Evidence map›Paper›PMID 28118207›Full record

ArticleAIDS (London, England)2017

Rectal microbiota among HIV-uninfected, untreated HIV, and treated HIV-infected in Nigeria.

Rebecca G Nowak, Søren M Bentzen, Jacques Ravel, Trevor A Crowell, Wuese Dauda, Bing Ma, Hongjie Liu, William A Blattner, Stefan D Baral, Manhattan E Charurat and 1 more

Abstract readComparative Study
In one paragraph

Article in AIDS (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. The Impact of Human Immunodeficiency Virus Infection on Gut Microbiota α-Diversity: An Individual-level Meta-analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Pooled it
  3. Gut Microbiome Changes Associated With HIV Infection and Sexual Orientation.Frontiers in cellular and infection microbiology · 2020
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Rebecca G NowakaInstitute of Human Virology, University of Maryland School of Medicine bUniversity of Maryland Greenebaum Comprehensive Cancer Center cDepartment of Epidemiology and Public Health dInstitute for Genome Sciences, University of Maryland School of Medicine, Baltimore eUS Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring fHenry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Maryland, USA gInstitute of Human Virology, Nigeria, Abuja, Nigeria hSchool of Public Health, University of Maryland, College Park iJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Søren M Bentzen
Jacques Ravel
Trevor A Crowell
Wuese Dauda
Bing Ma
Hongjie Liu
William A Blattner
Stefan D Baral
Manhattan E Charurat
TRUSTRV368 Study Group

Funding

UNIVERSITY OF MARYLAND GREENEBAUM CANCER CENTERSUPPORT GRANTP30CA134274 · NCI · UNIVERSITY OF MARYLAND BALTIMORE · PI Vu H. Duong · 2008 to 2026
$51.0M
UM-IHV AITRP in NigeriaD43TW001041 · FIC · UNIVERSITY OF MARYLAND BALTIMORE · PI CHARURAT, MANHATTAN E · 1998 to 2015
$9.2M
Building TRUSTR01AI120913 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI CHARURAT, MANHATTAN E · 2015 to 2019
$3.3M
TRUSTR01MH099001 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI CHARURAT, MANHATTAN E · 2012 to 2014
$2.9M
FIC NIH HHS D43 TW001041NCI NIH HHS P30 CA134274NIAID NIH HHS R01 AI120913NIMH NIH HHS R01 MH099001PEPFAR
6 · The paper itself

Abstract

objectiveUntreated advanced HIV infection alters the gut microbiota, but it is unclear whether antiretroviral therapy (ART) reverses these changes. We compared the composition of the rectal microbiota among three groups of men who have sex with men (MSM): HIV-uninfected, untreated HIV, and ART-treated HIV-infected.

designA cross-sectional study was conducted among 130 MSM (55 HIV-uninfected, 41 untreated HIV, and 34 ART-treated HIV) in Abuja, Nigeria.

methodsBacterial 16S rRNA genes were amplified from rectal swabs, sequenced and clustered into Genera-level operational taxonomic units. Alpha diversity was quantified using the Shannon index and compared among groups using the Kruskal-Wallis test; associations with other scale variables were quantified using Spearman's rank correlation (Rs). The relative abundance of the top 15 taxa was compared according to HIV infection/treatment status using the Wilcoxon rank sum test.

resultsHIV-treated MSM had a decrease in a commensal phylum, Bacteroidetes (P < 0.01). Alpha diversity was positively correlated with viral loads (Rs = 0.32, P < 0.01). Statistically significant shifts in relative abundance of rectal microbiota for the HIV-treated group included a decrease in the most abundant bacteria, Prevotella (P = 0.02) and an increase in pathogenic bacteria, Peptoniphilus (P = 0.04), Finegoldia (P = 0.01), Anaerococcus (P = 0.03), and Campylobacter (P = 0.03) compared with the other groups.

conclusionUntreated HIV infection does not significantly alter the rectal microbiota, whereas prior treatment is associated with a shift toward a more pathogenic pattern of microbiota. Treatment with an antibiotic, co-trimoxazole, in conjunction with ART may have contributed to this shift.

Indexed as

BiodiversityMicrobiotaAnti-Retroviral AgentsBacteriaCluster AnalysisCross-Sectional StudiesDNA, BacterialDNA, RibosomalHealthy VolunteersHIV InfectionsHumansMaleNigeriaPhylogenyRectumRNA, Ribosomal, 16SAnti-Retroviral AgentsDNA, BacterialDNA, RibosomalRNA, Ribosomal, 16S

Identifiers

PMID28118207
PMCPMC5342931

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Registered trials

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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.