Evidence map›Paper›PMID 28279683›Full record

ArticleThe Journal of allergy and clinical immunology2017

Long-term pulmonary complications in perinatally HIV-infected youth.

William T Shearer, Denise L Jacobson, Wendy Yu, George K Siberry, Murli Purswani, Suzanne Siminski, Laurie Butler, Erin Leister, Gwendolyn Scott, Russell B Van Dyke and 6 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in The Journal of allergy and clinical immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01418014 (Adolescent Master Protocol), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.4field-weighted citation impact, top 11% 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.

NCT01418014 completednot on this map

Adolescent Master Protocol

TypeobservationalSponsorHarvard School of Public Health (HSPH)Ran2007 to 2021Enrolled678ConditionsHIV/AIDS
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Longitudinal Changes in Spirometry in South African Adolescents Perinatally Infected With Human Immunodeficiency Virus Who Are Receiving Antiretroviral Therapy.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  8. NK cells in treated HIV-infected children display altered phenotype and function.The Journal of allergy and clinical immunology · 2019
    Article
  9. A Global Research Agenda for Adolescents Living With HIV.Journal of acquired immune deficiency syndromes (1999) · 2018
    Article
  10. Article
  11. Review
  12. 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

16 authors at 10 institutions in 2 countries.

William T ShearerDepartment of Pediatrics, Baylor College of Medicine, and the Department of Allergy and Immunology, Texas Children's Hospital, Houston, Tex. Electronic address: wtsheare@texaschildrens.org.
Denise L JacobsonDepartment of Biostatistics, Center for Biostatistics in AIDS Research, Harvard T. H. Chan School of Public Health, Boston, Mass.
Wendy YuDepartment of Biostatistics, Center for Biostatistics in AIDS Research, Harvard T. H. Chan School of Public Health, Boston, Mass.
George K SiberryMaternal Pediatric Infectious Disease Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Md.
Murli PurswaniBronx Lebanon Hospital Center, New York, NY.
Suzanne SiminskiFrontier Science & Technology Research Foundation, Amherst, NY.
Laurie ButlerFrontier Science & Technology Research Foundation, Amherst, NY.
Erin LeisterDepartment of Biostatistics, Center for Biostatistics in AIDS Research, Harvard T. H. Chan School of Public Health, Boston, Mass.
Gwendolyn ScottDepartment of Pediatrics, Clinical Research Division, University of Miami Miller School of Medicine, Miami, Fla.
Russell B Van DykeSection of Infectious Diseases, Department of Pediatrics, Tulane Medical Center, New Orleans, La.
Ram YogevPediatric Infectious Diseases, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Mary E PaulDepartment of Pediatrics, Baylor College of Medicine, and Department of Retrovirology, Texas Children's Hospital, Houston, Tex.
Ana PugaPediatric Infectious Disease, Children's Diagnostic & Treatment Center, Fort Lauderdale, Fla.
Andrew A ColinDivision of Pediatric Pulmonary, Batchelor Research Institute, Miami, Fla.
Meyer KattanDivision of Pediatric Pulmonology, Columbia University Medical Center, New York, NY.
Pediatric HIV/AIDS Cohort Study
Cancer Research And Biostatistics · USBaylor College of Medicine · USFrontier Science & Technology Research Foundation · USBronx-Lebanon Hospital Center · USChildren's Diagnostic & Treatment Center · USColumbia University Irving Medical Center · USNational Institutes of Health · USNorthwestern University · USTulane Medical Center · USUniversity of Miami · US

Funding

PHACS - Data and Operations CenterU01HD052102 · NICHD · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI WILLIAMS, PAIGE L · 2005 to 2019
$242.7M
Virology CoreP30AI036211 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI BUTEL, JANET S · 1994 to 2015
$21.7M
Pediatric HIV/AIDS Cohort Study (PHACS): Understanding Maternal HIV Disease through Pregnancy and the Postpartum Period and its Role in Child Health OutcomesU01HD052104 · NICHD · TULANE UNIVERSITY OF LOUISIANA · PI VAN DYKE, RUSSELL B. · 2005 to 2019
$15.7M
NIAID NIH HHS P30 AI036211NICHD NIH HHS U01 HD052102NICHD NIH HHS U01 HD052104
6 · The paper itself

Abstract

backgroundIncreased incidence and prevalence of asthma have been documented for perinatally HIV-infected youth 10 to 21 years of age compared with HIV-exposed uninfected (HEU) youth.

objectiveWe sought to perform objective pulmonary function tests (PFTs) in HIV-infected and HEU youth with and without diagnosed asthma.

methodAsthma was determined in 370 participants (218 HIV-infected and 152 HEU participants) by means of chart review and self-report at 13 sites. Interpretable PFTs (188 HIV-infected and 132 HEU participants) were classified as obstructive, restrictive, or normal, and reversibility was determined after bronchodilator inhalation. Values for HIV-1 RNA, CD4 and CD8 T cells, eosinophils, total IgE, allergen-specific IgE, and urinary cotinine were measured. Adjusted prevalence ratios (PRs) of asthma and PFT outcomes were determined for HIV-infected participants relative to HEU participants, controlling for age, race/ethnicity, and sex.

resultsCurrent asthma was identified in 75 (34%) of 218 HIV-infected participants and 38 (25%) of 152 HEU participants (adjusted PR, 1.33; P = .11). The prevalence of obstructive disease did not differ by HIV status. Reversibility was less likely in HIV-infected youth than in HEU youth (17/183 [9%] vs 21/126 [17%]; adjusted PR, 0.47; P = .020) overall and among just those with obstructive PFT results (adjusted PR, 0.46; P = .016). Among HIV-infected youth with current asthma, serum IgE levels were inversely correlated with CD8 T-cell counts and positively correlated with eosinophil counts and not associated with CD4 T-cell counts. HIV-infected youth had lower association of specific IgE levels to several inhalant and food allergens compared with HEU participants and significantly lower CD4/CD8 T-cell ratios (suggesting immune imbalance).

conclusionCompared with HEU youth, HIV-infected youth demonstrated decreased reversibility of obstructive lung disease, which is atypical of asthma. This might indicate an early stage of chronic obstructive pulmonary disease. Follow-up into adulthood is warranted to further define their pulmonary outcomes.

Indexed as

AdolescentAsthmaCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesEosinophilsFemaleHIV-1HIV InfectionsHumansImmunoglobulin EIncidenceMaleMaternal ExposurePregnancyPrenatal Exposure Delayed EffectsPrevalenceImmunoglobulin Easthmaasthma-COPD overlap syndromechronic obstructive pulmonary diseaseimmune imbalance (T(H)2 shift)obstructive and restrictive pulmonary diseasePediatric HIV infectionpulmonary complications of HIV infectionpulmonary function testingreversibility of obstructive air flow with bronchodilators

Identifiers

PMID28279683
PMCPMC5587357
OpenAlexW2592301383

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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.