Evidence map›Paper›PMID 19005274›Full record

ArticleAIDS (London, England)2008

Transmission networks of drug resistance acquired in primary/early stage HIV infection.

Bluma G Brenner, Michel Roger, Daniela D Moisi, Maureen Oliveira, Isabelle Hardy, Reuven Turgel, Hugues Charest, Jean-Pierre Routy, Mark A Wainberg, Montreal PHI Cohort and HIV Prevention Study Groups

Abstract 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 69 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

69 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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9 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

10 authors.

Bluma G BrennerMcGill University AIDS Centre, Jewish General Hospital, Montreal, Quebec, Canada.
Michel Roger
Daniela D Moisi
Maureen Oliveira
Isabelle Hardy
Reuven Turgel
Hugues Charest
Jean-Pierre Routy
Mark A Wainberg
Montreal PHI Cohort and HIV Prevention Study Groups

Funding

HIV Risk Dynamics, Genetic Patterns, and ControlR01AI078752 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KOOPMAN, JAMES STEPHEN · 2008 to 2012
$2.7M
NIAID NIH HHS R01 AI078752
6 · The paper itself

Abstract

objectivesPopulation-based sequencing of primary/recent HIV infections (PHIs) can provide a framework for understanding transmission dynamics of local epidemics. In Quebec, half of PHIs represent clustered transmission events. This study ascertained the cumulative implications of clustering on onward transmission of drug resistance.

methodsHIV-1 pol sequence datasets were available for all genotyped PHI (<6 months postseroconversion; n = 848 subtype B infections, 1997-2007). Phylogenetic analysis established clustered transmission events, based on maximum likelihood topologies having high bootstrap values (>98%) and short genetic distances. The distributions of resistance to nucleoside and nonnucleoside reverse transcriptase inhibitors and protease inhibitors in unique and clustered transmissions were ascertained.

resultsEpisodic clustering was observed in half of recent/early stage infections from 1997-2008. Overall, 29 and 28% of new infections segregated into small (<5 PHI/cluster, n = 242/848) and large transmission chains (> or =5 PHI/cluster, n = 239/848), averaging 2.8 +/- 0.1 and 10.3 +/- 1.0 PHI/cluster, respectively. The transmission of nucleoside analogue mutations and 215 resistant variants (T215C/D/I/F/N/S/Y) declined with clustering (7.9 vs. 3.4 vs. 1.2 and 5.8 vs. 1.7 vs. 1.1% for unique, small, and large clustered transmissions, respectively). In contrast, clustering was associated with the increased transmission of viruses harbouring resistance to nonnucleoside reverse transcriptase inhibitors (6.6 vs. 6.0 vs. 15.5%, respectively).

conclusionClustering in early/PHI stage infection differentially affects transmission of drug resistance to different drug classes. Public health, prevention and diagnostic strategies, targeting PHI, afford a unique opportunity to curb the spread of transmitted drug resistance.

Indexed as

AdultAnti-Retroviral AgentsCluster AnalysisDisease OutbreaksDrug Resistance, ViralFemaleGenotypeHIV-1HIV InfectionsHumansMaleMutation, MissenseQuebecReverse Transcriptase InhibitorsRisk FactorsRNA, ViralAnti-Retroviral AgentsReverse Transcriptase InhibitorsRNA, Viral

Identifiers

PMID19005274
PMCPMC2650396

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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.