Evidence map›Paper›PMID 33216130›Full record

ArticleThe Journal of infectious diseases2022

Human Immunodeficiency Virus-Infected Immunological Nonresponders Have Colon-Restricted Gut Mucosal Immune Dysfunction.

Malin Holm Meyer-Myklestad, Asle Wilhelm Medhus, Kristina Berg Lorvik, Ingebjørg Seljeflot, Simen Hyll Hansen, Kristian Holm, Birgitte Stiksrud, Marius Trøseid, Johannes Roksund Hov, Dag Kvale and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 25 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

13 authors at 2 institutions in 1 country.

Malin Holm Meyer-MyklestadDepartment of Infectious Diseases, Oslo University Hospital, Oslo, Norway.
Asle Wilhelm MedhusDepartment of Gastroenterology, Oslo University Hospital, Oslo, Norway.
Kristina Berg LorvikDepartment of Infectious Diseases, Oslo University Hospital, Oslo, Norway.
Ingebjørg SeljeflotInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Simen Hyll HansenInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Kristian HolmInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Birgitte StiksrudDepartment of Infectious Diseases, Oslo University Hospital, Oslo, Norway.
Marius TrøseidInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Johannes Roksund HovInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Dag KvaleDepartment of Infectious Diseases, Oslo University Hospital, Oslo, Norway.
Anne Margarita Dyrhol-RiiseDepartment of Infectious Diseases, Oslo University Hospital, Oslo, Norway.
Martin KummenInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Dag Henrik ReikvamDepartment of Infectious Diseases, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman immunodeficiency virus (HIV)-infected immunological nonresponders (INRs) fail to reconstitute their CD4+ T-cell pool after initiation of antiretroviral therapy, and their prognosis is inferior to that of immunological responders (IRs). A prevailing hypothesis is that the INR phenotype is caused by a persistently disrupted mucosal barrier, but assessments of gut mucosal immunology in different anatomical compartments are scarce.

methodsWe investigated circulating markers of mucosal dysfunction, immune activation, mucosal Th17 and Th22 cells, and mucosa-adherent microbiota signatures in gut mucosal specimens from sigmoid colon and terminal ileum of 19 INRs and 20 IRs in addition to 20 HIV-negative individuals.

resultsINRs had higher blood levels of the enterocyte damage marker intestinal fatty acid-binding protein than IRs. In gut mucosal biopsies, INRs had lower fractions of CD4+ T cells, higher fractions of interleukin 22, and a tendency to higher fractions of interleukin 17-producing CD4+ T cells. These findings were all restricted to the colon and correlated to circulating markers of enterocyte damage. There were no observed differences in gut microbial composition between INRs and IRs.

conclusionsRestricted to the colon, enterocyte damage and mucosal immune dysfunction play a role for insufficient immune reconstitution in HIV infection independent of the gut microbiota.

Indexed as

HIV InfectionsImmunity, MucosalCD4-Positive T-LymphocytesColonHIVHumansIntestinal Mucosagut microbiotaHIVimmunological nonrespondersmucosal immunology

Identifiers

PMID33216130
PMCPMC8844596
OpenAlexW3100131680

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.