Evidence map›Paper›PMID 38976697›Full record

Observational studyPloS one2024

Observational study of effects of HIV acquisition and antiretroviral treatment on biomarkers of systemic immune activation.

Ewelina Kosmider, Jackson Wallner, Ana Gervassi, Rachel A Bender Ignacio, Delia Pinto-Santini, German Gornalusse, Urvashi Pandey, Florian Hladik, Paul T Edlefsen, Javier R Lama and 2 more

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. IFIH1 (MDA5) is required for innate immune detection of intron-containing RNA expressed from the HIV-1 provirus.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Ewelina KosmiderVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, Washington, United States of America.
Jackson WallnerSeattle Children's Research Institute, Seattle, Washington, United States of America.
Ana GervassiSeattle Children's Research Institute, Seattle, Washington, United States of America.
Rachel A Bender IgnacioVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, Washington, United States of America.ORCID 0000-0001-6167-1447
Delia Pinto-SantiniVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, Washington, United States of America.
German GornalusseDepartment of Obstetrics & Gynecology, University of Washington, Seattle, Washington, United States of America.ORCID 0000-0002-0582-9171
Urvashi PandeyVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, Washington, United States of America.
Florian HladikVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, Washington, United States of America.
Paul T EdlefsenVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, Washington, United States of America.
Javier R LamaDepartment of Global Health, University of Washington, Seattle, Washington, United States of America.
Ann C DuerrVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, Washington, United States of America.ORCID 0000-0002-3399-2208
Lisa M FrenkelVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, Washington, United States of America.ORCID 0000-0001-9566-8959

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
LC - IMPAACT Leadership GroupUM1AI106716 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$47.2M
NCCIH Supplement to NCATS/CTSA Program for KL2 Scholars - M. SoddersKL2TR002317 · NCATS · UNIVERSITY OF WASHINGTON · PI Christy Michelle McKinney · 2017 to 2026
$14.5M
Modulating the Impact of Critical Events in Early HIV Infection: Effect of Early ART Initiation and Alcohol UseR01DA040532 · NIDA · FRED HUTCHINSON CANCER RESEARCH CENTER · PI DUERR, ANN C · 2015 to 2019
$8.0M
HIV Testing and Treatment to Prevent Onward HIV Transmission among High-risk MSMR01DA032106 · NIDA · FRED HUTCHINSON CANCER RESEARCH CENTER · PI DUERR, ANN C · 2011 to 2015
$6.6M
NCATS NIH HHS KL2 TR002317NIAID NIH HHS P30 AI027757NIAID NIH HHS UM1 AI106716NIDA NIH HHS R01 DA032106NIDA NIH HHS R01 DA040532
6 · The paper itself

Abstract

To assess whether biomarkers of systemic inflammation are associated with HIV acquisition or with the timing of ART initiation ("immediate", at diagnosis, versus "deferred", at 24 weeks post-diagnosis) in men-who-have-sex-with-men (MSM) and transgender women, we conducted a retrospective study comparing inflammatory biomarkers in participants' specimens collected before infection and after ≥2 years of effective ART. We measured biomarkers in four longitudinally collected plasma, including two specimens collected from each participant before and two after HIV acquisition and confirmed ART-suppression. Biomarkers were quantified by enzyme-linked immuno-assay or Meso Scale Discovery. When evaluating systematic variation in these markers over time, we found that multiple biomarkers consistently varied across participants' two pre-infection or two post-ART-suppression specimens. Additionally, we compared changes in biomarkers after vs before HIV acquisition. Across 47 participants, the levels of C-reactive protein (CRP), monocyte chemo-attractant protein-1, tumor necrosis factor-α and interferon gamma-induced protein-10 significantly increased while leptin and lipopolysaccharide binding protein (LBP) significantly decreased following HIV infection. Randomization to deferred-ART initiation was associated with greater increases in CRP and no decrease in LBP. Acquisition of HIV appeared to induce systemic inflammation, with elevation of biomarkers previously associated with infections and cardiovascular disease. Initiation of ART during the early weeks of infection tempered the increase in pro-inflammatory biomarkers compared to delaying ART for ~24 weeks after HIV diagnosis. These findings provide insight into potential mediators by which immediate-ART initiation improves health outcomes, perhaps because immediate-ART limits the size of the HIV reservoir or limits immune dysregulation that in turn trigger systemic inflammation.

Indexed as

BiomarkersHIV InfectionsAcute-Phase ProteinsAdultAnti-HIV AgentsCarrier ProteinsC-Reactive ProteinFemaleHumansInflammationLipopolysaccharide-Binding ProteinMaleMembrane GlycoproteinsMiddle AgedRetrospective StudiesTransgender PersonsAcute-Phase ProteinsAnti-HIV AgentsBiomarkersCarrier ProteinsC-Reactive ProteinLipopolysaccharide-Binding ProteinMembrane Glycoproteins

Identifiers

PMID38976697
PMCPMC11230552

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.