Evidence map›Paper›PMID 34235857›Full record

ArticleJournal of the International AIDS Society2021

Early ART initiation during infancy preserves natural killer cells in young European adolescents living with HIV (CARMA cohort).

Margherita Doria, Sonia Zicari, Nicola Cotugno, Sara Domínguez-Rodríguez, Alessandra Ruggiero, Giuseppe R Pascucci, Alfredo Tagarro, Pablo Rojo Conejo, Eleni Nastouli, Kathleen Gärtner and 11 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of the International AIDS Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.9field-weighted citation impact, top 16% 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

17 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. The HIV Reservoir and Immune Landscape Across the Life Course of Women: Implications for Cure Strategies.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  4. Article
  5. Article
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  7. Article
  8. Viral and immune predictors of HIV posttreatment control.Current opinion in HIV and AIDS · 2025
    Review
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  11. Article
  12. Article
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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

21 authors at 8 institutions in 3 countries.

Margherita DoriaResearch Unit of Primary Immunodeficiency, Bambino Gesú Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0001-5533-0304
Sonia ZicariResearch Unit of Clinical Immunology and Vaccinology, Academic Department of Pediatrics (DPUO), Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Nicola CotugnoResearch Unit of Clinical Immunology and Vaccinology, Academic Department of Pediatrics (DPUO), Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Sara Domínguez-RodríguezPediatric Infectious Diseases Unit, Fundación para la Investigación Biomédica del Hospital, Madrid, Spain.
Alessandra RuggieroResearch Unit of Primary Immunodeficiency, Bambino Gesú Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-1041-7489
Giuseppe R PascucciResearch Unit of Primary Immunodeficiency, Bambino Gesú Children's Hospital, IRCCS, Rome, Italy.
Alfredo TagarroPediatric Infectious Diseases Unit, Fundación para la Investigación Biomédica del Hospital, Madrid, Spain.
Pablo Rojo ConejoPediatric Infectious Diseases Unit, Fundación para la Investigación Biomédica del Hospital, Madrid, Spain.ORCID 0000-0002-0197-5462
Eleni NastouliDepartment of Virology, University College Hospital London, UK.
Kathleen GärtnerInstitute of Child Health, University College London, UK.
Mark CameronDepartment of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH, USA.
Brian RichardsonDepartment of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH, USA.
Caroline FosterImperial College Healthcare NHS Trust, London, UK.
Sion L WilliamsDepartment of Microbiology and Immunology, University of Miami Miller School of Medicine, Miami, FL, USA.
Stefano RinaldiDepartment of Microbiology and Immunology, University of Miami Miller School of Medicine, Miami, FL, USA.
Anita De RossiSection of Oncology and Immunology, Department of Surgery, Oncology, and Gastroenterology, Unit of Viral Oncology and AIDS Reference Center, University of Padova, Padova, Italy.
Carlo GiaquintoDepartment of Mother and Child Health, University of Padova, Padova, Italy.
Paolo RossiResearch Unit of Primary Immunodeficiency, Bambino Gesú Children's Hospital, IRCCS, Rome, Italy.
Savita PahwaDepartment of Microbiology and Immunology, University of Miami Miller School of Medicine, Miami, FL, USA.
Paolo PalmaResearch Unit of Primary Immunodeficiency, Bambino Gesú Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-3066-4719
EPIICAL consortium
University of Rome Tor Vergata · ITBambino Gesù Children's Hospital · ITUniversity of Miami · USCase Western Reserve University · USUniversity of Padua · ITImperial College Healthcare NHS Trust · GBUniversity College Hospital · GBUniversity College London · GB

Funding

Targeting HIV reservoirs in children with HIVIS DNA and MVA-CMDR vaccinesU01AI135941 · NIAID · HENRY M. JACKSON FDN FOR THE ADV MIL/MED · PI PALMA, PAOLO, ROBB, MERLIN L · 2018 to 2024
$6.4M
NIAID NIH HHS U01 AI135941
6 · The paper itself

Abstract

introductionHIV infection causes pathological changes in the natural killer (NK) cell compartment that can be only partially restored by antiretroviral therapy (ART). We investigated NK cells phenotype and function in children with perinatally acquired HIV (PHIV) and long-term viral control (five years) due to effective ART in a multicentre cross-sectional European study (CARMA, EPIICAL consortium). The impact of age at ART start and viral reservoir was also evaluated.

methodsPeripheral blood mononuclear cells (PBMCs) from 40 PHIV who started ART within two years of life (early treated patients (ET), ≤6 months; late treated patients (LT), > 6 months), with at least five years of HIV-1 suppression (<40 HIV copies/mL), were collected between November 2017 and August 2018. NK phenotype and function were analysed by flow cytometry and transcriptional profile of PBMCs by RNA-Seq. HIV-1 DNA was measured by real-time polymerase chain reaction (Data were analysed by Spearman correlation plots and multivariable Poisson regression model (adjusted for baseline %CD4 and RNA HIV viral load and for age at ART start as an interaction term, either ET or LT) to explore the association between NK cell parameters and HIV reservoir modulated by age at ART start.

resultsA significantly higher frequency of CD56

conclusionsWe show that early initiation of ART during infancy preserves the NK compartment and is associated with lower HIV-1 reservoir. Such condition persists over adolescence due to long-term viral control achieved through effective ART.

Indexed as

HIV-1HIV InfectionsAdolescentCross-Sectional StudiesHumansInfantKiller Cells, NaturalLeukocytes, MononuclearARVcohort studiesHIV care continuumimmunologypaediatricsviral suppression

Identifiers

PMID34235857
PMCPMC8264399
OpenAlexW3182664352

What OpenQuestion holds

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LicenceCC BY
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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.