Evidence map›Paper›PMID 40796326›Full record

ArticleThe Journal of infectious diseases2025

Alterations of the Upper Respiratory Microbiome Among Children Living With HIV Infection in Botswana.

Sweta M Patel, John Farirai, Mohamed Z Patel, Sifelane Boiditswe, Leabaneng Tawe, Shimane Lekalake, Mogomotsi Matshaba, Andrew P Steenhoff, Tonya Arscott-Mills, Kristen A Feemster and 6 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. International journal of systematic and evolutionary microbiology · 2024
    Article
  3. Article
  4. Host microbiome-pathogen interactions in pediatric infections.Current opinion in infectious diseases · 2023
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Sweta M PatelDivision of Pulmonary, Allergy, and Critical Care Medicine, Duke University, Durham, North Carolina, USA.ORCID 0000-0001-7867-7706
John FariraiBotswana-Baylor Children's Clinical Centre of Excellence, Gaborone, Botswana.
Mohamed Z PatelDepartment of Paediatric and Adolescent Health, Faculty of Medicine, University of Botswana, Gaborone, Botswana.ORCID 0000-0002-4317-4284
Sifelane BoiditsweBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.ORCID 0000-0003-0382-4243
Leabaneng TaweOffice of Research and Graduate Studies, Faculty of Medicine, University of Botswana, Gaborone, Botswana.
Shimane LekalakeBotswana-Baylor Children's Clinical Centre of Excellence, Gaborone, Botswana.
Mogomotsi MatshabaBotswana-Baylor Children's Clinical Centre of Excellence, Gaborone, Botswana.
Andrew P SteenhoffBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.
Tonya Arscott-MillsBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.ORCID 0000-0002-7873-9871
Kristen A FeemsterDivision of Pediatric Infectious Diseases and Global Health Center, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Samir S ShahDivisions of Hospital Medicine and Infectious Diseases, Cincinnati Children's Medical Center, Cincinnati, Ohio, USA.
Nathan ThielmanDuke Global Health Institute, Duke University, Durham, North Carolina, USA.ORCID 0000-0001-8152-2879
Coleen K CunninghamDepartment of Pediatrics, University of California, Irvine, Irvine, California, USA.ORCID 0000-0002-7725-3052
Lawrence A DavidDepartment of Molecular Genetics and Microbiology, Duke University, Durham, North Carolina, USA.
David M MurdochDivision of Pulmonary, Allergy, and Critical Care Medicine, Duke University, Durham, North Carolina, USA.
Matthew S KellyBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.

Funding

Vanderbilt-Emory-Cornell-Duke Global Health Fellowship Consortium-Expanding Diversity for Global Equity (EDGE)D43TW009337 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ALIYU, MUKTAR HASSAN, HEIMBURGER, DOUGLAS CORBETT · 2017 to 2021
$6.3M
The impact of the oral microbiome on pulmonary function among people with HIV in BotswanaK23HL166022 · NHLBI · DUKE UNIVERSITY · PI Sweta Mahesh Patel · 2024 to 2026
$560k
Duke University Center for AIDS ResearchFIC NIH HHS D43 TW009337Institutional Training Grant in Pulmonary and Critical Care Medicine T32 HL 007538NHLBI NIH HHS K23 HL166022NHLBI NIH HHS L30 HL170390NIHNIH Career Development Award K23-HL166022NIH-funded program 5P30-AI064518NIH-funded program K23-AI135090Penn Center for AIDS Research P30-AI045008
6 · The paper itself

Abstract

Children living with HIV (CLWH) are at high risk of colonization and infection by respiratory pathogens, though this risk can be reduced by other microbes in the upper respiratory microbiome. The impact of HIV infection on the pediatric upper respiratory microbiome is poorly understood, and we sought to address this knowledge gap by identifying associations between HIV infection and the nasopharyngeal microbiomes of Batswana children. We enrolled Batswana CLWH (<5 years) and age- and sex-matched HIV-exposed, uninfected and HIV-unexposed, uninfected children in a cross-sectional study. We used shotgun metagenomic sequencing to compare nasopharyngeal microbiomes by HIV status. Among the 143 children in this study, HIV and HIV-associated immunosuppression were associated with alterations in nasopharyngeal microbiome composition, including lower abundances of Corynebacterium species associated with resistance to bacterial pathogen colonization. These findings suggest that the upper respiratory microbiome may contribute to the high risk of respiratory infections among CLWH.

Indexed as

HIV InfectionsMicrobiotaNasopharynxRespiratory Tract InfectionsBotswanaChild, PreschoolCross-Sectional StudiesFemaleHumansInfantMalebacterial colonization resistancechildhood respiratory infectionsCorynebacterium speciesDolosigranulum pigrumpediatric nasopharyngeal microbiota

Identifiers

PMID40796326
PMCPMC12744898

What OpenQuestion holds

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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.