Evidence map›Paper›PMID 31473903›Full record

ReviewCurrent HIV/AIDS reports2019

The Opioid Epidemic: Impact on Inflammation and Cardiovascular Disease Risk in HIV.

Corrilynn O Hileman, Grace A McComsey

Open access · greenAbstract readReview
In one paragraph

Review in Current HIV/AIDS reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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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

2 authors at 2 institutions in 1 country.

Corrilynn O HilemanMetroHealth Medical Center and Case Western Reserve University, 2500 MetroHealth Drive, Cleveland, OH, 44109, USA. corrilynn.hileman@case.edu.
Grace A McComseyUniversity Hospitals Cleveland Medical Center, Rainbow Babies and Children's Hospital and Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.
Case Western Reserve University · USMetroHealth Medical Center · US

Funding

WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Immaculate Lillian Nankya · 1994 to 2026
$50.0M
The impact of intravenous heroin use on immune activation in treated HIVR01DA044576 · NIDA · CASE WESTERN RESERVE UNIVERSITY · PI HILEMAN, CORRILYNN OLESKY, MCCOMSEY, GRACE A · 2017 to 2021
$4.2M
NHLBI NIH HHS L30 HL133981NIAID NIH HHS P30 AI036219NIDA NIH HHS R01 DA044576
6 · The paper itself

Abstract

purpose of reviewPeople infected with HIV through injection drug use are more likely to experience progression to AIDS, death due to AIDS, and all-cause mortality even when controlling for access to care and antiretroviral therapy. While high-risk behavior and concurrent infections most certainly are contributors, chronic immune activation, downstream metabolic comorbidities may play an important role. RECENT

findingsAltered intestinal integrity plays a major role in HIV-related immune activation and microbial translocation markers are heightened in active heroin users. Additionally, greater injection frequency drives systemic inflammation and is associated with HIV viral rebound. Finally, important systemic inflammation markers have been linked with frailty and mortality in people who inject drugs with and without concurrent HIV infection. Heroin use may work synergistically with HIV infection to cause greater immune activation than either factor alone. Further research is needed to understand the impact on downstream metabolic comorbidities including cardiovascular disease. Medication-assisted treatment for opioid use disorder with methadone or buprenorphine may ameliorate some of this risk; however, there is presently limited research in humans, including in non-HIV populations, describing changes in immune activation on these treatments which is of paramount importance for those with HIV infection.

Indexed as

Analgesics, OpioidBuprenorphineCardiovascular DiseasesHIV InfectionsHumansInflammationMethadoneOpioid EpidemicOpioid-Related DisordersSubstance Abuse, IntravenousAnalgesics, OpioidBuprenorphineMethadoneCardiovascular riskHeroinHIVInflammationOpioid use disorder

Identifiers

PMID31473903
PMCPMC6814576
OpenAlexW2971348249

What Socratic holds

Textmetadata
LicenceTDM
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.