Evidence map›Paper›PMID 29471387›Full record

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

Heavy Cannabis Use Associated With Reduction in Activated and Inflammatory Immune Cell Frequencies in Antiretroviral Therapy-Treated Human Immunodeficiency Virus-Infected Individuals.

Jennifer A Manuzak, Toni M Gott, Jay S Kirkwood, Ernesto Coronado, Tiffany Hensley-McBain, Charlene Miller, Ryan K Cheu, Ann C Collier, Nicholas T Funderburg, Jeffery N Martin and 4 more

Open access · bronzeAbstract read
In one paragraph

Article 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. Cited by 94 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 2 pooled it
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

94 citing papers in PubMed, 2 syntheses or guidelines pooled it, 110 citations in OpenAlex.

  1. The impact of cannabis on immune checkpoint inhibitor therapy: a systematic review of immunomodulatory effects of cannabis in patients with and without cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  7. Neuroimmune Correlates of HIV and Marijuana Use: Peripheral Biomarkers and Cognitive Function.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2026
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34 more citing papers are in PubMed but not listed here.

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 5 institutions in 1 country.

Jennifer A ManuzakDepartment of Pharmaceutics, University of Washington.
Toni M GottDepartment of Pharmaceutics, University of Washington.
Jay S KirkwoodDepartment of Pharmaceutics, University of Washington.
Ernesto CoronadoDepartment of Pharmaceutics, University of Washington.
Tiffany Hensley-McBainDepartment of Pharmaceutics, University of Washington.
Charlene MillerDepartment of Pharmaceutics, University of Washington.
Ryan K CheuDepartment of Pharmaceutics, University of Washington.
Ann C CollierDepartment of Medicine, Harborview Medical Center, University of Washington, Seattle.
Nicholas T FunderburgSchool of Health and Rehabilitation Sciences, Division of Medical Laboratory Science, College of Medicine, Ohio State University, Columbus.
Jeffery N MartinDepartment of Epidemiology and Biostatistics, University of California, San Francisco.
Michael C WuPublic Health Science Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Nina IsoherranenDepartment of Pharmaceutics, University of Washington.
Peter W HuntDepartment of Medicine, University of California, San Francisco.
Nichole R KlattDepartment of Pharmaceutics, University of Washington.
University of Washington · USOregon National Primate Research Center · USUniversity of California, San Francisco · USFred Hutch Cancer Center · USThe Ohio State University · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Monica Gandhi · 1988 to 2026
$93.6M
Impact of Cannabis on Inflammation and Viral Persistence in Treated HIV/SIVDP1DA037979 · NIDA · UNIVERSITY OF WASHINGTON · PI KLATT, NICHOLE ROSE · 2015 to 2019
$4.3M
Impact of Malaria Co-Infection on HIV VaccinationK01OD024876 · OD · UNIVERSITY OF WASHINGTON · PI MANUZAK, JENNIFER · 2017 to 2019
$1.0M
NIAID NIH HHS P30 AI027763NIDA NIH HHS DP1 DA037979
6 · The paper itself

Abstract

Background: Cannabis is a widely used drug in the United States, and the frequency of cannabis use in the human immunodeficiency virus (HIV)-infected population is disproportionately high. Previous human and macaque studies suggest that cannabis may have an impact on plasma viral load; however, the relationship between cannabis use and HIV-associated systemic inflammation and immune activation has not been well defined. Methods: The impact of cannabis use on peripheral immune cell frequency, activation, and function was assessed in 198 HIV-infected, antiretroviral-treated individuals by flow cytometry. Individuals were categorized into heavy, medium, or occasional cannabis users or noncannabis users based on the amount of the cannabis metabolite 11-nor-carboxy-tetrahydrocannabinol (THC-COOH) detected in plasma by mass spectrometry. Results: Heavy cannabis users had decreased frequencies of human leukocyte antigen (HLA)-DR+CD38+CD4+ and CD8+ T-cell frequencies, compared to frequencies of these cells in non-cannabis-using individuals. Heavy cannabis users had decreased frequencies of intermediate and nonclassical monocyte subsets, as well as decreased frequencies of interleukin 23- and tumor necrosis factor-α-producing antigen-presenting cells. Conclusions: While the clinical implications are unclear, our findings suggest that cannabis use is associated with a potentially beneficial reduction in systemic inflammation and immune activation in the context of antiretroviral-treated HIV infection.

Indexed as

Anti-HIV AgentsAntiretroviral Therapy, Highly ActiveCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesDronabinolFemaleFlow CytometryHIV InfectionsHumansImmunity, InnateInflammationLymphocyte ActivationMaleMarijuana AbuseMiddle AgedMonocytes11-nor-delta(9)-tetrahydrocannabinol-9-carboxylic acidAnti-HIV AgentsDronabinol

Identifiers

PMID29471387
PMCPMC6248381
OpenAlexW2789742968

What OpenQuestion holds

Textmetadata
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.