Evidence map›Paper›PMID 33864071›Full record

ArticleThe Journal of infectious diseases2021

Disease Progression in Children With Perinatal Human Immunodeficiency Virus Correlates With Increased PD-1+ CD8 T Cells That Coexpress Multiple Immune Checkpoints.

Janki Tailor, Julia Foldi, Matthew Generoso, Bret McCarty, Aparna Alankar, Max Kilberg, Mussa Mwamzuka, Fatma Marshed, Aabid Ahmed, Mengling Liu and 3 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 50% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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 3 institutions in 1 country.

Janki TailorDivision of Infectious Diseases, Department of Pediatrics, New York University School of Medicine, New York, New York, USA.
Julia FoldiDivision of Infectious Diseases, Department of Pediatrics, New York University School of Medicine, New York, New York, USA.
Matthew GenerosoDivision of Infectious Diseases, Department of Pediatrics, New York University School of Medicine, New York, New York, USA.
Bret McCartyDivision of Infectious Diseases, Department of Pediatrics, New York University School of Medicine, New York, New York, USA.
Aparna AlankarDivision of Infectious Diseases, Department of Pediatrics, New York University School of Medicine, New York, New York, USA.
Max KilbergDivision of Infectious Diseases, Department of Pediatrics, New York University School of Medicine, New York, New York, USA.
Mussa MwamzukaBomu Hospital, Mombasa, Kenya.
Fatma MarshedBomu Hospital, Mombasa, Kenya.
Aabid AhmedBomu Hospital, Mombasa, Kenya.
Mengling LiuDepartment of Population Health, New York University School of Medicine, New York, New York, USA.
William BorkowskyDivision of Infectious Diseases, Department of Pediatrics, New York University School of Medicine, New York, New York, USA.
Derya UnutmazJackson Laboratory for Genomic Medicine, Farmington, Connecticut, USA.
Alka KhaitanRyan White Center for Pediatric Infectious Diseases and Global Health, Indiana University School of Medicine, Indianapolis, Indiana, USA.ORCID 0000-0002-7316-4300
New York University · USIndiana University School of MedicineJackson Laboratory · US

Funding

Mechanisms and Consequences of Immune Activation in HIV Infected ChildrenK08AI093235 · NIAID · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI KHAITAN, ALKA · 2011 to 2016
$778k
NCHHSTP CDC HHS U2G PS002063NIAID NIH HHS K08 AI093235
6 · The paper itself

Abstract

backgroundPD-1 marks exhausted T cells, with weak effector functions. Adults living with human immunodeficiency virus (HIV) have increased levels of PD-1+ CD8 T cells that correlate with HIV disease progression, yet little is known about the role of PD-1+ CD8 T cells in children with perinatal HIV.

methodsWe enrolled 76 Kenyan children with perinatal HIV and 43 children who were HIV unexposed and quantified PD-1 levels on CD8 T cells; their coexpression with immune checkpoints (ICs) 2B4, CD160, and TIM3; correlates with immune activation and HIV disease progression; and HIV-specific and -nonspecific proliferative responses.

resultsPD-1+ CD8 T-cell frequencies are elevated in children with perinatal HIV and associated with disease progression. The majority of PD-1+ CD8 T cells coexpress additional ICs. ART initiation lowers total PD-1 levels and coexpression of multiple ICs. The frequency of PD-1+2B4+CD160+TIM3- in PD-1+ CD8 T cells predicts weaker HIV-specific proliferative responses, suggesting that this subset is functionally exhausted.

conclusionsChildren with perinatal HIV have high levels of PD-1+ CD8 T cells that are a heterogeneous population differentially coexpressing multiple ICs. Understanding the complex interplay of ICs is essential to guide the development of PD-1-directed immunotherapies for pediatric HIV remission and cure.

Indexed as

Acquired Immunodeficiency SyndromeHIV InfectionsCD8-Positive T-LymphocytesChildDisease ProgressionHepatitis A Virus Cellular Receptor 2HIVHumansKenyaProgrammed Cell Death 1 ReceptorHepatitis A Virus Cellular Receptor 2Programmed Cell Death 1 Receptor2B4CD160CD8 T cellchildrenimmune checkpointimmune exhaustionPD-1perinatal HIVTIM-3

Identifiers

PMID33864071
PMCPMC9631235
OpenAlexW3154035174

What OpenQuestion holds

Textmetadata
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.