Evidence map›Paper›PMID 21289112›Full record

ArticleJournal of virology2011

Influence of Gag-protease-mediated replication capacity on disease progression in individuals recently infected with HIV-1 subtype C.

Jaclyn K Wright, Vladimir Novitsky, Mark A Brockman, Zabrina L Brumme, Chanson J Brumme, Jonathan M Carlson, David Heckerman, Bingxia Wang, Elena Losina, Mopo Leshwedi and 8 more

Open access · greenAbstract read
In one paragraph

Article in Journal of virology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 12% 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

48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. A Review of Network Models for HIV Spread.Journal of acquired immune deficiency syndromes (1999) · 2025
    Pooled it
  3. Trial
  4. Article
  5. Article
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  7. Article
  8. Article
  9. Article
  10. Genome-wide association study reveals genetic variants associated with HIV-1C infection in a Botswana study population.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  11. Article
  12. HIV-1Viruses · 2021
    Article
  13. Article
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  16. Review
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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

18 authors at 7 institutions in 5 countries.

Jaclyn K WrightHIV Pathogenesis Programme, University of KwaZulu-Natal, 719 Umbilo Road, Durban, 4013, South Africa.
Vladimir Novitsky
Mark A Brockman
Zabrina L Brumme
Chanson J Brumme
Jonathan M Carlson
David Heckerman
Bingxia Wang
Elena Losina
Mopo Leshwedi
Mary van der Stok
Lungile Maphumulo
Nompumelelo Mkhwanazi
Fundisiwe Chonco
Philip J R Goulder
Max Essex
Bruce D Walker
Thumbi Ndung'u
University of KwaZulu-Natal · ZAAIDS Vancouver · CABotswana Harvard AIDS Institute Partnership · BWMassachusetts General Hospital · USMicrosoft (United States) · USMassachusetts Institute of Technology · USSimon Fraser University · CA

Funding

Optimizing CD8+ T-cell responses against C clade HIV infection in subSaharan AfriR01AI046995 · NIAID · UNIVERSITY OF OXFORD · PI GOULDER, PHILIP J · 2000 to 2014
$6.8M
Pathogenesis of Clade C HIV InfectionR37AI067073 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI WALKER, BRUCE D · 2011 to 2020
$6.6M
Pathogenesis of Clade C HIV InfectionR01AI067073 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI WALKER, BRUCE D · 2006 to 2010
$2.9M
Markers of Viral Set Point in Primary HIV-1C InfectionR01AI057027 · NIAID · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI NOVITSKY, VLADIMIR A · 2005 to 2009
$2.2M
CIHRNIAID NIH HHS R01 AI046995NIAID NIH HHS R01 AI057027NIAID NIH HHS R01-AI057027NIAID NIH HHS R01 AI067073NIAID NIH HHS R01-AI067073NIAID NIH HHS R37 AI067073
6 · The paper itself

Abstract

HLA class I-mediated selection of immune escape mutations in functionally important Gag epitopes may partly explain slower disease progression in HIV-1-infected individuals with protective HLA alleles. To investigate the impact of Gag function on disease progression, the replication capacities of viruses encoding Gag-protease from 60 individuals in early HIV-1 subtype C infection were assayed in an HIV-1-inducible green fluorescent protein reporter cell line and were correlated with subsequent disease progression. Replication capacities did not correlate with viral load set points (P = 0.37) but were significantly lower in individuals with below-median viral load set points (P = 0.03), and there was a trend of correlation between lower replication capacities and lower rates of CD4 decline (P = 0.09). Overall, the proportion of host HLA-specific Gag polymorphisms in or adjacent to epitopes was negatively associated with replication capacities (P = 0.04), but host HLA-B-specific polymorphisms were associated with higher viral load set points (P = 0.01). Further, polymorphisms associated with host-specific protective HLA alleles were linked with higher viral load set points (P = 0.03). These data suggest that transmission or early HLA-driven selection of Gag polymorphisms results in reduced early cytotoxic T-lymphocyte (CTL) responses and higher viral load set points. In support of the former, 46% of individuals with nonprotective alleles harbored a Gag polymorphism exclusively associated with a protective HLA allele, indicating a high rate of their transmission in sub-Saharan Africa. Overall, HIV disease progression is likely to be affected by the ability to mount effective Gag CTL responses as well as the replication capacity of the transmitted virus.

Indexed as

Virus ReplicationAdultDisease ProgressionFemalegag Gene Products, Human Immunodeficiency VirusHIV-1HIV InfectionsHIV ProteaseHumansMaleMolecular Sequence DataPolymorphism, GeneticRNA, ViralSequence Analysis, DNAViral LoadVirulencegag Gene Products, Human Immunodeficiency VirusHIV ProteaseRNA, Viral

Identifiers

PMID21289112
PMCPMC3126116
OpenAlexW2140193569

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.