Evidence map›Paper›PMID 20591141›Full record

ArticleRetrovirology2010

Comparative determination of HIV-1 co-receptor tropism by Enhanced Sensitivity Trofile, gp120 V3-loop RNA and DNA genotyping.

Mattia C F Prosperi, Laura Bracciale, Massimiliano Fabbiani, Simona Di Giambenedetto, Francesca Razzolini, Genny Meini, Manuela Colafigli, Angela Marzocchetti, Roberto Cauda, Maurizio Zazzi and 1 more

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Retrovirology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed.

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  14. Association between HIV-1 coreceptor usage and resistance to broadly neutralizing antibodies.Journal of acquired immune deficiency syndromes (1999) · 2014
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  20. HIV-1 tropism testing and clinical management of CCR5 antagonists: Quebec review and recommendations.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2013
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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

11 authors.

Mattia C F ProsperiInfectious Diseases Clinic, Catholic University of Sacred Heart, Rome, Italy. ahnven@yahoo.it
Laura Bracciale
Massimiliano Fabbiani
Simona Di Giambenedetto
Francesca Razzolini
Genny Meini
Manuela Colafigli
Angela Marzocchetti
Roberto Cauda
Maurizio Zazzi
Andrea De Luca

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrofile is the prospectively validated HIV-1 tropism assay. Its use is limited by high costs, long turn-around time, and inability to test patients with very low or undetectable viremia. We aimed at assessing the efficiency of population genotypic assays based on gp120 V3-loop sequencing for the determination of tropism in plasma viral RNA and in whole-blood viral DNA. Contemporary and follow-up plasma and whole-blood samples from patients undergoing tropism testing via the enhanced sensitivity Trofile (ESTA) were collected. Clinical and clonal geno2pheno[coreceptor] (G2P) models at 10% and at optimised 5.7% false positive rate cutoff were evaluated using viral DNA and RNA samples, compared against each other and ESTA, using Cohen's kappa, phylogenetic analysis, and area under the receiver operating characteristic (AUROC).

resultsBoth clinical and clonal G2P (with different false positive rates) showed good performances in predicting the ESTA outcome (for V3 RNA-based clinical G2P at 10% false positive rate AUROC = 0.83, sensitivity = 90%, specificity = 75%). The rate of agreement between DNA- and RNA-based clinical G2P was fair (kappa = 0.74, p < 0.0001), and DNA-based clinical G2P accurately predicted the plasma ESTA (AUROC = 0.86). Significant differences in the viral populations were detected when comparing inter/intra patient diversity of viral DNA with RNA sequences.

conclusionsPlasma HIV RNA or whole-blood HIV DNA V3-loop sequencing interpreted with clinical G2P is cheap and can be a good surrogate for ESTA. Although there may be differences among viral RNA and DNA populations in the same host, DNA-based G2P may be used as an indication of viral tropism in patients with undetectable plasma viremia.

Indexed as

Viral TropismAdultDNA, ViralFemaleGenotypeHIV-1HIV Envelope Protein gp120HumansMaleMiddle AgedProvirusesReceptors, HIVRNA, ViralSensitivity and SpecificityVirologyVirus AttachmentDNA, Viralgp120 protein, Human immunodeficiency virus 1HIV Envelope Protein gp120Receptors, HIVRNA, Viral

Identifiers

PMID20591141
PMCPMC2907304

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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.