Evidence map›Paper›PMID 15452240›Full record

ArticleJournal of virology2004

Multiple V1/V2 env variants are frequently present during primary infection with human immunodeficiency virus type 1.

Kimberly Ritola, Christopher D Pilcher, Susan A Fiscus, Noah G Hoffman, Julie A E Nelson, Kathryn M Kitrinos, Charles B Hicks, Joseph J Eron, Ronald Swanstrom

Abstract 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 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing 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

70 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review: Influence of ART on HIV genetics.Current opinion in HIV and AIDS · 2015
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. HIV transmission.Cold Spring Harbor perspectives in medicine · 2012
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

10 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

9 authors.

Kimberly RitolaUniversity of North Carolina at Chapel Hill, 22-062 Lineberger Cancer Center, CB 7295, Chapel Hill, NC 27599-7295, USA.
Christopher D Pilcher
Susan A Fiscus
Noah G Hoffman
Julie A E Nelson
Kathryn M Kitrinos
Charles B Hicks
Joseph J Eron
Ronald Swanstrom

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Zonisamide in Patients with Neuropathic Pain Associated with Diabetic NeuropathyM01RR000046 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MUENZER, JOSEPH J. · 1985 to 2008
$38.5M
Molecular Biology of Viral Diseases Predoctoral Training GrantT32AI007419 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Mark T Heise, CARY A MOODY · 1993 to 2026
$4.7M
HIV IN SEMEN--EFFECTS OF STDS AND ANTIVIRAL THERAPYR01DK049381 · NIDDK · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI COHEN, MYRON S · 1996 to 2004
$2.2M
Midcareer Investigator Award/Patient-Oriented ResearchK24AI001608 · NIAID · DUKE UNIVERSITY · PI HICKS, CHARLES B. · 1999 to 2008
$1.0M
BIOLOGICAL PROPERTIES OF HIV1 V3 EVOLUTIONARY VARIANTSR01AI044667 · NIAID · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI SWANSTROM, RONALD I · 1999 to 2002
$800k
CYTOREDUCTIVE CHEMOTHERAPY TARGETING HIV RESERVOIRSK23AI001781 · NIAID · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI PILCHER, CHRISTOPHER D · 2000 to 2004
$617k
NCRR NIH HHS M01 RR000046NCRR NIH HHS RR 00046NIAID NIH HHS K23 AI001781NIAID NIH HHS K23 AI 01781NIAID NIH HHS K24 AI001608NIAID NIH HHS K24 AI 01608NIAID NIH HHS P30 AI050410NIAID NIH HHS P30 AI 50410NIAID NIH HHS R01 AI044667NIAID NIH HHS R01 AI 44667NIAID NIH HHS T32 AI 007419NIAID NIH HHS T32 AI007419NIDDK NIH HHS R01 DK049381NIDDK NIH HHS R01 DK 49381
6 · The paper itself

Abstract

Human immunodeficiency virus type 1 (HIV-1) exists as a complex population of multiple genotypic variants in persons with chronic infection. However, acute HIV-1 infection via sexual transmission is a low-probability event in which there is thought to be low genetic complexity in the initial inoculum. In order to assess the viral complexity present during primary HIV-1 infection, the V1/V2 and V3 variable regions of the env gene were examined by using a heteroduplex tracking assay (HTA) capable of resolving these genotypic variants. Blood plasma samples from 26 primary HIV-1-infected subjects were analyzed for their level of diversity. Half of the subjects had more than one V1/V2 viral variant during primary infection, indicating the frequent transmission of multiple variants. This observation is inconsistent with the idea of infrequent transmission based on a small transmitting inoculum of cell-free virus. In chronically infected subjects, the complexity of the viral populations was even greater in both the V1/V2 and the V3 regions than in acutely infected subjects, indicating that in spite of the presence of multiple variants in acute infection, the virus does pass through a genetic bottleneck during transmission. We also examined how well the infecting virus penetrated different anatomical compartments by using the HTA. Viral variants detected in blood plasma were compared to those detected in seminal plasma and/or cerebral spinal fluid of six individuals. The virus in each of these compartments was to a large extent identical to virus in blood plasma, a finding consistent with rapid penetration of the infecting variant(s). The low-probability transmission of multiple variants could be the result of transient periods of hyperinfectiousness or hypersusceptibility. Alternatively, the inefficient transfer of a multiply infected cell could account for both the low probability of transmission and the transfer of multiple variants.

Indexed as

Genetic VariationAcute DiseaseCerebrospinal FluidCohort StudiesFemaleGene Products, envHeteroduplex AnalysisHIV-1HIV InfectionsHumansMaleMolecular Sequence DataRNA, ViralSemenSequence Analysis, DNAViral LoadGene Products, envRNA, Viral

Identifiers

PMID15452240
PMCPMC521858

What OpenQuestion holds

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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 OpenQuestion graph.