Evidence map›Paper›PMID 21984736›Full record

ArticleThe Journal of infectious diseases2011

Breast milk HIV-1 RNA levels and female sex are associated with HIV-1-specific CD8+ T-cell responses in HIV-1-exposed, uninfected infants in Kenya.

Carey Farquhar, Barbara Lohman-Payne, Julie Overbaugh, Barbra A Richardson, Jennifer Mabuka, Rose Bosire, Dorothy Mbori-Ngacha, Grace John-Stewart

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 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
0.2field-weighted citation impact, top 49% 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, 5 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

8 authors at 3 institutions in 2 countries.

Carey FarquharDepartment of Medicine, University of Washington, Seattle 98104-2499, USA. cfarq@u.washington.edu
Barbara Lohman-Payne
Julie Overbaugh
Barbra A Richardson
Jennifer Mabuka
Rose Bosire
Dorothy Mbori-Ngacha
Grace John-Stewart
University of Nairobi · KEUniversity of Washington · USKenya Medical Research Institute · KE

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Kenneth Sherr · 1988 to 2026
$104.9M
INTERNATIONAL TRAINING GRANT IN EPIDEMIOLOGYD43TW000007 · FIC · UNIVERSITY OF WASHINGTON · PI FARQUHAR, CAREY · 1988 to 2012
$16.3M
Urgent Versus Post-Stabilization ART in HIV+ Children with Severe Co-infectionsR01HD023412 · NICHD · UNIVERSITY OF WASHINGTON · PI Grace C. John-Stewart, DALTON CHEKOKO WAMALWA · 1987 to 2026
$12.2M
HIV-1 and Protective Immunity against Common Childhood PathogensK24AI087399 · NIAID · UNIVERSITY OF WASHINGTON · PI FARQUHAR, CAREY · 2010 to 2014
$647k
Protective Immune Responses in HIV-1 Exposed InfantsK23HD041879 · NICHD · UNIVERSITY OF WASHINGTON · PI FARQUHAR, CAREY · 2002 to 2006
$628k
CTL responses in HIV-1 infected infantsK01TW006080 · FIC · UNIVERSITY OF WASHINGTON · PI PAYNE, BARBARA LOUISE · 2002 to 2005
$495k
FIC NIH HHS D43 TW000007FIC NIH HHS D43 TW00007FIC NIH HHS K01 TW006080FIC NIH HHS K01 TW06080NIAID NIH HHS K24 AI087399NIAID NIH HHS P30 AI027757NICHD NIH HHS HD23412NICHD NIH HHS K23 HD041879NICHD NIH HHS K23 HD41879NICHD NIH HHS R01 HD023412
6 · The paper itself

Abstract

backgroundAlthough evidence supports a relationship between human immunodeficiency virus (HIV)-1 exposure and HIV-1-specific CD8(+) T cell responses, studies have not demonstrated a direct association between the quantity of HIV-1 to which a person is exposed and the presence or absence of a response.

methodsFrom 1999 to 2005, maternal HIV-1 RNA levels were measured in blood, cervical secretions, and breast milk at delivery and 1 month after delivery. HIV-1-specific interferon (IFN)-γ Elispot assays were conducted to determine infant CD8(+) T-cell responses at 3 months of age.

resultsAmong 161 infants tested with Elispot assays, 23 (14%) had positive results. Mothers whose infants had a positive assay had higher breast milk HIV-1 RNA levels at month 1 compared with mothers whose infants had negative Elispot assays (3.1 vs 2.5 log(10) copies/mL; P = .017). Female infants were also more likely to have positive Elispot assays than male infants (P = .046), and in multivariate analyses, both female sex and high breast milk HIV-1 levels remained important predictors of a positive response (P = .022 and P = .015, respectively).

conclusionsExposure to breast milk HIV-1 and sex were associated with development of HIV-1-specific CD8(+) T-cell responses in infants. These data support a role for mucosal exposure via the oral route in induction of systemic HIV-1-specific cellular immunity.

Indexed as

Infectious Disease Transmission, VerticalAdultBreast FeedingCD8-Positive T-LymphocytesEnzyme-Linked Immunospot AssayFemaleHIV-1HIV InfectionsHumansInfantInfant, NewbornInterferon-gammaKenyaLogistic ModelsLongitudinal StudiesMaleInterferon-gammaRNA, Viral

Identifiers

PMID21984736
PMCPMC3203234
OpenAlexW2144407264

What OpenQuestion holds

Textmetadata
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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.