Evidence map›Paper›PMID 33670625›Full record

ArticleJournal of clinical medicine2021

Cytokines and Chemokines Involved in Hepatitis B Surface Antigen Loss in Human Immunodeficiency Virus/Hepatitis B Virus Coinfected Patients.

Noboru Urata, Tsunamasa Watanabe, Noboru Hirashima, Yoshiyuki Yokomaku, Junji Imamura, Yasumasa Iwatani, Masaaki Shimada, Yasuhito Tanaka

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 98% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

8 authors at 4 institutions in 1 country.

Noboru UrataDepartment of Gastroenterology, National Hospital Organization, Nagoya Medical Center, Nagoya 460-0001, Japan.
Tsunamasa WatanabeDivision of Gastroenterology and Hepatology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki 216-8511, Japan.ORCID 0000-0002-7659-914X
Noboru HirashimaDepartment of Gastroenterology, National Hospital Organization, Nagoya Medical Center, Nagoya 460-0001, Japan.
Yoshiyuki YokomakuDepartment of Infectious Diseases and Immunology, National Hospital Organization, Nagoya Medical Center, Nagoya 460-0001, Japan.
Junji ImamuraDepartment of Infectious Diseases and Immunology, National Hospital Organization, Nagoya Medical Center, Nagoya 460-0001, Japan.
Yasumasa IwataniDepartment of Infectious Diseases and Immunology, National Hospital Organization, Nagoya Medical Center, Nagoya 460-0001, Japan.ORCID 0000-0001-9269-4828
Masaaki ShimadaDepartment of Gastroenterology, National Hospital Organization, Nagoya Medical Center, Nagoya 460-0001, Japan.
Yasuhito TanakaDepartment of Virology and Liver Unit, Graduate School of Medical Sciences, Nagoya City University, Nagoya 467-8602, Japan.
National Hospital Organization · JPNagoya City University · JPSendai Medical Center · JPSt. Marianna University School of Medicine · JP

Funding

Japan Agency for Medical Research and Development JP19fk0210034Japan Agency for Medical Research and Development JP20fk0310101Ministry of Education, Culture, Sports, Science and Technology 19H03640
6 · The paper itself

Abstract

It has been reported that hepatic flare (HF), attributable to the development of immune reconstitution inflammatory syndrome (IRIS) in human immunodeficiency virus (HIV)/hepatitis B virus (HBV) coinfected patients, occurs frequently after the start of anti-retroviral therapy (ART). We have observed several cases of hepatitis B surface antigen (HBsAg) loss after IRIS. However, the factors leading to HBsAg clearance remain unknown. We measured CD4+ and CD8+ T cells, cytokines and chemokines in 16 patients coinfected HIV-1 and HBV with IRIS, and analyzed the factors leading to HBsAg clearance after IRIS. There was no significant difference in the CD4+ and CD8+ T cell counts between the HBsAg clearance and non-clearance groups, while the serum concentrations of almost all cytokines and chemokines in the HBsAg clearance group were higher than in the HBsAg non-clearance group at any time of observation. In particular, IP-10 at the ALT peak, GM-CSF and IL-12 one month after the ALT peak and TNF-α and GM-CSF after the ALT concentrations fell to within normal limits, were significantly higher in the HBsAg clearance group. It seems that HBsAg loss after IRIS requires continued immune responses against HBV, involving Th1 cytokines.

Indexed as

chemokinecytokineHBsAghepatitis B virushuman immunodeficiency virusimmune reconstitution syndrome

Identifiers

PMID33670625
PMCPMC7922731
OpenAlexW3130509425

What OpenQuestion holds

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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.