Evidence mapPaperPMID 38564303Full record

ArticleJCI insight2024

Clonal hematopoiesis in people with advanced HIV and associated inflammatory syndromes.

Joseph M Rocco, Yifan Zhou, Nicholas S Liu, Elizabeth Laidlaw, Frances Galindo, Megan V Anderson, Adam Rupert, Silvia L Lage, Ana M Ortega-Villa, Shiqin Yu and 5 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
4.8field-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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Observational
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

15 authors at 5 institutions in 2 countries.

Joseph M RoccoNational Institute of Allergy and Infectious Diseases, and.
Yifan ZhouTranslational Stem Cell Biology Branch, National Heart, Lung and Blood Institute, NIH, Bethesda, Maryland, USA.
Nicholas S LiuTranslational Stem Cell Biology Branch, National Heart, Lung and Blood Institute, NIH, Bethesda, Maryland, USA.
Elizabeth LaidlawNational Institute of Allergy and Infectious Diseases, and.
Frances GalindoNational Institute of Allergy and Infectious Diseases, and.
Megan V AndersonNational Institute of Allergy and Infectious Diseases, and.
Adam RupertLeidos Biomedical Research, Inc, Frederick, Maryland, USA.
Silvia L LageNational Institute of Allergy and Infectious Diseases, and.
Ana M Ortega-VillaNational Institute of Allergy and Infectious Diseases, and.
Shiqin YuTranslational Stem Cell Biology Branch, National Heart, Lung and Blood Institute, NIH, Bethesda, Maryland, USA.
Andrea LiscoNational Institute of Allergy and Infectious Diseases, and.
Maura ManionNational Institute of Allergy and Infectious Diseases, and.
George S VassiliouWellcome-MRC Cambridge Stem Cell Institute, University of Cambridge, Puddicombe Way, Cambridge, United Kingdom.
Cynthia E DunbarTranslational Stem Cell Biology Branch, National Heart, Lung and Blood Institute, NIH, Bethesda, Maryland, USA.
Irini SeretiNational Institute of Allergy and Infectious Diseases, and.
National Institute of Allergy and Infectious Diseases · USNational Heart Lung and Blood Institute · USWellcome/MRC Cambridge Stem Cell Institute · GBBrown University · USLeidos (United States) · US

Funding

Pathogenesis of Secondary Hemophagocytic LymphohistiocytosisZIAAI001377 · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · 2025 to 2025
$1.6M
Immunopathogenic Mechanisms of Human Immunodeficiency Virus (HIV) DiseaseZIAAI001121 · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · 2025 to 2025
$1.5M
Investigation of underlying mechanisms and novel therapies for human acquired and congenital disorders of hematopoiesisZIAHL006186 · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · 2025 to 2025
$1.3M
Immunopathogenesis of skin and mucosal Human Papillomavirus (HPV)-related diseases ZIAAI001310 · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · 2025 to 2025
$10k
Medical Research Council MC_PC_17230National Heart, Lung, and Blood Institute at the NIHNIGMS NIH HHS R01 GM099507
6 · The paper itself

Abstract

People with HIV (PWH) have a higher age-adjusted mortality due to chronic immune activation and age-related comorbidities. PWH also have higher rates of clonal hematopoiesis (CH) than age-matched non-HIV cohorts; however, risk factors influencing the development and expansion of CH in PWH remain incompletely explored. We investigated the relationship between CH, immune biomarkers, and HIV-associated risk factors (CD4+ and CD8+ T cells, nadir CD4+ count, opportunistic infections [OIs], and immune reconstitution inflammatory syndrome [IRIS]) in a diverse cohort of 197 PWH with median age of 42 years, using a 56-gene panel. Seventy-nine percent had a CD4+ nadir below 200 cells/μL, 58.9% had prior OIs, and 34.5% had a history of IRIS. The prevalence of CH was high (27.4%), even in younger individuals, and CD8+ T cells and nadir CD4+ counts strongly associated with CH after controlling for age. A history of IRIS was associated with CH in a subgroup analysis of patients 35 years of age and older. Inflammatory biomarkers were higher in CH carriers compared with noncarriers, supporting a dysregulated immune state. These findings suggest PWH with low nadir CD4+ and/or inflammatory complications may be at high risk of CH regardless of age and represent a high-risk group that could benefit from risk reduction and potentially targeted immunomodulation.

Indexed as

Clonal HematopoiesisHIV InfectionsAdultBiomarkersCD4 Lymphocyte CountCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesFemaleHumansImmune Reconstitution Inflammatory SyndromeInflammationMaleMiddle AgedRisk FactorsYoung AdultBiomarkersAgingAIDS/HIVClonal selectionMacrophagesT cells

Identifiers

PMID38564303
PMCPMC11141903
OpenAlexW4393549913

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.