Evidence map›Paper›PMID 18427205›Full record

ArticleAIDS (London, England)2008

The molecular epidemiology of HIV-1 envelope diversity during HIV-1 subtype C vertical transmission in Malawian mother-infant pairs.

Jesse J Kwiek, Elizabeth S Russell, Kristen K Dang, Christina L Burch, Victor Mwapasa, Steven R Meshnick, Ronald Swanstrom

Open access · greenAbstract read
In one paragraph

Article in AIDS (London, England), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.1field-weighted citation impact, top 25% 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

15 citing papers in PubMed, 32 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

Jesse J KwiekDepartment of Epidemiology, Malawi College of Medicine, Blantyre, Malawi.
Elizabeth S Russell
Kristen K Dang
Christina L Burch
Victor Mwapasa
Steven R Meshnick
Ronald Swanstrom
University of Malawi · MWUniversity of North Carolina at Chapel Hill · US

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Biological properties of HIV-1 V3 evolutionary variantsR37AI044667 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SWANSTROM, RONALD I · 2005 to 2014
$3.4M
MALARIA AND HIV IN PREGNANT WOMEN IN MALAWIR01AI049084 · NIAID · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI MESHNICK, STEVEN RICHARD · 2001 to 2005
$1.5M
Viral and Placental Determinants of HIV-1 Subtype C Mother-to-Child TransmissionR00HD056586 · NICHD · OHIO STATE UNIVERSITY · PI KWIEK, JESSE J · 2007 to 2008
$497k
Routes of Transmission of HIV in Malawian MothersR21AI065369 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MESHNICK, STEVEN RICHARD · 2005 to 2006
$430k
Viral and Placental Determinants of HIV-1 Subtype C Mother-to-Child TransmissionK99HD056586 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KWIEK, JESSE J · 2007 to 2007
$90k
NIAID NIH HHS P30 AI050410NIAID NIH HHS P30-AI50410NIAID NIH HHS R01 AI049084NIAID NIH HHS R01-AI49084NIAID NIH HHS R21 AI065369NIAID NIH HHS R21-AI065369NIAID NIH HHS R37 AI044667NIAID NIH HHS R37-AI44667NICHD NIH HHS K99 HD056586NICHD NIH HHS K99-HD056586NICHD NIH HHS R00 HD056586
6 · The paper itself

Abstract

objectivesTo study the relationship between HIV-1 subtype C genetic diversity and mother-to-child transmission and to determine if transmission of HIV-1 V1/V2 env variants occurs stochastically.

designCase-case-control study of Malawian mother-infant pairs consisting of 32 nontransmitting women, 25 intrauterine transmitters, and 23 intrapartum transmitters in Blantyre, Malawi.

methodsA heteroduplex tracking assay against the highly variable HIV-1 env V1/V2 region was used to characterize the relationship between HIV-1 diversity and mother-to-child transmission. The relative abundance of the maternal env variants was quantified and categorized as transmitted or nontransmitted based on the env variants detected in the infant plasma. The V1/V2 region was sequenced from two mother-infant pairs and a phylogenetic tree was built.

resultsNo relationship was found between transmission and overall maternal env diversity. Infants had less diverse HIV-1 populations than their mothers, and intrauterine-infected infants had fewer V1/V2 variants and were more likely to harbor a homogeneous V1/V2 population than infants infected intrapartum. V1/V2 sequences cloned from two mother-infant transmission pairs support multiple env variant transmission when multiple variants are detected, rather than single variant transmission followed by diversification. Almost 50% of the HIV-infected infants contained V1/V2 env variants that were not detected in maternal plasma samples. Finally transmission of env variants was not related to their abundance in maternal blood.

conclusionThese data suggest that the predominant mechanism(s) of HIV-1 subtype C mother-to-child transmission differs by the timing of transmission and is unlikely to be explained by a simple stochastic model.

Indexed as

Genes, envInfectious Disease Transmission, VerticalModels, GeneticAdultAmino Acid SequenceAutoradiographyCase-Control StudiesFemaleFetal BloodGenetic VariationHeteroduplex AnalysisHIV-1HIV InfectionsHumansInfantInfant, Newborn

Identifiers

PMID18427205
PMCPMC2760232
OpenAlexW2009192823

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.