Evidence map›Paper›PMID 16775332›Full record

ArticleJournal of virology2006

Residual human immunodeficiency virus type 1 viremia in some patients on antiretroviral therapy is dominated by a small number of invariant clones rarely found in circulating CD4+ T cells.

Justin R Bailey, Ahmad R Sedaghat, Tara Kieffer, Timothy Brennan, Patricia K Lee, Megan Wind-Rotolo, Christine M Haggerty, Ashrit R Kamireddi, Yi Liu, Jessica Lee and 9 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of virology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 295 papers.

0numbers the graph read from it
0cells of the map it votes in
295citing papers in PubMed
8.1field-weighted citation impact, top 1% 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

295 citing papers in PubMed, 417 citations in OpenAlex.

  1. Trial
  2. Trial
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  5. Broad activation of latent HIV-1 in vivo.Nature communications · 2016
    Trial
  6. HIV-1 DNA decay dynamics in blood during more than a decade of suppressive antiretroviral therapy.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2014
    Trial
  7. Trial
  8. Trial
  9. Modelling HIV-1 2-LTR dynamics following raltegravir intensification.Journal of the Royal Society, Interface · 2013
    Trial
  10. Trial
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Proviruses in CD4Science translational medicine · 2025
    Article
  20. Review

235 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

19 authors at 3 institutions in 1 country.

Justin R BaileyDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
Ahmad R Sedaghat
Tara Kieffer
Timothy Brennan
Patricia K Lee
Megan Wind-Rotolo
Christine M Haggerty
Ashrit R Kamireddi
Yi Liu
Jessica Lee
Deborah Persaud
Joel E Gallant
Joseph Cofrancesco
Thomas C Quinn
Claus O Wilke
Stuart C Ray
Janet D Siliciano
Richard E Nettles
Robert F Siliciano
Johns Hopkins University · USNational Institute of Allergy and Infectious Diseases · USThe University of Texas at Austin · US

Funding

ZINC AND CA EDTA THERAPY OF PLUMBISMM01RR000052 · NCRR · JOHNS HOPKINS UNIVERSITY · PI BELCHER, HAROLYN MILLICENT EDITH · 1985 to 2007
$37.3M
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
Determinants of RNA virus evolutionR01AI065960 · NIAID · UNIVERSITY OF TOLEDO HEALTH SCI CAMPUS · PI NOVELLA, ISABEL S · 2005 to 2009
$1.7M
Ultrasensitive genotypes, clinical/evolutionary insightK08AI060367 · NIAID · JOHNS HOPKINS UNIVERSITY · PI NETTLES, RICHARD E · 2004 to 2005
$151k
NCRR NIH HHS M01 RR000052NCRR NIH HHS M01 RR 00052NIAID NIH HHS AI 065960NIAID NIH HHS AI 43222NIAID NIH HHS AI 51178NIAID NIH HHS K08 AI 060367NIAID NIH HHS K08 AI060367NIAID NIH HHS R01 AI043222NIAID NIH HHS R01 AI051178NIAID NIH HHS R01 AI065960NIAID NIH HHS R37 AI051178
6 · The paper itself

Abstract

Antiretroviral therapy can reduce human immunodeficiency virus type 1 (HIV-1) viremia to below the detection limit of ultrasensitive clinical assays (50 copies of HIV-1 RNA/ml). However, latent HIV-1 persists in resting CD4+ T cells, and low residual levels of free virus are found in the plasma. Limited characterization of this residual viremia has been done because of the low number of virions per sample. Using intensive sampling, we analyzed residual viremia and compared these viruses to latent proviruses in resting CD4+ T cells in peripheral blood. For each patient, we found some viruses in the plasma that were identical to viruses in resting CD4+ T cells by pol gene sequencing. However, in a majority of patients, the most common viruses in the plasma were rarely found in resting CD4+ T cells even when the resting cell compartment was analyzed with assays that detect replication-competent viruses. Despite the large diversity of pol sequences in resting CD4+ T cells, the residual viremia was dominated by a homogeneous population of viruses with identical pol sequences. In the most extensively studied case, a predominant plasma sequence was also found in analysis of the env gene, and linkage by long-distance reverse transcriptase PCR established that these predominant plasma sequences represented a single predominant plasma virus clone. The predominant plasma clones were released for months to years without evident sequence change. Thus, in some patients on antiretroviral therapy, the major mechanism for residual viremia involves prolonged production of a small number of viral clones without evident evolution, possibly by cells other than circulating CD4+ T cells. The sequences have been deposited in GenBank. The accession numbers are DQ 391282 to DQ 391351 (for env) and DQ 391352 to DQ 392955 (for RT).

Indexed as

Antiretroviral Therapy, Highly ActiveBase SequenceCD4-Positive T-LymphocytesEvolution, MolecularFemaleGene Products, envGenes, polHIV-1HIV InfectionsHumansMaleMolecular Sequence DataRNA, ViralSequence Analysis, RNASpecies SpecificityViremiaGene Products, envRNA, Viral

Identifiers

PMID16775332
PMCPMC1488985
OpenAlexW2013711784

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.