Evidence map›Paper›PMID 20497048›Full record

ArticleThe Journal of infectious diseases2010

Simian immunodeficiency virus-infected macaques treated with highly active antiretroviral therapy have reduced central nervous system viral replication and inflammation but persistence of viral DNA.

M Christine Zink, Angela K Brice, Kathleen M Kelly, Suzanne E Queen, Lucio Gama, Ming Li, Robert J Adams, Christopher Bartizal, John Varrone, S Alireza Rabi and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

83 citing papers in PubMed, 109 citations in OpenAlex.

  1. Review
  2. SPIONActa neuropathologica communications · 2025
    Article
  3. Article
  4. A Switch from Glial to Neuronal Gene Expression Alterations in the Spinal Cord of SIV-infected Macaques on Antiretroviral Therapy.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2024
    Article
  5. Article
  6. Article
  7. Animal models for studies of HIV-1 brain reservoirs.Journal of leukocyte biology · 2022
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Neurologic Complications of Acute HIV Infection.Current treatment options in infectious diseases · 2020
    Article
  15. Article
  16. Review
  17. Article
  18. A Quantitative Approach to SIV Functional Latency in Brain Macrophages.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2019
    Review
  19. Macrophages but not Astrocytes Harbor HIV DNA in the Brains of HIV-1-Infected Aviremic Individuals on Suppressive Antiretroviral Therapy.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2019
    Article
  20. Editor's Commentary for Special Issue: "The Role of Macrophages in HIV Persistence".Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2019
    Article

23 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

14 authors at 3 institutions in 1 country.

M Christine ZinkDepartment of Molecular and Comparative Pathobiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. mczink@jhmi.edu
Angela K Brice
Kathleen M Kelly
Suzanne E Queen
Lucio Gama
Ming Li
Robert J Adams
Christopher Bartizal
John Varrone
S Alireza Rabi
David R Graham
Patrick M Tarwater
Joseph L Mankowski
Janice E Clements
University of Maryland, Baltimore · USNephrology Center of Maryland · USThe University of Texas at El Paso · US

Funding

Project 4: Intracellular mechanism of virus persistence in astrocytes/macrophagesP01MH070306 · NIMH · JOHNS HOPKINS UNIVERSITY · PI CLEMENTS, JANICE E · 2004 to 2015
$16.0M
Training Veterinarians for Careers in Biomedical ResearchT32RR007002 · NCRR · JOHNS HOPKINS UNIVERSITY · PI ZINK, M CHRISTINE · 1985 to 2011
$4.4M
Minocycline Inhibits Immune Reactivation of CNS SIVR01NS055648 · NINDS · JOHNS HOPKINS UNIVERSITY · PI CLEMENTS, JANICE E · 2007 to 2011
$3.2M
Neuroprotective Effects of Minocycline in Lentiviral InfR01MH069116 · NIMH · JOHNS HOPKINS UNIVERSITY · PI ZINK, M CHRISTINE · 2004 to 2008
$2.9M
NCRR NIH HHS RR007002NCRR NIH HHS RR07002NCRR NIH HHS T32 RR007002NIMH NIH HHS MH069116NIMH NIH HHS MH070306NIMH NIH HHS P01 MH070306NIMH NIH HHS R01 MH069116NINDS NIH HHS NS055648NINDS NIH HHS R01 NS055648
6 · The paper itself

Abstract

backgroundDuring the era of highly active antiretroviral therapy (HAART), the prevalence of HIV-associated central nervous system (CNS) disease has increased despite suppression of plasma viremia.

methodsIn a simian immunodeficiency virus (SIV) model system in which all animals develop AIDS and 90% develop CNS disease by 3 months after inoculation, pigtailed macaques were treated with a regimen of tenofovir disoproxil fumarate, saquinavir, atazanavir, and an integrase inhibitor starting at 12 days after inoculation and were euthanized at approximately 175 days after inoculation.

resultsPlasma and cerebrospinal fluid (CSF) viral loads declined rapidly after the initiation of HAART. Brain viral RNA was undetectable at necropsy, but viral DNA levels were not different from those in untreated SIV-infected macaques. CNS inflammation was significantly reduced, with decreased brain expression of major histocompatibility complex class II and glial fibrillary acidic protein and reduced levels of CSF CCL2 and interleukin 6. Brain from treated macaques had significantly lower levels of interferon beta, type 1 interferon-inducible gene myxovirus (influenza) resistance A, and indolamine 2,3-dioxygenase messenger RNA, suggesting that immune hyperactivation was suppressed, and fewer CD4(+) and CD8(+) T cells, suggesting that trafficking of T cells from peripheral blood was reduced. Brain levels of CD68 protein and tumor necrosis factor alpha and interferon gamma RNA were reduced but were not significantly lower, indicating continued CNS inflammation.

conclusionsThese data, generated in a rigorous, high-viral-load SIV-infected macaque model, showed that HAART provided benefits with respect to CNS viral replication and inflammation but that no change in the level of viral DNA and continued CNS inflammation occurred in some macaques.

Indexed as

Antiretroviral Therapy, Highly ActiveAdaptive ImmunityAnimalsAnti-HIV AgentsBiomarkersCentral Nervous System DiseasesCytokinesDNA, ViralImmunity, InnateInflammationMacaca mulattaSimian Acquired Immunodeficiency SyndromeSimian Immunodeficiency VirusViral LoadVirus ReplicationAnti-HIV AgentsBiomarkersCytokinesDNA, Viral

Identifiers

PMID20497048
PMCPMC2880623
OpenAlexW2014024977

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.