Evidence map›Paper›PMID 12584346›Full record

Trial reportJournal of virology2003

Genetic characterization of rebounding human immunodeficiency virus type 1 in plasma during multiple interruptions of highly active antiretroviral therapy.

Mark Dybul, Marybeth Daucher, Mark A Jensen, Claire W Hallahan, Tae-Wook Chun, Michael Belson, Bertha Hidalgo, David C Nickle, Christian Yoder, Julia A Metcalf and 7 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Journal of virology, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Article
  4. Achieving a cure for HIV infection: do we have reasons to be optimistic?The Journal of antimicrobial chemotherapy · 2012
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Hitting HIV where it hides.Retrovirology · 2008
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. 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

17 authors at 3 institutions in 1 country.

Mark DybulLaboratory of Immunoregulation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland 20892, USA. mdybul@nih.gov
Marybeth Daucher
Mark A Jensen
Claire W Hallahan
Tae-Wook Chun
Michael Belson
Bertha Hidalgo
David C Nickle
Christian Yoder
Julia A Metcalf
Richard T Davey
Linda Ehler
Diane Kress-Rock
Elizabeth Nies-Kraske
Shuying Liu
James I Mullins
Anthony S Fauci
National Institute of Allergy and Infectious Diseases · USNational Institutes of Health · USUniversity of Washington · US

Funding

Immunologic And Virologic Approaches To HIV-1 TherapeuticsZIAAI000865 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DAVEY, RICHARD · 2009 to 2019
$8.8M
Immunologic/Virologic Approaches To HIV-1 TherapeuticsZ01AI000865 · NIAID · NIAID EXTRAMURAL ACTIVITIES · PI DAVEY, RICHARD · 2000 to 2008
$4.6M
Antiretroviral Treatment Interruption-Long-term StrategyZ01AI000862 · NIAID · NIAID EXTRAMURAL ACTIVITIES · PI REYNOLDS, STEVEN · 2000 to 2008
$2.1M
Antiretroviral Treatment Interruption as a Long-term Therapeutic StrategyZIAAI000862 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI REYNOLDS, STEVEN · 2009 to 2010
$57k
6 · The paper itself

Abstract

Various strategies of interrupting highly active antiretroviral therapy (HAART) are being investigated for the treatment of human immunodeficiency virus (HIV) infection. Interruptions of greater than 2 weeks frequently result in rebound of plasma HIV RNA. In order to discern changes in the viral population that might occur during cycles of treatment interruption, we evaluated the homology of HIV-1 envelope gene sequences over time in 12 patients who received four to seven cycles of 4 weeks off HAART followed by 8 weeks on HAART by using the heteroduplex tracking assay and novel statistical tools. HIV populations in 9 of 12 patients diverged from those found in the first cycle in at least one subsequent cycle. The substantial genetic changes noted in HIV env did not correlate with increased or decreased log changes in levels of plasma HIV RNA (P > 0.5). Thus, genetic changes in HIV env itself did not contribute in a systematic way to changes in levels of plasma viremia from cycle to cycle of treatment interruption. In addition, the data suggest that there may be multiple compartments contributing to the rebound of plasma viremia and to viral diversity from cycle to cycle of intermittent therapy.

Indexed as

Genetic VariationAntiretroviral Therapy, Highly ActiveDrug Administration ScheduleGenes, envHeteroduplex AnalysisHIV-1HIV InfectionsHumansRecurrenceRNA, ViralSequence Analysis, DNAViral LoadRNA, Viral

Identifiers

PMID12584346
PMCPMC149739
OpenAlexW2104997862

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.