis Laboratory, The Wistar Institute, Philadelphia, Pennsylvania, USA; montaner@wistar.org.
The Wistar Institute · USUniversity of the Witwatersrand · ZAInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXUniversity of Pennsylvania · US

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI ROBERT GROSS · 1999 to 2026
$78.6M
Tumor Microenvironment and MetastasisP30CA010815 · NCI · WISTAR INSTITUTE · PI Luis J Montaner · 1985 to 2026
$75.9M
NK/DC Cross-Talk and Antiviral ResponseR01AI073219 · NIAID · WISTAR INSTITUTE · PI MONTANER, LUIS J · 2008 to 2011
$3.0M
NCI NIH HHS P30 CA010815NIAID NIH HHS P30 AI045008NIAID NIH HHS R01 AI073219
6 · The paper itself

Abstract

Reversal of monocyte and macrophage activation and the relationship to viral suppression and T cell activation are unknown in patients with advanced HIV-1 infection, initiating antiretroviral therapy. This study aimed to determine whether reduction in biomarkers of monocyte and macrophage activation would be reduced in conjunction with viral suppression and resolution of T cell activation. Furthermore, we hypothesized that the addition of CCR5 antagonism (by maraviroc) would mediate greater reduction of monocyte/macrophage activation markers than suppressive antiretroviral therapy alone. In the CCR5 antagonism to decrease the incidence of immune reconstitution inflammatory syndrome study, antiretroviral therapy-naïve patients received maraviroc or placebo in addition to standard antiretroviral therapy. PBMCs and plasma from 65 patients were assessed during 24 wk of antiretroviral therapy for biomarkers of monocyte and macrophage activation. Markers of monocyte and macrophage activation were reduced significantly by 24 wk, including CD14(++)CD16(+) intermediate monocytes (P < 0.0001), surface CD163 (P = 0.0004), CD169 (P < 0.0001), tetherin (P = 0.0153), and soluble CD163 (P < 0.0001). A change in CD38(+), HLA-DR(+) CD8 T cells was associated with changes in CD169 and tetherin expression. Maraviroc did not affect biomarkers of monocyte/macrophage activation but resulted in greater percentages of CCR5-positive monocytes in PBMC. HIV-1 suppression after 24 wk of antiretroviral therapy, with or without maraviroc, demonstrates robust recovery in monocyte subset activation markers, whereas soluble markers of activation demonstrate minimal decrease, qualitatively differentiating markers of monocyte/macrophage activation in advanced disease.

Indexed as

Antiretroviral Therapy, Highly ActiveAdultBiomarkersCCR5 Receptor AntagonistsCD4 Lymphocyte CountCyclohexanesFemaleHIV-1HIV InfectionsHumansLeukocytes, MononuclearLymphocyte ActivationMacrophagesMaleMaravirocMiddle AgedBiomarkersCCR5 Receptor AntagonistsCyclohexanesMaravirocTriazolesactivation resolutionAIDSmacrophagepathogenesis

Identifiers

PMID26609048
PMCPMC4946615
OpenAlexW2180427757

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.