Evidence map›Paper›PMID 38379882›Full record

ReviewAtherosclerosis plus2024

Endothelial dysfunction and cardiovascular diseases in people living with HIV on specific highly active antiretroviral therapy regimen: A systematic review of clinical studies.

Haskly Mokoena, Sihle E Mabhida, Joel Choshi, Phiwayinkosi V Dludla, Bongani B Nkambule, Zandile J Mchiza, Duduzile E Ndwandwe, André P Kengne, Sidney Hanser

Open access · goldAbstract readReview
In one paragraph

Review in Atherosclerosis plus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
9.0field-weighted citation impact, top 2% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Metabolic and redox pathway dysregulation in HIV-associated coronary endothelial dysfunction.American journal of physiology. Heart and circulatory physiology · 2026
    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

9 authors at 3 institutions in 1 country.

Haskly MokoenaDepartment of Physiology and Environmental Health, University of Limpopo, Sovenga, 0727, South Africa.
Sihle E MabhidaNon-Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, 7505, South Africa.
Joel ChoshiDepartment of Physiology and Environmental Health, University of Limpopo, Sovenga, 0727, South Africa.
Phiwayinkosi V DludlaCochrane South Africa, South African Medical Research Council, Tygerberg, 7505, South Africa.
Bongani B NkambuleSchool of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natal, Durban, 4000, South Africa.
Zandile J MchizaNon-Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, 7505, South Africa.
Duduzile E NdwandweCochrane South Africa, South African Medical Research Council, Tygerberg, 7505, South Africa.
André P KengneNon-Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, 7505, South Africa.
Sidney HanserDepartment of Physiology and Environmental Health, University of Limpopo, Sovenga, 0727, South Africa.
South African Medical Research Council · ZAUniversity of Limpopo · ZAUniversity of KwaZulu-Natal · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the improved efficacy of highly active antiretroviral therapy (HAART) in viral suppression, emerging evidence indicates an increased burden of noncommunicable diseases in people living with HIV (PLWH). Immune activation and persistently elevated levels of inflammation have been associated with endothelial dysfunction in PLWH, likely contributing to the development of cardiovascular diseases (CVDs). Here, electronic search databases including PubMed, Google Scholar, Cochrane Library, and Science Direct were used to retrieve scientific evidence reporting on any association between markers of endothelial function and CVD-related outcomes in PLWH on HAART. Extracted data was subjected to quality assessment using the Downs and Black checklist. Most (60 %) of the results indicated the presence of endothelial dysfunction in PLWH on HAART, and this was mainly through reduced flow mediated dilation and elevated serum makers of adhesion molecules like ICAM-1, VCAM-1, and P-selectin. The summarized evidence indicates an association between persistently elevated markers of endothelial dysfunction and a pro-inflammatory state in PLWH on HAART. Only a few studies reported on improved endothelial function markers in PLWH on HAART, while limited evidence is available to prove that endothelial dysfunction is associated with CVD-risk, which could be attributed to therapeutic effects of HAART. Limited studies with relatively high quality of evidence were included in this systematic review. In conclusion, results from this review lay an important foundation for future research, even a meta-analysis, that will improve the understanding of the contributing factors to the burden of CVDs in PLWH on HAART.

Indexed as

Cardiovascular disease riskEndothelial dysfunctionEndothelial function testsEndothelial makersHighly active antiretroviral therapyHuman immunodeficiency virusInflammationInflammatory markersMarkers of oxidative stress

Identifiers

PMID38379882
PMCPMC10876676
OpenAlexW4391535966

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.