Evidence map›Paper›PMID 28830393›Full record

ArticleBMC infectious diseases2017

Evaluation of HIV-DNA and inflammatory markers in HIV-infected individuals with different viral load patterns.

Francesca Falasca, Daniele Di Carlo, Corrado De Vito, Isabella Bon, Gabriella d'Ettorre, Alessandra Fantauzzi, Ivano Mezzaroma, Caterina Fimiani, Maria Carla Re, Vincenzo Vullo and 2 more

Open 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. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

24 citing papers in PubMed, 46 citations in OpenAlex.

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  17. Chronic obstructive pulmonary disease in HIV.Expert review of respiratory medicine · 2021
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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

12 authors at 3 institutions in 1 country.

Francesca FalascaDepartment of Molecular Medicine, "Sapienza" University of Rome, Viale dell'Università 31, 00185, Rome, Italy.
Daniele Di CarloDepartment of Molecular Medicine, "Sapienza" University of Rome, Viale dell'Università 31, 00185, Rome, Italy.
Corrado De VitoDepartment of Public Health and Infectious Diseases, "Sapienza" University of Rome, Rome, Italy.
Isabella BonMicrobiology Section of the Department of Experimental, Diagnostic and Specialty Medicine, School of Medicine, University of Bologna, Bologna, Italy.
Gabriella d'EttorreDepartment of Public Health and Infectious Diseases, "Sapienza" University of Rome, Rome, Italy.
Alessandra FantauzziDepartment of Clinical Medicine, "Sapienza" University of Rome, Rome, Italy.
Ivano MezzaromaDepartment of Clinical Medicine, "Sapienza" University of Rome, Rome, Italy.
Caterina FimianiUmberto I University Hospital, Rome, Italy.
Maria Carla ReMicrobiology Section of the Department of Experimental, Diagnostic and Specialty Medicine, School of Medicine, University of Bologna, Bologna, Italy.
Vincenzo VulloDepartment of Public Health and Infectious Diseases, "Sapienza" University of Rome, Rome, Italy.
Guido AntonelliDepartment of Molecular Medicine, "Sapienza" University of Rome, Viale dell'Università 31, 00185, Rome, Italy.
Ombretta TurrizianiDepartment of Molecular Medicine, "Sapienza" University of Rome, Viale dell'Università 31, 00185, Rome, Italy. ombretta.turriziani@uniroma1.it.
Sapienza University of Rome · ITUniversity of Bologna · ITPoliclinico Umberto I · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersistent residual viremia (RV) and low grade inflammation and immune activation have been associated with non-AIDS defining events. The impact of persistent RV and HIV-DNA load on immune activation/inflammation remains unclear. The purpose of this study was to gain new insights into the relation between viremia, markers of inflammation and HIV-DNA levels.

methodsThree hundred and twenty-one HIV-infected patients were studied. A retrospective analysis of viremia values, prospectively collected for 48 months, was performed. Patients were separated into three groups: 113 TND (Target Not Detected, patients with sustained undetectable viremia); 113 RV (Residual Viremia, patients who had at least three detectable viral load (VL) values <37 copies/ml); 95 LLV (Low Level Viremia, patients with at least two VL values >37 but <200 copies/ml). HIV-DNA, TNF-α, IL-6 and sCD14 were analyzed.

resultsHIV-DNA, sCD14 and TNF-α were significantly lower in the TND group than in the RV and LLV groups. In addition, RV patients showed lower levels of HIV-DNA and sCD14 than LLV individuals. HIV-DNA load was not related to markers of inflammation. The ordinal logistic analysis showed that two independent variables were significantly associated with VL pattern: sCD14, HIV-DNA. In addition NRTIs plus NNRTIs and NRTIs plus PIs were negatively associated to VL pattern compared to INI-containing regimen.

conclusionsPersistent undetectable viremia was associated with lower levels of inflammatory markers and HIV-DNA. However, the lack of normalization of these biomarkers in the TND group and the fact that HIV-DNA load was not associated with inflammation strongly suggest that other mechanisms play a major role in maintaining inflammation over time.

Indexed as

Viral LoadBiomarkersDNA, ViralFemaleHIV-1HIV InfectionsHumansInflammationMaleMiddle AgedRetrospective StudiesViremiaBiomarkersDNA, ViralHIVHIV-DNAHIV-RNAInflammation

Identifiers

PMID28830393
PMCPMC5568129
OpenAlexW2748636851

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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.