Evidence map›Paper›PMID 30157268›Full record

ArticlePloS one2018

Changes in plasma lipidome following initiation of antiretroviral therapy.

Janine M Trevillyan, Gerard Wong, Rebekah Puls, Kathy Petoumenos, Sean Emery, Natalie A Mellett, Piyushkumar A Mundra, Peter J Meikle, Jennifer F Hoy, ALTAIR Study Group

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

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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.

Janine M TrevillyanDepartment of Infectious Diseases, Faculty of Medicine, Nursing and Health Science, Monash University, Melbourne, Australia.ORCID 0000-0002-8660-5558
Gerard WongBaker Heart and Diabetes Institute, Melbourne, Australia.
Rebekah PulsFaculty of Medicine, UNSW Sydney, Sydney, Australia.
Kathy PetoumenosThe Kirby Institute, UNSW Sydney, Sydney, Australia.
Sean EmeryThe Kirby Institute, UNSW Sydney, Sydney, Australia.ORCID 0000-0001-6072-8309
Natalie A MellettBaker Heart and Diabetes Institute, Melbourne, Australia.
Piyushkumar A MundraBaker Heart and Diabetes Institute, Melbourne, Australia.
Peter J MeikleBaker Heart and Diabetes Institute, Melbourne, Australia.ORCID 0000-0002-2593-4665
Jennifer F HoyDepartment of Infectious Diseases, Faculty of Medicine, Nursing and Health Science, Monash University, Melbourne, Australia.ORCID 0000-0002-6948-7086
ALTAIR Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHIV and antiretroviral therapy (ART) have been associated with increased cardiovascular disease and important changes in lipid metabolism. Advances in mass-spectrometry technology allow for the detailed assessment of individual lipid species which may illuminate the mechanisms underlying increased cardiovascular risk. We describe the change in plasma lipidome with initiation of antiretroviral therapy and compare these by regimen.

methodsPlasma lipid profiling (by electrospray isonisation-tandem mass spectrometry) was performed on ARV-naive HIV positive participants randomised to one of three regimens; tenofovir/emtricitabine with efavirenz, ritonavir-boosted atazanavir (atazanavir/r) or zidovudine/abacavir. Participants (n = 115) who remained on their randomised regimen with complete samples available at baseline, week 12 and 48 were included. 306 lipid species from 22 lipid classes were analysed.

resultsInitiation of ART led to significant changes in lipidome which were partly dependent on the randomised regimen received. This led to significant differences in 72 lipid species and 7 classes (cholesterol ester, free cholesterol, phosphatidylcholine, GM3 ganglioside, trihexosylceramide, monohexosylceramide, and ceramides) by arm at week 48. Consistently higher lipid concentrations were seen with efavirenz compared with atazanavir/r or zidovudine/abacavir. Twelve of the lipid species and two lipid classes (cholesterol esters and ceramides) that were significantly increased in the efavirenz arm compared with the atazanavir/r or zidovudine/abacavir arms have previously been associated with future cardiovascular events in HIV positive patients. Change in HIV viral load was predictive of change in 3 lipid species.

conclusionsInitiation of ART lead to significant changes in the plasma lipidome that were greatest in those receiving efavirenz.

Indexed as

MetabolomicsAdultAnti-HIV AgentsFemaleHIV-1HumansLipidsMaleTime FactorsAnti-HIV AgentsLipids

Identifiers

PMID30157268
PMCPMC6114786

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Registered trials

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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.