Evidence map›Paper›PMID 31086991›Full record

ArticleThe Journal of infectious diseases2019

Plasma Biomarkers of Human Immunodeficiency Virus-Related Systemic Inflammation and Immune Activation in Sub-Saharan Africa Before and During Suppressive Antiretroviral Therapy.

Stefanie Kroeze, Ferdinand W Wit, Theresa M Rossouw, Helen C Steel, Cissy M Kityo, Margaret Siwale, Sulaimon Akanmu, Kishor Mandaliya, Marleen de Jager, Pascale Ondoa and 4 more

Open access · bronzeAbstract 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 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

29 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
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  3. Reply to Al-WardAmerican journal of respiratory and critical care medicine · 2025
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  16. Observational
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  18. Human Immunodeficiency Virus Is Associated With Higher Levels of Systemic Inflammation Among Kenyan Adults Despite Viral Suppression.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  19. Review
  20. Article
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

14 authors at 6 institutions in 7 countries.

Stefanie KroezeAmsterdam Institute for Global Health and Development and Department of Global Health, Amsterdam, the Netherlands.
Ferdinand W WitAmsterdam Institute for Global Health and Development and Department of Global Health, Amsterdam, the Netherlands.
Theresa M RossouwDepartment of Immunology, Institute for Cellular and Molecular Medicine, University of Pretoria, Pretoria, South Africa.
Helen C SteelDepartment of Immunology, Institute for Cellular and Molecular Medicine, University of Pretoria, Pretoria, South Africa.
Cissy M KityoJoint Clinical Research Centre, Kampala, Uganda.
Margaret SiwaleLusaka Trust Hospital, Zambia.
Sulaimon AkanmuDepartment of Haematology and Blood Transfusion, College of Medicine of the University of Lagos and the Lagos University Teaching Hospital, Nigeria.
Kishor MandaliyaCoast Province General Hospital, Mombasa, Kenya.
Marleen de JagerMuelmed Hospital, Pretoria, South Africa.
Pascale OndoaAmsterdam Institute for Global Health and Development and Department of Global Health, Amsterdam, the Netherlands.
Peter ReissAmsterdam Institute for Global Health and Development and Department of Global Health, Amsterdam, the Netherlands.
Tobias F Rinke de WitAmsterdam Institute for Global Health and Development and Department of Global Health, Amsterdam, the Netherlands.
Neeltje KootstraDepartment of Experimental Immunology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Raph L HamersAmsterdam Institute for Global Health and Development and Department of Global Health, Amsterdam, the Netherlands.
Amsterdam Institute for Global Health and Development · NLUniversity of Pretoria · ZAJoint Clinical Research Centre · UGUniversity of Amsterdam · NLUniversity of Lagos · NGUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We evaluated immune biomarker profiles in human immunodeficiency virus (HIV)-infected adults (n = 398) from 5 African countries. Although all biomarkers decreased after antiretroviral therapy (ART) initiation, levels of C-X-C chemokine ligand 10 (CXCL10), lipopolysaccharide-binding protein, C-reactive protein, soluble CD163, and soluble scavenger receptor CD14 were significantly higher during ART than in an HIV-uninfected reference group (n = 90), indicating persistent monocyte/macrophage activation, inflammation, and microbial translocation. Before ART initiation, high HIV viral load was associated with elevated CXCL10 and tuberculosis coinfection was associated with elevated soluble CD14. High pre-ART levels of each biomarker strongly predicted residual immune activation during ART. Chemokine (C-C motif) ligand 2, lipopolysaccharide-binding protein, C-reactive protein, and interleukin 6 were differentially expressed between countries. Further research is needed on the clinical implications of residual immune dysregulation.

Indexed as

Acute-Phase ProteinsAdultAfrica South of the SaharaAntigens, CDAntigens, Differentiation, MyelomonocyticAnti-HIV AgentsBiomarkersCarrier ProteinsCD163 AntigenCD4 Lymphocyte CountChemokine CCL2Chemokine CXCL10Cohort StudiesCoinfectionC-Reactive ProteinFemaleAcute-Phase ProteinsAntigens, CDAntigens, Differentiation, MyelomonocyticAnti-HIV AgentsBiomarkersCarrier ProteinsCCL2 protein, humanCD14 protein, humanCD163 AntigenChemokine CCL2Chemokine CXCL10C-Reactive ProteinCXCL10 protein, humanIL6 protein, humanInterleukin-6Lipopolysaccharide-Binding ProteinLipopolysaccharide ReceptorsMembrane GlycoproteinsReceptors, Cell Surfaceantiretroviral therapybiomarkersHIVimmune activationinflammationsub-Saharan Africa

Identifiers

PMID31086991
PMCPMC6688057
OpenAlexW2945677951

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.