Evidence map›Paper›PMID 20683195›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2010

The role of transplacental microtransfusions of maternal lymphocytes in in utero HIV transmission.

Tzong-Hae Lee, Daniel M Chafets, Robert J Biggar, Joseph M McCune, Michael P Busch

Open access · greenAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Immunology of pediatric HIV infection.Immunological reviews · 2013
    Review
  9. Article
  10. 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

5 authors at 4 institutions in 3 countries.

Tzong-Hae LeeBlood Systems Research Institute, San Francisco, CA, USA.
Daniel M Chafets
Robert J Biggar
Joseph M McCune
Michael P Busch
Blood Systems Research Institute · USDivision of Cancer Epidemiology and GeneticsSystems Research Institute · PLUniversity of California, San Francisco · US

Funding

Mechanisms and clinical effects of microchimerism in transfused trauma patientsR01HL083388 · NHLBI · VITALANT · PI BUSCH, MICHAEL PAUL · 2006 to 2010
$5.7M
HIV EFFECTS ON THE CENTRAL HEMATOLYMPHOID SYSTEMR37AI040312 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MCCUNE, JOSEPH M · 2000 to 2010
$5.0M
NIH Director's Pioneer Award (RMI)DP1OD000329 · OD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MCCUNE, JOSEPH M · 2004 to 2008
$4.2M
NHLBI NIH HHS R01 HL083388NHLBI NIH HHS R01-HL-083388NIAID NIH HHS R37 AI040312NIAID NIH HHS R37 AI40312NIH HHS DP1 OD000329
6 · The paper itself

Abstract

backgroundThe mechanisms of HIV transmission from mothers to infants are poorly understood. A possible mechanism of in utero transmission is transplacental transfer of HIV-infected maternal leukocytes into the fetal circulation during pregnancy.

objectiveTo determine if the frequency of in utero HIV infection correlates with presence or levels of maternal cells (MCs) in placenta-derived cord blood.

methodsDNA was extracted from dried cord blood spots (DBS) from newborns born to HIV+ mothers and corresponding maternal DBS specimens. Paired mother-infant samples were probed to identify unique maternal sequences targeted by 24 allele-specific real-time polymerase chain reaction assays. Infant DBS-derived DNA was then probed in replicate analyses for noninherited maternal allelic sequences. Rates of detection and levels of MCs in DBS samples of HIV(+) and HIV(-) newborns were compared.

resultsOf 114 mother-infant pairs with informative alleles, 38 newborns were HIV(+) and 76 HIV(-), based on detection of HIV DNA/RNA at birth. MC were detected in 23 of 38 HIV(+) newborns (60.5%) and in 47 of 76 HIV(-) newborns (61.8%). The mean and median concentrations of nucleated MCs in DBS for the HIV(+)/MC(+) newborns (n = 23) were 0.33% and 0.27%, respectively, compared with 0.09% and 0.10% for the HIV(-)/MC(+) newborns (n = 47) (2-sample T test for means: P = 0.78).

conclusionsThere was no significant difference in rates of detection or concentrations of MC in DBS between HIV(+) and HIV(-) newborns. Therefore, we could not demonstrate a correlation between MC in DBS, assumed to reflect levels of in utero maternal-fetal cell trafficking, and the risk of in utero HIV transmission.

Indexed as

Infectious Disease Transmission, VerticalFemaleFetal BloodHIV InfectionsHumansInfant, NewbornInfant, Newborn, DiseasesLymphocytesMaternal-Fetal ExchangePlacentaPregnancyPregnancy Complications, InfectiousReverse Transcriptase Polymerase Chain Reaction

Identifiers

PMID20683195
PMCPMC3509795
OpenAlexW2063255034

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.