Evidence map›Paper›PMID 19297481›Full record

ArticleJournal of virology2009

CCR5- and CXCR4-tropic subtype C human immunodeficiency virus type 1 isolates have a lower level of pathogenic fitness than other dominant group M subtypes: implications for the epidemic.

Awet Abraha, Immaculate L Nankya, Richard Gibson, Korey Demers, Denis M Tebit, Elizabeth Johnston, David Katzenstein, Asna Siddiqui, Carolina Herrera, Lucia Fischetti and 2 more

Abstract read
In one paragraph

Article in Journal of virology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 1 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

71 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. HIV-1 latency: From acquaintance to confidant.Journal of virus eradication · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
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  10. Article
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  12. Article
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  15. Article
  16. HIV-1Viruses · 2021
    Article
  17. Article
  18. Article
  19. Review
  20. Article

11 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

12 authors.

Awet AbrahaDivision of Infectious Diseases, Department of Medicine, Case Western Reserve University, Cleveland, Ohio 44106, USA.
Immaculate L Nankya
Richard Gibson
Korey Demers
Denis M Tebit
Elizabeth Johnston
David Katzenstein
Asna Siddiqui
Carolina Herrera
Lucia Fischetti
Robin J Shattock
Eric J Arts

Funding

WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Sharon L. Hillier, JONATHAN KARN · 1994 to 2026
$50.0M
Regulatory compliance and human subjects safetyU19AI060614 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HENDRIX, CRAIG WALTER · 2004 to 2009
$19.1M
Impact of HIV-1 Fitness on Disease ProgressionR01AI049170 · NIAID · UNIVERSITY OF WESTERN ONTARIO · PI ARTS, ERIC J · 2002 to 2024
$6.8M
HIV-1 Drug Resistance in Different SubtypesR01AI066922 · NIAID · STANFORD UNIVERSITY · PI KANTOR, RAMI, KATZENSTEIN, DAVID ALLENBERG · 2008 to 2012
$3.6M
Drug Resistance and Pathogenesis in Subtype C HIV-1R01AI060399 · NIAID · STANFORD UNIVERSITY · PI KATZENSTEIN, DAVID ALLENBERG · 2005 to 2008
$1.2M
HIV-1 Fitness and RecombinationR56AI049170 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI ARTS, ERIC J · 2012 to 2012
$400k
Impact of HIV-1 Fitness on Disease ProgressionR21AI049170 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI ARTS, ERIC J · 2001 to 2001
$265k
NIAID NIH HHS AI060399NIAID NIH HHS AI36219NIAID NIH HHS AI49170NIAID NIH HHS P30 AI036219NIAID NIH HHS R01 AI049170NIAID NIH HHS R01 AI060399NIAID NIH HHS R01 AI066922NIAID NIH HHS R21 AI049170NIAID NIH HHS R56 AI049170NIAID NIH HHS U19 AI060614
6 · The paper itself

Abstract

Human immunodeficiency virus type 1 (HIV-1) subtype C is the dominant subtype globally, due largely to the incidence of subtype C infections in sub-Saharan Africa and east Asia. We compared the relative replicative fitness (ex vivo) of the major (M) group of HIV-1 subtypes A, B, C, D, and CRF01_AE and group O isolates. To estimate pathogenic fitness, pairwise competitions were performed between CCR5-tropic (R5) or CXCR4-tropic (X4) virus isolates in peripheral blood mononuclear cells (PBMC). A general fitness order was observed among 33 HIV-1 isolates; subtype B and D HIV-1 isolates were slightly more fit than the subtype A and dramatically more fit than the 12 subtype C isolates. All group M isolates were more fit (ex vivo) than the group O isolates. To estimate ex vivo transmission fitness, a subset of primary HIV-1 isolates were examined in primary human explants from penile, cervical, and rectal tissues. Only R5 isolates and no X4 HIV-1 isolates could replicate in these tissues, whereas the spread to PM1 cells was dependent on active replication and passive virus transfer. In tissue competition experiments, subtype C isolates could compete with and, in some cases, even win over subtype A and D isolates. However, when the migratory cells from infected tissues were mixed with a susceptible cell line, the subtype C isolates were outcompeted by other subtypes, as observed in experiments with PBMC. These findings suggest that subtype C HIV-1 isolates might have equal transmission fitness but reduced pathogenic fitness relative to other group M HIV-1 isolates.

Indexed as

Africa South of the SaharaCells, CulturedCohort StudiesFemaleGenotypeHIV-1HIV InfectionsHumansMalePhenotypePhylogenyReceptors, CCR5Receptors, CXCR4Virus ReplicationReceptors, CCR5Receptors, CXCR4

Identifiers

PMID19297481
PMCPMC2681953

What OpenQuestion holds

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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.