Evidence map›Paper›PMID 40260259›Full record

ReviewFrontiers in immunology2025

How to properly define immunological nonresponse to antiretroviral therapy in people living with HIV? an integrative review.

Maria Carolina Santos Guedes, Henrique Fernando Lopes-Araujo, Kleyverson Feliciano Dos Santos, Esaú Simões, Wlisses Henrique Veloso Carvalho-Silva, Rafael Lima Guimarães

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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

22 citing papers in PubMed.

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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

6 authors.

Maria Carolina Santos GuedesDepartment of Genetics, Federal University of Pernambuco (UFPE), Recife, Pernambuco, Brazil.
Henrique Fernando Lopes-AraujoDepartment of Genetics, Federal University of Pernambuco (UFPE), Recife, Pernambuco, Brazil.
Kleyverson Feliciano Dos SantosKeizo Asami Institute (iLIKA), Federal University of Pernambuco (UFPE), Recife, Pernambuco, Brazil.
Esaú SimõesKeizo Asami Institute (iLIKA), Federal University of Pernambuco (UFPE), Recife, Pernambuco, Brazil.
Wlisses Henrique Veloso Carvalho-SilvaDepartment of Immunology, Aggeu Magalhães Institute (IAM/FIOCRUZ), Recife, Pernambuco, Brazil.
Rafael Lima GuimarãesDepartment of Genetics, Federal University of Pernambuco (UFPE), Recife, Pernambuco, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent decades, significant progress has been made in understanding the mechanisms underlying human immunodeficiency virus (HIV) infection and its treatment. Antiretroviral therapy (ART) has notable improved the life expectancy and quality of life for people living with HIV (PLHIV) by suppressing viral replication and promoting CD4+ T-cell recovery. However, despite its efficacy, approximately 10-40% of ART-treated PLHIV with virological suppression (<50 RNA copies/mL) do not achieve adequate immunological reconstitution. These PLHIV, classified as immunological non-responders (INR), experience higher morbidity and mortality rates compared to those with satisfactory immune reconstitution, known as immunological responders (IR). Various studies have explored the mechanisms contributing to immunological nonresponse, yet a major challenge remains: the lack of a standardized definition of immunological response and nonresponse across studies. Currently, definitions are inconsistent, limiting comparability between studies. This review proposes a clear and adequate classification for IR and INR PLHIV to support future advancements in understanding immunological recovery and improving the quality of life for ART-treated PLHIV.

Indexed as

Anti-HIV AgentsHIV-1HIV InfectionsAntiretroviral Therapy, Highly ActiveCD4-Positive T-LymphocytesHumansQuality of LifeTreatment OutcomeViral LoadAnti-HIV AgentsAIDSARTCD4+ T-cell reconstitutionimmunological classificationimmunological non-responders

Identifiers

PMID40260259
PMCPMC12009852

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.