Evidence map›Paper›PMID 36592383›Full record

ArticleThe Journal of infectious diseases2023

Unique Profile of Inflammation and Immune Activation in Pregnant People With HIV in the United States.

Stephanie Shiau, Denise L Jacobson, Yanling Huo, Deborah Kacanek, Lynn M Yee, David B Williams, Lisa B Haddad, Lena Serghides, Kathleen Powis, Rhoda S Sperling and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01310023 (Surveillance Monitoring for ART Toxicities Study in HIV Uninfected Children Born to HIV Infected Women), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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.

NCT01310023 completednot on this map

Surveillance Monitoring for ART Toxicities Study in HIV Uninfected Children Born to HIV Infected Women

TypeobservationalSponsorHarvard School of Public Health (HSPH)Ran2007 to 2025Enrolled5,169ConditionsAntiretroviral Toxicity
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
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  4. Review
  5. Observational
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  9. Review
  10. Observational
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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

13 authors.

Stephanie ShiauDepartment of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, New Jersey, USA.ORCID 0000-0003-2944-3406
Denise L JacobsonCenter for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Yanling HuoCenter for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Deborah KacanekCenter for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Lynn M YeeDepartment of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
David B WilliamsAnn and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
Lisa B HaddadCenter for Biomedical Research, Population Council, New York, New York, USA.
Lena SerghidesUniversity Health Network and Department of Immunology and Institute of Medical Sciences, University of Toronto, Toronto, Canada.
Kathleen PowisDepartments of Internal Medicine and Pediatrics, Massachusetts General Hospital, Boston, Massachusetts, USA.
Rhoda S SperlingDepartment of Obstetrics, Gynecology, and Reproductive Health, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Paige L WilliamsDepartments of Biostatistics and Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Jennifer JaoDepartment of Pediatrics, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Pediatric HIV/AIDS Cohort Study

Funding

The Adolescent Master Protocol (AMP) Up Series ProjectP01HD103133 · NICHD · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI TASSIOPOULOS, KATHERINE K. · 2020 to 2024
$88.3M
Pediatric HIV/AIDS Cohort Study (PHACS): Understanding Maternal HIV Disease through Pregnancy and the Postpartum Period and its Role in Child Health OutcomesU01HD052104 · NICHD · TULANE UNIVERSITY OF LOUISIANA · PI VAN DYKE, RUSSELL B. · 2005 to 2019
$15.7M
Leveraging large-scale administrative claims data to evaluate prescription opioid use, risks, and outcomes in older adults living with HIVK01DA053157 · NIDA · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI SHIAU, STEPHANIE · 2021 to 2025
$1.0M
Metabolic Effects of In Utero Antiretrovirals on HIV Exposed Uninfected InfantsK23HD070760 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI JAO, JENNIFER · 2012 to 2016
$647k
Leveraging NICHD DASH biospecimens to isolate the effects of HIV infection and HIV exposure on epigenetic profiles in infantsR21HD104558 · NICHD · RBHS-SCHOOL OF PUBLIC HEALTH · PI SHIAU, STEPHANIE · 2020 to 2021
$430k
NCI NIH HHSNHLBI NIH HHSNIAAA NIH HHSNIAID NIH HHSNICHD NIH HHS K23 HD070760NICHD NIH HHS P01 HD103133NICHD NIH HHS R21 HD104558NICHD NIH HHS U01 HD052104NIDA NIH HHS K01 DA053157NIDCD NIH HHSNIDCR NIH HHSNIH HHSNIMH NIH HHSNINDS NIH HHS
6 · The paper itself

Abstract

backgroundLittle is known about inflammation/immune activation during pregnancy in people with HIV (PWH) and growth in their children who are HIV-exposed and uninfected (CHEU).

methodsUsing data from the Pediatric HIV/AIDS Cohort Study and an HIV-seronegative comparison group, we assessed associations of (1) HIV status, mode of HIV acquisition (perinatally vs nonperinatally acquired), and type of antiretroviral therapy (ART) with inflammation/immune activation in pregnancy; and (2) inflammation/immune activation in pregnancy with growth of CHEU at 12 months. Interleukin 6 (IL-6), high-sensitivity C-reactive protein (hs-CRP), soluble(s) TNF-α receptor 1 and 2 (sTNFR1, sTNFR2), sCD14, and sCD163 were measured between 13 and 27 weeks' gestation. Linear regression models were fit to estimate differences between groups for each log-transformed biomarker, adjusted for confounders.

resultsPregnant PWH (188 total, 39 perinatally acquired, 149 nonperinatally acquired) and 76 HIV-seronegative persons were included. PWH had higher IL-6, sTNFR1, sCD14, and sCD163 and lower sTNFR2 compared to HIV-seronegative persons in adjusted models. Among PWH, sCD163 was higher in those with perinatally versus nonperinatally acquired HIV and on PI-based versus INSTI-based ART. Higher maternal concentrations of IL-6, sTNFR2, and hs-CRP were associated with poorer growth at 12 months.

conclusionsMaternal HIV status is associated with a distinct profile of inflammation/immune activation during pregnancy, which may influence child growth.

Indexed as

Acquired Immunodeficiency SyndromeHIV InfectionsBiomarkersChildCohort StudiesC-Reactive ProteinFemaleHumansInflammationInterleukin-6Lipopolysaccharide ReceptorsPregnancyUnited StatesBiomarkersC-Reactive ProteinInterleukin-6Lipopolysaccharide ReceptorsHIVHIV-exposed uninfectedimmune activationinflammationpediatricspregnancy

Identifiers

PMID36592383
PMCPMC10152501

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Registered trials

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.