Evidence map›Paper›PMID 14722454›Full record

ReviewJournal of acquired immune deficiency syndromes (1999)2004

Breast-feeding and Transmission of HIV-1.

Grace John-Stewart, Dorothy Mbori-Ngacha, Rene Ekpini, Edward N Janoff, John Nkengasong, Jennifer S Read, Phillippe Van de Perre, Marie-Louise Newell, Ghent IAS Working Group on HIV in Women Children

Erratum issuedAbstract readReview
In one paragraph

Review in Journal of acquired immune deficiency syndromes (1999), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
8.4field-weighted citation impact, top 2% 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

48 citing papers in PubMed, 159 citations in OpenAlex.

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4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

9 authors at 6 institutions in 5 countries.

Grace John-StewartDepartment of Medicine, University of Washington, USA.
Dorothy Mbori-Ngacha
Rene Ekpini
Edward N Janoff
John Nkengasong
Jennifer S Read
Phillippe Van de Perre
Marie-Louise Newell
Ghent IAS Working Group on HIV in Women Children
World Health Organization - Pakistan · PKCenters for Disease Control and Prevention · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USInstitut de Recherche pour le Développement · FRNational Institutes of Health · USUniversité de Montpellier · FR

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
Urgent Versus Post-Stabilization ART in HIV+ Children with Severe Co-infectionsR01HD023412 · NICHD · UNIVERSITY OF WASHINGTON · PI Grace C. John-Stewart, DALTON CHEKOKO WAMALWA · 1987 to 2026
$12.2M
Mucosal Defense vs Transmission of HIV by Breast MilkR01HD041361 · NICHD · UNIVERSITY OF MINNESOTA TWIN CITIES · PI JANOFF, EDWARD N · 2002 to 2006
$1.5M
Pediatric HIV-1 in Africa: Pathogenesis and ManagementK24HD054314 · NICHD · UNIVERSITY OF WASHINGTON · PI JOHN-STEWART, GRACE C. · 2006 to 2016
$1.2M
MUCOSAL IMMUNITY TO HIVN01DE072621 · NIDCR · UNIVERSITY OF MINNESOTA TWIN CITIES · PI JANOFF, EDWARD N · 1997 to 2000
$375k
SUPPORT SERVICES FOR STUDIES OF PERINATAL TRANSMISSIONN01HD043208 · NICHD · WESTAT, INC. · PI DURAKO, STEPHEN J · 1994 to 1999
–
NIAID NIH HHS P30 AI027757NICHD NIH HHS HD-41361NICHD NIH HHS K24 HD054314NICHD NIH HHS N01 HD 43208NICHD NIH HHS R01 HD023412NICHD NIH HHS R01 HD041361NIDCR NIH HHS DE-72621
6 · The paper itself

Abstract

Breast-feeding substantially increases the risk of HIV-1 transmission from mother to child, and although peripartum antiretroviral therapy prophylaxis significantly decreases the risk of mother-to-child transmission around the time of delivery, this approach does not affect breast-feeding transmission. Increased maternal RNA viral load in plasma and breast milk is strongly associated with increased risk of transmission through breast-feeding, as is breast health, and it has been suggested that exclusive breast-feeding could be associated with lower rates of breast-feeding transmission than mixed feeding of both breast- and other milk or feeds. Transmission through breast-feeding can take place at any point during lactation, and the cumulative probability of acquisition of infection increases with duration of breast-feeding. HIV-1 has been detected in breast milk in cell-free and cellular compartments; infant gut mucosal surfaces are the most likely site at which transmission occurs. Innate and acquired immune factors may act most effectively in combination to prevent primary HIV-1 infection by breast milk.

Indexed as

Acquired Immunodeficiency SyndromeBreast FeedingDrug Resistance, ViralFemaleHIV-1HIV InfectionsHumansInfantInfectious Disease Transmission, VerticalMilk, HumanRisk Factors

Identifiers

PMID14722454
PMCPMC3382106
OpenAlexW2110011873

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.