Evidence map›Paper›PMID 27521361›Full record

Trial reportThe Journal of infectious diseases2016

Chronic Hepatitis C Virus Infection and the Proinflammatory Effects of Injection Drug Use.

Martin Markowitz, Sherry Deren, Charles Cleland, Melissa La Mar, Evelyn Silva, Pedro Batista, Leslie St Bernard, Natanya Gettie, Kristina Rodriguez, Teresa H Evering and 2 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01831284 (Correlates and Consequences of Increased Immune Activation in Injection Drug Users), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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.

NCT01831284 completednot on this map

Correlates and Consequences of Increased Immune Activation in Injection Drug Users

TypeobservationalSponsorRockefeller UniversityRan2012 to 2014Enrolled201ConditionsIntravenous Drug UsageArmsSigmoidoscopy with biopsy
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  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

12 authors at 4 institutions in 2 countries.

Martin MarkowitzAaron Diamond AIDS Research Center.
Sherry DerenCenter for Drug Use and HIV Research, New York University Rory Meyers College of Nursing.
Charles ClelandCenter for Drug Use and HIV Research, New York University Rory Meyers College of Nursing.
Melissa La MarAaron Diamond AIDS Research Center.
Evelyn SilvaCenter for Drug Use and HIV Research, New York University Rory Meyers College of Nursing.
Pedro BatistaCenter for Drug Use and HIV Research, New York University Rory Meyers College of Nursing.
Leslie St BernardAaron Diamond AIDS Research Center.
Natanya GettieAaron Diamond AIDS Research Center.
Kristina RodriguezAaron Diamond AIDS Research Center.
Teresa H EveringAaron Diamond AIDS Research Center.
Haekyung LeeImmunology Institute.
Saurabh MehandruImmunology Institute.
Aaron Diamond AIDS Research Center · USNew York University · USIcahn School of Medicine at Mount Sinai · USInstitute of Immunology · HR

Funding

Transdisciplinary Theoretical Svnthesis and Development CoreP30DA011041 · NIDA · NEW YORK UNIVERSITY · PI Holly Hagan, Courtney McKnight · 1998 to 2026
$38.9M
Transforming Translational Science and Education to Benefit Human HealthUL1TR000043 · NCATS · ROCKEFELLER UNIVERSITY · PI COLLER, BARRY · 2012 to 2015
$26.8M
Correlates and Consequences of Increased Immune Activation in HIV + and - IDUsR01DA033777 · NIDA · AARON DIAMOND AIDS RESEARCH CENTER · PI MARKOWITZ, MARTIN H · 2012 to 2016
$4.7M
NCATS NIH HHS UL1 TR000043NIDA NIH HHS P30 DA011041NIDA NIH HHS R01 DA033777
6 · The paper itself

Abstract

backgroundChronic inflammation, as defined by persistent immune activation, is associated with adverse clinical outcomes. People who inject drugs (PWID) have evidence of persistent immune activation. Here, in a cohort of PWID with or without hepatitis C virus (HCV) infection, we sought to dissect out the contribution of chronic HCV infection (common in PWID) from the effects of injection drug use itself.

methodsFour groups of study volunteers were recruited: group 1 comprised active PWID; group 2, individuals who ceased injecting drugs 1-2 months before recruitment; group 3, individuals who ceased injecting drugs 3-4 months before recruitment; and group 4, healthy volunteers. Soluble and cell-associated markers of immune activation were quantified.

resultsHCV-viremic PWID have elevated levels of immune activation when compared to healthy volunteers. Cessation of injection drug use results in a decline in immune activation in the absence of HCV viremia, while HCV-viremic individuals who previously were PWID continue to harbor elevated levels of immune activation, as defined by increased levels of soluble CD14 and tumor necrosis factor α and by the presence of CD38

conclusionsImmune activation, a well-defined surrogate of poor clinical outcome that is elevated in PWID, can regress to normal levels in former injection drug users who are HCV aviremic. Therefore, enhanced harm-reduction efforts should incorporate aggressive treatment of HCV infection. CLINICAL TRIALS REGISTRATION: NCT01831284.

Indexed as

AdultCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesDrug UsersFemaleHepacivirusHepatitis C, ChronicHumansInflammationMaleSubstance Abuse, IntravenousTumor Necrosis Factor-alphaTumor Necrosis Factor-alphaHCV infectionimmune activationinjection drug use

Identifiers

PMID27521361
PMCPMC5079368
OpenAlexW2515399950

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.