Evidence map›Paper›PMID 30877304›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

Circulating (1→3)-β-D-glucan Is Associated With Immune Activation During Human Immunodeficiency Virus Infection.

Vikram Mehraj, Rayoun Ramendra, Stéphane Isnard, Franck P Dupuy, Rosalie Ponte, Jun Chen, Ido Kema, Mohammad-Ali Jenabian, Cecilia T Costinuik, Bertrand Lebouché and 12 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
7.8field-weighted citation impact, top 2% 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

68 citing papers in PubMed, 83 citations in OpenAlex.

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  14. One for All and All for One: Multikingdom Interplay in Severe Viral Pneumonia.American journal of respiratory and critical care medicine · 2024
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  17. Alterations of the Intestinal Mucosal Barrier and Gut Fungal Microbiome in Asymptomatic HIV-Infected Patients.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2024
    Article
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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 7 institutions in 3 countries.

Vikram MehrajChronic Viral Illness Service, Research Institute, McGill University Health Centre.
Rayoun RamendraChronic Viral Illness Service, Research Institute, McGill University Health Centre.
Stéphane IsnardChronic Viral Illness Service, Research Institute, McGill University Health Centre.
Franck P DupuyChronic Viral Illness Service, Research Institute, McGill University Health Centre.
Rosalie PonteChronic Viral Illness Service, Research Institute, McGill University Health Centre.
Jun ChenChronic Viral Illness Service, Research Institute, McGill University Health Centre.
Ido KemaDepartment of Laboratory Medicine, University Medical Center, University of Groningen, The Netherlands.
Mohammad-Ali JenabianDepartment of Biological Sciences, University of Quebec at Montreal.
Cecilia T CostinuikChronic Viral Illness Service, Research Institute, McGill University Health Centre.
Bertrand LebouchéChronic Viral Illness Service, Research Institute, McGill University Health Centre.
Réjean ThomasClinique Médicale l'Actuel, de Médecine, Université de Montréal.
Pierre CotéClinique Médicale Quartier Latin, de Médecine, Université de Montréal.
Roger LeblancClinique Médicale Opus, de Médecine, Université de Montréal.
Jean-Guy BarilClinique Médicale Quartier Latin, de Médecine, Université de Montréal.
Madeleine DurandCentre de Recherche du Centre Hospitalier de l'Université de Montréal.
Carl Chartrand-LefebvreCentre de Recherche du Centre Hospitalier de l'Université de Montréal.
Cécile TremblayCentre de Recherche du Centre Hospitalier de l'Université de Montréal.
Petronela AncutaDépartement de Microbiologie, Infectiologie et Immunologie, Faculté de Médecine, Université de Montréal.
Nicole F BernardChronic Viral Illness Service, Research Institute, McGill University Health Centre.
Donald C SheppardInfectious Diseases and Immunity in Global Health Program, Research Institute, McGill University Health Centre.
Jean-Pierre RoutyChronic Viral Illness Service, Research Institute, McGill University Health Centre.
Montreal Primary HIV Infection Study and Canadian HIV and Aging Cohort Study Groups
McGill University Health Centre · CACentre Hospitalier de l’Université de Montréal · CAUniversité de Montréal · CACHI Health Immanuel · USUniversité du Québec à Montréal · CAUniversity Medical Center Groningen · NLUniversity of Groningen · NL

Funding

CIHR HIG-133050CIHR MOP 103230CIHR MOP 154051
6 · The paper itself

Abstract

backgroundMicrobial translocation from the gut to systemic circulation contributes to immune activation during human immunodeficiency virus (HIV) infection and is usually assessed by measuring plasma levels of bacterial lipopolysaccharide (LPS). Fungal colonization in the gut increases during HIV-infection and people living with HIV (PLWH) have increased plasma levels of fungal polysaccharide (1→3)-β-D-Glucan (βDG). We assessed the contribution of circulating DG to systemic immune activation in PLWH.

methodsCross-sectional and longitudinal assessments of plasma βDG levels were conducted along with markers of HIV disease progression, epithelial gut damage, bacterial translocation, proinflammatory cytokines, and βDG-specific receptor expression on monocytes and natural killer (NK) cells.

resultsPlasma βDG levels were elevated during early and chronic HIV infection and persisted despite long-term antiretroviral therapy (ART). βDG increased over 24 months without ART but remained unchanged after 24 months of treatment. βDG correlated negatively with CD4 T-cell count and positively with time to ART initiation, viral load, intestinal fatty acid-binding protein, LPS, and soluble LPS receptor soluble CD14 (sCD14). Elevated βDG correlated positively with indoleamine-2,3-dioxygenase-1 enzyme activity, regulatory T-cell frequency, activated CD38+Human Leukocyte Antigen - DR isotype (HLA-DR)+ CD4 and CD8 T cells and negatively with Dectin-1 and NKp30 expression on monocytes and NK cells, respectively.

conclusionsPLWH have elevated plasma βDG in correlation with markers of disease progression, gut damage, bacterial translocation, and inflammation. Early ART initiation prevents further βDG increase. This fungal antigen contributes to immune activation and represents a potential therapeutic target to prevent non-acquired immunodeficiency syndrome events.

Indexed as

HIV InfectionsCD4 Lymphocyte CountCross-Sectional StudiesGlucansHumansLymphocyte ActivationViral LoadGlucans(1→3)-β-D-glucanantiretroviral therapyHIVimmune activationmicrobial translocation

Identifiers

PMID30877304
PMCPMC6938980
OpenAlexW2921699207

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.