Evidence map›Paper›PMID 18783315›Full record

ArticleThe Journal of infectious diseases2008

Rapidly cleared episodes of herpes simplex virus reactivation in immunocompetent adults.

Karen E Mark, Anna Wald, Amalia S Magaret, Stacy Selke, Laura Olin, Meei-Li Huang, Lawrence Corey

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 151 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
151citing papers in PubMed, 6 pooled it
14.2field-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

151 citing papers in PubMed, 6 syntheses or guidelines pooled it, 273 citations in OpenAlex.

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  3. The Epidemiology of Herpes Simplex Virus Type 1 in Asia: Systematic Review, Meta-analyses, and Meta-regressions.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
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91 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Karen E MarkDepartment of Medicine, University of Washington, Seattle, Washington 98122, USA. kmark@u.washington.edu
Anna Wald
Amalia S Magaret
Stacy Selke
Laura Olin
Meei-Li Huang
Lawrence Corey
University of Washington · USInfectious Disease Research Institute · US

Funding

THE PERINATAL COMPLICATIONS OF ASYMPTOMATIC GENITAL HERPES SIMPLEX VIRUSP01AI030731 · NIAID · UNIVERSITY OF WASHINGTON · PI JOHNSTON, CHRISTINE MICHELLE · 1991 to 2017
$34.3M
HOST DEFENSE TRAINING IN ALLERGY AND INFECTIOUS DISEASEST32AI007044 · NIAID · UNIVERSITY OF WASHINGTON · PI DAVID Neal FREDRICKS · 1985 to 2026
$14.6M
Cytotoxic T-Cell Responses to HSV: HIV-Infected PersonsR37AI042528 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI COREY, LAWRENCE · 2002 to 2011
$3.5M
Clinical Research in HSV InfectionsK24AI071113 · NIAID · UNIVERSITY OF WASHINGTON · PI WALD, ANNA · 2006 to 2015
$1.7M
Effect of Suppressive Therapy on Behavioral Determinants of HSV-2 TransmissionK23AI071257 · NIAID · UNIVERSITY OF WASHINGTON · PI MARK, KAREN ELIZABETH · 2007 to 2009
$379k
NIAID NIH HHS K23 AI071257NIAID NIH HHS K24 AI071113NIAID NIH HHS P01 AI030731NIAID NIH HHS P01 AI30731NIAID NIH HHS R37 AI042528NIAID NIH HHS R37 AI42528NIAID NIH HHS T32 AI007044NIAID NIH HHS T32 AI07044
6 · The paper itself

Abstract

backgroundHerpes simplex virus (HSV) remains latent in nerve root ganglia of infected persons and is thought to reactivate several times yearly. Recent in situ data show the localization of HSV-specific CD8(+) T cells at the dermal epidermal junction next to peripheral sensory nerve endings, suggesting that viral reactivation may occur more frequently than previously appreciated.

methodsTwenty-five HSV-2-seropositive and 18 HSV-1-seropositive healthy adults collected anogenital and oral swabs, respectively, 4 times per day for 60 days. Swabs were assayed for HSV, using a quantitative polymerase chain reaction assay.

resultsTwenty-four percent of anogenital reactivations and 21% of oral reactivations lasted < or =6 h, and 49% of anogenital reactivations and 39% of oral reactivations lasted < or =12 h. Lesions were reported in only 3 (7%) of 44 anogenital reactivations and 1 (8%) of 13 oral reactivations lasting < or =12 h. The median HSV DNA levels at initial and last detection were 10(3.5) and 10(3.3) copies/mL, respectively, during anogenital reactivation and 10(3.7) and 10(3.0) copies/mL, respectively, during oral reactivation.

conclusionsThis high frequency of short subclinical HSV reactivation in immunocompetent hosts strongly suggests that the peripheral mucosal immune system plays a critical role in clearing HSV reactivations.

Indexed as

AdultAgedAntibodies, ViralFemaleGenitaliaHerpes GenitalisHerpes SimplexHerpesvirus 1, HumanHerpesvirus 2, HumanHumansImmunocompetenceMaleMiddle AgedMouth MucosaTime FactorsVirus ActivationAntibodies, Viral

Identifiers

PMID18783315
PMCPMC2667115
OpenAlexW2144991347

What OpenQuestion holds

Textmetadata
LicenceTDM
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.