Evidence map›Paper›PMID 37113007›Full record

ArticleViruses2023

The Synthetic Opioid Fentanyl Increases HIV Replication and Chemokine Co-Receptor Expression in Lymphocyte Cell Lines.

Janani Madhuravasal Krishnan, Ling Kong, Rebekah Karns, Mario Medvedovic, Kenneth E Sherman, Jason T Blackard

Open access · goldAbstract read
In one paragraph

Article in Viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Janani Madhuravasal KrishnanDivision of Digestive Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA.ORCID 0000-0002-1591-0897
Ling KongDivision of Digestive Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA.
Rebekah KarnsDigestive Health Center, Cincinnati Children's Hospital, Cincinnati, OH 45229, USA.
Mario MedvedovicDepartment of Environmental & Public Health Sciences, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA.
Kenneth E ShermanDivision of Digestive Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA.
Jason T BlackardDivision of Digestive Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA.ORCID 0000-0003-2876-3811
University of Cincinnati Medical Center · USCincinnati Children's Hospital Medical Center · US

Funding

Omics analysis of HIV during synthetic opioid exposureR61DA048439 · NIDA · UNIVERSITY OF CINCINNATI · PI BLACKARD, JASON T · 2019 to 2021
$2.1M
Omics analysis of HIV during synthetic opioid exposureR33DA048439 · NIDA · UNIVERSITY OF CINCINNATI · PI BLACKARD, JASON T · 2022 to 2023
$1.2M
NIDA NIH HHS DA048439NIDA NIH HHS R33 DA048439NIDA NIH HHS R61 DA048439
6 · The paper itself

Abstract

backgroundIn the United States, the illicit use of synthetic opioids such as fentanyl has led to a serious public health crisis. Synthetic opioids are known to enhance viral replication and to suppress immunologic responses, but their effects on HIV pathogenesis remain unclear. Thus, we examined the impact of fentanyl on HIV-susceptible and HIV-infected cell types.

methodsTZM-bl and HIV-infected lymphocyte cells were incubated with fentanyl at varying concentrations. Expression levels of the CXCR4 and CCR5 chemokine receptors and HIV p24 antigen were quantified with ELISA. HIV proviral DNA was quantified using SYBR RT-PCR. Cell viability was detected with the MTT assay. RNAseq was performed to characterize cellular gene regulation in the presence of fentanyl.

resultsFentanyl enhanced expression of both chemokine receptor levels in a dose-dependent manner in HIV-susceptible and infected cell lines. Similarly, fentanyl induced viral expression in HIV-exposed TZM-bl cells and in HIV-infected lymphocyte cell lines. Multiple genes associated with apoptosis, antiviral/interferon response, chemokine signaling, and NFκB signaling were differentially regulated.

conclusionsSynthetic opioid fentanyl impacts HIV replication and chemokine co-receptor expression. Increased virus levels suggest that opioid use may increase the likelihood of transmission and accelerate disease progression.

Indexed as

HIV-1HIV InfectionsAnalgesics, OpioidCell LineChemokinesFentanylHumansLymphocytesReceptors, CCR5Receptors, ChemokineReceptors, CXCR4Virus ReplicationAnalgesics, OpioidChemokinesFentanylReceptors, CCR5Receptors, ChemokineReceptors, CXCR4drug usefentanylHIVopioid

Identifiers

PMID37113007
PMCPMC10145664
OpenAlexW4366774498

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.