Evidence map›Paper›PMID 34149690›Full record

Observational studyFrontiers in immunology2021

Epigenetic Features of HIV-Induced T-Cell Exhaustion Persist Despite Early Antiretroviral Therapy.

Genevieve E Martin, Debattama R Sen, Matthew Pace, Nicola Robinson, Jodi Meyerowitz, Emily Adland, John P Thornhill, Mathew Jones, Ane Ogbe, Lucia Parolini and 9 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study 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, 32 citations in OpenAlex.

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  11. Glutaminolysis of CD4Journal of inflammation research · 2024
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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

19 authors at 9 institutions in 3 countries.

Genevieve E MartinPeter Medawar Building for Pathogen Research, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Debattama R SenDepartment of Immunology, Harvard Medical School, Boston, MA, United States.
Matthew PacePeter Medawar Building for Pathogen Research, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Nicola RobinsonPeter Medawar Building for Pathogen Research, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Jodi MeyerowitzPeter Medawar Building for Pathogen Research, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Emily AdlandDepartment of Paediatrics, University of Oxford, Oxford, United Kingdom.
John P ThornhillPeter Medawar Building for Pathogen Research, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Mathew JonesPeter Medawar Building for Pathogen Research, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Ane OgbePeter Medawar Building for Pathogen Research, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Lucia ParoliniPeter Medawar Building for Pathogen Research, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Natalia OlejniczakPeter Medawar Building for Pathogen Research, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Panagiota ZacharopoulouPeter Medawar Building for Pathogen Research, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Helen BrownPeter Medawar Building for Pathogen Research, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Christian B WillbergPeter Medawar Building for Pathogen Research, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Nneka NwokoloChelsea and Westminster Hospital, London, United Kingdom.
Julie FoxDepartment of Genitourinary Medicine and Infectious Disease, Guys and St Thomas' National Health Service (NHS) Trust, London, United Kingdom.
Sarah FidlerDivision of Medicine, Wright Fleming Institute, Imperial College, London, United Kingdom.
W Nicholas HainingDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, United States.
John FraterPeter Medawar Building for Pathogen Research, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
University of Oxford · GBMedawar Building for Pathogen Research · GBChelsea and Westminster Hospital · GBDana-Farber Cancer Institute · USHarvard University · USImperial College London · GBKing's College Hospital · GBMonash University · AUNational Institute for Health Research · GB

Funding

Department of HealthMedical Research Council MR/L00528X/1Medical Research Council MR/L006588/1Medical Research Council MR/N001265/1Medical Research Council MR/P011233/1
6 · The paper itself

Abstract

T cell dysfunction occurs early following HIV infection, impacting the emergence of non-AIDS morbidities and limiting curative efforts. ART initiated during primary HIV infection (PHI) can reverse this dysfunction, but the extent of recovery is unknown. We studied 66 HIV-infected individuals treated from early PHI with up to three years of ART. Compared with HIV-uninfected controls, CD4 and CD8 T cells from early HIV infection were characterised by T cell activation and increased expression of the immune checkpoint receptors (ICRs) PD1, Tim-3 and TIGIT. Three years of ART lead to partial - but not complete - normalisation of ICR expression, the dynamics of which varied for individual ICRs. For HIV-specific cells, epigenetic profiling of tetramer-sorted CD8 T cells revealed that epigenetic features of exhaustion typically seen in chronic HIV infection were already present early in PHI, and that ART initiation during PHI resulted in only a partial shift of the epigenome to one with more favourable memory characteristics. These findings suggest that although ART initiation during PHI results in significant immune reconstitution, there may be only partial resolution of HIV-related phenotypic and epigenetic changes.

Indexed as

Epigenesis, GeneticAdultAntibodies, ViralAnti-Retroviral AgentsCase-Control StudiesCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesFollow-Up StudiesHepatitis A Virus Cellular Receptor 2HIV-1HIV InfectionsHumansLymphocyte ActivationMaleProgrammed Cell Death 1 ReceptorProspective StudiesAntibodies, ViralAnti-Retroviral AgentsHAVCR2 protein, humanHepatitis A Virus Cellular Receptor 2PDCD1 protein, humanProgrammed Cell Death 1 ReceptorReceptors, ImmunologicTIGIT protein, humanAntiretroviral therapy (ART)HIVImmune exhaustionPrimary HIV infection (PHI)T cells

Identifiers

PMID34149690
PMCPMC8213372
OpenAlexW3169968061

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.