Evidence map›Paper›PMID 41639021›Full record

ReviewHIV medicine2026

Immune non-response despite effective antiretroviral therapy in people living with HIV: A review of potential mechanisms, biomarkers and therapeutic approaches.

Charlotte Silvestre, Antoine Gross, Alain Makinson

Abstract readReview
In one paragraph

Review in HIV medicine, 2026. 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. Review
  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

3 authors.

Charlotte SilvestreIRIM, Université de Montpellier & CNRS, Montpellier, France.ORCID https://orcid.org/0009-0005-3151-7488
Antoine GrossIRIM, Université de Montpellier & CNRS, Montpellier, France.ORCID https://orcid.org/0000-0002-4553-524X
Alain MakinsonInfectious Diseases Department, University Hospital Montpellier & INSERM U1175, University Montpellier, Montpellier, France.ORCID https://orcid.org/0000-0003-2817-8444

Funding

FHU-Inch (University Hospital Federation of Chronic Infections)Sidaction
6 · The paper itself

Abstract

introductionA proportion of people living with HIV (PLWH) fail to restore their CD4 count or their CD4/CD8 ratio despite effective antiretroviral therapy (ART). PLWH with immune non-response (INR) are at a higher risk of both AIDS and non-AIDS events. The underlying mechanisms of INR remain unclear.

objectivesThis review aims to explore the potential mechanisms of INR, focusing on the production, maturation and early destruction of CD4 cells. Additional factors such as age, proinflammatory environment or persistent viral infections like HIV or CMV may also contribute to INR. Biomarkers, such as microRNA, IL-6, soluble CD14 and soluble GP120, may help better characterize INR in PLWH. Despite various therapeutic attempts - including ART intensification and IL-2 or IL-7 administration - no strategy has yet succeeded in restoring effective CD4 T-cell recovery in INR.

conclusionA lack of consensus on the definition and classification of INR limits research comparability and therapeutic progress. A standardized framework would facilitate mechanistic insights and guide the development of targeted treatments, including IL-7 therapy. In this review, we examine the putative mechanisms underlying INR in PLWH, prognostic markers and the therapeutic strategies that have been evaluated, albeit with limited success.

Indexed as

Anti-HIV AgentsCD4-Positive T-LymphocytesHIV InfectionsBiomarkersCD4-CD8 RatioCD4 Lymphocyte CountHumansInterleukin-7Anti-HIV AgentsBiomarkersInterleukin-7biomarkersCD4 T‐cellsimmune non‐responsepeople living with HIV (PLWH)treatment

Identifiers

PMID41639021
PMCPMC13051040

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.