Evidence map›Paper›PMID 33859653›Full record

ArticleFrontiers in immunology2021

Residual Viremia Is Linked to a Specific Immune Activation Profile in HIV-1-Infected Adults Under Efficient Antiretroviral Therapy.

Mehwish Younas, Christina Psomas, Christelle Reynes, Renaud Cezar, Lucy Kundura, Pierre Portalès, Corinne Merle, Nadine Atoui, Céline Fernandez, Vincent Le Moing and 8 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Transcriptome analysis of CD4Virologica Sinica · 2023
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. 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

18 authors at 8 institutions in 2 countries.

Mehwish YounasInstitute for Human Genetics, CNRS, Montpellier, France.
Christina PsomasInstitute for Human Genetics, CNRS, Montpellier, France.
Christelle ReynesInstitute for Functional Genomics, Montpellier University, Montpellier, France.
Renaud CezarImmunology Department, University Hospital, Nîmes, France.
Lucy KunduraInstitute for Human Genetics, CNRS, Montpellier, France.
Pierre PortalèsImmunology Department, University Hospital, Montpellier, France.
Corinne MerleInfectious Diseases Department, Montpellier University Hospital, Montpellier, France.
Nadine AtouiInfectious Diseases Department, Montpellier University Hospital, Montpellier, France.
Céline FernandezInfectious Diseases Department, Montpellier University Hospital, Montpellier, France.
Vincent Le MoingInfectious Diseases Department, Montpellier University Hospital, Montpellier, France.
Claudine BarbuatInfectious Diseases Department, University Hospital, Nîmes, France.
Albert SottoFaculty of Medicine, Montpellier University, Montpellier, France.
Robert SabatierInstitute for Functional Genomics, Montpellier University, Montpellier, France.
Audrey WinterInstitute for Human Genetics, CNRS, Montpellier, France.
Pascale FabbroMedical Informatics Department, University Hospital, Nîmes, France.
Thierry VincentImmunology Department, University Hospital, Montpellier, France.
Jacques ReynesInfectious Diseases Department, Montpellier University Hospital, Montpellier, France.
Pierre CorbeauInstitute for Human Genetics, CNRS, Montpellier, France.
Centre Hospitalier Universitaire de Montpellier · FRAgropolis International · FRCentre Hospitalier Universitaire de Nîmes · FRInstitut de Génétique Humaine · FRUniversité de Montpellier · FRUniversité de Nîmes · FRCentre National de la Recherche Scientifique · FRInstitut de Génomique Fonctionnelle · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic immune activation persists in persons living with HIV-1 even though they are aviremic under antiretroviral therapy, and fuels comorbidities. In previous studies, we have revealed that virologic responders present distinct profiles of immune activation, and that one of these profiles is related to microbial translocation. In the present work, we tested in 140 HIV-1-infected adults under efficient treatment for a mean duration of eight years whether low-level viremia might be another cause of immune activation. We observed that the frequency of viremia between 1 and 20 HIV-1 RNA copies/mL (39.5 ± 24.7% versus 21.1 ± 22.5%, p = 0.033) and transient viremia above 20 HIV-1 RNA copies/mL (15.1 ± 16.9% versus 3.3 ± 7.2%, p = 0.005) over the 2 last years was higher in patients with one profile of immune activation, Profile E, than in the other patients. Profile E, which is different from the profile related to microbial translocation with frequent CD38+ CD8+ T cells, is characterized by a high level of CD4+ T cell (cell surface expression of CD38), monocyte (plasma concentration of soluble CD14), and endothelium (plasma concentration of soluble Endothelial Protein C Receptor) activation, whereas the other profiles presented low CD4:CD8 ratio, elevated proportions of central memory CD8+ T cells or HLA-DR+ CD4+ T cells, respectively. Our data reinforce the hypothesis that various etiological factors shape the form of the immune activation in virologic responders, resulting in specific profiles. Given the type of immune activation of Profile E, a potential causal link between low-level viremia and atherosclerosis should be investigated.

Indexed as

BiomarkersViremiaAdultAgedAntiretroviral Therapy, Highly ActiveCD4-Positive T-LymphocytesCross-Sectional StudiesDisease ManagementDisease SusceptibilityDuration of TherapyHIV-1HIV InfectionsHost-Pathogen InteractionsHumansLymphocyte ActivationMiddle AgedBiomarkersblipcoagulationendothelium activationinflammationlow-level viremiavirologic responder

Identifiers

PMID33859653
PMCPMC8042152
OpenAlexW3144243294

What Socratic 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 Socratic graph.