Evidence map›Paper›PMID 21345945›Full record

ArticleJournal of virology2011

The gut mucosal viral reservoir in HIV-infected patients is not the major source of rebound plasma viremia following interruption of highly active antiretroviral therapy.

Paula Lerner, Moraima Guadalupe, Richard Donovan, Jason Hung, Jason Flamm, Thomas Prindiville, Sumathi Sankaran-Walters, Michael Syvanen, Joseph K Wong, Michael D George and 1 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 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

49 citing papers in PubMed, 76 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Delivering CRISPR to the HIV-1 reservoirs.Frontiers in microbiology · 2024
    Review
  5. Article
  6. Article
  7. Gene Expression: the Key to Understanding HIV-1 Infection?Microbiology and molecular biology reviews : MMBR · 2020
    Review
  8. Review
  9. Article
  10. Article
  11. Observational
  12. Long Noncoding RNACells · 2019
    Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. HIV latency is reversed by ACSS2-driven histone crotonylation.The Journal of clinical investigation · 2018
    Article
  20. Review
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 at 4 institutions in 1 country.

Paula LernerDept. of Medical Microbiology and Immunology, GBSF, Room 5511, University of California, Davis, California 95616, USA.
Moraima Guadalupe
Richard Donovan
Jason Hung
Jason Flamm
Thomas Prindiville
Sumathi Sankaran-Walters
Michael Syvanen
Joseph K Wong
Michael D George
Satya Dandekar
University of California, Davis · USCalifornia Health and Human Services Agency · USKaiser Permanente Sacramento Medical Center · USUniversity of California, San Francisco · US

Funding

Building Interdisciplinary Research Careers in Womens Health at UC Davis - Administrative SupplementK12HD051958 · NICHD · UNIVERSITY OF CALIFORNIA DAVIS · PI LANE, NANCY E · 2005 to 2023
$9.6M
INTESTINAL CYTOKINE &TCELL HOMEOSTASIS IN SIV INFECTIONR01AI043274 · NIAID · UNIVERSITY OF CALIFORNIA DAVIS · PI DANDEKAR, SATYA · 1998 to 2013
$5.1M
HIV reservoir and CD4 repopulation in gut lymphoid tissueR01DK061297 · NIDDK · UNIVERSITY OF CALIFORNIA DAVIS · PI DANDEKAR, SATYA · 2002 to 2012
$3.5M
NIAID NIH HHS AI43274NIAID NIH HHS R01 AI043274NICHD NIH HHS K12 HD051958NIDDK NIH HHS DK61297NIDDK NIH HHS R01 DK061297
6 · The paper itself

Abstract

Interruption of suppressive highly active antiretroviral therapy (HAART) in HIV-infected patients leads to increased HIV replication and viral rebound in peripheral blood. Effects of therapy interruption on gut-associated lymphoid tissue (GALT) have not been well investigated. We evaluated longitudinal changes in viral replication and emergence of viral variants in the context of T cell homeostasis and gene expression in GALT of three HIV-positive patients who initiated HAART during primary HIV infection but opted to interrupt therapy thereafter. Longitudinal viral sequence analysis revealed that a stable proviral reservoir was established in GALT during primary HIV infection that persisted through early HAART and post-therapy interruption. Proviral variants in GALT and peripheral blood mononuclear cells (PBMCs) displayed low levels of genomic diversity at all times. A rapid increase in viral loads with a modest decline of CD4(+) T cells in peripheral blood was observed, while gut mucosal CD4(+) T cell loss was severe following HAART interruption. This was accompanied by increased mucosal gene expression regulating interferon (IFN)-mediated antiviral responses and immune activation, a profile similar to those found in HAART-naive HIV-infected patients. Sequence analysis of rebound virus suggested that GALT was not the major contributor to the postinterruption plasma viremia nor were GALT HIV reservoirs rapidly replaced by HIV rebound variants. Our data suggest an early establishment and persistence of viral reservoirs in GALT with minimal diversity. Early detection of and therapy for HIV infection may be beneficial in controlling viral evolution and limiting establishment of diverse viral reservoirs in the mucosal compartment.

Indexed as

Antiretroviral Therapy, Highly ActiveAdultAnti-HIV AgentsCluster AnalysisHIVHIV InfectionsHumansIntestinal MucosaLeukocytes, MononuclearMalePhylogenyPlasmaPolymorphism, GeneticProvirusesViremiaWithholding TreatmentAnti-HIV Agents

Identifiers

PMID21345945
PMCPMC3126205
OpenAlexW2057237578

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.