Evidence map›Paper›PMID 27832025›Full record

Trial reportSexually transmitted diseases2016

Herpes Simplex Virus Suppressive Therapy in Herpes Simplex Virus-2/Human Immunodeficiency Virus-1 Coinfected Women Is Associated With Reduced Systemic CXCL10 But Not Genital Cytokines.

Erica Andersen-Nissen, Joanne T Chang, Katherine K Thomas, Devin Adams, Connie Celum, Jorge Sanchez, Robert W Coombs, M Juliana McElrath, Jared M Baeten

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Sexually transmitted diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 34% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Therapeutic Implications of the Microbial Hypothesis of Mental Illness.Current topics in behavioral neurosciences · 2023
    Review
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

9 authors at 2 institutions in 1 country.

Erica Andersen-NissenFrom the *Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA; Departments of †Global Health, ‡Medicine, §Epidemiology and ∥Laboratory Medicine, University of Washington, Seattle, WA; and ¶Investigaciones Medicas en Salud (INMENSA), Lima, Peru.
Joanne T Chang
Katherine K Thomas
Devin Adams
Connie Celum
Jorge Sanchez
Robert W Coombs
M Juliana McElrath
Jared M Baeten
Cancer Research Center · USFred Hutch Cancer Center · US

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Kenneth Sherr · 1988 to 2026
$104.9M
NIAID NIH HHS P30 AI027757
6 · The paper itself

Abstract

backgroundHerpes simplex virus type-2 (HSV-2) may heighten immune activation and increase human immunodeficiency virus 1 (HIV-1) replication, resulting in greater infectivity and faster HIV-1 disease progression. An 18-week randomized, placebo-controlled crossover trial of 500 mg valacyclovir twice daily in 20 antiretroviral-naive women coinfected with HSV-2 and HIV-1 was conducted and HSV-2 suppression was found to significantly reduce both HSV-2 and HIV-1 viral loads both systemically and the endocervical compartment.

methodsTo determine the effect of HSV-2 suppression on systemic and genital mucosal inflammation, plasma specimens, and endocervical swabs were collected weekly from volunteers in the trial and cryopreserved. Plasma was assessed for concentrations of 31 cytokines and chemokines; endocervical fluid was eluted from swabs and assayed for 14 cytokines and chemokines.

resultsValacyclovir significantly reduced plasma CXCL10 but did not significantly alter other cytokine concentrations in either compartment.

conclusionsThese data suggest genital tract inflammation in women persists despite HSV-2 suppression, supporting the lack of effect on transmission seen in large scale efficacy trials. Alternative therapies are needed to reduce persistent mucosal inflammation that may enhance transmission of HSV-2 and HIV-1.

Indexed as

AcyclovirAdultAntiviral AgentsChemokine CXCL10CoinfectionCross-Over StudiesCytokinesFemaleHerpes GenitalisHerpesvirus 2, HumanHIV-1HIV InfectionsHumansMiddle AgedReproductive Tract InfectionsValacyclovirAcyclovirAntiviral AgentsChemokine CXCL10CXCL10 protein, humanCytokinesValacyclovirValine

Identifiers

PMID27832025
PMCPMC5117823
OpenAlexW2554468640

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.