Evidence map›Paper›PMID 31206016›Full record

Trial reportScience advances2019

Targeting thrombogenicity and inflammation in chronic HIV infection.

Meagan P O'Brien, M Urooj Zafar, Jose C Rodriguez, Ibeawuchi Okoroafor, Alex Heyison, Karen Cavanagh, Gabriela Rodriguez-Caprio, Alan Weinberg, Gines Escolar, Judith A Aberg and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Science advances, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Cardiovascular Disease and Thrombosis in HIV Infection.Arteriosclerosis, thrombosis, and vascular biology · 2023
    Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Extracellular Vesicle-Related Thrombosis in Viral Infection.International journal of general medicine · 2020
    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 3 institutions in 2 countries.

Meagan P O'BrienDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0003-4476-8057
M Urooj ZafarCardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0002-6567-5194
Jose C RodriguezCardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Ibeawuchi OkoroaforDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0002-4632-3206
Alex HeyisonDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0002-2407-371X
Karen CavanaghDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Gabriela Rodriguez-CaprioDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Alan WeinbergDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0002-1312-2897
Gines EscolarDepartment of Hematopathology, Hospital Clinic, Barcelona, Spain.
Judith A AbergDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0001-8162-0284
Juan J BadimonCardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0002-6780-8771
Icahn School of Medicine at Mount Sinai · USCardiovascular Institute of the South · USHospital Clínic de Barcelona · ES

Funding

Targeting platelets in chronic HIV infectionR56HL127995 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BADIMON, JUAN JOSE, O'BRIEN, MEAGAN P · 2015 to 2015
$760k
NHLBI NIH HHS R56 HL127995
6 · The paper itself

Abstract

Persons with HIV infection (PWH) have increased risk for cardiovascular disease (CVD), but the underlying mechanisms remain unclear. Coronary thrombosis is known to provoke myocardial infarctions, but whether PWH have elevated thrombotic propensity is unknown. We compared thrombogenicity of PWH on antiretroviral therapy versus matched controls using the Badimon chamber. Measures of inflammation, platelet reactivity, and innate immune activation were simultaneously performed. Enrolled PWH were then randomized to placebo, aspirin (81 mg), or clopidogrel (75 mg) for 24 weeks to assess treatment effects on study parameters. Thrombogenicity was significantly higher in PWH and correlated strongly with plasma levels of D-dimer, soluble TNF receptors 1 and 2, and circulating classical and nonclassical monocytes in PWH. Clopidogrel significantly reduced thrombogenicity and sCD14. Our data suggest that higher thrombogenicity, interacting with inflammatory and immune activation markers, contributes to the increased CVD risk observed in PWH. Clopidogrel exhibits an anti-inflammatory activity in addition to its antithrombotic effect in PWH.

Indexed as

AdultAnti-Inflammatory AgentsAntiretroviral Therapy, Highly ActiveAspirinBiomarkersBlood PlateletsClopidogrelCoronary ThrombosisCross-Sectional StudiesFemaleFibrin Fibrinogen Degradation ProductsGene ExpressionHIV InfectionsHumansImmunity, InnateInflammationAnti-Inflammatory AgentsAspirinBiomarkersCD14 protein, humanClopidogrelFibrin Fibrinogen Degradation Productsfibrin fragment DLipopolysaccharide ReceptorsPlatelet Aggregation InhibitorsReceptors, Tumor Necrosis Factor, Type IReceptors, Tumor Necrosis Factor, Type II

Identifiers

PMID31206016
PMCPMC6561747
OpenAlexW2950467771

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.