Evidence map›Paper›PMID 31217351›Full record

ArticleJCI insight2019

Effect of HIV infection and antiretroviral therapy on immune cellular functions.

Marek Korencak, Morgan Byrne, Enrico Richter, Bruce T Schultz, Patrick Juszczak, Julie A Ake, Anuradha Ganesan, Jason F Okulicz, Merlin L Robb, Buena de Los Reyes and 7 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 1 pooled it
8.0field-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

69 citing papers in PubMed, 1 synthesis or guideline pooled it, 110 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
  6. Review
  7. Article
  8. Immuno-cell metabolic changes in HIV-1 infection.Infectious diseases & immunity · 2025
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
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  19. Article
  20. Article

9 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

17 authors at 5 institutions in 2 countries.

Marek KorencakInstitute for HIV Research, University Hospital, University Duisburg-Essen, Essen, Germany.
Morgan ByrneInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Enrico RichterInstitute for HIV Research, University Hospital, University Duisburg-Essen, Essen, Germany.
Bruce T SchultzInstitute for HIV Research, University Hospital, University Duisburg-Essen, Essen, Germany.
Patrick JuszczakInstitute for HIV Research, University Hospital, University Duisburg-Essen, Essen, Germany.
Julie A AkeUnited States Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Anuradha GanesanInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Jason F OkuliczInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Merlin L RobbHenry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Maryland, USA.
Buena de Los ReyesInstitute for Physiology, University Duisburg-Essen, Essen, Germany.
Sandra WinningInstitute for Physiology, University Duisburg-Essen, Essen, Germany.
Joachim FandreyInstitute for Physiology, University Duisburg-Essen, Essen, Germany.
Timothy H BurgessInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Stefan EsserHPSTD HIV Clinic, University Hospital, University Duisburg-Essen, Essen, Germany.
Nelson L MichaelUnited States Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Brian K AganInfectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Hendrik StreeckInstitute for HIV Research, University Hospital, University Duisburg-Essen, Essen, Germany.
University of Duisburg-Essen · DEHenry M. Jackson Foundation · USWalter Reed Army Institute of Research · USBrooke Army Medical Center · USUniformed Services University of the Health Sciences · US

Funding

DATA CENTER FOR EPIDEMIOLOGIC INVESTIGATIONS OF HIVN01AI005072 · NIAID · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI MCKINLAY, SONJA M · 1990 to 1994
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NIAID NIH HHS Y01 AI005072
6 · The paper itself

Abstract

During chronic HIV infection, immune cells become increasingly dysfunctional and exhausted. Little is known about how immune functions are restored after initiation of antiretroviral therapy (ART). In this study, we assessed cellular and metabolic activity and evaluated the effect of individual antiretrovirals on cellular subsets ex vivo in ART-treated and treatment-naive chronically HIV-infected individuals. We observed that cellular respiration was significantly decreased in most immune cells in chronic HIV infection. The respiration was correlated to immune activation and the inhibitory receptor programmed cell death 1 on CD8+ T cells. ART restored the metabolic phenotype, but the respiratory impairment persisted in CD4+ T cells. This was particularly the case for individuals receiving integrase strand transfer inhibitors. CD4+ T cells from these individuals showed a significant reduction in ex vivo proliferative capacity compared with individuals treated with protease inhibitors or nonnucleoside reverse transcriptase inhibitors. We noticed a significant decrease in respiration of cells treated with dolutegravir (DLG) or elvitegravir (EVG) and a switch from polyfunctional to TNF-α-dominated "stress" immune response. There was no effect on glycolysis, consistent with impaired mitochondrial function. We detected increased levels of mitochondrial ROS and mitochondrial mass. These findings indicate that EVG and DLG use is associated with slow proliferation and impaired respiration with underlying mitochondrial dysfunction, resulting in overall decreased cellular function in CD4+ T cells.

Indexed as

Anti-HIV AgentsAntiretroviral Therapy, Highly ActiveCD4-Positive T-LymphocytesCell ProliferationCell RespirationGlycolysisHIV InfectionsHumansImmune SystemAnti-HIV AgentsAIDS/HIVDrug therapyGlucose metabolismImmunologyT cells

Identifiers

PMID31217351
PMCPMC6629105
OpenAlexW2949454532

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.