Evidence map›Paper›PMID 32544085›Full record

ArticleThe Journal of clinical investigation2020

Antiretroviral therapy does not reduce tuberculosis reactivation in a tuberculosis-HIV coinfection model.

Shashank R Ganatra, Allison N Bucşan, Xavier Alvarez, Shyamesh Kumar, Ayan Chatterjee, Melanie Quezada, Abigail Fish, Dhiraj K Singh, Bindu Singh, Riti Sharan and 7 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
0.8field-weighted citation impact, top 15% 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

41 citing papers in PubMed, 49 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 4 institutions in 1 country.

Shashank R GanatraSouthwest National Primate Research Center (SNPRC), Texas Biomedical Research Institute, San Antonio, Texas, USA.
Allison N BucşanTulane National Primate Research Center (TNPRC), Covington, Louisiana, USA.
Xavier AlvarezSouthwest National Primate Research Center (SNPRC), Texas Biomedical Research Institute, San Antonio, Texas, USA.
Shyamesh KumarSouthwest National Primate Research Center (SNPRC), Texas Biomedical Research Institute, San Antonio, Texas, USA.
Ayan ChatterjeeSouthwest National Primate Research Center (SNPRC), Texas Biomedical Research Institute, San Antonio, Texas, USA.
Melanie QuezadaEmory Vaccine Center and.
Abigail FishSouthwest National Primate Research Center (SNPRC), Texas Biomedical Research Institute, San Antonio, Texas, USA.
Dhiraj K SinghSouthwest National Primate Research Center (SNPRC), Texas Biomedical Research Institute, San Antonio, Texas, USA.
Bindu SinghSouthwest National Primate Research Center (SNPRC), Texas Biomedical Research Institute, San Antonio, Texas, USA.
Riti SharanSouthwest National Primate Research Center (SNPRC), Texas Biomedical Research Institute, San Antonio, Texas, USA.
Tae-Hyung LeeSouthwest National Primate Research Center (SNPRC), Texas Biomedical Research Institute, San Antonio, Texas, USA.
Uma ShanmugasundaramEmory Vaccine Center and.
Vijayakumar VeluEmory Vaccine Center and.
Shabaana A KhaderDepartment of Molecular Microbiology, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.
Smriti MehraTulane National Primate Research Center (TNPRC), Covington, Louisiana, USA.
Jyothi RengarajanEmory Vaccine Center and.
Deepak KaushalSouthwest National Primate Research Center (SNPRC), Texas Biomedical Research Institute, San Antonio, Texas, USA.
Texas Biomedical Research Institute · USGeorgia Department of Natural Resources · USTulane University · USWashington University in St. Louis · US

Funding

Yerkes National Primate Research Center Role of type-I IFN in regulating COVID-19 induced inflammation and pathogenesisP51OD011132 · OD · EMORY UNIVERSITY · PI Joon Sup Lee · 2012 to 2026
$167.0M
Tulane NPRC SPF Sheltered Outdoor Enclosure ExpansionP51OD011104 · OD · TULANE UNIVERSITY OF LOUISIANA · PI L Lee HAMM · 2012 to 2026
$142.4M
The Southwest National Primate Research Center Supplement- Infrastructure improvements of ABSL2 holding areasP51OD011133 · OD · TEXAS BIOMEDICAL RESEARCH INSTITUTE · PI Larry S. Schlesinger · 2012 to 2026
$129.7M
YNPRC NHP CLINICAL MEDICINE RESIDENCY PROGRAM - SUPPLEMENTP51RR000165 · NCRR · EMORY UNIVERSITY · PI RENGARAJAN, JYOTHI · 1985 to 2011
$114.0M
Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2002 to 2026
$74.0M
Viral Testing CoreU42OD010442 · OD · TEXAS BIOMEDICAL RESEARCH INSTITUTE · PI Deepak Kaushal, Kathryn Shelton · 2012 to 2026
$35.6M
Role of antigen-specific T cell responses in the control of TBU19AI111211 · NIAID · EMORY UNIVERSITY · PI BLUMBERG, HENRY M, ERNST, JOEL D. · 2014 to 2020
$20.1M
Viral Testing Core-Maintenance of the SPF Breeding Colonies at Yerkes National Primate Research CenterU42OD011023 · OD · EMORY UNIVERSITY · PI Joyce Kimberly Cohen · 2018 to 2026
$17.5M
ROLE OF INDUCIBLE BRONCHUS ASSOCIATED LYMPHOID TISSUE IN LATENT TUBERCULOSISR01AI111914 · NIAID · WASHINGTON UNIVERSITY · PI KAUSHAL, DEEPAK, KHADER, SHABAANA A. · 2015 to 2025
$11.1M
Immune Correlates of Protection from TBR01AI134240 · NIAID · TULANE UNIVERSITY OF LOUISIANA · PI KAUSHAL, DEEPAK · 2017 to 2022
$4.8M
SigH based attenuated, efficacious Mtb vaccines to protect against lethal TBR01AI138587 · NIAID · TULANE UNIVERSITY OF LOUISIANA · PI JAGANNATH, CHINNASWAMY, KAUSHAL, DEEPAK · 2018 to 2022
$4.4M
Perturbation of antigen-specific T cell responses in latent TB/SIV co-infectionR01AI111943 · NIAID · TULANE UNIVERSITY OF LOUISIANA · PI KAUSHAL, DEEPAK, RENGARAJAN, JYOTHI · 2015 to 2019
$3.9M
NCRR NIH HHS P51 RR000165NIAID NIH HHS HHSN272201800003CNIAID NIH HHS P30 AI050409NIAID NIH HHS R01 AI111914NIAID NIH HHS R01 AI111943NIAID NIH HHS R01 AI123047NIAID NIH HHS R01 AI123780NIAID NIH HHS R01 AI134240NIAID NIH HHS R01 AI138587NIAID NIH HHS U19 AI111211NIH HHS P51 OD011104NIH HHS P51 OD011132NIH HHS P51 OD011133NIH HHS U42 OD010442NIH HHS U42 OD011023
6 · The paper itself

Abstract

While the advent of combination antiretroviral therapy (ART) has significantly improved survival, tuberculosis (TB) remains the leading cause of death in the HIV-infected population. We used Mycobacterium tuberculosis/simian immunodeficiency virus-coinfected (M. tuberculosis/SIV-coinfected) macaques to model M. tuberculosis/HIV coinfection and study the impact of ART on TB reactivation due to HIV infection. Although ART significantly reduced viral loads and increased CD4+ T cell counts in blood and bronchoalveolar lavage (BAL) samples, it did not reduce the relative risk of SIV-induced TB reactivation in ART-treated macaques in the early phase of treatment. CD4+ T cells were poorly restored specifically in the lung interstitium, despite their significant restoration in the alveolar compartment of the lung as well as in the periphery. IDO1 induction in myeloid cells in the inducible bronchus-associated lymphoid tissue (iBALT) likely contributed to dysregulated T cell homing and impaired lung immunity. Thus, although ART was indispensable for controlling viral replication, restoring CD4+ T cells, and preventing opportunistic infection, it appeared inadequate in reversing the clinical signs of TB reactivation during the relatively short duration of ART administered in this study. This finding warrants the modeling of concurrent treatment of TB and HIV to potentially reduce the risk of reactivation of TB due to HIV to inform treatment strategies in patients with M. tuberculosis/HIV coinfection.

Indexed as

AnimalsAnti-HIV AgentsAnti-Retroviral AgentsAntiretroviral Therapy, Highly ActiveBacterial LoadCD4-Positive T-LymphocytesCoinfectionDisease Models, AnimalHIV InfectionsHumansLatent TuberculosisMacaca mulattaSimian Acquired Immunodeficiency SyndromeSimian Immunodeficiency VirusViral LoadAnti-HIV AgentsAnti-Retroviral AgentsAIDS/HIVInfectious diseaseTuberculosis

Identifiers

PMID32544085
PMCPMC7524506
OpenAlexW3035506054

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.