Evidence map›Paper›PMID 33015651›Full record

ArticleCell reports. Medicine2020

Treatment with Commonly Used Antiretroviral Drugs Induces a Type I/III Interferon Signature in the Gut in the Absence of HIV Infection.

Sean M Hughes, Claire N Levy, Fernanda L Calienes, Joanne D Stekler, Urvashi Pandey, Lucia Vojtech, Alicia R Berard, Kenzie Birse, Laura Noël-Romas, Brian Richardson and 20 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cell reports. Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05584397 (Comparing Immune Activation and Latent HIV Reservoir Size Between People Living With HIV), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact, top 94% 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.

NCT05584397 enrolling by invitationnot on this mapstarted 2022, after this paper: background citation

Comparing Immune Activation and Latent HIV Reservoir Size Between People Living With HIV (PWH) on Tenofovir-containing Versus NRTI-sparing ART

TypeobservationalSponsorUniversity of WashingtonRan2022 to 2026Enrolled40ConditionsHIV-1-infection, HIV Disease Progression, Inflammation, HIVArmsVenipuncture, Targeted physical medical exam, Urine pregnancy test, Anoscopy, Esophagogastroduodenoscopy (EGD)
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 citations in OpenAlex.

  1. Trial
  2. Tenofovir, Interferon Pathways, and Mucosal Immunity: Implications for People Living With HIV.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  3. Article
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  8. Review
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  11. Article
  12. Review
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  16. Article
  17. Article
  18. Review
  19. Gut Innate Immunity and HIV Pathogenesis.Current HIV/AIDS reports · 2021
    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

30 authors at 11 institutions in 9 countries.

Sean M HughesDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
Claire N LevyDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
Fernanda L CalienesVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Joanne D SteklerDepartment of Epidemiology, University of Washington, Seattle, WA, USA.
Urvashi PandeyDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
Lucia VojtechDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
Alicia R BerardDepartments of Obstetrics & Gynecology and Medical Microbiology, University of Manitoba, Winnipeg, MB, Canada.
Kenzie BirseDepartments of Obstetrics & Gynecology and Medical Microbiology, University of Manitoba, Winnipeg, MB, Canada.
Laura Noël-RomasDepartments of Obstetrics & Gynecology and Medical Microbiology, University of Manitoba, Winnipeg, MB, Canada.
Brian RichardsonDepartment of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, USA.
Jackelyn B GoldenDepartment of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, USA.
Michael CartwrightDepartment of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, USA.
Ann C CollierDepartment of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Claire E StevensDepartment of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Marcel E CurlinDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Timothy H HoltzDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Nelly MugoPartners in Health Research and Development, Kenya Medical Research Institute, Thika, Kenya.
Elizabeth IrunguPartners in Health Research and Development, Kenya Medical Research Institute, Thika, Kenya.
Elly KatabiraInfectious Disease Institute, Makerere University, Kampala, Uganda.
Timothy MuwongeInfectious Disease Institute, Makerere University, Kampala, Uganda.
Javier R LamaAsociación Civil Impacta Salud y Educación, Lima, Peru.
Jared M BaetenDepartment of Epidemiology, University of Washington, Seattle, WA, USA.
Adam BurgenerCenter for Global Health and Diseases, Case Western Reserve University, Cleveland, OH, USA.
Jairam R LingappaDepartment of Pediatrics, University of Washington, Seattle, WA, USA.
M Juliana McElrathVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Romel MackelprangDepartment of Global Health, University of Washington, Seattle, WA, USA.
Ian McGowanOrion Biotechnology, Ottawa, ON, Canada.
Ross D CranstonDepartment of Infectious Diseases and Dermatology, University of Barcelona, Barcelona, Spain.
Mark J CameronDepartment of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, USA.
Florian HladikDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
University of Washington · USCase Western Reserve University · USCape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa · ZAPublic Health Agency of Canada · CACenters for Disease Control and Prevention · USMakerere University · UGAsociación Civil Impacta Salud y Educación · PEKarolinska University Hospital · SEKenya Medical Research Institute · KEUniversitat de Barcelona · ESUniversity of Pittsburgh · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Eric Collisson · 1985 to 2026
$296.4M
Microbicide Trials NetworkUM1AI068633 · NIAID · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI HILLIER, SHARON L. · 2011 to 2021
$175.0M
University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI EDWIN ROBERTO ORELLANA · 1988 to 2026
$104.9M
Microbicide Trials NetworkU01AI068633 · NIAID · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI HILLIER, SHARON L. · 2006 to 2010
$77.0M
Emory HIV/AIDS Clinical Trials UnitUM1AI069418 · NIAID · EMORY UNIVERSITY · PI Moises Arturo Huaman Joo, Colleen F Kelley · 2012 to 2026
$46.0M
Seattle Vaccine Trials UnitUM1AI069481 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Rachel Ann Bender Ignacio, Margaret Juliana McElrath · 2012 to 2026
$24.4M
Neuro HPA Project 1U54AG062334 · NIA · EMORY UNIVERSITY · PI Ighovwerha Ofotokun · 2018 to 2026
$12.2M
Identification of drug-targetable IFN-stimulated genes mediating immune activation during ART-treated HIV-1 infectionR01AI134293 · NIAID · UNIVERSITY OF WASHINGTON · PI MACKELPRANG, ROMEL D · 2018 to 2022
$3.6M
Systems and carcinogenic impact assessment of topical microbicides on human mucosaR01AI116292 · NIAID · UNIVERSITY OF WASHINGTON · PI HLADIK, FLORIAN · 2015 to 2019
$3.5M
Seattle Vaccine Trials UnitU01AI069481 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI MCELRATH, MARGARET JULIANA · 2007 to 2011
$3.0M
Quantifying the impact of genital mucosal inflammation on HIV-1 acquisition riskR01AI111738 · NIAID · UNIVERSITY OF WASHINGTON · PI LINGAPPA, JAIRAM RAO · 2014 to 2017
$2.3M
Targeting novel pathways to enhance gastrointestinal integrity during HIV infectionR01DK112254 · NIDDK · UNIVERSITY OF WASHINGTON · PI BURGENER, ADAM, KLATT, NICHOLE ROSE · 2017 to 2021
$1.8M
NCI NIH HHS P30 CA015704NIAID NIH HHS P30 AI027757NIAID NIH HHS R01 AI111738NIAID NIH HHS R01 AI116292NIAID NIH HHS R01 AI134293NIAID NIH HHS U01 AI069481NIAID NIH HHS UM1 AI068633NIAID NIH HHS UM1 AI069418NIAID NIH HHS UM1 AI069481NIA NIH HHS U54 AG062334NIDDK NIH HHS R01 DK112254
6 · The paper itself

Abstract

Tenofovir disoproxil fumarate (TDF) and emtricitabine (FTC) are used for HIV treatment and prevention. Previously, we found that topical rectal tenofovir gel caused immunological changes in the mucosa. Here, we assess the effect of oral TDF/FTC in three HIV pre-exposure prophylaxis trials, two with gastrointestinal and one with cervicovaginal biopsies. TDF/FTC induces type I/III interferon-related (IFN I/III) genes in the gastrointestinal tract, but not blood, with strong correlations between the two independent rectal biopsy groups (Spearman r = 0.91) and between the rectum and duodenum (r = 0.81). Gene set testing also indicates stimulation of the type I/III pathways in the ectocervix and of cellular proliferation in the duodenum. mRNA sequencing, digital droplet PCR, proteomics, and immunofluorescence confirm IFN I/III pathway stimulation in the gastrointestinal tract. Thus, oral TDF/FTC stimulates an IFN I/III signature throughout the gut, which could increase antiviral efficacy but also cause chronic immune activation in HIV prevention and treatment settings.

Indexed as

AdultAnti-HIV AgentsAnti-Retroviral AgentsAntiretroviral Therapy, Highly ActiveEmtricitabineFemaleGastrointestinal MicrobiomeGene ExpressionHIVHIV InfectionsHumansInterferon Type IMaleMiddle AgedPharmaceutical PreparationsPre-Exposure ProphylaxisAnti-HIV AgentsAnti-Retroviral AgentsEmtricitabineInterferon Type IPharmaceutical PreparationsTenofovirantiretroviral treatmentARTchronic immune activationgutHIVHIV cureinterferonISG15tenofovir

Identifiers

PMID33015651
PMCPMC7511692
OpenAlexW2957711757

What OpenQuestion holds

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Registered trials

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.