Evidence map›Paper›PMID 18776937›Full record

ArticlePloS one2008

Efficacy of Carraguard-based microbicides in vivo despite variable in vitro activity.

Stuart G Turville, Meropi Aravantinou, Todd Miller, Jessica Kenney, Aaron Teitelbaum, Lieyu Hu, Anne Chudolij, Tom M Zydowsky, Michael Piatak, Julian W Bess and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
3.1field-weighted citation impact, top 7% 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

47 citing papers in PubMed, 78 citations in OpenAlex.

  1. Review
  2. Article
  3. MZC Gel Inhibits SHIV-RT and HSV-2 in Macaque Vaginal Mucosa and SHIV-RT in Rectal Mucosa.Journal of acquired immune deficiency syndromes (1999) · 2017
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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

14 authors at 5 institutions in 1 country.

Stuart G TurvilleCenter for Biomedical Research, HIV and AIDS Program, Population Council, New York, New York, United States of America.
Meropi Aravantinou
Todd Miller
Jessica Kenney
Aaron Teitelbaum
Lieyu Hu
Anne Chudolij
Tom M Zydowsky
Michael Piatak
Julian W Bess
Jeffrey D Lifson
James Blanchard
Agegnehu Gettie
Melissa Robbiani
Population Council · USNational Cancer Institute · USAaron Diamond AIDS Research Center · USScience Applications International Corporation (United States) · USTulane University · US

Funding

ZCM:A NOVEL BROAD-SPECTRUM MICROBICIDE FOR SEXUALLY TRANSMITTED INFECTIONSP51RR000164 · NCRR · TULANE UNIVERSITY OF LOUISIANA · PI VEAZEY, RONALD S. · 1985 to 2011
$100.1M
The Mucosal Dendritic Cell T Milieu and SIV SpreadR01AI040877 · NIAID · ROCKEFELLER UNIVERSITY · PI DERBY, NINA R. · 1997 to 2016
$6.9M
Modulating mucosal DCs and T cells to limit SIV spreadR37AI040877 · NIAID · POPULATION COUNCIL · PI ROBBIANI, MELISSA J · 2007 to 2013
$6.4M
ZCM: A novel broad-spectrum microbicide for STIsU19AI065412 · NIAID · POPULATION COUNCIL · PI ROBBIANI, MELISSA J · 2006 to 2010
$5.2M
NCRR NIH HHS P51 RR000164NCRR NIH HHS RR00164NIAID NIH HHS AI065412NIAID NIH HHS R01 AI040877NIAID NIH HHS R37 AI040877NIAID NIH HHS U19 AI065412
6 · The paper itself

Abstract

Anti-HIV microbicides are being investigated in clinical trials and understanding how promising strategies work, coincident with demonstrating efficacy in vivo, is central to advancing new generation microbicides. We evaluated Carraguard and a new generation Carraguard-based formulation containing the non-nucleoside reverse transcriptase inhibitor (NNRTI) MIV-150 (PC-817). Since dendritic cells (DCs) are believed to be important in HIV transmission, the formulations were tested for the ability to limit DC-driven infection in vitro versus vaginal infection of macaques with RT-SHIV (SIVmac239 bearing HIV reverse transcriptase). Carraguard showed limited activity against cell-free and mature DC-driven RT-SHIV infections and, surprisingly, low doses of Carraguard enhanced infection. However, nanomolar amounts of MIV-150 overcame enhancement and blocked DC-transmitted infection. In contrast, Carraguard impeded infection of immature DCs coincident with DC maturation. Despite this variable activity in vitro, Carraguard and PC-817 prevented vaginal transmission of RT-SHIV when applied 30 min prior to challenge. PC-817 appeared no more effective than Carraguard in vivo, due to the limited activity of a single dose of MIV-150 and the dominant barrier effect of Carraguard. However, 3 doses of MIV-150 in placebo gel at and around challenge limited vaginal infection, demonstrating the potential activity of a topically applied NNRTI. These data demonstrate discordant observations when comparing in vitro and in vivo efficacy of Carraguard-based microbicides, highlighting the difficulties in testing putative anti-viral strategies in vitro to predict in vivo activity. This work also underscores the potential of Carraguard-based formulations for the delivery of anti-viral drugs to prevent vaginal HIV infection.

Indexed as

AnimalsAnti-Infective AgentsCarrageenanCD4 AntigensCD8 AntigensDendritic CellsDrug Evaluation, PreclinicalDrug Resistance, ViralHIV InfectionsHumansMacacaMonocytesReverse Transcriptase InhibitorsSimian Acquired Immunodeficiency SyndromeSimian Immunodeficiency VirusViral LoadAnti-Infective AgentsCarrageenanCD4 AntigensCD8 AntigensReverse Transcriptase Inhibitors

Identifiers

PMID18776937
PMCPMC2525816
OpenAlexW2041875417

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.