Evidence map›Paper›PMID 28399815›Full record

ArticleBMC infectious diseases2017

Complete manuscript Title: Changes in RANKL during the first two years after cART initiation in HIV-infected cART naïve adults.

Inger Hee Mathiesen, Mohammad Salem, Jan Gerstoft, Julie Christine Gaardbo, Niels Obel, Court Pedersen, Henrik Ullum, Susanne Dam Nielsen, Ann-Brit Eg Hansen

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00135460 (Comparing a Nucleoside-Analogue-Sparing Regimen and a Protease-Inhibitor-Sparing Regimen in Patients With HIV. Influence on Morphological and Metabolic Disorders. A Randomized, Open-Label Multicenter Trial.), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 94% 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.

NCT00135460 phase4unknown statusnot on this map

Comparing a Nucleoside-Analogue-Sparing Regimen and a Protease-Inhibitor-Sparing Regimen in Patients With HIV. Influence on Morphological and Metabolic Disorders. A Randomized, Open-Label Multicenter Trial.

TypeinterventionalSponsorDanish HIV Research GroupRan2003 to 2007Enrolled100ConditionsHIV-Associated Lipodystrophy SyndromeArmsnucleoside analogue sparing HAART regimen
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 4 institutions in 2 countries.

Inger Hee MathiesenDepartment of Infectious Diseases, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Mohammad SalemDepartment of Microbiology & Immunology, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.
Jan GerstoftDepartment of Infectious Diseases, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Julie Christine GaardboDepartment of Infectious Diseases, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Niels ObelDepartment of Infectious Diseases, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Court PedersenDepartment of Infectious Diseases, Odense University Hospital, Odense, Denmark.
Henrik UllumDepartment of Clinical Immunology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Susanne Dam NielsenDepartment of Infectious Diseases, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Ann-Brit Eg HansenDepartment of Infectious Diseases, Copenhagen University Hospital Hvidovre Hospital, Kettegaard Allé 30, -2650, Copenhagen, DK, Denmark. ann-brit.eg.hansen.02@regionh.dk.
Copenhagen University Hospital · DKRigshospitalet · DKMUSC Hollings Cancer Center · USOdense University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBy assessing the changes in concentration of soluble receptor activator of nuclear factor κ B ligand (RANKL) and osteoprotegrin (OPG) after initiation of combination antiretroviral therapy (cART) in treatment-naïve HIV-infected patients we aimed to evaluate whether the initial accelerated bone loss could be mediated by increased soluble RANKL (sRANKL) levels associated with CD4+ T cell recovery.

methodsWe used multiplex immunoassays to determine sRANKL and OPG concentrations in plasma from 48 HIV patients at baseline and 12, 24, 48 and 96 weeks after cART initiation.

resultsSoluble RANKL changed significantly over time (overall p = 0.02) with 25% decrease (95% CI: -42 to -5) at week 24 compared to baseline and stabilized at a lower level thereafter. We found no correlation between CD4+ T cell count increment and changes in sRANKL or between percentage change in BMD and changes in sRANKL.

conclusionIn this study there was no indication that the accelerated bone loss after cART initiation was mediated by early changes in sRANKL due to CD4+ T cell recovery. Future studies should focus on the initial weeks after initiation of cART.

trial registrationClinical-Trial.gov . id NCT00135460 , August 25, 2005. The study was approved by the Danish Data Protection Agency, Danish Medicines Agency and Regional Ethics Committee.

Indexed as

AdultAnti-HIV AgentsCD4-Positive T-LymphocytesDrug Therapy, CombinationFemaleHIV InfectionsHumansLymphocyte CountMaleMiddle AgedRANK LigandAnti-HIV AgentsRANK LigandTNFSF11 protein, humanBMDcARTHIV infectionOPGRANKL

Identifiers

PMID28399815
PMCPMC5387326
OpenAlexW2607461523

What OpenQuestion holds

Textmetadata
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.