Evidence map›Paper›PMID 30212436›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2018

Brief Report: Safety and Tolerability of Inguinal Lymph Node Biopsy in Individuals With Acute HIV Infection in Thailand.

Michelle Chintanaphol, Carlo Sacdalan, Suthat Chottanapund, Suteeraporn Pinyakorn, Supranee Buranapraditkun, Trevor A Crowell, Eugene Kroon, Sopark Manasnayakorn, Jeffrey G Chipman, Timothy W Schacker and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.7field-weighted citation impact, top 34% 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

12 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Article
  3. Activation of CXCR3Journal of virology · 2025
    Article
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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

15 authors at 7 institutions in 3 countries.

Michelle ChintanapholDepartment of Neurology, Yale University, New Haven, CT.
Carlo SacdalanSEARCH, The Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Suthat ChottanapundBamrasnaradura Infectious Diseases Institute, Bangkok, Thailand.
Suteeraporn PinyakornU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD.
Supranee BuranapraditkunU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD.
Trevor A CrowellU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD.
Eugene KroonSEARCH, The Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Sopark ManasnayakornDepartment of Surgery, Chulalongkorn University, Bangkok, Thailand.
Jeffrey G ChipmanDepartment of Surgery, University of Minnesota, Minneapolis, MN.
Timothy W SchackerDepartment of Medicine, University of Minnesota, Minneapolis, MN.
Nelson MichaelU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD.
Nittaya PhanuphakSEARCH, The Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Serena S SpudichDepartment of Neurology, Yale University, New Haven, CT.
Donn J ColbySEARCH, The Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Jintanat AnanworanichSEARCH, The Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Thai Red Cross Society · THWalter Reed Army Institute of Research · USUniversity of Minnesota · USYale University · USBamrasnaradura Infectious Diseases Institute · THChulalongkorn University · THHenry M. Jackson Foundation · US

Funding

Reservoir Dynamics in Patients Treated in Very Early Acute HIV InfectionR01AI125127 · NIAID · UNIVERSITY OF MINNESOTA · PI SCHACKER, TIMOTHY W · 2016 to 2020
$3.2M
Therapeutic Interventions during Acute Infection to Address the CNS Reservoir forR01NS084911 · NINDS · YALE UNIVERSITY · PI ANANWORANICH, JINTANAT, SPUDICH, SERENA S · 2013 to 2017
$2.3M
NCI NIH HHS HHSN261200800001ENIAID NIH HHS R01 AI125127NINDS NIH HHS R01 NS084911
6 · The paper itself

Abstract

introductionLatent HIV reservoirs are rapidly established in lymphoid tissues during acute HIV infection (AHI). Sampling these tissues provides important information about HIV pathogenesis. This period is associated with viral replication and immune activation that may affect procedure-related adverse events (AEs). We examined the safety and tolerability of inguinal lymph node (LN) biopsy in research participants with AHI in Bangkok, Thailand.

methodsBetween 2013 and 2016, 67 AHI participants in the RV254/SEARCH010 study underwent at least one optional inguinal LN biopsy during AHI at the baseline visit and/or after antiretroviral therapy (median 48 weeks after antiretroviral therapy). Biopsy-related AEs were graded according to NIH Division of AIDS guidelines. Poisson regression was used to calculate incidence rate ratios and 95% confidence intervals to evaluate associations of demographic and HIV characteristics, procedure timing, and repetition with AE incidence.

resultsOf the 67 participants, 97% were male with a median age of 26. Among 78 LN biopsies (39 at baseline and 39 at follow-up), 10 (12.8%) AEs were reported: 6 (7.7%) grade 1 and 4 (5.1%) grade 2. The AEs were biopsy-site discomfort (n = 8, 10.2%) and hematoma (n = 2, 2.6%). No factors were significantly associated with AE incidence. All biopsy-related AEs were transient and self-limited.

conclusionsInguinal LN biopsies were safe and well tolerated in mostly Thai men with AHI. As LN biopsies become an integral part of HIV research, this study provides information to participants, researchers, and institutional review boards that these samples can be safely obtained.

Indexed as

AdolescentAdultFemaleGroinHIV InfectionsHumansLymph NodesMaleThailandYoung Adult

Identifiers

PMID30212436
PMCPMC6143219
OpenAlexW2810803672

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.