Evidence map›Paper›PMID 19165438›Full record

ArticleJournal of mathematical biology2009

Can the viral reservoir of latently infected CD4(+) T cells be eradicated with antiretroviral HIV drugs?

Robert J Smith, B D Aggarwala

Abstract read
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Article in Journal of mathematical biology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. A Model for SARS-CoV-2 Infection with Treatment.Computational and mathematical methods in medicine · 2020
    Article
  3. Review
  4. Review
  5. Razumikhin-Type Stability Criteria for Differential Equations with Delayed Impulses.Electronic journal of qualitative theory of differential equations · 2013
    Article
  6. 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

2 authors.

Robert J SmithDepartment of Mathematics and Faculty of Medicine, The University of Ottawa, ON, Canada. rsmith43@uottawa.ca
B D Aggarwala

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The majority of cells infected with the human immunodeficiency virus are activated CD4(+) T cells, which can be treated with antiretoviral drugs. However, an obstacle to eradication is the presence of viral reservoirs, such as latently infected CD4(+) T cells. Such cells may be less susceptible to antiretroviral drugs and may persist at low levels during treatment. We introduce a model of impulsive differential equations that describe T cell and drug interactions. We make the extreme assumption that latently infected cells are unaffected by drugs, in order to answer the research question: Can the viral reservoir of latently infected cells be eradicated using current antiretroviral therapy? We analyse the model in both the presence and absence of drugs, showing that, if the frequency of drug taking is sufficiently high, then the number of uninfected CD4(+) T cells approaches the number of T cells in the uninfected immune system. In particular, this implies that the latent reservoir will be eliminated. It follows that, with sufficient application of drugs, latently infected cells cannot sustain a viral reservoir on their own. We illustrate the results with numerical simulations.

Indexed as

Models, BiologicalVirus LatencyAlgorithmsAnti-HIV AgentsCD4-Positive T-LymphocytesCell CountComputer SimulationHIVHIV InfectionsHIV Protease InhibitorsHumansReverse Transcriptase InhibitorsViral LoadAnti-HIV AgentsHIV Protease InhibitorsReverse Transcriptase Inhibitors

Identifiers

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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.