Evidence map›Paper›PMID 29112065›Full record

ArticleAIDS (London, England)2018

The effects of HIV and smoking on aortic and splenic inflammation.

Chris T Longenecker, Claire E Sullivan, Justin Morrison, Corrilynn O Hileman, David A Zidar, Robert Gilkeson, James O'Donnell, Grace A McComsey

Open access · greenAbstract read
In one paragraph

Article in AIDS (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Heroin Use Is Associated With Vascular Inflammation in Human Immunodeficiency Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  4. Review
  5. Article
  6. Article
  7. Review
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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

8 authors at 3 institutions in 1 country.

Chris T LongeneckerCase Western Reserve University.
Claire E SullivanCase Western Reserve University.
Justin MorrisonUniversity Hospitals Cleveland Medical Center.
Corrilynn O HilemanCase Western Reserve University.
David A ZidarCase Western Reserve University.
Robert GilkesonCase Western Reserve University.
James O'DonnellCase Western Reserve University.
Grace A McComseyCase Western Reserve University.
University Hospitals of Cleveland · USCase Western Reserve University · USMetroHealth · US

Funding

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 Sharon L. Hillier, JONATHAN KARN · 1994 to 2026
$50.0M
Clinical and Translational Science Collaborative of Northern Ohio, Catalyzing Linkages to Equity in Health (CLE Health)UM1TR004528 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI GRACE A MCCOMSEY · 2023 to 2026
$32.1M
Pericardial fat, inflammation, and structural heart disease in HIVK23HL123341 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI LONGENECKER, CHRIS TODD · 2014 to 2018
$885k
Dysregulated arginine metabolism in treated HIV infectionR56HL126539 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2014 to 2014
$792k
Incremental effect of smoking on HIV immune activation and cardiac healthR56HL126526 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2014 to 2014
$788k
Vitamin D Status, Inflammation and Cardiac Risk in HIVK23HL116209 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI HILEMAN, CORRILYNN OLESKY · 2013 to 2017
$734k
NCATS NIH HHS UL1 TR000439NCATS NIH HHS UM1 TR004528NHLBI NIH HHS K23 HL116209NHLBI NIH HHS K23 HL123341NHLBI NIH HHS R56 HL126526NHLBI NIH HHS R56 HL126539NIAID NIH HHS P30 AI036219
6 · The paper itself

Abstract

objectiveTo determine the association of smoking and HIV status with tissue-specific inflammation measured by flurodeoxyglucose positron emission tomography (PET).

designA cross-sectional study.

methodsWe prospectively enrolled 55 HIV study participants on stable antiretroviral therapy and 19 age-matched HIV-uninfected controls without known cardiovascular disease. We measured aortic target-to-background ratio (TBR) and spleen standardized uptake values (SUV) 3-h post-FDG, and used regression models to examine the independent association of HIV and smoking status with PET variables.

resultsOverall, median (interquartile range) age was 50 (42-55) years; 81% were men and 54% were current smokers (median 0.5 packs/day, 25 pack-years]. Median CD4 of HIV study participants was 690 cells/ml and 88% had HIV-1 RNA less than 20 c/ml; 43% were on a protease inhibitor. In fully adjusted models, HIV was associated with 0.16 (95% confidence interval 0.04-0.27; P = 0.009) higher aortic TBR, whereas current smoking was marginally associated with a lower TBR [-0.11 (95% confidence interval -0.23 to 0.01); P = 0.07]. Spleen SUVmean was not associated with HIV or smoking, and there was no evidence for an HIVsmoking interaction for aortic or spleen models (all P > 0.1). Spleen SUVmean was positively associated with biomarkers of inflammation and coronary artery calcium, but adjustment for traditional cardiovascular disease risk factors attenuated these relationships.

conclusionThe FDG-PET study of HIV study participants suggests that HIV is associated with increased aortic inflammation independent of traditional risk factors, but smoking is not. Future studies should continue to explore the mechanistic roles of smoking and inflammation at various stages of clinical and subclinical atherosclerotic vascular disease in HIV.

Indexed as

AdultAortitisCross-Sectional StudiesFemaleHIV InfectionsHumansMaleMiddle AgedPositron-Emission TomographyProspective StudiesRisk AssessmentSmokingSplenic Diseases

Identifiers

PMID29112065
PMCPMC5718960
OpenAlexW2767454506

What OpenQuestion holds

Textmetadata
LicenceTDM
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.