Evidence map›Paper›PMID 29369159›Full record

ArticleAIDS (London, England)2018

Substance-associated elevations in monocyte activation among methamphetamine users with treated HIV infection.

Adam W Carrico, Emily M Cherenack, Margaret E Roach, Elise D Riley, Olorunleke Oni, Samantha E Dilworth, Steven Shoptaw, Peter Hunt, Sabita Roy, Suresh Pallikkuth and 1 more

Registry-linked trialAbstract 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. It is linked to trial NCT04706624 (Screen, Treat and Retain Meth-using People With Opioid Use Disorders at Methadone Clinics), which is not on this map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.0field-weighted citation impact, top 9% 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.

NCT04706624 nacompletednot on this mapstarted 2021, after this paper: background citation

Screen, Treat and Retain Meth-using People With Opioid Use Disorders at Methadone Clinics

TypeinterventionalSponsorHanoi Medical UniversityRan2021 to 2025Enrolled667ConditionsMethamphetamine Abuse, Opioid-use Disorder, HIV SeropositivityArmsContingency management (12 weeks), Contingency management (6 weeks), SMS reminders, Matrix only, Matrix + Contingency management
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
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  6. Review
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  11. Stimulant Use, HIV, and Plasma Metabolites Among Men.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2025
    Article
  12. Review
  13. Neighborhood-level adversity and inflammation among sexual minority men living with HIV.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
  14. Review
  15. Article
  16. Article
  17. Overamped: Stimulant Use and HIV Pathogenesis.Current HIV/AIDS reports · 2023
    Review
  18. Article
  19. Article
  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

11 authors at 4 institutions in 1 country.

Adam W CarricoUniversity of Miami School of Medicine, Miami, Florida.
Emily M CherenackDuke University Department of Psychology and Neuroscience, Durham, North Carolina.
Margaret E RoachUniversity of Miami School of Medicine, Miami, Florida.
Elise D RileyUniversity of California, San Francisco School of Medicine, San Francisco.
Olorunleke OniUniversity of Miami School of Medicine, Miami, Florida.
Samantha E DilworthUniversity of California, San Francisco School of Medicine, San Francisco.
Steven ShoptawUniversity of California, Los Angeles School of Medicine, Los Angeles, California, USA.
Peter HuntUniversity of California, San Francisco School of Medicine, San Francisco.
Sabita RoyUniversity of Miami School of Medicine, Miami, Florida.
Suresh PallikkuthUniversity of Miami School of Medicine, Miami, Florida.
Savita PahwaUniversity of Miami School of Medicine, Miami, Florida.
University of Miami · USUniversity of California, San Francisco · USDuke University · USUniversity of California, Los Angeles · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Sung-Jae Lee · 1997 to 2026
$53.5M
Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
University of Miami Developmental Center for AIDS Research (D-CFAR)P30AI073961 · NIAID · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Savita Pahwa · 2007 to 2026
$33.8M
RCT of an integrative intervention for non-treatment-seeking meth usersR01DA033854 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CARRICO, ADAM WAYNE, MOSKOWITZ, JUDITH T. · 2013 to 2017
$2.8M
Microbial Dysbiosis and TLR2 Activation Contribute to Immune Activation, Inflammation and HIV Persistence in the Context of Opioid Abuse Despite ART TherapyR01DA044582 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ROY, SABITA · 2017 to 2021
$2.6M
Role of Gut Microbiome in HIV/Opioid Induced Peripheral NeuropathyR01DA047089 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI HAO, SHUANGLIN, RAMAKRISHNAN, SUNDARAM · 2018 to 2022
$2.3M
Mentoring patient-oriented research on the health consequences of polydrug useK24DA039780 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RILEY, ELISE D. · 2015 to 2025
$1.9M
NIAID NIH HHS P30 AI027763NIAID NIH HHS P30 AI064518NIAID NIH HHS P30 AI073961NIDA NIH HHS K24 DA039780NIDA NIH HHS R01 DA033854NIDA NIH HHS R01 DA044582NIDA NIH HHS R01 DA047089NIMH NIH HHS P30 MH058107
6 · The paper itself

Abstract

objectiveMicrobial translocation and monocyte activation predict mortality in treated HIV. We examined whether substance use independently contributes to these pathophysiologic processes.

designCross-sectional study at baseline for a randomized controlled trial.

methodsHIV-positive, methamphetamine-using MSM with undetectable HIV viral load (less than 40 copies/ml) were enrolled. We examined if plasma biomarkers of monocyte activation and intestinal barrier integrity were associated with the following: reactive urine toxicology results (Tox+) for stimulants (i.e., methamphetamine or cocaine) and substance use severity measured by the Addiction Severity Index. Multiple linear regression models adjusted for age, antiretroviral therapy regimen, CD4 T-cell count, interleukin-6, and alcohol use severity.

resultsThe sample of 84 virally suppressed MSM had a median CD4 T-cell count of 645 cells/μl. Those who were Tox+ for stimulants displayed higher soluble CD14 (sCD14) levels (2087 versus 1801 ng/ml; P = 0.009), and this difference remained significant after adjusting for covariates (standardized beta = 0.23, P = 0.026). Greater substance use severity was also independently associated with higher sCD14 after adjusting for covariates (standardized beta = 0.29, P = 0.013). Being Tox+ for stimulants and substance use severity were not associated with soluble CD163 (sCD163) or intestinal fatty acid binding protein (iFABP) levels (P > 0.05).

conclusionsMonocyte activation is one plausible mechanism by which stimulant use may increase clinical HIV progression.

Indexed as

AdultCD4 Lymphocyte CountCentral Nervous System StimulantsCocaineCross-Sectional StudiesDisease ProgressionHIV InfectionsHumansInterleukin-6MaleMethamphetamineMiddle AgedMonocytesRandomized Controlled Trials as TopicSubstance-Related DisordersYoung AdultCentral Nervous System StimulantsCocaineIL6 protein, humanInterleukin-6Methamphetamine

Identifiers

PMID29369159
PMCPMC5912167
OpenAlexW2791198856

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.