Evidence map›Paper›PMID 16627558›Full record

ArticleClinical chemistry2006

Ultrasensitive monitoring of HIV-1 viral load by a low-cost real-time reverse transcription-PCR assay with internal control for the 5' long terminal repeat domain.

Christian Drosten, Marcus Panning, Jan Felix Drexler, Florian Hänsel, Celia Pedroso, Jane Yeats, Luciano Kleber de Souza Luna, Matthew Samuel, Britta Liedigk, Ute Lippert and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Clinical chemistry, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

31 citing papers in PubMed.

  1. Article
  2. Article
  3. Assay optimization for molecular detection of Zika virus.Bulletin of the World Health Organization · 2016
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
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  12. Article
  13. Article
  14. Article
  15. Disease Progression in HIV-1-Infected Viremic Controllers.Journal of acquired immune deficiency syndromes (1999) · 2012
    Article
  16. Article
  17. Pooling strategies to reduce the cost of HIV-1 RNA load monitoring in a resource-limited setting.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2011
    Article
  18. Article
  19. Review
  20. Development of a microfluidic system for measuring HIV-1 viral load.Proceedings of SPIE--the International Society for Optical Engineering · 2010
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Christian DrostenBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany. drosten@bni-hamburg.de
Marcus Panning
Jan Felix Drexler
Florian Hänsel
Celia Pedroso
Jane Yeats
Luciano Kleber de Souza Luna
Matthew Samuel
Britta Liedigk
Ute Lippert
Martin Stürmer
Hans Wilhelm Doerr
Carlos Brites
Wolfgang Preiser

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent HIV-1 viral-load assays are too expensive for resource-limited settings. In some countries, monitoring of antiretroviral therapy is now more expensive than treatment itself. In addition, some commercial assays have shown shortcomings in quantifying rare genotypes.

methodsWe evaluated real-time reverse transcription-PCR with internal control targeting the conserved long terminal repeat (LTR) domain of HIV-1 on reference panels and patient samples from Brazil (n = 1186), South Africa (n = 130), India (n = 44), and Germany (n = 127).

resultsThe detection limit was 31.9 IU of HIV-1 RNA/mL of plasma (> 95% probability of detection, Probit analysis). The internal control showed inhibition in 3.7% of samples (95% confidence interval, 2.32%-5.9%; n = 454; 40 different runs). Comparative qualitative testing yielded the following: Roche Amplicor vs LTR assay (n = 431 samples), 51.7% vs 65% positives; Amplicor Ultrasensitive vs LTR (n = 133), 81.2% vs 82.7%; BioMerieux NucliSens HIV-1 QT (n = 453), 60.5% vs 65.1%; Bayer Versant 3.0 (n = 433), 57.7% vs 55.4%; total (n = 1450), 59.0% vs 63.8% positives. Intra-/interassay variability at medium and near-negative concentrations was 18%-51%. The quantification range was 50-10,000,000 IU/mL. Viral loads for subtypes A-D, F-J, AE, and AG yielded mean differences of 0.31 log(10) compared with Amplicor in the 10(3)-10(4) IU/mL range. HIV-1 N and O were not detected by Amplicor, but yielded up to 180 180.00 IU/mL in the LTR assay. Viral loads in stored samples from all countries, compared with Amplicor, NucliSens, or Versant, yielded regression line slopes (SD) of 0.9 (0.13) (P < 0.001 for all).

conclusionsThis method offers all features of commercial assays and covers all relevant genotypes. It could allow general monitoring of antiretroviral therapy in resource-limited settings.

Indexed as

HIV-1HIV Long Terminal RepeatViral LoadBrazilGenotypeGermanyHIV InfectionsHumansIndiaProbabilityRegression AnalysisReverse Transcriptase Polymerase Chain ReactionRNA, ViralSensitivity and SpecificitySouth AfricaRNA, Viral

Identifiers

PMID16627558
PMCPMC7108179

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.