Evidence map›Paper›PMID 28934428›Full record

ArticleThe Journal of infectious diseases2017

HIV-Infected Children Have Elevated Levels of PD-1+ Memory CD4 T Cells With Low Proliferative Capacity and High Inflammatory Cytokine Effector Functions.

Julia Foldi, Lina Kozhaya, Bret McCarty, Mussa Mwamzuka, Fatma Marshed, Tiina Ilmet, Max Kilberg, Adam Kravietz, Aabid Ahmed, William Borkowsky and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Preoperative PD-1Oncology letters · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. CD4 T-Cell Exhaustion: Does It Exist and What Are Its Roles in Cancer?Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
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.

Julia FoldiNew York University School of Medicine.
Lina KozhayaJackson Laboratory for Genomic Medicine, Farmington, Connecticut.
Bret McCartyNew York University School of Medicine.
Mussa MwamzukaBomu Hospital, Mombasa, Kenya.
Fatma MarshedBomu Hospital, Mombasa, Kenya.
Tiina IlmetNew York University School of Medicine.
Max KilbergNew York University School of Medicine.
Adam KravietzNew York University School of Medicine.
Aabid AhmedBomu Hospital, Mombasa, Kenya.
William BorkowskyNew York University School of Medicine.
Derya UnutmazNew York University School of Medicine.
Alka KhaitanNew York University School of Medicine.
New York University · USUniversity School · USJackson Laboratory · US

Funding

Immunobiology of Regulatory T Cells in HIV InfectionR01AI065303 · NIAID · VANDERBILT UNIVERSITY · PI UNUTMAZ, DERYA · 2005 to 2015
$4.3M
Mechanisms and Consequences of Immune Activation in HIV Infected ChildrenK08AI093235 · NIAID · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI KHAITAN, ALKA · 2011 to 2016
$778k
NIAID NIH HHS K08 AI093235NIAID NIH HHS R01 AI065303
6 · The paper itself

Abstract

Background: During human immunodeficiency virus (HIV) disease, chronic immune activation leads to T-cell exhaustion. PD-1 identifies "exhausted" CD8 T cells with impaired HIV-specific effector functions, but its role on CD4 T cells and in HIV-infected children is poorly understood. Methods: In a Kenyan cohort of vertically HIV-infected children, we measured PD-1+ CD4 T-cell frequencies and phenotype by flow cytometry and their correlation with HIV disease progression and immune activation. Second, in vitro CD4 T-cell proliferative and cytokine responses to HIV-specific and -nonspecific stimuli were assessed with and without PD-1 blockade. Results: HIV-infected children have increased frequencies of PD-1+ memory CD4 T cells that fail to normalize with antiretroviral treatment. These cells are comprised of central and effector memory subsets and correlate with HIV disease progression, measured by viral load, CD4 percentage, CD4:CD8 T-cell ratio, and immune activation. Last, PD-1+ CD4 T cells predict impaired proliferative potential yet preferentially secrete the Th1 and Th17 cytokines interferon-γ and interleukin 17A, and are unresponsive to in vitro PD-1 blockade. Conclusions: This study highlights differences in PD-1+ CD4 T-cell memory phenotype and response to blockade between HIV-infected children and adults, with implications for potential immune checkpoint therapies.

Indexed as

AdolescentAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveCD4-Positive T-LymphocytesCell ProliferationChildChild, PreschoolCohort StudiesCytokinesDisease ProgressionFemaleHIV InfectionsHumansInfectious Disease Transmission, VerticalKenyaMaleAnti-HIV AgentsCytokinesPDCD1 protein, humanProgrammed Cell Death 1 ReceptorRNA, ViralchildrenHIV infectionimmune exhaustionPD-1+ CD4 T cellsTh17

Identifiers

PMID28934428
PMCPMC5853680
OpenAlexW2739076307

What OpenQuestion holds

Textmetadata
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.