Evidence map›Paper›PMID 33732256›Full record

ArticleFrontiers in immunology2021

Persistent T Cell Repertoire Perturbation and T Cell Activation in HIV After Long Term Treatment.

Carolin T Turner, James Brown, Emily Shaw, Imran Uddin, Evdokia Tsaliki, Jennifer K Roe, Gabriele Pollara, Yuxin Sun, James M Heather, Marc Lipman and 2 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

22 citing papers in PubMed, 30 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

12 authors at 2 institutions in 1 country.

Carolin T TurnerDivision of Infection and Immunity, University College London, London, United Kingdom.
James BrownDepartments of HIV and Respiratory Medicine, Royal Free London NHS Foundation Trust, London, United Kingdom.
Emily ShawDivision of Infection and Immunity, University College London, London, United Kingdom.
Imran UddinDivision of Infection and Immunity, University College London, London, United Kingdom.
Evdokia TsalikiDivision of Infection and Immunity, University College London, London, United Kingdom.
Jennifer K RoeDivision of Infection and Immunity, University College London, London, United Kingdom.
Gabriele PollaraDivision of Infection and Immunity, University College London, London, United Kingdom.
Yuxin SunDivision of Infection and Immunity, University College London, London, United Kingdom.
James M HeatherDivision of Infection and Immunity, University College London, London, United Kingdom.
Marc LipmanDepartments of HIV and Respiratory Medicine, Royal Free London NHS Foundation Trust, London, United Kingdom.
Benny ChainDivision of Infection and Immunity, University College London, London, United Kingdom.
Mahdad NoursadeghiDivision of Infection and Immunity, University College London, London, United Kingdom.
University College London · GBRoyal Free London NHS Foundation Trust · GB

Funding

Department of Health DRF-2015-08-210Wellcome TrustWellcome Trust 207511/Z/17/Z
6 · The paper itself

Abstract

Objective: In people living with HIV (PLHIV), we sought to test the hypothesis that long term anti-retroviral therapy restores the normal T cell repertoire, and investigate the functional relationship of residual repertoire abnormalities to persistent immune system dysregulation. Methods: We conducted a case-control study in PLHIV and HIV-negative volunteers, of circulating T cell receptor repertoires and whole blood transcriptomes by RNA sequencing, complemented by metadata from routinely collected health care records. Results: T cell receptor sequencing revealed persistent abnormalities in the clonal T cell repertoire of PLHIV, characterized by reduced repertoire diversity and oligoclonal T cell expansion correlated with elevated CD8 T cell counts. We found no evidence that these expansions were driven by cytomegalovirus or another common antigen. Increased frequency of long CDR3 sequences and reduced frequency of public sequences among the expanded clones implicated abnormal thymic selection as a contributing factor. These abnormalities in the repertoire correlated with systems level evidence of persistent T cell activation in genome-wide blood transcriptomes. Conclusions: The diversity of T cell receptor repertoires in PLHIV on long term anti-retroviral therapy remains significantly depleted, and skewed by idiosyncratic clones, partly attributable to altered thymic output and associated with T cell mediated chronic immune activation. Further investigation of thymic function and the antigenic drivers of T cell clonal selection in PLHIV are critical to efforts to fully re-establish normal immune function.

Indexed as

HIV Long-Term SurvivorsTranscriptomeAnti-HIV AgentsCase-Control StudiesCross-Sectional StudiesFemaleGene Expression ProfilingHigh-Throughput Nucleotide SequencingHIV InfectionsHumansLymphocyte ActivationMaleMiddle AgedPhenotypeReceptors, Antigen, T-CellTime FactorsAnti-HIV AgentsReceptors, Antigen, T-Cellantiretroviral therapyblood transcriptomechronic inflammationhuman immunodeficiency viruspeople living with HIVT cell activationT cell repertoire

Identifiers

PMID33732256
PMCPMC7959740
OpenAlexW3132109173

What OpenQuestion holds

Textmetadata
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.