Evidence map›Paper›PMID 38302888›Full record

ArticleBMC infectious diseases2024

Clinical and immunological outcomes of HIV-exposed uninfected and HIV-unexposed uninfected children in the first 24 months of life in Western Kenya.

Jessica E Ray, Katherine R Dobbs, Sidney O Ogolla, Ibrahim I Daud, David Midem, Maxwel M Omenda, Amy S Nowacki, James G Beeson, Katherine R Sabourin, Rosemary Rochford and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2024. 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
3.9field-weighted citation impact, top 6% 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

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 3 countries.

Jessica E Ray *Center for Global Health & Diseases, Case Western Reserve University, 10900 Euclid Avenue LC: 4983, Cleveland, OH, 44106, USA.
Katherine R Dobbs *Center for Global Health & Diseases, Case Western Reserve University, 10900 Euclid Avenue LC: 4983, Cleveland, OH, 44106, USA. kxd179@case.edu.
Sidney O OgollaCentre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Ibrahim I DaudCentre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
David MidemCentre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Maxwel M OmendaCentre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Amy S NowackiDepartment of Quantitative Health Sciences, Cleveland Clinic Lerner Research Institute, Cleveland, OH, USA.
James G BeesonBurnet Institute, Melbourne, VIC, Australia.
Katherine R SabourinDepartment of Immunology and Microbiology, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Rosemary RochfordDepartment of Immunology and Microbiology, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Arlene E DentCenter for Global Health & Diseases, Case Western Reserve University, 10900 Euclid Avenue LC: 4983, Cleveland, OH, 44106, USA. aed9@case.edu.
Kenya Medical Research Institute · KECenter for Global Health · USUniversity of Colorado Anschutz Medical Campus · USBurnet Institute · AUCleveland Clinic Lerner College of Medicine · USRainbow Babies & Children's Hospital · US

Funding

Effects of Malaria on EBV Persistence in ChildrenR01CA102667 · NCI · UPSTATE MEDICAL UNIVERSITY · PI ROCHFORD, ROSEMARY · 2005 to 2014
$2.9M
B cell immunity in HIV exposed uninfected infants in KenyaR01AI098511 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI DENT, ARLENE · 2012 to 2015
$2.5M
Epigenetic Reprogramming of Monocyte Functions during Acute Uncomplicated Malaria in Kenyan ChildrenK23AI132644 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI DOBBS, KATHERINE ROSE · 2018 to 2022
$948k
NCI NIH HHS R01 CA102667NIAID NIH HHS K23 AI132644NIAID NIH HHS R01 AI098511NIH HHS AI098511NIH HHS AI132644NIH HHS CA102667NIH HHS D43 153707
6 · The paper itself

Abstract

backgroundPrevious studies show increased morbidity in children who are HIV-exposed but uninfected (HEU) compared to children who are HIV-unexposed uninfected (HUU). We sought to evaluate the effects of prenatal HIV exposure on clinical and immunological outcomes in the first 24 months of life.

methodsEighty-five HEU and 168 HUU children from Kenya were followed from birth to 24 months. All mothers living with HIV received combination antiretroviral therapy. Children who were HEU received standard-of-care cotrimoxazole prophylaxis through 18 months. Episodes of acute illness were identified through a combination of active and passive follow up. Trajectories of plasma cytokines, vaccine-specific antibodies, and antimalarial antibodies were examined.

resultsChildren who were HEU and children who were HUU had similar growth curves. Children who were HEU had lower rates of malaria (rate ratio 0.54, 95% CI 0.38, 0.77) and respiratory illness (rate ratio 0.80, 95% CI 0.68, 0.93). Trajectories of plasma cytokines and vaccine-specific antibodies were similar in children who were HEU and HUU. There were subtle differences in antimalarial antibody dynamics, in which children who were HEU had overall lower antibody levels against five of the 14 malaria antigens tested.

conclusionsChildren who were HEU and born to optimally treated mothers living with HIV had similar growth characteristics and immune profiles compared to children who were HUU. Children who were HEU had reduced risk for malaria and respiratory illness, which may be secondary to cotrimoxazole prophylaxis.

Indexed as

AntimalarialsHIV InfectionsMalariaVaccinesAntibodiesChildCytokinesFemaleHumansInfantKenyaPregnancyTrimethoprim, Sulfamethoxazole Drug CombinationAntibodiesAntimalarialsCytokinesTrimethoprim, Sulfamethoxazole Drug CombinationVaccinesAntimalarial antibodiesChildCytokineGrowthHEUHIVHIV-exposed uninfectedInfantMalariaVaccine

Identifiers

PMID38302888
PMCPMC10835872
OpenAlexW4391431564

What OpenQuestion holds

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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.