Evidence map›Paper›PMID 40830169›Full record

ArticleScientific reports2025

DNA methylation patterns associated with prior tuberculosis infection in people with HIV.

Joseph Baruch Baluku, Sharon Namiiro, Daphine Kigongo Zawedde, Brenda Namanda, Hakiimu Kawalya, Irene Najjingo, Waiswa Geoffrey, Nixon Niyonzima, Naghib Bogere, Edwin Nuwagira and 9 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Joseph Baruch BalukuMakerere University Lung Institute, PO Box 26343, Kampala, Uganda. bbjoe18@gmail.com.
Sharon NamiiroMakerere University Lung Institute, PO Box 26343, Kampala, Uganda.
Daphine Kigongo ZaweddeDivision of Pulmonology, Kiruddu National Referral Hospital, Kampala, Uganda.
Brenda NamandaMakerere University Lung Institute, PO Box 26343, Kampala, Uganda.
Hakiimu KawalyaThe African Center of Excellence in Bioinformatics and Data Intensive Sciences, Kampala, Uganda.
Irene NajjingoMakerere University Lung Institute, PO Box 26343, Kampala, Uganda.
Waiswa GeoffreyUganda Cancer Institute, Kampala, Uganda.
Nixon NiyonzimaUganda Cancer Institute, Kampala, Uganda.
Naghib BogereUganda Cancer Institute, Kampala, Uganda.
Edwin NuwagiraDepartment of Internal Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Joshua RheinDepartment of Medicine, University of Minnesota, Minneapolis, MN, USA.
Nick JonesDepartment of Medicine, University of Minnesota, Minneapolis, MN, USA.
Christian KraefDepartment of Infectious Diseases, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Megan ShaughnessyDivision of Infectious Disease, Department of Medicine, Hennepin Healthcare, Minneapolis, MN, USA.
Arohi ChauhanSouth Asian Institute of Health Promotion, Bhubaneswar, Odisha, India.
Immaculate NankyaJoint Clinical Research Center, Kampala, Uganda.
Sayoki MfinangaMuhimbili Center, National Institute for Medical Research, Dar es Salaam, Tanzania.
Stanton GersonSchool of Medicine, Case Western Reserve University, Cleveland, USA.
Bruce KirengaMakerere University Lung Institute, PO Box 26343, Kampala, Uganda.

Funding

Improving Diagnostic Strategies for Post-Tuberculosis Lung Disease in Ugandan Primary Healthcare SettingsK43TW012781 · FIC · MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY · PI Edwin Nuwagira · 2024 to 2026
$327k
FIC NIH HHS K43 TW012781NCI NIH HHS U54CS254566
6 · The paper itself

Abstract

Mechanisms by which prior tuberculosis (TB) increases long-term risk for cancer, cardiovascular, and neurological disorders remain unclear, particularly in people with HIV (PWH). This study investigated DNA methylation (DNAm) patterns and associated pathways in PWH with and without prior TB infection. DNAm was analyzed in blood samples from 30 PWH (10 with prior latent TB infection [LTBI], 10 with previous successfully treated active TB, and 10 with no TB) using the Illumina MethylationEPIC BeadChip covering over 850,000 CpG sites. Epigenetic age was estimated, and age acceleration was calculated. Differentially methylated CpGs (dmCpGs) and regions (DMRs) were identified, and functional enrichment analyses for Gene Ontology, KEGG pathways, PANTHER database, and gene set enrichment analysis (DisGeNET, dbGaP) were performed. Statistical significance was set at a false discovery rate (FDR) of < 0.05. PWH exhibited significant epigenetic age acceleration, with a mean of 19.32 ± 10.82 years greater than chronological age. This accelerated aging was more pronounced in individuals with any prior TB infection (21.60 ± 12.03 years) compared to those without TB (17.42 ± 9.38 years). In the prior active TB vs. no TB comparison, 7461 dmCpGs were identified, corresponding to 150 DMRs (p < 0.05), with top associated genes including GRAMD1C (hypomethylation), DPP6 (hypermethylation), and HDAC4 (hypomethylation). In the LTBI vs. no TB comparison, 8598 dmCpGs were observed, corresponding to 39 DMRs (p < 0.05), associated with genes such as PLEKHG5 (hypermethylation), STK32C (hypermethylation), and SPATC1L. When comparing any prior TB (active or latent) to no TB, 71,774 dmCpGs and 14 DMRs were identified, including genes like PLEKHG5, KCNN3, and BRSK2. Pathway analyses of prior TB (active or latent) vs. no TB revealed enrichment in neurogenesis, neuron differentiation, axon guidance, and neuroactive ligand signaling. Additional enriched pathways included those related to platelet activation, vascular muscle contraction, and chemokine signaling. Cancer-related pathways such as proteoglycans in cancer, small cell lung cancer, prostate cancer, breast cancer, hepatocellular carcinoma, and thyroid cancer were also enriched. PANTHER analysis showed consistent enrichment in the Wnt signaling pathway and inflammation-mediated pathways across compared groups. DisGeNET analysis linked prior TB DNAm patterns to lymphoid leukemia, while dbGaP analysis identified associations with phenotypes like asthma, body mass index, tunica media, and lymphocyte count. Prior TB infection in PWH is associated with distinct DNAm changes in pathways related to neural function, cardiovascular health, and cancer risk, and is linked to more pronounced epigenetic age acceleration, suggesting epigenetic mechanisms for TB-related long-term complications.

Indexed as

DNA MethylationHIV InfectionsLatent TuberculosisTuberculosisAdultCpG IslandsEpigenesis, GeneticFemaleHumansMaleMiddle AgedYoung AdultCancerCardiovascular diseaseDementiaDNA methylationHIVTB

Identifiers

PMID40830169
PMCPMC12365075

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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.