Evidence map›Paper›PMID 27998918›Full record

ArticleJournal of the American Heart Association2016

Role of T-Cell Dysfunction, Inflammation, and Coagulation in Microvascular Disease in HIV.

Arjun Sinha, Yifei Ma, Rebecca Scherzer, Sophia Hur, Danny Li, Peter Ganz, Steven G Deeks, Priscilla Y Hsue

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
8.8field-weighted citation impact, top 2% of its field
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

43 citing papers in PubMed, 65 citations in OpenAlex.

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  9. IFIH1 (MDA5) is required for innate immune detection of intron-containing RNA expressed from the HIV-1 provirus.Proceedings of the National Academy of Sciences of the United States of America · 2024
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  17. Heroin Use Is Associated With Vascular Inflammation in Human Immunodeficiency Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
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  20. 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

8 authors at 4 institutions in 1 country.

Arjun SinhaDepartment of Medicine, University of California, San Francisco, CA.
Yifei MaDepartment of Medicine, San Francisco Veterans Affairs Medical Center, University of California, San Francisco, CA.
Rebecca ScherzerDepartment of Medicine, San Francisco Veterans Affairs Medical Center, University of California, San Francisco, CA.
Sophia HurDivision of Cardiology, Department of Medicine, San Francisco General Hospital, University of California, San Francisco, CA.
Danny LiDivision of Cardiology, Department of Medicine, San Francisco General Hospital, University of California, San Francisco, CA.
Peter GanzDivision of Cardiology, Department of Medicine, San Francisco General Hospital, University of California, San Francisco, CA.
Steven G DeeksThe Positive Health Program, San Francisco General Hospital, San Francisco, CA.
Priscilla Y HsueDivision of Cardiology, Department of Medicine, San Francisco General Hospital, University of California, San Francisco, CA priscilla.hsue@ucsf.edu.
University of California System · USSan Francisco General Hospital · USUniversity of California, San Francisco · USSan Francisco VA Medical Center · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
Role of Hematopoietic System and Proteomics in HIV-Associated CardiovascularDiseaseK24AI112393 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HSUE, PRISCILLA Y. · 2014 to 2024
$1.9M
NIAID NIH HHS K24 AI112393NIAID NIH HHS P30 AI027763
6 · The paper itself

Abstract

backgroundCompared to uninfected adults, HIV-infected adults on antiretroviral therapy are at increased risk of cardiovascular disease. Given the increase in T-cell dysfunction, inflammation, and coagulation in HIV infection, microvascular dysfunction is thought to contribute to this excess cardiovascular risk. However, the relationships between these variables remain undefined. METHODS AND

resultsThis was a cross-sectional study of 358 HIV-infected adults from the SCOPE cohort. Macrovascular endothelial function was assessed using flow-mediated dilation of the brachial artery and microvascular function by reactive hyperemia. T-cell phenotype was determined by flow cytometry. Plasma markers of inflammation (tumor necrosis factor-α, interleukin-6, high-sensitivity C-reactive protein, sCD14) and coagulation (fibrinogen, D-dimer) were also measured. In all HIV+ subjects, markers of inflammation (tumor necrosis factor-α, high-sensitivity C-reactive protein), coagulation (D-dimer) and T-cell activation (CD8+PD1+, CD4+interferon+cytomegalovirus-specific) were associated with worse reactive hyperemia after adjusting for traditional cardiovascular risk factors and co-infections. In treated and suppressed subjects, tumor necrosis factor-α and CD8+PD1+ cells remained associated with worse reactive hyperemia after adjustment. Compared to the untreated subjects, CD8+PD1+ cells were increased in the virally suppressed group. Reactive hyperemia was predictive of flow-mediated dilation.

conclusionsCD8+PD1+ cells and tumor necrosis factor-α were associated with microvascular dysfunction in all HIV+ subjects and the treated and suppressed group. Additionally, D-dimer, high-sensitivity C-reactive protein, sCD-14, and interleukin-6 were associated with microvascular dysfunction in all HIV+ subjects. Although T-cell dysfunction, inflammation, and microvascular dysfunction are thought to play a role in cardiovascular disease in HIV, this study is the first to look at which T-cell and inflammatory markers are associated with microvascular dysfunction in HIV-infected individuals.

Indexed as

AdultBlood CoagulationBrachial ArteryCardiovascular DiseasesCD8-Positive T-LymphocytesC-Reactive ProteinCross-Sectional StudiesFemaleFibrin Fibrinogen Degradation ProductsFibrinogenHIV InfectionsHumansHyperemiaInflammationInterleukin-6Lipopolysaccharide ReceptorsC-Reactive ProteinFibrin Fibrinogen Degradation Productsfibrin fragment DFibrinogenIL6 protein, humanInterleukin-6Lipopolysaccharide ReceptorsTNF protein, humanTumor Necrosis Factor-alphacoagulationHIVimmune systeminflammationmicrocirculation

Identifiers

PMID27998918
PMCPMC5210441
OpenAlexW2563198170

What Socratic 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 Socratic graph.