Evidence map›Paper›PMID 17690574›Full record

ArticleAIDS (London, England)2007

African infants' CCL3 gene copies influence perinatal HIV transmission in the absence of maternal nevirapine.

Louise Kuhn, Diana B Schramm, Samantha Donninger, Stephen Meddows-Taylor, Ashraf H Coovadia, Gayle G Sherman, Glenda E Gray, Caroline T Tiemessen

Abstract readMulticenter Study
In one paragraph

Article in AIDS (London, England), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. The role of corticosterone in nevirapine-induced idiosyncratic drug-induced liver injury.Toxicological sciences : an official journal of the Society of Toxicology · 2024
    Article
  3. Article
  4. An HIV Vaccine Protective Allele inFrontiers in immunology · 2021
    Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Maternal human leukocyte antigen-G (HLA-G) genetic variants associate with in utero mother-to-child transmission of HIV-1 in Black South Africans.Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases · 2015
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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

8 authors at 5 institutions in 2 countries.

Louise KuhnGertrude H. Sergievsky Centre, College of Physicians and Surgeons, Columbia University, 630 West 168th Street, New York, NY 10032, USA. ik24@columbia.edu
Diana B Schramm
Samantha Donninger
Stephen Meddows-Taylor
Ashraf H Coovadia
Gayle G Sherman
Glenda E Gray
Caroline T Tiemessen
University of the Witwatersrand · ZAChris Hani Baragwanath Hospital · ZAColumbia University · USJohannesburg Hospital · ZANational Health Laboratory Service · ZA

Funding

HIV Protective Immunity and Perinatal ExposureR01HD042402 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KUHN, LOUISE · 2002 to 2006
$3.1M
CELLULAR IMMUNITY TO HIV INFANTSR01HD036177 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KUHN, LOUISE · 1998 to 2000
$328k
NICHD NIH HHS HD 36177NICHD NIH HHS HD 42402NICHD NIH HHS R01 HD042402Wellcome Trust 076352
6 · The paper itself

Abstract

backgroundIndividuals with more copies of CCL3L1 (CCR5 ligand) than their population median have been found to be less susceptible to HIV infection. We investigated whether maternal or infant CCL3L1 gene copy numbers are associated with perinatal HIV transmission when single-dose nevirapine is given for prevention.

methodA nested case-control study was undertaken combining data from four cohorts including 849 HIV-infected mothers and their infants followed prospectively in Johannesburg, South Africa. Access to antiretroviral drugs for the prevention of perinatal transmission differed across the cohorts. Maternal and infant CCL3L1 gene copy numbers per diploid genome (pdg) were determined by real-time polymerase chain reaction for 79 out of 83 transmitting pairs ( approximately 10% transmission rate) and 235 randomly selected non-transmitting pairs.

resultsHigher numbers of infant, but not maternal, CCL3L1 gene copies were associated with reduced HIV transmission (P = 0.004) overall, but the association was attenuated if mothers took single-dose nevirapine or if the maternal viral load was low. Maternal nevirapine was also associated with reduced spontaneously released CCL3 (P = 0.007) and phytohemagglutinin-stimulated CCL3 (P = 0.005) production in cord blood mononuclear cells from uninfected infants.

conclusionWe observed a strong association between higher infant CCL3L1 gene copies and reduced susceptibility to HIV in the absence of maternal nevirapine. We also observed a reduction in newborn CCL3 production with nevirapine exposure. Taken together, we hypothesize that nevirapine may have direct or indirect effects that partly modify the role of the CCR5 ligand CCL3 in HIV transmission, obscuring the relationship between this genetic marker and perinatal HIV transmission.

Indexed as

AdultAnti-HIV AgentsCase-Control StudiesChemokine CCL3Chemokine CCL4Chemokine CCL5Chemokines, CCFemaleFetal BloodGenetic Predisposition to DiseaseHIV InfectionsHumansInfant, NewbornInfectious Disease Transmission, VerticalMaleNevirapineAnti-HIV AgentsCCL3 protein, humanCCL4 protein, humanCCL5 protein, humanChemokine CCL3Chemokine CCL4Chemokine CCL5Chemokines, CCNevirapineReverse Transcriptase Inhibitors

Identifiers

PMID17690574
PMCPMC2386991
OpenAlexW2070919702

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.