Evidence map›Paper›PMID 21613398›Full record

ArticleJournal of virology2011

Virological and immunological factors associated with HIV-1 differential disease progression in HLA-B 58:01-positive individuals.

D R Chopera, M Mlotshwa, Z Woodman, K Mlisana, D de Assis Rosa, D P Martin, S Abdool Karim, C M Gray, C Williamson, CAPRISA 002 Study Team

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 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

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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

10 authors at 2 institutions in 1 country.

D R ChoperaInstitute of Infectious Diseases and Molecular Medicine, Division of Medical Virology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
M Mlotshwa
Z Woodman
K Mlisana
D de Assis Rosa
D P Martin
S Abdool Karim
C M Gray
C Williamson
CAPRISA 002 Study Team
University of Cape Town · ZANational Institute for Communicable Diseases

Funding

TUBERCULOSIS SUPPLEMENTD43TW000231 · FIC · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI ABDOOL KARIM, QUARRAISHA · 1993 to 2014
$13.1M
THE ROLE OF CTL ESCAPE MUTATIONS IN ATTENUATING HIV-1 SUBTYPE C INFECTIONR01AI078936 · NIAID · UNIVERSITY OF CAPE TOWN · PI WILLIAMSON, CAROLYN · 2008 to 2011
$322k
FIC NIH HHS 5-D43-TW00231FIC NIH HHS D43 TW000231NIAID NIH HHS 1R01AI078936NIAID NIH HHS R01 AI078936PHS HHS U19 A151794
6 · The paper itself

Abstract

Molecular epidemiology studies have identified HLA-B 58:01 as a protective HIV allele. However, not all B 58:01-expressing persons exhibit slow HIV disease progression. We followed six HLA-B 58:01-positive, HIV subtype C-infected individuals for up to 31 months from the onset of infection and observed substantial variability in their clinical progression despite comparable total breadths of T cell responses. We therefore investigated additional immunological and virological factors that could explain their different disease trajectories. Cytotoxic T-lymphocyte (CTL) responses during acute infection predominantly targeted the TW10 and KF9 epitopes in p24(Gag) and Nef, respectively. Failure to target the TW10 epitope in one B 58:01-positive individual was associated with low CD4(+) counts and rapid disease progression. Among those targeting TW10, escape mutations arose within 2 to 15 weeks of infection. Rapid escape was associated with preexisting compensatory mutations in the transmitted viruses, which were present at a high frequency (69%) in the study population. At 1 year postinfection, B 58:01-positive individuals who targeted and developed escape mutations in the TW10 epitope (n = 5) retained significantly higher CD4(+) counts (P = 0.04), but not lower viral loads, than non-B 58:01-positive individuals (n = 17). The high population-level frequency of these compensatory mutations may be limiting the protective effect of the B 58:01 allele.

Indexed as

Amino Acid SequenceBase SequenceCD4 Lymphocyte CountDisease ProgressionDNA PrimersEnzyme-Linked Immunosorbent AssayHIV-1HIV InfectionsHLA-B AntigensHumansMolecular EpidemiologyMolecular Sequence DataMutationReverse Transcriptase Polymerase Chain ReactionSequence Homology, Amino AcidT-Lymphocytes, CytotoxicDNA PrimersHLA-B Antigens

Identifiers

PMID21613398
PMCPMC3126593
OpenAlexW2168452803

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.