Evidence map›Paper›PMID 12767994›Full record

ArticleJournal of virology2003

Dual pressure from antiretroviral therapy and cell-mediated immune response on the human immunodeficiency virus type 1 protease gene.

Annika C Karlsson, Steven G Deeks, Jason D Barbour, Brandon D Heiken, Sophie R Younger, Rebecca Hoh, Meghan Lane, Matti Sällberg, Gabriel M Ortiz, James F Demarest and 4 more

Abstract read
In one paragraph

Article 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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

21 citing papers in PubMed, 49 citations in OpenAlex.

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  10. Is HIV becoming more virulent? Initial CD4 cell counts among HIV seroconverters during the course of the HIV epidemic: 1985-2007.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2009
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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

14 authors at 4 institutions in 2 countries.

Annika C KarlssonGladstone Institute of Virology and Immunology, University of California, San Francisco, California 94141, USA. akarlsson@gladstone.ucsf.edu
Steven G Deeks
Jason D Barbour
Brandon D Heiken
Sophie R Younger
Rebecca Hoh
Meghan Lane
Matti Sällberg
Gabriel M Ortiz
James F Demarest
Teri Liegler
Robert M Grant
Jeffrey N Martin
Douglas F Nixon
San Francisco General Hospital · USGladstone Institutes · USUniversity of California, San Francisco · USKarolinska Institutet · SE

Funding

Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 2001 to 2026
$57.4M
WELFARE REFORM AND THE PERINATAL HEALTH OF IMMIGRANTSM01RR000083 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KESSLER, DAVID A · 1985 to 2006
$21.1M
UCSF-GIVI CENTER FOR AIDS RESEARCHP30MH059037 · NIMH · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI FEINBERG, MARK A · 1998 to 2001
$4.9M
DYNAMICS OF HIV1 SPECIFIC CTL IN HIV1 INFECTIONR01AI044595 · NIAID · J. DAVID GLADSTONE INSTITUTES · PI NIXON, DOUGLAS F · 1999 to 2003
$1.3M
HIV VARIATION AND CROSS CLADE CTL RECOGNITIONR01AI046254 · NIAID · J. DAVID GLADSTONE INSTITUTES · PI NIXON, DOUGLAS F · 1999 to 2003
$1.2M
NCRR NIH HHS 5-M01-RR00083-37NCRR NIH HHS M01 RR000083NIAID NIH HHS AI44595NIAID NIH HHS AI46254NIAID NIH HHS R01 AI044595NIAID NIH HHS R01 AI046254NIMH NIH HHS P30 MH062246NIMH NIH HHS P30 MH59037NIMH NIH HHS P30 MH62246
6 · The paper itself

Abstract

Human immunodeficiency virus (HIV)-specific CD8(+) T-lymphocyte pressure can lead to the development of viral escape mutants, with consequent loss of immune control. Antiretroviral drugs also exert selection pressures on HIV, leading to the emergence of drug resistance mutations and increased levels of viral replication. We have determined a minimal epitope of HIV protease, amino acids 76 to 84, towards which a CD8(+) T-lymphocyte response is directed. This epitope, which is HLA-A2 restricted, includes two amino acids that commonly mutate (V82A and I84V) in the face of protease inhibitor therapy. Among 29 HIV-infected patients who were treated with protease inhibitors and who had developed resistance to these drugs, we show that the wild-type PR82V(76-84) epitope is commonly recognized by cytotoxic T lymphocytes (CTL) in HLA-A2-positive patients and that the CTL directed to this epitope are of high avidity. In contrast, the mutant PR82A(76-84) epitope is generally not recognized by wild-type-specific CTL, or when recognized it is of low to moderate avidity, suggesting that the protease inhibitor-selected V82A mutation acts both as a CTL and protease inhibitor escape mutant. Paradoxically, the absence of a mutation at position 82 was associated with the presence of a high-avidity CD8(+) T-cell response to the wild-type virus sequence. Our results indicate that both HIV type 1-specific CD8(+) T cells and antiretroviral drugs provide complex pressures on the same amino acid sequence of the HIV protease gene and, thus, can influence viral sequence evolution.

Indexed as

Antiretroviral Therapy, Highly ActiveDrug Resistance, ViralMutationCD8-Positive T-LymphocytesEpitopes, T-LymphocyteHIV-1HIV InfectionsHIV ProteaseHIV Protease InhibitorsHLA-A2 AntigenHumansEpitopes, T-LymphocyteHIV ProteaseHIV Protease InhibitorsHLA-A2 Antigen

Identifiers

PMID12767994
PMCPMC156163
OpenAlexW2161255094

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.