Evidence map›Paper›PMID 29424771›Full record

ArticleAIDS (London, England)2018

T-cell receptor activator of nuclear factor-κB ligand/osteoprotegerin imbalance is associated with HIV-induced bone loss in patients with higher CD4+ T-cell counts.

Kehmia Titanji, Aswani Vunnava, Antonina Foster, Anandi N Sheth, Jeffrey L Lennox, Andrea Knezevic, Neeta Shenvi, Kirk A Easley, Ighovwerha Ofotokun, M Neale Weitzmann

Abstract 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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 34 citations in OpenAlex.

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  12. Human Immunodeficiency Virus (HIV) and Menopause Are Independently Associated With Lower Bone Mineral Density: Results From the Women's Interagency HIV Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
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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

10 authors at 3 institutions in 1 country.

Kehmia TitanjiDivision of Endocrinology, Metabolism and Lipids.
Aswani VunnavaDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine.
Antonina FosterDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine.
Anandi N ShethDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine.
Jeffrey L LennoxDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine.
Andrea KnezevicDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University.
Neeta ShenviDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University.
Kirk A EasleyDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University.
Ighovwerha OfotokunDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine.
M Neale WeitzmannDivision of Endocrinology, Metabolism and Lipids.
Emory University · USGrady Health System · USVeterans Health Administration · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Hannah LF Cooper · 2002 to 2026
$74.0M
Neuro HPA Project 1U54AG062334 · NIA · EMORY UNIVERSITY · PI Cecile Delille Lahiri, Vasiliki Michopoulos · 2018 to 2026
$12.2M
Accelerated Bone Loss in Aging HIV-infected IndividualsR01AR068157 · NIAMS · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, WEITZMANN, MERVYN NEALE · 2015 to 2019
$3.3M
Effect of HIV Infection and HAART on Bone HomeostasisR01AR059364 · NIAMS · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, WEITZMANN, MERVYN NEALE · 2009 to 2013
$3.2M
IL-4, a key regulator of bone turnover in HIV and ARTR01AR070091 · NIAMS · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, WEITZMANN, MERVYN NEALE · 2016 to 2020
$3.2M
Bone Loss and Immune Reconstitution in HIV/AIDSR01AG040013 · NIA · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, WEITZMANN, MERVYN NEALE · 2011 to 2015
$2.8M
Emory R38 Research Training ProgramR38AI140299 · NIAID · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, ROUPHAEL, NADINE GEORGES · 2018 to 2021
$1.4M
Biological Actions and Cellular Targeting of Nanoparticles for Medical ApplicatioR01AR056090 · NIAMS · EMORY UNIVERSITY · PI BECK, GEORGE R., WEITZMANN, MERVYN NEALE · 2008 to 2010
$984k
Characterization and modulation of mucosal immunity for HIV prevention in womenK23AI114407 · NIAID · EMORY UNIVERSITY · PI SHETH, ANANDI NAYAN · 2014 to 2018
$898k
Reversing HIV-induced B cell dysfunction with bisphosphonatesK01HL131333 · NHLBI · EMORY UNIVERSITY · PI TITANJI, KEHMIA NUBONYIN · 2016 to 2020
$591k
Immune Regulation of Bone HomeostasisI01BX000105 · VA · VETERANS HEALTH ADMINISTRATION · PI WEITZMANN, MERVYN NEALE · 2009 to 2022
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BLRD VA I01 BX000105NCATS NIH HHS UL1 TR002378NHLBI NIH HHS K01 HL131333NIAID NIH HHS K23 AI114407NIAID NIH HHS P30 AI050409NIAID NIH HHS R38 AI140299NIAMS NIH HHS R01 AR056090NIAMS NIH HHS R01 AR059364NIAMS NIH HHS R01 AR068157NIAMS NIH HHS R01 AR070091NIA NIH HHS R01 AG040013NIA NIH HHS U54 AG062334
6 · The paper itself

Abstract

objectiveHigher incidence of osteopenia and osteoporosis underlie increased rates of fragility fracture in HIV infection. B cells are a major source of osteoprotegerin (OPG), an inhibitor of the key osteoclastogenic cytokine receptor activator of nuclear factor-κB ligand (RANKL). We previously showed that higher B-cell RANKL/OPG ratio contributes to HIV-induced bone loss. T-cell OPG production in humans, however, remains undefined and the contribution of T-cell OPG and RANKL to HIV-induced bone loss has not been explored.

designWe investigated T-cell OPG and RANKL production in ART-naive HIV-infected and uninfected individuals in relation to indices of bone loss in a cross-sectional study.

methodsT-cell RANKL and OPG production was determined by intracellular staining and flow cytometry, and plasma levels of bone resorption markers were determined by ELISA.

resultsWe demonstrate for the first time in-vivo human T-cell OPG production, which was significantly lower in HIV-infected individuals and was coupled with moderately higher T-cell RANKL production, resulting in a significantly higher T-cell RANKL/OPG ratio. T-cell RANKL/OPG ratio correlated significantly with BMD-derived z-scores at the hip, lumbar spine and femur neck in HIV-infected individuals with CD4 T-cell counts at least 200 cells/μl but not in those with lower counts.

conclusionOur data suggest that T cells may be a physiologically relevant source of OPG and T-cell RANKL/OPG imbalance is associated with HIV-induced bone loss in CD4 T-cell-sufficient patients. Both B and T lymphocytes may thus contribute to HIV-induced bone loss.

Indexed as

AdultBone Diseases, MetabolicCD4 Lymphocyte CountCross-Sectional StudiesEnzyme-Linked Immunosorbent AssayFemaleFlow CytometryHIV InfectionsHumansMaleMiddle AgedOsteoprotegerinRANK LigandStaining and LabelingT-LymphocytesOsteoprotegerinRANK LigandTNFSF11 protein, human

Identifiers

PMID29424771
PMCPMC5869175
OpenAlexW2791497472

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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.