Evidence map›Paper›PMID 26990631›Full record

ArticleAIDS (London, England)2016

Sex differences in soluble markers vary before and after the initiation of antiretroviral therapy in chronically HIV-infected individuals.

Shelly J Krebs, Bonnie M Slike, Pasiri Sithinamsuwan, Isabel E Allen, Thep Chalermchai, Somporn Tipsuk, Nittaya Phanuphak, Linda Jagodzinski, Jerome H Kim, Jintanat Ananworanich and 3 more

Abstract readComparative Study
In one paragraph

Article in AIDS (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Lower Pretreatment Gut Integrity Is Independently Associated With Fat Gain on Antiretroviral Therapy.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
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  18. Greater Sensorimotor Deficits and Abnormally Lower Globus Pallidus Fractional Anisotropy in HIV+ Women than in HIV+ Men.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2021
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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

13 authors at 7 institutions in 3 countries.

Shelly J KrebsaUS Military HIV Research Program, Silver SpringbHenry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Maryland, USAcPhramongkutklao Hospital, Bangkok, ThailanddDepartment of Epidemiology and Biostatistics, University of California, San Francisco, California, USAeSEARCH, Thai Red Cross AIDS Research Centre, Bangkok, ThailandfCurrently, International Vaccine Institute, Seoul, KoreagChulalongkorn University, Bangkok, ThailandhCurrently, Vaccine Research and Development Section, Division of AIDS, NIH, Bethesda, MarylandiDepartment of Neurology, Memory and Aging Center, University of California, San Francisco, California, USA.*Shelly J. Krebs and Bonnie M. Slike contributed equally to the writing of this article.
Bonnie M Slike
Pasiri Sithinamsuwan
Isabel E Allen
Thep Chalermchai
Somporn Tipsuk
Nittaya Phanuphak
Linda Jagodzinski
Jerome H Kim
Jintanat Ananworanich
Mary A Marovich
Victor G Valcour
SEARCH 011 study team
Thai Red Cross Society · THHenry M. Jackson Foundation · USInternational Vaccine Institute · KROffice of AIDS Research · USPhramongkutklao Hospital · THUniversity Memory and Aging Center · USUniversity of California, San Francisco · US

Funding

Peripheral Reservoir of HIV DNA in Monocytes Pivotal to Cognition in HIVR01NS061696 · NINDS · UNIVERSITY OF HAWAII AT MANOA · PI VALCOUR, VICTOR · 2008 to 2012
$3.2M
NINDS NIH HHS R01 NS061696
6 · The paper itself

Abstract

objectiveTo evaluate differences in soluble inflammatory markers between chronically HIV-infected men and women, with or without cognitive impairment, and in response to treatment.

designSoluble biomarkers were measured in cryopreserved plasma and cerebrospinal fluid (CSF) of 60 treatment-naïve individuals (25 men and 35 women) with chronic HIV infection and 18 HIV-uninfected controls (9 men and 9 women) from Thailand. Following enrollment, participants began combination antiretroviral therapy and were evaluated for expression of these markers after 48 weeks.

methodsPlasma and CSF levels of 19 soluble biomarkers (IFN-γ, TNFα, TNF-RII, IL-1α, IL-1β, IL-4, IL-5, IL-6, IL-8, IL-10, IL-12p70, IL-15, MCP-1, t-Tau, IP-10, neopterin, IFNα, I-FABP, and sCD14) were measured using either a multiparameter or standard ELISA assay.

resultsPrior to combination antiretroviral therapy, women with impaired cognition had elevated levels of neopterin and TNF-RII compared with women with normal cognition in both the plasma and CSF; however, levels did not differ between cognitively impaired or normal men. In a secondary outcome-hypothesis generating analysis, sex differences were also pronounced in plasma levels of MCP-1, IL-10, I-FABP, and sCD14 in response to treatment. Neopterin, IP-10, TNFα, TNF-RII, IFNα, MCP-1, IL-8, I-FABP, and sCD14 plasma levels remained elevated following 48 weeks of therapy in both sexes compared with uninfected controls.

conclusionWe provide evidence of sustained immune activation after 48 weeks of treatment and identify possible sex differences in biomarkers previously linked to cognitive impairment, chronic inflammation, and gut integrity that may contribute to immunological differences between sexes in relationship to disease progression and response to therapy.

Indexed as

Sex FactorsAdultAnti-Retroviral AgentsCerebrospinal FluidEnzyme-Linked Immunosorbent AssayFemaleHIV InfectionsHumansImmunologic FactorsMaleMiddle AgedPlasmaThailandYoung AdultAnti-Retroviral AgentsImmunologic Factors

Identifiers

PMID26990631
PMCPMC4889571
OpenAlexW2313780876

What OpenQuestion holds

Textmetadata
LicenceTDM
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.