Evidence map›Paper›PMID 29293942›Full record

Observational studyClinical infectious diseases : an official publication of the Infectious Diseases Society of America2018

Atypical Skeletal Muscle Profiles in Human Immunodeficiency Virus-Infected Asymptomatic Middle-Aged Adults.

Thanh Tran, Viola Guardigni, Karol M Pencina, Anthony A Amato, Michael Floyd, Brooke Brawley, Brian Mozeleski, Jennifer McKinnon, Erin Woodbury, Emily Heckel and 4 more

Registry-linked trialOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03011957 (Biomarkers for Muscle Function and Aging in Chronic HIV Infection), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.9field-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.

NCT03011957 unknown statusnot on this map

Biomarkers for Muscle Function and Aging in Chronic HIV Infection

TypeobservationalSponsorBrigham and Women's HospitalRan2015 to 2020Enrolled160ConditionsHIV
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
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  5. Article
  6. Review
  7. Article
  8. Article
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  10. Review
  11. Objectively Measured Physical Activity in Asymptomatic Middle-Aged Men Is Associated With Routine Blood-Based Biomarkers.The journals of gerontology. Series A, Biological sciences and medical sciences · 2019
    Article
  12. Article
  13. Article
  14. What Aging with HIV Means in the Year 2019.AIDS research and human retroviruses
    Article
  15. Observational
  16. Article
  17. 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

14 authors at 2 institutions in 1 country.

Thanh TranDepartment of Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Viola GuardigniDepartment of Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Karol M PencinaDepartment of Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Anthony A AmatoDepartment of Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Michael FloydDepartment of Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Brooke BrawleyDepartment of Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Brian MozeleskiDepartment of Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Jennifer McKinnonDepartment of Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Erin WoodburyDepartment of Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Emily HeckelDepartment of Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Zhuoying LiDepartment of Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Tom StorerDepartment of Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Paul E SaxDepartment of Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Monty MontanoDepartment of Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Brigham and Women's Hospital · USHarvard University · US

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI ROBERT A. PARKER · 2004 to 2026
$94.4M
TUFTS--FIELDINGP30AG031679 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI Ravi Jasuja · 2008 to 2026
$23.9M
Biomarkers for Muscle Function and Aging in Chronic HIV InfectionR01AI108541 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI MONTANO, MONTY A · 2014 to 2018
$3.7M
Role of ART in Novel HIV-Associated MyopathyR21AG055415 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI MONTANO, MONTY A · 2017 to 2018
$488k
NIAID NIH HHS P30 AI060354NIAID NIH HHS R01 AI108541NIA NIH HHS P30 AG031679NIA NIH HHS R21 AG055415
6 · The paper itself

Abstract

Background: Human immunodeficiency virus (HIV)-infected individuals are at increased risk of age-associated functional impairment, even with effective antiretroviral therapy (ART). A concurrent characterization of skeletal muscle, physical function, and immune phenotype in aviremic middle-aged HIV-infected adults represents a knowledge gap in prognostic biomarker discovery. Methods: We undertook a prospective observational study of 170 middle-aged, HIV-infected ambulatory men and women with CD4+ T-cell counts of at least 350/µL and undetectable plasma viremia while on effective ART, and uninfected control participants. We measured biomarkers for inflammation and immune activation, fatigue, the Veterans Aging Cohort Study mortality index, and physical function. A subset also received a skeletal muscle biopsy and computed tomography scan. Results: Compared to the uninfected participants, HIV-infected participants displayed increased immune activation (P < .001), inflammation (P = .001), and fatigue (P = .010), and in a regression model adjusting for age and sex displayed deficits in stair-climb power (P < .001), gait speed (P = .036), and predicted metabolic equivalents (P = .019). Skeletal muscle displayed reduced nuclear peroxisome proliferator-activated receptor-γ coactivator 1α-positive myonuclei (P = .006), and increased internalized myonuclei (P < .001) that correlated with immune activation (P = .003) and leukocyte infiltration (P < .001). Internalized myonuclei improved a model for HIV discrimination, increasing the C-statistic from 0.84 to 0.90. Conclusions: Asymptomatic HIV-infected middle-aged adults display atypical skeletal muscle profiles, subclinical deficits in physical function, and persistent inflammation and immune activation. Identifying biomarker profiles for muscle dysregulation and risk for future functional decline in the HIV-infected population will be key to developing and monitoring preventive interventions. Clinical Trials Registration: NCT03011957.

Indexed as

Asymptomatic InfectionsInflammationAgedBiomarkersBiopsyFatigueFemaleHIVHIV InfectionsHumansMaleMiddle AgedMuscle, SkeletalPeroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alphaProspective StudiesT-LymphocytesBiomarkersPeroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha

Identifiers

PMID29293942
PMCPMC5982799
OpenAlexW2776166783

What OpenQuestion holds

Textmetadata
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.