Evidence map›Paper›PMID 30383238›Full record

ArticleThe Journal of infectious diseases2019

Characterization of the Genital Mucosa Immune Profile to Distinguish Phases of the Menstrual Cycle: Implications for HIV Susceptibility.

Geneviève Boily-Larouche, Julie Lajoie, Brenden Dufault, Kenneth Omollo, Juliana Cheruiyot, Jane Njoki, Monika Kowatsch, Makobu Kimani, Joshua Kimani, Julius Oyugi and 1 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. The HIV Reservoir and Immune Landscape Across the Life Course of Women: Implications for Cure Strategies.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  4. Article
  5. Interactions between microbiota and cervical epithelial, immune, and mucus barrier.Frontiers in cellular and infection microbiology · 2023
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Dual CCR5/CCR2 targeting: opportunities for the cure of complex disorders.Cellular and molecular life sciences : CMLS · 2019
    Review
  11. Review
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 2 countries.

Geneviève Boily-LaroucheDepartment of Medical Microbiology and Infectious Diseases, Winnipeg, Canada.
Julie LajoieDepartment of Medical Microbiology and Infectious Diseases, Winnipeg, Canada.
Brenden DufaultGeorge and Fay Yee Centre for Healthcare Innovation, Winnipeg, Canada.
Kenneth OmolloDepartment Medical Microbiology, University of Nairobi, Winnipeg, Canada.
Juliana CheruiyotKenya AIDS Control Program, Nairobi, Kenya.
Jane NjokiKenya AIDS Control Program, Nairobi, Kenya.
Monika KowatschDepartment of Medical Microbiology and Infectious Diseases, Winnipeg, Canada.
Makobu KimaniKenya AIDS Control Program, Nairobi, Kenya.
Joshua KimaniDepartment of Medical Microbiology and Infectious Diseases, Winnipeg, Canada.
Julius OyugiDepartment of Medical Microbiology and Infectious Diseases, Winnipeg, Canada.
Keith R FowkeDepartment of Medical Microbiology and Infectious Diseases, Winnipeg, Canada.
International Centre for Infectious Diseases · CAKenya AIDS Vaccine Initiative · KEGeorge & Fay Yee Centre for Healthcare Innovation · CAUniversity of Winnipeg · CA

Funding

CIHR MOP 86721
6 · The paper itself

Abstract

backgroundInflammation and immune activation are key factors in sexual transmission of human immunodeficiency virus (HIV). We sought to define the impact of hormonal cycling on the mucosal immune environment and HIV risk in sex workers with a natural menstrual cycle.

methodsWe compared soluble mucosal immune factors and cervical mononuclear cells during hormone titer-defined phases of the menstrual cycle among 37 sex workers from Nairobi, Kenya. Systemic and mucosal samples were collected 14 days apart to distinguish the follicular and luteal phases of the menstrual cycle, and phases were confirmed by hormone measurements. Vaginal concentrations of 19 immune modulators and cervical T-cell activation markers were measured.

resultsThe follicular phase signature was characterized by an elevated CCL2 level, decreased interleukin 1α and interleukin 1β cervical concentrations, and a significant increase in the proportion of CD4+ T cells that expressed CD69. The genital concentration of CCL2 was the best marker to distinguish the follicular from the luteal phase in univariate and multivariate analyses and remained independent of elevated genital inflammation and bacterial vaginosis.

conclusionThe follicular phase of the menstrual cycle was associated with an elevated CCL2 level and retention of resident memory CD4+ T cells, which has implications for increased susceptibility to HIV infection.

Indexed as

BiomarkersCD4-Positive T-LymphocytesCervix UteriChemokine CCL2FemaleHIV InfectionsHumansKenyaMenstrual CycleSex WorkersVaginaVaginosis, BacterialBiomarkersChemokine CCL2Genital inflammationHIVimmune activationmenstrual cycle

Identifiers

PMID30383238
PMCPMC6386813
OpenAlexW2899499138

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.