Evidence map›Paper›PMID 28893286›Full record

ReviewAIDS research and therapy2017

The biology of how circumcision reduces HIV susceptibility: broader implications for the prevention field.

Jessica L Prodger, Rupert Kaul

Open access · goldAbstract readReview
In one paragraph

Review in AIDS research and therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

37 citing papers in PubMed, 56 citations in OpenAlex.

  1. HIV Transmission and Immunology of the Male Reproductive Tract.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  2. Article
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  5. Article
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  9. Review
  10. Human Male Genital Tract Microbiota.International journal of molecular sciences · 2023
    Review
  11. Increased HIV Incidence inPathogens (Basel, Switzerland) · 2023
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
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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

2 authors at 2 institutions in 2 countries.

Jessica L ProdgerDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Rupert KaulDepartment of Medicine, University of Toronto, Medical Sciences Building, Room #6356, 1 King's College Circle, Toronto, ON, M5S 1A8, Canada. rupert.kaul@utoronto.ca.
Johns Hopkins University · USUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Circumcision reduces heterosexual HIV-1 acquisition in men by at least 60%. However, the biological mechanisms by which circumcision is protective remain incompletely understood. We test the hypothesis that the sub-preputial microenvironment created by the foreskin drives immune activation in adjacent foreskin tissues, facilitating HIV-1 infection through a combination of epithelial barrier disruption, enhanced dendritic cell maturation, and the recruitment/activation of neutrophils and susceptible CD4 T cell subsets such as Th17 cells. Furthermore, we provide evidence that the genital microbiome may be an important driver of this immune activation. This suggests that new modalities to reduce genital immune activation and/or alter the genital microbiome, used alone or in combination with topical microbicides, may be of significant benefit to HIV prevention.

Indexed as

Circumcision, MaleDisease SusceptibilityAdultAnimalsCD4-Positive T-LymphocytesChemokinesForeskinHeterosexualityHIV-1HIV InfectionsHumansLymphocyte ActivationMaleMicrobiotaPenisPrimatesChemokinesChemokinesCircumcisionForeskinHIV-1MicrobiomeT-cells

Identifiers

PMID28893286
PMCPMC5594533
OpenAlexW2752685040

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.