Evidence map›Paper›PMID 14694128›Full record

ArticleJournal of virology2004

Continued production of drug-sensitive human immunodeficiency virus type 1 in children on combination antiretroviral therapy who have undetectable viral loads.

Deborah Persaud, George K Siberry, Aima Ahonkhai, Joleen Kajdas, Daphne Monie, Nancy Hutton, Douglas C Watson, Thomas C Quinn, Stuart C Ray, Robert F Siliciano

Open access · greenAbstract read
In one paragraph

Article in Journal of virology, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
1.4field-weighted citation impact, top 21% 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

62 citing papers in PubMed, 103 citations in OpenAlex.

  1. Modelling HIV-1 2-LTR dynamics following raltegravir intensification.Journal of the Royal Society, Interface · 2013
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  17. Implications of Measurement Assay Type in Design of HIV Experiments.Proceedings of the ... IEEE Conference on Decision & Control. IEEE Conference on Decision & Control · 2017
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2 more citing papers are in PubMed but not listed here.

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

10 authors at 5 institutions in 1 country.

Deborah PersaudDepartment of Pediatrics, Johns Hopkins University School of Medicine, University of Maryland School of Medicine, Baltimore, Maryland 21205, USA. dpers@jhmi.edu
George K Siberry
Aima Ahonkhai
Joleen Kajdas
Daphne Monie
Nancy Hutton
Douglas C Watson
Thomas C Quinn
Stuart C Ray
Robert F Siliciano
Johns Hopkins Medicine · USJohns Hopkins University · USKennedy Krieger Institute · USNational Institute of Allergy and Infectious Diseases · USUniversity of Maryland, Baltimore · US

Funding

LATENT VIRAL RESERVOIRS IN HIV1 INFECTIONR01AI043222 · NIAID · JOHNS HOPKINS UNIVERSITY · PI SILICIANO, ROBERT F · 1998 to 2013
$3.5M
INTERNATIONAL STUDIES ON THE ACQUIRED IMMUNODEFICIENCY SYNDROMEZ01AI000361 · NIAID · NIAID EXTRAMURAL ACTIVITIES · PI QUINN, THOMAS · 1985 to 2008
$3.1M
Significance of Low Level Viremia in Patients on HAARTR37AI051178 · NIAID · JOHNS HOPKINS UNIVERSITY · PI SILICIANO, ROBERT F · 2007 to 2016
$2.4M
SIGNIFICANCE OF LOW LEVEL VIREMIA IN PATIENTS ON HAARTR01AI051178 · NIAID · JOHNS HOPKINS UNIVERSITY · PI SILICIANO, ROBERT F · 2002 to 2006
$1.8M
NIAID NIH HHS AI43222NIAID NIH HHS AI51178NIAID NIH HHS R01 AI043222NIAID NIH HHS R01 AI051178NIAID NIH HHS R37 AI051178
6 · The paper itself

Abstract

Highly active antiretroviral therapy (HAART) can suppress plasma human immunodeficiency virus type 1 (HIV-1) levels to below the detection limit of ultrasensitive clinical assays. However, HIV-1 persists in cellular reservoirs, and in adults, persistent low-level viremia is detected with more sensitive assays. The nature of this viremia is poorly understood, and it is unclear whether viremia persists in children on HAART, particularly those who start therapy shortly after birth. We therefore developed a reverse transcriptase PCR (RT-PCR) assay that allows genotyping of HIV-1 protease even when viremia is present at levels as low as 5 copies of HIV-1 RNA/ml. We demonstrated that viremia persists in children with plasma virus levels below the limit of detection of clinical assays. Viremia was detected even in children who began HAART in early infancy and maintained such strong suppression of viremia that HIV-1-specific antibody responses were absent or minimal. The low-level plasma virus lacked protease inhibitor resistance mutations despite the frequent use of nelfinavir, which has a low mutational barrier to resistance. Protease sequences resembled those of viruses in the latent reservoir in resting CD4(+) T cells. Thus, in most children on HAART with clinically undetectable viremia, there is continued virus production without evolution of resistance in the protease gene.

Indexed as

Antiretroviral Therapy, Highly ActiveViral LoadAcute DiseaseAdolescentAmino Acid SequenceChildChild, PreschoolChronic DiseaseFemaleHIV-1HIV InfectionsHIV ProteaseHumansInfantMaleMolecular Sequence DataHIV ProteaseRNA, Viral

Identifiers

PMID14694128
PMCPMC368798
OpenAlexW2108967738

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.