Evidence map›Paper›PMID 41860720›Full record

ReviewCurrent HIV/AIDS reports2026

Cytomegalovirus in HIV: A Modifiable Driver of Inflammation, Frailty, and Aging.

Alfonso Cabello Ubeda, Kristine M Erlandson, Michael L Freeman, Scott L Letendre, Celestine N Wanjalla, John R Koethe, Michael J Corley, Peter W Hunt, Sara Gianella

Abstract readReview
In one paragraph

Review in Current HIV/AIDS reports, 2026. 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. Article
  3. Review
  4. 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

9 authors.

Alfonso Cabello UbedaDivision of Infectious Diseases, Health Research Institute - Fundación Jiménez Díaz University Hospital, Autónoma de Madrid University (IIS-FJD, UAM), Madrid, Spain.
Kristine M ErlandsonDivision of Infectious Diseases, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Michael L FreemanDivision of Infectious Diseases and HIV Medicine, Department of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Scott L LetendreDivision of Infectious Diseases and Global Public Health, Department of Medicine, University of California San Diego, La Jolla, CA, USA.
Celestine N WanjallaDivision of Infectious Diseases, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
John R KoetheDivision of Infectious Diseases, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Michael J CorleyDivision of Geriatrics, Gerontology & Palliatie Care, Department of Medicine, University of California San Diego, La Jolla, CA, USA.
Peter W HuntDivision of Experimental Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
Sara GianellaDivision of Infectious Diseases and Global Public Health, Department of Medicine, University of California San Diego, La Jolla, CA, USA. gianella@health.ucsd.edu.

Funding

Decoding epigenetic scars of smoldering neuroinflammation and CNS complications in people with HIVR01MH134391 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI Michael Jay Corley, Shelli Farhadian · 2023 to 2026
$3.8M
The role of CMV in HIV-associated accentuated agingR01AG082541 · NIA · UNIVERSITY OF ARIZONA · PI JANKO Z. NIKOLICH, Nima Toosizadeh · 2023 to 2026
$3.2M
Anti-cytomegalovirus Immune Responses in Atherosclerotic Cardiovascular Disease in Persons Living with HIVK23HL156759 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WANJALLA, CELESTINE N · 2021 to 2025
$860k
Burroughs Wellcome Fund 1021480Doris Duke Charitable Foundation 2021193National Institute of Allergy and Infectious Diseases AI068636, AI147821, AI155680National Institute of Allergy and Infectious Diseases R01AI155680, K24AI145806NHLBI NIH HHS K23 HL156759NHLBI NIH HHS R01HL180319, R01HL152957NIA NIH HHS NIA K24AG082527NIA NIH HHS R01AG082541NIMH NIH HHS P30MH062512, R01MH125720NIMH NIH HHS R01 MH134391
6 · The paper itself

Abstract

purposeCytomegalovirus (CMV) infection is nearly universal among people with HIV (PWH) and contributes to chronic inflammation, immune senescence, and accelerated biological aging despite suppressive antiretroviral therapy (ART). This review summarizes recent advances in understanding the role of CMV in multimorbidity and aging in PWH, focusing on immune and tissue-based mechanisms, comorbidities, and emerging interventions. RECENT

findingsCMV reactivation drives clonal T-cell expansion, innate immune reprogramming, adipose tissue inflammation, metabolic rewiring, and durable cellular epigenetic changes that amplify risks for vascular disease, frailty, brain health disorders, diabetes mellitus, and cancer. Early interventional data indicate that letermovir can reduce inflammation and improve immune and frailty outcomes in PWH, while vaccines are advancing in clinical evaluation. CMV is a modifiable driver of immune dysfunction and aging in PWH. Targeted antiviral, vaccine, and host-directed approaches may reduce multimorbidity and promote healthy aging, particularly in populations at greatest risk.

Indexed as

AgingCytomegalovirusCytomegalovirus InfectionsFrailtyHIV InfectionsInflammationHumansAdipose tissueCardiometabolic diseaseCytomegalovirusEpigeneticsFrailtyHIVInflammagingLetermovir

Identifiers

PMID41860720
PMCPMC13004749

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.