Evidence map›Paper›PMID 40046890›Full record

ArticleOpen forum infectious diseases2025

HIV-related Differences in Placental Immunology: Data From the PRACHITi Cohort in Pune, India.

Jyoti S Mathad, Mallika Alexander, Ramesh Bhosale, Shilpa Naik, Lisa Marie Cranmer, Vandana Kulkarni, Sydney Busch, Andrea Chalem, Emily Gitlin, Jun Lei and 6 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

16 authors.

Jyoti S MathadWeill Cornell Medicine, Center for Global Health, Department of Medicine, New York, New York, USA.ORCID https://orcid.org/0000-0001-9487-7775
Mallika AlexanderCenter for Infectious Diseases in India, Johns Hopkins India, Pune, India.ORCID https://orcid.org/0000-0001-9332-7915
Ramesh BhosaleDepartment of Obstetrics and Gynecology, BJ Government Medical College, Pune, India.
Shilpa NaikDepartment of Obstetrics and Gynecology, BJ Government Medical College, Pune, India.
Lisa Marie CranmerDepartment of Paediatrics, Emory University, Atlanta, Georgia, USA.
Vandana KulkarniCenter for Infectious Diseases in India, Johns Hopkins India, Pune, India.
Sydney BuschDepartment of Paediatrics, Emory University, Atlanta, Georgia, USA.
Andrea ChalemUniversity of North Carolina Gillings School of Public Health, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0002-2959-0070
Emily GitlinWeill Cornell Medicine, Center for Global Health, Department of Medicine, New York, New York, USA.ORCID https://orcid.org/0009-0004-7096-7759
Jun LeiUniversity of Maryland School of Medicine, Baltimore, Maryland, USA.
Anguo LiuUniversity of Maryland School of Medicine, Baltimore, Maryland, USA.
Jin LiuJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Yang LiuUniversity of Maryland School of Medicine, Baltimore, Maryland, USA.
Rupak ShivakotiDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, USA.ORCID https://orcid.org/0000-0002-2773-9310
Amita GuptaJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0001-7036-2718
Irina BurdUniversity of Maryland School of Medicine, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0001-7256-7784

Funding

HIV, gestational diabetes and TB in pregnancyR01AI162235 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI Jyoti S Mathad · 2022 to 2026
$3.5M
Impact of Immune Changes of Pregnancy on TuberculosisR01HD081929 · NICHD · JOHNS HOPKINS UNIVERSITY · PI GUPTA, AMITA · 2014 to 2017
$1.7M
The role of antibodies in infant TB preventionK23AI143479 · NIAID · EMORY UNIVERSITY · PI CRANMER, LISA M · 2019 to 2023
$950k
NIAID NIH HHS K23 AI143479NIAID NIH HHS R01 AI162235NICHD NIH HHS R01 HD081929
6 · The paper itself

Abstract

Background: Maternal HIV infection can affect placental immunology and expression of the neonatal crystallizable fragment receptor (FcRn), which allows transplacental antibody transfer. This study delineated differences in placental FcRn and T-cell expression by HIV status, with or without viral suppression. Methods: This observational cohort study in Pune, India, followed pregnant women with and without HIV through 1 year postpartum; 42 had placenta collected, stratified by HIV status. FcRn expression was analyzed by Western blot (normalized by GADPH) and compared using ImageJ. Placental CD4/CD8 abundance was assessed by immunofluorescent counting per high powered field. Results: The median gestational age at delivery was 38.3 weeks (interquartile range [IQR] 37.5-39.1). Of 18 women living with HIV, all were on combined antiretroviral therapy with a median CD4 of 455 cells/mm Conclusions: Maternal HIV, even with viral suppression, is associated with lower placental FcRn expression and increased placental CD8+ T cells. These results suggest that dysregulation may not be completely reversed by antiretroviral therapy and could contribute to poorer infant outcomes, even in the absence of mother-to-child HIV transmission.

Indexed as

maternal HIVneonatal crystallizable fragment receptorplacental immunology

Identifiers

PMID40046890
PMCPMC11879550

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.