Evidence map›Paper›PMID 21297421›Full record

ArticleAIDS (London, England)2011

Absence of reproducibly detectable low-level HIV viremia in highly exposed seronegative men and women.

Eric Delwart, Flavien Bernardin, Tzong-Hae Lee, Valerie Winkelman, Chenglong Liu, Haynes Sheppard, Albert Liu, Ruth Greenblatt, Katryn Anastos, Jack DeHovitz and 7 more

Abstract read
In one paragraph

Article in AIDS (London, England), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 58% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

17 authors at 10 institutions in 1 country.

Eric DelwartBlood Systems Research Institute, University of California, San Francisco, USA. delwarte@medicine.ucsf.edu
Flavien Bernardin
Tzong-Hae Lee
Valerie Winkelman
Chenglong Liu
Haynes Sheppard
Albert Liu
Ruth Greenblatt
Katryn Anastos
Jack DeHovitz
Marek Nowicki
Mardge Cohen
Elizabeth T Golub
Jason Barbour
Susan Buchbinder
Michael P Busch
NIAID Center for HIV/AIDS Vaccine Immunology (CHAVI)
University of California, San Francisco · USBlood Systems Research Institute · USCalifornia Health and Human Services Agency · USGeorgetown University · USJohns Hopkins University · USMontefiore Medical Center · USRush University · USSan Francisco Department of Public Health · USSouthern California University for Professional Studies · USSUNY Downstate Health Sciences University · US

Funding

Viral Sequencing CoreU19AI067854 · NIAID · DUKE UNIVERSITY · PI GRAY, CLIVE MAURICE · 2006 to 2011
$290.5M
Virus biology scientific research support componentUM1AI100645 · NIAID · DUKE UNIVERSITY · PI SANTRA, SAMPA · 2012 to 2018
$204.7M
WOMEN'S INTERAGENCY HIV STUDY (WIHS) ORGANIZATION AND MANAGEMENTU01AI034994 · NIAID · GEORGETOWN UNIVERSITY · PI KASSAYE, SEBLE G · 1993 to 2018
$52.0M
NIAID NIH HHS U01 AI034994NIAID NIH HHS U19 AI067854NIAID NIH HHS UM1 AI100645
6 · The paper itself

Abstract

objectiveTransient HIV infections have been invoked to account for the cellular immune responses detected in highly virus-exposed individuals who have remained HIV-seronegative. We tested for very low levels of HIV RNA in 524 seronegative plasma samples from 311 highly exposed women and men from three longitudinal HIV cohorts.

designTwo thousand and seventy-three transcription-mediated amplification (TMA) HIV RNA tests were performed for an average of 3.95 TMA assays per plasma sample. Quadruplicate TMA assays, analyzing a total of 2 ml of plasma, provided an estimated sensitivity of 3.5 HIV RNA copies/ml.

resultsFour samples from individuals who did not seroconvert within the following 6 months were positive for HIV RNA. For one sample, human polymorphism DNA analysis indicated a sample mix-up. Borderline HIV RNA detection signals were detected for the other three positive samples but further replicate TMA testing yielded no positive results. Nested PCR assays (n = 254) for HIV proviral DNA in peripheral blood mononuclear cells (PBMCs) from these three individuals were negative.

conclusionTransient viremia was not reproducibly detected in highly HIV-exposed seronegative men and women. If transient infections do occur, plasma HIV RNA levels may remain below the detection limits of the sensitive assay used here, be of very short duration, or viral replication may be restricted to mucosal surfaces or their draining lymphoid tissues.

Indexed as

FemaleHIV-1HIV InfectionsHIV SeronegativityHumansMaleProspective StudiesReproducibility of ResultsViremiaVirus Replication

Identifiers

PMID21297421
PMCPMC3458706
OpenAlexW1963484479

What OpenQuestion holds

Textmetadata
LicenceTDM
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.