Evidence map›Paper›PMID 28936485›Full record

ArticlePathogens & immunity2017

A Randomized Controlled Trial of Lisinopril to Decrease Lymphoid Fibrosis in Antiretroviral-Treated, HIV-infected Individuals.

Leslie R Cockerham, Steven A Yukl, Kara Harvill, Ma Somsouk, Sunil K Joshi, Elizabeth Sinclair, Teri Liegler, Rebecca Hoh, Sophie Lyons, Peter W Hunt and 10 more

Open access · diamondAbstract read
In one paragraph

Article in Pathogens & immunity, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Harnessing CD8Frontiers in immunology · 2019
    Review
  6. 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

20 authors at 7 institutions in 2 countries.

Leslie R CockerhamDivision of Infectious Diseases, Medical College of Wisconsin, Milwaukee, Wisconsin.
Steven A YuklDepartment of Medicine, San Francisco VA Medical Center, and University of California, San Francisco (UCSF), San Francisco, California.
Kara HarvillHIV, Infectious Diseases, and Global Medicine Division, San Francisco General Hospital, University of California, San Francisco, California.
Ma SomsoukDivision of Gastroenterology, San Francisco General Hospital, University of California, San Francisco, California.
Sunil K JoshiDepartment of Medicine, San Francisco VA Medical Center, and University of California, San Francisco (UCSF), San Francisco, California.
Elizabeth SinclairHIV, Infectious Diseases, and Global Medicine Division, San Francisco General Hospital, University of California, San Francisco, California.
Teri LieglerHIV, Infectious Diseases, and Global Medicine Division, San Francisco General Hospital, University of California, San Francisco, California.
Rebecca HohHIV, Infectious Diseases, and Global Medicine Division, San Francisco General Hospital, University of California, San Francisco, California.
Sophie LyonsHIV, Infectious Diseases, and Global Medicine Division, San Francisco General Hospital, University of California, San Francisco, California.
Peter W HuntHIV, Infectious Diseases, and Global Medicine Division, San Francisco General Hospital, University of California, San Francisco, California.
Adam RupertNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.
Irini SeretiNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.
David R MorcockFrederick National Laboratory, Leidos Biomedical Research, Frederick, Maryland.
Ajantha RhodesDepartment of Infectious Diseases, The Alfred Hospital and Monash University, Melbourne, Victoria, Australia.
Claire EmsonKinemed, Inc., Emeryville, California.
Marc K HellersteinKinemed, Inc., Emeryville, California.
Jacob D EstesFrederick National Laboratory, Leidos Biomedical Research, Frederick, Maryland.
Sharon LewinDepartment of Infectious Diseases, The Alfred Hospital and Monash University, Melbourne, Victoria, Australia.
Steven G DeeksHIV, Infectious Diseases, and Global Medicine Division, San Francisco General Hospital, University of California, San Francisco, California.
Hiroyu HatanoHIV, Infectious Diseases, and Global Medicine Division, San Francisco General Hospital, University of California, San Francisco, California.
San Francisco General Hospital · USKineMed (United States) · USLeidos (United States) · USNational Institutes of Health · USSan Francisco VA Medical Center · USThe University of Melbourne · AUMedical College of Wisconsin · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
Engaging University of California Stakeholders for Biorespository ResearchUL1TR000004 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$78.0M
Viral reservoirs and sanctuaries in HAART - treated patients: role and mechanismsU19AI096109 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SCHACKER, TIMOTHY W · 2011 to 2015
$29.5M
Immunopathogenic Mechanisms of Human Immunodeficiency Virus (HIV) DiseaseZIAAI001121 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI SERETI, IRINI · 2010 to 2025
$27.2M
Training in HIV Translational ResearchT32AI060530 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Diane V Havlir · 2005 to 2026
$6.4M
Investigating Mechanisms of HIV Persistence in the GutR01DK108349 · NIDDK · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI YUKL, STEVEN A · 2015 to 2019
$2.2M
Understanding HIV latency reversal and clearance of infected cells in vivoR01AI132128 · NIAID · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI WONG, JOSEPH K, YUKL, STEVEN A · 2017 to 2021
$1.9M
Preventing the Establishment of Enfuvirtide-resistance in the Latent ReservoirK24AI069994 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DEEKS, STEVEN GRANT · 2007 to 2016
$1.5M
Medical Scientist Training Program of Oregon Health & Science UniversityT32GM109835 · NIGMS · OREGON HEALTH & SCIENCE UNIVERSITY · PI JACOBY, DAVID B · 2016 to 2020
$1.1M
Quantification of HIV Reservoirs in the Gut-Associated Lymphatic SystemIK2CX000520 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI YUKL, STEVEN A · 2011 to 2015
–
CSRD VA IK2 CX000520NCATS NIH HHS UL1 TR000004NIAID NIH HHS K24 AI069994NIAID NIH HHS P30 AI027763NIAID NIH HHS R01 AI132128NIAID NIH HHS T32 AI060530NIAID NIH HHS U19 AI096109NIDDK NIH HHS R01 DK108349NIGMS NIH HHS T32 GM109835
6 · The paper itself

Abstract

backgroundIn HIV infection, lymphoid tissue is disrupted by fibrosis. Angiotensin converting enzyme inhibitors have anti-fibrotic properties. We completed a pilot study to assess whether the addition of lisinopril to antiretroviral therapy (ART) reverses fibrosis of gut tissue, and whether this leads to reduction of HIV RNA and DNA levels.

methodsThirty HIV-infected individuals on ART were randomized to lisinopril at 20mg daily or matching placebo for 24 weeks. All participants underwent rectal biopsies prior to starting the study drug and at 22 weeks, and there were regular blood draws. The primary end point was the change in HIV RNA and DNA levels in rectal tissue. Secondary outcomes included the change in 1) HIV levels in blood; 2) Gag-specific T-cell responses; 3) levels of T-cell activation; and 4) collagen deposition.

resultsThe addition of lisinopril did not have a significant effect on the levels of HIV RNA or DNA in gut tissue or blood, Gag-specific responses, or levels of T-cell activation. Lisinopril also did not have a significant impact on lymphoid fibrosis in the rectum, as assessed by quantitative histology or heavy water labeling.

conclusionsTreatment with lisinopril for 24 weeks in HIV-infected adults did not have an effect on lymphoid fibrosis, immune activation, or gut tissue viral reservoirs. Further study is needed to see if other anti-fibrotic agents may be useful in reversing lymphoid fibrosis and reducing HIV levels.

Indexed as

Anti-Inflammatory Agents/*therapeutic useCD4 Lymphocyte CountDisease Reservoirs/*virologyHIVImmunologyLymphoid fibrosisT-cell activation

Identifiers

PMID28936485
PMCPMC5604865
OpenAlexW2740780428

What OpenQuestion holds

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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.