Evidence map›Paper›PMID 42227026›Full record

ArticleAIDS (London, England)2026

Heterogeneity of baseline immune activation and SARS-CoV-2 vaccine responses in people with HIV: a multicenter prospective study.

Majdouline El Moussaoui, Aurélie Ladang, Nathalie Maes, Etienne Cavalier, Francesco Genderini, Hafid Dahma, Charlotte Martin, Nicolas Dauby, Gilles Darcis

Abstract readMulticenter Study
In one paragraph

Article in AIDS (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Majdouline El MoussaouiDepartment of Infectious Diseases, University Hospital of Liège.
Aurélie LadangDepartment of Clinical Chemistry.
Nathalie MaesDepartment of Biostatistics and Research Methods Center (B-STAT), University Hospital of Liège, Liège.
Etienne CavalierDepartment of Clinical Chemistry.
Francesco GenderiniDepartment of Infectious Diseases, CHU Saint Pierre- Université Libre de Bruxelles (ULB).
Hafid DahmaDepartment of Microbiology, Laboratoire Hospitalier Universitaire de Bruxelles (LHUB-ULB).
Charlotte MartinDepartment of Infectious Diseases, CHU Saint Pierre- Université Libre de Bruxelles (ULB).
Nicolas DaubyDepartment of Infectious Diseases, CHU Saint Pierre- Université Libre de Bruxelles (ULB).
Gilles DarcisDepartment of Infectious Diseases, University Hospital of Liège.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to determine whether baseline immune activation and inflammation contribute to heterogeneity in SARS-CoV-2 vaccine-induced immunity in antiretroviral therapy (ART)-treated people with HIV (PWH) compared to controls.

methodsIn this multicenter prospective study, 159 ART-treated PWH from two cohorts and 56 HIV-negative controls were enrolled. The two PWH cohorts differed in immunovirological control: one showed sustained viral suppression and CD4 + T-cell recovery, the other persistent CD4 + T-cell lymphopenia despite ART, sometimes with residual viremia. Baseline plasma levels of 20 cytokines, chemokines and soluble endothelial markers, were measured before SARS-CoV-2 mRNA vaccination. Post-vaccination anti-spike IgG, neutralizing antibodies, and IFN-γ-producing T cells were quantified and correlated with baseline immune mediators.

resultsPWH had higher baseline levels of innate immune activation and endothelial inflammation markers than controls, particularly among immunological nonresponders. Principal component analysis identified two inflammatory profile groups among PWH: one characterized by Th1/Th17-oriented cytokine profile, and the other with dominant monocyte activation and endothelial markers. Higher baseline inflammation in PWH was associated with reduced humoral vaccine responses and elevated ICAM-1 levels with decreased IFN-γ T-cell responses, irrespective of prior SARS-CoV-2 infection. In contrast, among HIV-negative participants with prior SARS-CoV-2 exposure, higher sCD14, IL-12p70, MCP-1, and E-selectin levels correlated with stronger humoral responses, whereas ICAM-1 was associated with increased IFN-γ T-cell responses.

conclusionBaseline inflammatory and endothelial profiles may constitute additional determinants of SARS-CoV-2 vaccine-induced immune responses in PWH. The opposite associations observed in controls highlight the context-dependent immunological effects of these pathways across chronic immune dysfunction and immunocompetent states.

Indexed as

COVID-19COVID-19 VaccinesHIV InfectionsSARS-CoV-2AdultAntibodies, NeutralizingAntibodies, ViralCytokinesFemaleHumansMaleMiddle AgedProspective StudiesAntibodies, NeutralizingAntibodies, ViralCOVID-19 VaccinesCytokinesCOVID-19cytokinesHIVimmunogenicityinflammationmRNA vaccinevaccine

Identifiers

PMID42227026
PMCPMC13566395

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