Evidence map›Paper›PMID 28046052›Full record

ArticlePloS one2017

Integrative Analysis of Immunological Data to Explore Chronic Immune T-Cell Activation in Successfully Treated HIV Patients.

Marie-Quitterie Picat, Isabelle Pellegrin, Juliette Bitard, Linda Wittkop, Cécile Proust-Lima, Benoît Liquet, Jean-François Moreau, Fabrice Bonnet, Patrick Blanco, Rodolphe Thiébaut and 1 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 44% 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.

NCT04067869 phase3completednot on this map

Participation of Cytomegalovirus Infection or an Autoimmune Process in T Lymphocyte Activation of HIV-1 Infected Patients With Undetectable Viral Load on Antiretroviral Therapy.

TypeinterventionalSponsorUniversity Hospital, BordeauxRan2010 to 2010Enrolled392ConditionsCytomegalovirus Infections, HIV-1-infectionArmsBlood samples
NCT04068350 completednot on this map

Epidemiological Study of Post-operative Chronic Pediatric Pain.

TypeobservationalSponsorUniversity Hospital, BordeauxRan2010 to 2011Enrolled582ConditionsChronic Pain, Postoperative PainArmsPain questionnaire
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

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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

11 authors at 4 institutions in 2 countries.

Marie-Quitterie PicatCentre INSERM U1219 Bordeaux Population Health, Bordeaux, France.
Isabelle PellegrinLaboratoire d'Immunologie-Immunogénétique, Pôle de Biologie, CHU Bordeaux, Bordeaux, France.
Juliette BitardLaboratoire d'Immunologie-Immunogénétique, Pôle de Biologie, CHU Bordeaux, Bordeaux, France.
Linda WittkopCentre INSERM U1219 Bordeaux Population Health, Bordeaux, France.
Cécile Proust-LimaCentre INSERM U1219 Bordeaux Population Health, Bordeaux, France.
Benoît LiquetLaboratoire de Mathématiques et de leurs Applications, Université de Pau et des Pays de l'Adour, UMR CNRS 5142, Pau, France.
Jean-François MoreauLaboratoire d'Immunologie-Immunogénétique, Pôle de Biologie, CHU Bordeaux, Bordeaux, France.
Fabrice BonnetCentre INSERM U1219 Bordeaux Population Health, Bordeaux, France.
Patrick BlancoLaboratoire d'Immunologie-Immunogénétique, Pôle de Biologie, CHU Bordeaux, Bordeaux, France.
Rodolphe ThiébautCentre INSERM U1219 Bordeaux Population Health, Bordeaux, France.
ANRS CO3 Aquitaine Cohort
Centre National de la Recherche Scientifique · FRInstitut national de recherche en sciences et technologies du numérique · FRUniversité de Bordeaux · FRCentre Hospitalier Universitaire de Bordeaux · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo unravel the complex relationships between cytomegalovirus-induced-, autoimmune-induced responses, microbial translocation and chronic immune activation (CIA) in successfully treated HIV-infected patients and to explore the mediating role of alpha-interferon in these processes.

designCross-sectional study nested in the ANRS CO3 Aquitaine Cohort, a prospective hospital-based cohort of HIV-1-infected patients in South-Western France.

methodsPatients initiated antiretroviral therapy between 2005 and 2008 and were treated with sustained virological suppression for at least two years. CIA was defined by the percentage of HLA-DR+/CD38+ among CD8+T-cells. Integrative analyses were performed using structural equation modelling (SEM).

resultsThe main analysis was performed in 57 HLA-A*0201 positive patients, due to availability of percentages of actin-, vimentin-, lamin-specific CD8+T-cells (HLA-A2-restricted tests) to further characterize autoimmune response. Cytomegalovirus-induced response was assessed by Quantiferon and pp-65 ELISPOT. SEM revealed a direct effect of cytomegalovirus-induced response on CIA (standardized estimate βstd = 0.56, p-value = 0.0004). The effect of autoimmune-induced response on CIA was indirect through alpha-interferon pathway, assessed by expression levels of 5 alpha-interferon-stimulated genes ADAR, ISG15, IFIT1, Mx1 and OAS1 (effect of autoimmune response on alpha-interferon: βstd = 0.36, p-value = 0.0401; effect of alpha-interferon on CIA: βstd = 0.39, p-value = 0.0044). There was no direct effect of autoimmune-induced response on CIA (p-value = 0.3169). Microbial translocation as measured by 16SrDNA and sCD14 in plasma was not associated with CIA. Results were consistent in 142 patients in whom cytomegalovirus and auto-immunity responses were measured by Quantiferon and anti-nuclear antibodies, respectively. All analyses performed in HLA-A*0201 positive patients and in the overall population revealed a significant effect of IFN-α latent variable on CIA.

conclusionThe role of cytomegalovirus-induced response on CIA was confirmed as well as the involvement of alpha-interferon on CIA. The indirect effect of auto-immunity response on CIA revealed through the alpha-interferon pathway requires further investigation to confirm the potential role of auto-immunity for CIA in HIV-infected patients.

Indexed as

Lymphocyte ActivationADP-ribosyl Cyclase 1AdultAlgorithmsAnti-Retroviral AgentsAutoimmunityCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesChronic DiseaseCohort StudiesCross-Sectional StudiesCytomegalovirusFemaleFranceHIV InfectionsHLA-DR AntigensADP-ribosyl Cyclase 1Anti-Retroviral AgentsHLA-DR AntigensInterferon-alphaRNA, Ribosomal, 16S

Identifiers

PMID28046052
PMCPMC5207686
OpenAlexW2570222321

What OpenQuestion holds

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LicenceCC BY
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.