Evidence map›Paper›PMID 31737737›Full record

ArticleOpen forum infectious diseases2019

Changes in the Fungal Marker β-D-Glucan After Antiretroviral Therapy and Association With Adiposity.

Sahera Dirajlal-Fargo, Carlee Moser, Katherine Rodriguez, Vanessa El-Kamari, Nicholas T Funderburg, Emily Bowman, Todd T Brown, Peter W Hunt, Judith Currier, Grace A McComsey

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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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 5 institutions in 1 country.

Sahera Dirajlal-FargoUniversity Hospitals, Cleveland Medical Center, Cleveland, Ohio, USA.
Carlee MoserDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Katherine RodriguezDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Vanessa El-KamariUniversity Hospitals, Cleveland Medical Center, Cleveland, Ohio, USA.
Nicholas T FunderburgCollege of Medicine, School of Health and Rehabilitation Sciences, Ohio State University, Columbus, Ohio, USA.
Emily BowmanCollege of Medicine, School of Health and Rehabilitation Sciences, Ohio State University, Columbus, Ohio, USA.
Todd T BrownDepartment of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Peter W HuntDepartment of Medicine, UCSF, San Francisco, California, USA.
Judith CurrierDepartment of Medicine, UCLA, Los Angeles, California, USA.
Grace A McComseyUniversity Hospitals, Cleveland Medical Center, Cleveland, Ohio, USA.ORCID 0000-0003-2690-8888
University Hospitals of Cleveland · USHarvard University · USThe Ohio State University · USJohns Hopkins University · USUniversity of California, San Francisco · US

Funding

Leadership and Operations Center (LOC), AIDS Clinical Trials Group (ACTG); LOC 1/UM1AI068636 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, RAJESH T GANDHI · 2011 to 2026
$1073.1M
Statistical and Data Management Center (SDMC), AIDS Clinical Trials Group (ACTG)UM1AI068634 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Marlene Ann Cooper, Michael David Hughes · 2011 to 2026
$246.6M
Optimizing Antiretroviral Therapy in HIV K24AI056933 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CURRIER, JUDITH S. · 2003 to 2013
$1.4M
Changes in gut integrity markers after HIV therapy and metabolic complicationsR21DK118757 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2019
$453k
NIAID NIH HHS K24 AI056933NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIDDK NIH HHS R21 DK118757
6 · The paper itself

Abstract

backgroundBacterial translocation in HIV is associated with inflammation and metabolic complications; few data exist on the role of fungal translocation.

methodsA5260s was a substudy of A5257, a prospective open label randomized trial in which treatment-naïve people with HIV (PWH) were randomized to tenofovir-emtricitabine (TDF/FTC) plus atazanavir-ritonavir (ATV/r), darunavir-ritonavir (DRV/r), or raltegravir (RAL) over 96 weeks. Baseline was assessed, and changes in β-D-glucan (BDG) were assessed at weeks 4, 24, and 96. Wilcoxon rank-sum tests were used to compare distribution shifts in the changes from baseline between treatment arms and linear regression models to assess associations between BDG and measures of inflammation, body composition, and insulin resistance.

resultsTwo hundred thirty-one participants were randomized; 90% were male, the median age was 36 years, HIV-1 RNA was 4.56 log10c/mL, and CD4 cell count was 338 cells/mm

conclusionsIn treatment-naïve participants initiating antiretroviral therapy (ART) with TDF/FTC and either RAL or ATV/r, DRV/r, BDG, a marker of fungal translocation, increased similarly in all arms over 96 weeks. This may represent continued intestinal damage during ART and resulting fungal translocation. Higher BDG was associated with larger fat gains on ART.

Indexed as

fatfungal translocationgut integrityHIVinflammation

Identifiers

PMID31737737
PMCPMC6847395
OpenAlexW2985146845

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.