Evidence map›Paper›PMID 21297424›Full record

ArticleAIDS (London, England)2011

Global trends in molecular epidemiology of HIV-1 during 2000-2007.

Joris Hemelaar, Eleanor Gouws, Peter D Ghys, Saladin Osmanov, WHO-UNAIDS Network for HIV Isolation and Characterisation

Registry-linked trialAbstract 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. It is linked to trial NCT04453436 (HIV Drug Resistance Profiles Among Individuals Failing Tenofovir/Lamivudine and Dolutegravir First Line Regimen in Brazil), which is not on this map. Cited by 362 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
362citing papers in PubMed, 2 pooled it
–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.

NCT04453436 active not recruitingnot on this mapstarted 2023, after this paper: background citation

HIV Drug Resistance Profiles Among Individuals Failing Tenofovir/Lamivudine and Dolutegravir First Line Regimen in Brazil

Typeobservational_patient_registrySponsorFederal University of São PauloRan2023 to 2026Enrolled2,500ConditionsHIV, Drug, ResistanceArmsTenofovir Disoproxil
3 · Its place in the literature

Who cites it

362 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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302 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Joris HemelaarNuffield Department of Obstetrics and Gynaecology, University of Oxford, John Radcliffe Hospital, UK. joris.hemelaar@trinity.oxon.org
Eleanor Gouws
Peter D Ghys
Saladin Osmanov
WHO-UNAIDS Network for HIV Isolation and Characterisation

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Kenneth Sherr · 1988 to 2026
$104.9M
Reconstructing HIV Epidemics from HIV PhylogeneticsR01AI087520 · NIAID · TRIAD NATIONAL SECURITY, LLC · PI Thomas K. Leitner · 2010 to 2026
$11.2M
MUCOSAL IMMUNITY AND PROTECTIONP01AI026503 · NIAID · UNIVERSITY OF WASHINGTON · PI HU, SHIU-LOK · 1998 to 2002
$7.6M
Occurrence and Outcome of Dual HIV-1 InfectionR37AI047734 · NIAID · UNIVERSITY OF WASHINGTON · PI MULLINS, JAMES IVAN · 2005 to 2014
$5.9M
Medical Research Council MC_U950097144NIAID NIH HHS P01 AI026503NIAID NIH HHS P30 AI027757NIAID NIH HHS R01 AI087520NIAID NIH HHS R37 AI047734
6 · The paper itself

Abstract

objectiveTo estimate the global and regional distribution of HIV-1 subtypes and recombinants between 2000 and 2007.

designCountry-specific HIV-1 molecular epidemiology data were combined with estimates of the number of HIV-infected people in each country.

methodsCross-sectional HIV-1 subtyping data were collected from 65 913 samples in 109 countries between 2000 and 2007. The distribution of HIV-1 subtypes in individual countries was weighted according to the number of HIV-infected people in each country to generate estimates of regional and global HIV-1 subtype distribution for the periods 2000-2003 and 2004-2007.

resultsAnalysis of the global distribution of HIV-1 subtypes and recombinants in the two periods indicated a broadly stable distribution of HIV-1 subtypes worldwide with a notable increase in the proportion of circulating recombinant forms (CRFs), a decrease in unique recombinant forms (URFs) and an overall increase in recombinants. In 2004-2007, subtype C accounted for nearly half (48%) of all global infections, followed by subtypes A (12%) and B (11%), CRF02_AG (8%), CRF01_AE (5%), subtype G (5%) and D (2%). Subtypes F, H, J and K together cause fewer than 1% of infections worldwide. Other CRFs and URFs are each responsible for 4% of global infections, bringing the combined total of worldwide CRFs to 16% and all recombinants (CRFs along with URFs) to 20%.

conclusionThe global and regional distributions of individual subtypes and recombinants are broadly stable, although CRFs may play an increasing role in the HIV pandemic. The global diversity of HIV-1 poses a formidable challenge to HIV vaccine development.

Indexed as

Cross-Sectional StudiesFemaleGenetic VariationGlobal HealthHIV-1HIV InfectionsHumansMaleMolecular EpidemiologyRecombination, GeneticSerotyping

Identifiers

PMID21297424
PMCPMC3755761

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Registered trials

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.