Evidence map›Paper›PMID 30818749›Full record

ReviewViruses2019

Immune Activation, Inflammation, and Non-AIDS Co-Morbidities in HIV-Infected Patients under Long-Term ART.

Sonia Zicari, Libera Sessa, Nicola Cotugno, Alessandra Ruggiero, Elena Morrocchi, Carlo Concato, Salvatore Rocca, Paola Zangari, Emma C Manno, Paolo Palma

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Viruses, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04002323 (Real Life Study of Dolutegravir Plus Lamivudine in HIV-1-Infected Treatment-Naive Patients), which is not on this map. Cited by 332 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
332citing papers in PubMed, 6 pooled it
50.3field-weighted citation impact, top 1% 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.

NCT04002323 completednot on this map

Real Life Study of Dolutegravir Plus Lamivudine in HIV-1-Infected Treatment-Naive Patients

Typeobservational_patient_registrySponsorUniversity Hospital Virgen de las NievesRan2019 to 2022Enrolled88ConditionsHIV-1-infectionArmsDolutegravir 50mg Tab, Lamivudine 300 mg
3 · Its place in the literature

Who cites it

332 citing papers in PubMed, 6 syntheses or guidelines pooled it, 484 citations in OpenAlex.

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272 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

10 authors at 2 institutions in 1 country.

Sonia ZicariResearch Unit in Congenital and Perinatal Infections, Academic Department of Pediatrics (DPUO), Division of Immunology and Infectious Diseases, Bambino Gesù Children's Hospital, 00165 Rome, Italy. sonia.zicari@opbg.net.
Libera SessaDepartment of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy. libera.sessa@gmail.com.
Nicola CotugnoResearch Unit in Congenital and Perinatal Infections, Academic Department of Pediatrics (DPUO), Division of Immunology and Infectious Diseases, Bambino Gesù Children's Hospital, 00165 Rome, Italy. nicola.cotugno@opbg.net.
Alessandra RuggieroResearch Unit in Congenital and Perinatal Infections, Academic Department of Pediatrics (DPUO), Division of Immunology and Infectious Diseases, Bambino Gesù Children's Hospital, 00165 Rome, Italy. alessandra.ruggiero@opbg.net.
Elena MorrocchiDepartment of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy. elena.morrocchi@gmail.com.
Carlo ConcatoDepartment of Laboratories, Division of Virology, Bambino Gesù Children's Hospital, 00165 Rome, Italy. carlo.concato@opbg.net.ORCID 0000-0003-3995-9537
Salvatore RoccaResearch Unit in Congenital and Perinatal Infections, Academic Department of Pediatrics (DPUO), Division of Immunology and Infectious Diseases, Bambino Gesù Children's Hospital, 00165 Rome, Italy. salvatore.rocca@opbg.net.
Paola ZangariResearch Unit in Congenital and Perinatal Infections, Academic Department of Pediatrics (DPUO), Division of Immunology and Infectious Diseases, Bambino Gesù Children's Hospital, 00165 Rome, Italy. paola.zangari@opbg.net.
Emma C MannoResearch Unit in Congenital and Perinatal Infections, Academic Department of Pediatrics (DPUO), Division of Immunology and Infectious Diseases, Bambino Gesù Children's Hospital, 00165 Rome, Italy. emma.manno@opbg.net.
Paolo PalmaResearch Unit in Congenital and Perinatal Infections, Academic Department of Pediatrics (DPUO), Division of Immunology and Infectious Diseases, Bambino Gesù Children's Hospital, 00165 Rome, Italy. paolo.palma@opbg.net.ORCID 0000-0002-3066-4719
Bambino Gesù Children's Hospital · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite effective antiretroviral therapy (ART), people living with HIV (PLWH) still present persistent chronic immune activation and inflammation. This condition is the result of several factors including thymic dysfunction, persistent antigen stimulation due to low residual viremia, microbial translocation and dysbiosis, caused by the disruption of the gut mucosa, co-infections, and cumulative ART toxicity. All of these factors can create a vicious cycle that does not allow the full control of immune activation and inflammation, leading to an increased risk of developing non-AIDS co-morbidities such as metabolic syndrome and cardiovascular diseases. This review aims to provide an overview of the most recent data about HIV-associated inflammation and chronic immune exhaustion in PLWH under effective ART. Furthermore, we discuss new therapy approaches that are currently being tested to reduce the risk of developing inflammation, ART toxicity, and non-AIDS co-morbidities.

Indexed as

ComorbidityInflammationAging, PrematureAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveCardiovascular DiseasesHIV InfectionsHumansLymphocyte ActivationMetabolic SyndromeAnti-HIV AgentsARTHIVimmune activationinflammationmetabolic syndromenon-AIDS co-morbiditiespremature aging

Identifiers

PMID30818749
PMCPMC6466530
OpenAlexW2916773554

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.