Evidence map›Paper›PMID 36685019›Full record

ArticleThe open AIDS journal2022

Effect of Sickle Cell Trait on Human Immunodeficiency Virus Type 1 Infection.

Iheanyi Okpala, Chinwe Chukwuka, Seyed Nouraie, Sergei Nekhai, Chima Onwuka, Isa Hezekiah, Onochie Obodo, Deborah Maisamari, Kelechi Okereke, Ajake Oden and 5 more

Abstract read
In one paragraph

Article in The open AIDS journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. 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

15 authors.

Iheanyi OkpalaDepartment of Hematology, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Chinwe ChukwukaDepartment of Medicine, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Seyed NouraieDepartment of Medicine, University of Pittsburgh, USA.
Sergei NekhaiDepartment of Medicine and Center for Sickle Cell Disease, Howard University, Washington DC, USA.
Chima OnwukaDepartment of Hematology, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Isa HezekiahDepartment of Hematology University of Abuja, Abuja, Nigeria.
Onochie ObodoDepartment of Hematology, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Deborah MaisamariDepartment of Hematology University of Abuja, Abuja, Nigeria.
Kelechi OkerekeDepartment of Hematology, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Ajake OdenDepartment of Hematology, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Yohanna TankoDepartment of Hematology University of Abuja, Abuja, Nigeria.
Chinedu EzekekwuDepartment of Hematology, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Vivian KwaghiHIV Unit, University of Abuja Teaching Hospital, Abuja, Nigeria.
Cajetan OnyedumDepartment of Medicine, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Obiageli NnoduDepartment of Hematology University of Abuja, Abuja, Nigeria.

Funding

Sickle Cell Disease and Sickle Cell Trait Protection Against HIV-1-infection in Africans and African AmericansR01HL125005 · NHLBI · HOWARD UNIVERSITY · PI MARINA A JEREBTSOVA, SERGEI NEKHAI · 2014 to 2026
$6.7M
NHLBI NIH HHS R01 HL125005
6 · The paper itself

Abstract

Introduction: Whereas several studies show that homozygous (HbSS) sickle cell disease protects against human immunodeficiency virus infection, it is not clear if human immunodeficiency virus infection is affected by the heterozygous state of the sickle globin gene (HbAS or sickle cell trait). Objective: To evaluate the effects of sickle cell trait on the prevalence and severity of human immunodeficiency virus type 1 infection in a large patient population. Methods: Hemoglobin genotype was determined by high performance liquid chromatography (HPLC) in 1,226 HIV-1 patients in Nigeria. Their demographic data were documented. Blood CD4+ cell counts and HIV-1 viral load previously determined on the same blood samples to guide clinical care were used as indices of severity of HIV-1 infection. Statistical analysis of the data was done to evaluate the effects of sickle cell trait on the severity and prevalence of HIV-1 infection, relative to the prevalence of 1.4% in the general population of Nigeria. Results and Discussion: The distribution of hemoglobin genotypes among the HIV-1 patients was comparable to that in the general population of Nigeria (Chi-squared statistic =1.025; p value = 0.31, not significant). Neither viral load (p = 0.32) nor blood CD4+ cell count (p = 0.30) was significantly different between all HbAS versus all HbAA patients. There was a trend towards lower viral load in females and a significant interaction between gender and HbAS for viral load (P = 0.018), suggesting that sickle cell trait might be associated with the severity of HIV-1 infection in females. Conclusion: The findings suggest that sickle cell trait might be associated with severity of HIV-1 infection in female, but not all, patients. Larger, prospective studies are required to further investigate the effect of sickle cell trait on HIV-1 infection.

Indexed as

Human ImmunodeficiencySickle Cell TraitVirus Type 1

Identifiers

PMID36685019
PMCPMC9851184

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.