Evidence map›Paper›PMID 32701508›Full record

Trial reportJCI insight2020

Effects of tesamorelin on hepatic transcriptomic signatures in HIV-associated NAFLD.

Lindsay T Fourman, James M Billingsley, George Agyapong, Shannan J Ho Sui, Meghan N Feldpausch, Julia Purdy, Isabel Zheng, Chelsea S Pan, Kathleen E Corey, Martin Torriani and 5 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JCI insight, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Noninvasive Markers of Hepatic Steatosis and Fibrosis Following Integrase Strand-Transfer Inhibitor Initiation in Women With HIV.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  6. Review
  7. GHRH in diabetes and metabolism.Reviews in endocrine & metabolic disorders · 2025
    Review
  8. Review
  9. Article
  10. Article
  11. Growth hormone and nonalcoholic fatty liver disease.Immunometabolism (Cobham, Surrey) · 2023 · on this map
    Review
  12. Review
  13. Growth Hormone and Insulin-Like Growth Factor 1 Regulation of Nonalcoholic Fatty Liver Disease.The Journal of clinical endocrinology and metabolism · 2022 · on this map
    Review
  14. Approach to the Patient With Lipodystrophy.The Journal of clinical endocrinology and metabolism · 2022
    Article
  15. Article
  16. Article
  17. 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

15 authors at 4 institutions in 1 country.

Lindsay T FourmanMetabolism Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
James M BillingsleyHarvard Chan Bioinformatics Core, Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
George AgyapongLiver Center, Digestive Healthcare Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Shannan J Ho SuiHarvard Chan Bioinformatics Core, Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Meghan N FeldpauschMetabolism Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Julia PurdyNational Institute of Allergy and Infectious Diseases, NIH, Bethesda, Maryland, USA.
Isabel ZhengMetabolism Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Chelsea S PanMetabolism Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Kathleen E CoreyLiver Center, Digestive Healthcare Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Martin TorrianiDepartment of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
David E KleinerLaboratory of Pathology, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, Maryland, USA.
Colleen M HadiganNational Institute of Allergy and Infectious Diseases, NIH, Bethesda, Maryland, USA.
Takara L StanleyMetabolism Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Raymond T ChungLiver Center, Digestive Healthcare Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Steven K GrinspoonMetabolism Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Harvard University · USMassachusetts General Hospital · USNational Institute of Allergy and Infectious Diseases · USNational Cancer Institute · US

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI ARTHUR Y KIM · 2004 to 2026
$94.4M
Virology CoreU19AI082630 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI GEORG Michael LAUER · 2009 to 2026
$48.1M
ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Elizabeth Austen Lawson, Takara Leah Stanley · 1994 to 2026
$31.6M
Institutional Career Development CoreKL2TR002542 · NCATS · HARVARD MEDICAL SCHOOL · PI BREDELLA, MIRIAM ANTOINETTE, RUTKOVE, SEWARD B. · 2018 to 2022
$8.7M
HIV, HCV, Hippo, and Liver Disease ProgressionR01AI136715 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI CHUNG, RAYMOND T · 2018 to 2022
$3.4M
Tesamorelin Effects on Liver Fat and Histology in HIV: A Collaborative U01 GrantU01AI115711 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI GRINSPOON, STEVEN K., HADIGAN, COLLEEN M · 2015 to 2017
$2.0M
HIV-Associated Macrophage Alterations and Progressive Liver DiseaseR01DK108370 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI CHUNG, RAYMOND T · 2015 to 2019
$1.6M
In Utero HIV Exposure and Metabolic Disease Risk in HIV-Uninfected Young AdultsK23HD100266 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI FOURMAN, LINDSAY TARA · 2020 to 2024
$851k
NCATS NIH HHS KL2 TR002542NIAID NIH HHS P30 AI060354NIAID NIH HHS R01 AI136715NIAID NIH HHS U01 AI115711NIAID NIH HHS U19 AI082630NICHD NIH HHS K23 HD100266NIDDK NIH HHS P30 DK040561NIDDK NIH HHS R01 DK108370
6 · The paper itself

Abstract

Nonalcoholic fatty liver disease (NAFLD) is a common comorbidity among people living with HIV that has a more aggressive course than NAFLD among the general population. In a recent randomized placebo-controlled trial, we demonstrated that the growth hormone-releasing hormone analog tesamorelin reduced liver fat and prevented fibrosis progression in HIV-associated NAFLD over 1 year. As such, tesamorelin is the first strategy that has shown to be effective against NAFLD among the population with HIV. The current study leveraged paired liver biopsy specimens from this trial to identify hepatic gene pathways that are differentially modulated by tesamorelin versus placebo. Using gene set enrichment analysis, we found that tesamorelin increased hepatic expression of hallmark gene sets involved in oxidative phosphorylation and decreased hepatic expression of gene sets contributing to inflammation, tissue repair, and cell division. Tesamorelin also reciprocally up- and downregulated curated gene sets associated with favorable and poor hepatocellular carcinoma prognosis, respectively. Notably, among tesamorelin-treated participants, these changes in hepatic expression correlated with improved fibrosis-related gene score. Our findings inform our knowledge of the biology of pulsatile growth hormone action and provide a mechanistic basis for the observed clinical effects of tesamorelin on the liver.

Indexed as

Carcinoma, HepatocellularFemaleGene ExpressionGrowth HormoneGrowth Hormone-Releasing HormoneHepatitisHIV InfectionsHumansInsulin-Like Growth Factor ILiverLiver NeoplasmsMaleMiddle AgedNon-alcoholic Fatty Liver DiseaseOxidative PhosphorylationPlacebosGrowth HormoneGrowth Hormone-Releasing HormoneIGF1 protein, humanInsulin-Like Growth Factor IPlacebostesamorelinAIDS/HIVFibrosisgrowth factorsHepatology

Identifiers

PMID32701508
PMCPMC7455119
OpenAlexW3044203639

What OpenQuestion holds

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LicenceCC BY
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.