Evidence map›Paper›PMID 35720418›Full record

ArticleFrontiers in immunology2022

Estrogen May Enhance Toll-Like Receptor 4-Induced Inflammatory Pathways in People With HIV: Implications for Transgender Women on Hormone Therapy.

Aaren Kettelhut, Emily Bowman, Janelle Gabriel, Brittany Hand, Namal P M Liyanage, Manjusha Kulkarni, Frances Avila-Soto, Jordan E Lake, Nicholas T Funderburg

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 40% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. 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
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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

9 authors at 2 institutions in 1 country.

Aaren KettelhutDepartment of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, United States.
Emily BowmanDepartment of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, United States.
Janelle GabrielDepartment of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, United States.
Brittany HandDepartment of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, United States.
Namal P M LiyanageDepartment of Microbial Infection and Immunity, The Ohio State University, Columbus, OH, United States.
Manjusha KulkarniDepartment of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, United States.
Frances Avila-SotoDepartment of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, United States.
Jordan E LakeDepartment of Internal Medicine, University of Texas Health Science Center at Houston, Houston, TX, United States.
Nicholas T FunderburgDepartment of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, United States.
The Ohio State University · USThe University of Texas Health Science Center at Houston · US

Funding

South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
Texas Developmental Center for AIDS ResearchP30AI161943 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI RICE, ANDREW P · 2021 to 2025
$8.3M
NRSA Training CoreTL1TR002735 · NCATS · OHIO STATE UNIVERSITY · PI BUMGARDNER, GINNY L, KIRSCHNER, LAWRENCE S · 2018 to 2022
$1.3M
Comprehensive HIV+/- Analysis of iNflammation in transGender women on Estrogen Supplementation: The CHANGES StudyR21AI143452 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI FUNDERBURG, NICHOLAS T., LAKE, JORDAN E · 2019 to 2020
$422k
NCATS NIH HHS TL1 TR002735NCATS NIH HHS UL1 TR001450NIAID NIH HHS P30 AI161943NIAID NIH HHS R21 AI143452
6 · The paper itself

Abstract

Background: Transgender women (TW) are at increased risk for both human immunodeficiency virus (HIV) and cardiovascular disease (CVD). Antiretroviral therapy-treated HIV has been associated with a two-fold increased risk of CVD, potentially due to dysregulated Toll-like receptor (TLR)-induced immune activation. Use of estrogens in feminizing hormone therapy (FHT) may enhance inflammatory responses and the risk of cardiovascular mortality in TW. Despite this, the immunomodulatory effects of estrogen use in TW with HIV have been inadequately explored. Methods: As an Results: PBMCs from people with HIV (PWH) produced greater levels of inflammatory cytokines following exposure to LPS or ssPolyU compared to levels from cells of HIV- individuals. While estrogen exposure alone induced mild changes in immune activation, LPS-induced TLR4 activation was elevated with estrogen in cisgender men (CM) with HIV, increasing monocyte activation and inflammatory cytokine production (IL-6, TNF-α). Interestingly, testosterone inhibited LPS-induced cytokine production in CM regardless of HIV status. Plasma markers of immune activation and microbial translocation (e.g., sCD14, sCD163, LPS-binding protein) were generally higher in PWH compared to HIV- CM, and these markers were positively associated with Conclusions: Our

Indexed as

EstrogensHIV InfectionsToll-Like Receptor 4Transgender PersonsCardiovascular DiseasesCytokinesFemaleHumansInterleukin-6Lipopolysaccharide ReceptorsLipopolysaccharidesMaleTumor Necrosis Factor-alphaCytokinesEstrogensInterleukin-6Lipopolysaccharide ReceptorsLipopolysaccharidesTLR4 protein, humanToll-Like Receptor 4Tumor Necrosis Factor-alphacardiovascular diseaseestrogenhuman immunodeficiency virusinflammationmonocytestoll-like receptor 4transgender women

Identifiers

PMID35720418
PMCPMC9205606
OpenAlexW4281940707

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.