Evidence map›Paper›PMID 32880756›Full record

ReviewCurrent hypertension reports2020

Hypertension and Metabolic Syndrome in Persons with HIV.

Sepiso K Masenga, Fernando Elijovich, John R Koethe, Benson M Hamooya, Douglas C Heimburger, Sody M Munsaka, Cheryl L Laffer, Annet Kirabo

Open access · hybridAbstract readReview
In one paragraph

Review in Current hypertension reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 pooled it
11.1field-weighted citation impact, top 1% 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

55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.

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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

8 authors at 4 institutions in 2 countries.

Sepiso K MasengaHAND Research group, School of Medicine and Health Sciences, Mulungushi University, Livingstone, Zambia.
Fernando ElijovichDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
John R KoetheDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Benson M HamooyaHAND Research group, School of Medicine and Health Sciences, Mulungushi University, Livingstone, Zambia.
Douglas C HeimburgerDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Sody M MunsakaDepartment of Biomedical Sciences, School of Health Sciences, University of Zambia, Lusaka, Zambia.
Cheryl L LafferDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Annet KiraboDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA. annet.kirabo@vanderbilt.edu.ORCID 0000-0001-8580-9359
Vanderbilt University Medical Center · USMulungushi University · ZMUniversity of Zambia · ZMVanderbilt University · US

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
UNZA-Vanderbilt Training Partnership for HIV-NCD Research (UVP-2)D43TW009744 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HEIMBURGER, DOUGLAS CORBETT, MUTALE, WILBROAD · 2015 to 2025
$3.2M
Role of Salt, Isoketal-modified Proteins and Dendritic Cells in HypertensionK01HL130497 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KIRABO, ANNET · 2016 to 2020
$803k
The Role of Obesity and Adipocytes in Immune Activation on Antiretroviral TherapyK23AI100700 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KOETHE, JOHN · 2012 to 2016
$600k
FIC NIH HHS D43 TW009744NCATS NIH HHS UL1 TR002243NHLBI NIH HHS K01 HL130497NHLBI NIH HHS K01HL130497NIAID NIH HHS K23 AI100700
6 · The paper itself

Abstract

purpose of reviewWith the advent of highly active antiretroviral therapy (ART), the life span of persons with HIV (PWH) has been nearly normalized. With aging, prevalence of the metabolic syndrome (MetS), including hypertension, has increased in the HIV population and exceeds that in the general population in some studies. This is due to a combination of traditional risk factors in addition to the effects attributable to the virus and ART. We review recent findings on the mechanisms contributing to MetS and hypertension in PWH, particularly those specific to the viral infection and to ART. RECENT

findingsActivation of the renin-angiotensin-aldosterone system (RAAS) and chronic immune activation contribute to the development of MetS and hypertension in PWH. HIV proteins and some ART agents alter adipocyte health contributing to dyslipidemias, weight gain, and insulin resistance. HIV infection also contributes to hypertension by direct effects on the RAAS that intertwine with inflammation by the RAAS also contributing to T cell activation. Recent data suggest that in addition to current ART, therapeutic targeting of the MetS and hypertension in PWH, by interfering with the RAAS, treating insulin resistance directly or by use of immunomodulators that dampen inflammation, may be critical for preventing or treating these risk factors and to improve overall cardiovascular complications in the HIV-infected aging population.

Indexed as

DyslipidemiasHIV InfectionsHypertensionInsulin ResistanceMetabolic SyndromeAgedHumansAntiretroviral therapyHIVHypertensionImmune modulatorsMetabolic syndrome

Identifiers

PMID32880756
PMCPMC7467859
OpenAlexW3083269300

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.