Evidence map›Paper›PMID 15668739›Full record

ArticleThe Journal of clinical investigation2005

HIV-1-specific CD4+ T lymphocyte turnover and activation increase upon viral rebound.

Thomas J Scriba, Hua-Tang Zhang, Helen L Brown, Annette Oxenius, Norbert Tamm, Sarah Fidler, Julie Fox, Jonathan N Weber, Paul Klenerman, Cheryl L Day and 2 more

Abstract read
In one paragraph

Article in The Journal of clinical investigation, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

  1. Trial
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  7. Review
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  12. HIV-1 infection impairs the bronchoalveolar T-cell response to mycobacteria.American journal of respiratory and critical care medicine · 2009
    Article
  13. Article
  14. Review
  15. Article
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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

12 authors.

Thomas J ScribaPeter Medawar Building for Pathogen Research and Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom.
Hua-Tang Zhang
Helen L Brown
Annette Oxenius
Norbert Tamm
Sarah Fidler
Julie Fox
Jonathan N Weber
Paul Klenerman
Cheryl L Day
Michaela Lucas
Rodney E Phillips

Funding

Wellcome Trust
6 · The paper itself

Abstract

HIV-specific CD4+ T helper lymphocytes are preferred targets for infection. Although complete interruption of combination antiretroviral therapy (ART) can form part of therapeutic manipulations, there is grave concern that the resumption of viral replication might destroy, perhaps irreversibly, these T helper populations. High viremia blocks the proliferation capacity of HIV-specific helper cells. However, cytokine production assays imply that some antigen-specific effector function is retained. Despite this careful work, it remains unclear whether the return of HIV-1 replication physically destroys HIV-1-specific T helper cells in the peripheral blood. Difficulties in producing stable peptide-MHC class II complexes and the very low frequencies of antigen-specific CD4+ T cells have delayed the application of this powerful technique. Here we employ HLA class II tetramers and validate a sensitive, quantitative cell-enrichment technique to detect HIV-1 T helper cells. We studied patients with early-stage HIV infection who were given a short, fixed course of ART as part of a clinical study. We did not find significant deletion of these cells from the peripheral circulation when ART was stopped and unfettered HIV replication returned. The turnover of these virus-specific cells increased and they adopted an effector phenotype when viremia returned.

Indexed as

Antiretroviral Therapy, Highly ActiveCell ProliferationCells, CulturedHistocompatibility Antigens Class IIHIV-1HIV InfectionsHumansLymphocyte ActivationT-Lymphocytes, Helper-InducerViremiaVirus ActivationHistocompatibility Antigens Class II

Identifiers

PMID15668739
PMCPMC544605

What OpenQuestion holds

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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.