Evidence map›Paper›PMID 28994661›Full record

Trial reportAntiviral therapy2018

Vitamin D supplementation decreases immune activation and exhaustion in HIV-1-infected youth.

Allison Ross Eckard, Mary Ann O'Riordan, Julia C Rosebush, Seungeun Thera Lee, Jakob G Habib, Joshua H Ruff, Danielle Labbato, Julie E Daniels, Monika Uribe-Leitz, Vin Tangpricha and 2 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Antiviral therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01523496 (Vitamin D Supplementation and HIV-related Complications in Children and Young Adults), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.7field-weighted citation impact, top 6% 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.

NCT01523496 phase2 / phase3completednot on this map

Vitamin D Supplementation and HIV-related Complications in Children and Young Adults

TypeinterventionalSponsorUniversity Hospitals Cleveland Medical CenterRan2011 to 2016Enrolled190ConditionsHIV InfectionsArmsVitamin D control dose, Vitamin D supplementation-
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 60 citations in OpenAlex.

  1. Efficacy of vitamin DThe lancet. HIV · 2020
    Trial
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Update: Vitamin DTrials · 2024
    Article
  7. Natural Ingredients to Improve Immunity.Pharmaceuticals (Basel, Switzerland) · 2023
    Review
  8. Review
  9. Review
  10. Article
  11. Vitamin DTrials · 2022
    Article
  12. Article
  13. Article
  14. Vitamin D and Rheumatic Diseases: A Review of Clinical Evidence.International journal of molecular sciences · 2021
    Review
  15. Review
  16. Review
  17. Possible role of vitamin D in Covid-19 infection in pediatric population.Journal of endocrinological investigation · 2021
    Review
  18. Review
  19. Review
  20. 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

12 authors at 3 institutions in 1 country.

Allison Ross EckardMedical University of South Carolina, Charleston, SC, USA.
Mary Ann O'RiordanRainbow Babies & Children's Hospital and Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Julia C RosebushEmory University School of Medicine, Atlanta, GA, USA.
Seungeun Thera LeeEmory University School of Medicine, Atlanta, GA, USA.
Jakob G HabibEmory University School of Medicine, Atlanta, GA, USA.
Joshua H RuffEmory University School of Medicine, Atlanta, GA, USA.
Danielle LabbatoRainbow Babies & Children's Hospital and Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Julie E DanielsEmory University School of Medicine, Atlanta, GA, USA.
Monika Uribe-LeitzEmory University School of Medicine, Atlanta, GA, USA.
Vin TangprichaEmory University School of Medicine, Atlanta, GA, USA.
Ann ChahroudiEmory University School of Medicine, Atlanta, GA, USA.
Grace A McComseyRainbow Babies & Children's Hospital and Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Emory University · USCase Western Reserve University · USRainbow Babies & Children's Hospital · US

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2002 to 2026
$74.0M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Alan David Levine · 1994 to 2026
$50.0M
Atlanta Pediatric Scholars ProgramK12HD072245 · NICHD · EMORY UNIVERSITY · PI Shari Barkin · 2012 to 2026
$5.5M
Vitamin D, drug metabolism, and cardiovascular complications in pediatric HIVR01HD070490 · NICHD · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2011 to 2015
$1.7M
Vitamin D status and HIV-related complications in children and young adultsK23HD069199 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ECKARD, ALLISON ROSS · 2012 to 2016
$631k
NCATS NIH HHS UL1 TR000439NIAID NIH HHS P30 AI036219NIAID NIH HHS P30 AI050409NICHD NIH HHS K12 HD072245NICHD NIH HHS K23 HD069199NICHD NIH HHS R01 HD070490
6 · The paper itself

Abstract

backgroundHeightened immune activation and exhaustion drive HIV disease progression and comorbidities. Vitamin D has pleiotropic immunomodulatory effects, but little is known about the effects of supplementation in HIV. Our study investigates changes in immune activation and exhaustion markers after 12 months of supplementation in virologically suppressed HIV-infected youth with vitamin D insufficiency.

methodsThis is a randomized, active-control, double-blind trial investigating with three different vitamin D

resultsBaseline serum 25(OH)D concentrations and immune activation/exhaustion markers were not different between groups. By 12 months, 25(OH)D increased significantly within each dosing group with the greatest increase and most sustained concentrations ≥30 ng/ml in the high-dose group. Overall, all measured markers decreased with CD4 activation (CD4+CD38+HLA-DR+), CD8 activation (CD8+CD38+HLA-DR+), CD4 exhaustion (CD4+CD38+HLA-DR+PD1+) and inflammatory monocytes (CD14+CD16+) reaching statistical significance. When analysed separately, there were no significant decreases in the moderate- or standard-dose groups, but CD4 and CD8 activation and inflammatory monocytes decreased significantly in the high-dose group.

conclusionsVitamin D supplementation decreased markers of T-cell activation/exhaustion and monocyte activation in HIV-infected youth, with subjects given the highest dose (120,000 IU/month) showing the greatest decreases. These data suggest that high-dose vitamin D supplementation may attenuate immune activation and exhaustion, and serve as adjuvant therapy to antiretroviral therapy in HIV. ClinicalTrials.gov identifier: NCT01523496.

Indexed as

Dietary SupplementsAdolescentAdultAnti-Retroviral AgentsAntiretroviral Therapy, Highly ActiveBiomarkersCD4 Lymphocyte CountChildFemaleHIV-1HIV InfectionsHost-Pathogen InteractionsHumansImmunomodulationLymphocyte ActivationMaleAnti-Retroviral AgentsBiomarkersVitamin D

Identifiers

PMID28994661
PMCPMC6070412
OpenAlexW2762262794

What OpenQuestion holds

Textmetadata
LicenceTDM
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.