Evidence map›Paper›PMID 21990420›Full record

Trial reportThe Journal of infectious diseases2011

Analysis of genetic linkage of HIV from couples enrolled in the HIV Prevention Trials Network 052 trial.

Susan H Eshleman, Sarah E Hudelson, Andrew D Redd, Lei Wang, Rachel Debes, Ying Q Chen, Craig A Martens, Stacy M Ricklefs, Ethan J Selig, Stephen F Porcella and 18 more

Open access · bronzeAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report 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 72 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 3 pooled it
5.6field-weighted citation impact, top 3% 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

72 citing papers in PubMed, 3 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Pooled it
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  7. Human Immunodeficiency Virus (HIV)-1 Transmission Among Persons With Acute HIV-1 Infection in Malawi: Demographic, Behavioral, and Phylogenetic Relationships.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Trial
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  10. Characterization of HIV Seroconverters in a TDF/FTC PrEP Study: HPTN 067/ADAPT.Journal of acquired immune deficiency syndromes (1999) · 2017
    Trial
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  13. Antiretroviral Therapy for the Prevention of HIV-1 Transmission.The New England journal of medicine · 2016
    Trial
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  18. Prevention of HIV-1 infection with early antiretroviral therapy.The New England journal of medicine · 2011
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  19. Article
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12 more citing papers are in PubMed but not listed here.

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

28 authors at 18 institutions in 8 countries.

Susan H EshlemanDepartment of Pathology, Johns Hopkins University, School of Medicine, Baltimore, Maryland 21205, USA. seshlem@jhmi.edu
Sarah E Hudelson
Andrew D Redd
Lei Wang
Rachel Debes
Ying Q Chen
Craig A Martens
Stacy M Ricklefs
Ethan J Selig
Stephen F Porcella
Supriya Munshaw
Stuart C Ray
Estelle Piwowar-Manning
Marybeth McCauley
Mina C Hosseinipour
Johnstone Kumwenda
James G Hakim
Suwat Chariyalertsak
Guy de Bruyn
Beatriz Grinsztejn
Nagalingeswaran Kumarasamy
Joseph Makhema
Kenneth H Mayer
Jose Pilotto
Breno R Santos
Thomas C Quinn
Myron S Cohen
James P Hughes
National Institutes of Health · USJohns Hopkins Medicine · USFred Hutch Cancer Center · USUniversity of Washington · USBotswana Harvard AIDS Institute Partnership · BWChiang Mai University · THFamily Health International 360 · USFenway Health · USFundação Oswaldo Cruz · BRHospital Nossa Senhora da Conceição · BRJohns Hopkins University · USKamuzu Central Hospital · MWUniversidade Iguaçu · BRUniversity of Malawi · MWUniversity of North Carolina at Chapel Hill · USUniversity of the Witwatersrand · ZAUniversity of Zimbabwe · ZWYR Gaitonde Centre for AIDS Research and Education · IN

Funding

Infectious Diseases Research Technologies Core - RMLZICAI001052 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI CHERRY, JAMES · 2009 to 2025
$133.3M
LC: HIV Prevention Trials Network - Laboratory Support for the SARS-CoV-2 Seroprevalence Study (CoVPN 5002)UM1AI068613 · NIAID · JOHNS HOPKINS UNIVERSITY · PI SUSAN H ESHLEMAN, Mark A Marzinke · 2011 to 2026
$100.2M
Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
HIV Prevention trials Network (HPTN) Coordinating and Operations CenterU01AI068619 · NIAID · FAMILY HEALTH INTERNATIONAL · PI VERMUND, STEN H. · 2006 to 2010
$72.7M
Leadership for HIV/AIDS Clinical Trials Networks; HIV Prevention Trials NetworkU01AI068617 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI DONNELL, DEBORAH J · 2006 to 2010
$28.8M
HIV Prevention Trials Network: Network LaboratoryU01AI068613 · NIAID · JOHNS HOPKINS UNIVERSITY · PI ESHLEMAN, SUSAN H · 2006 to 2010
$16.5M
International Studies of the Acquired Immune Deficiency Syndrome (AIDS)ZIAAI000361 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI REDD, ANDREW · 2009 to 2025
$15.8M
STATISTICAL ISSUES IN AIDS RESEARCHR37AI029168 · NIAID · UNIVERSITY OF WASHINGTON · PI JAMES P HUGHES · 1999 to 2026
$9.8M
STATISTICAL ISSUES IN AIDS RESEARCHR01AI029168 · NIAID · UNIVERSITY OF WASHINGTON · PI HUGHES, JAMES P · 1989 to 2018
$5.3M
Mechanisms of Hepatitis C Virus EvolutionR01DA024565 · NIDA · JOHNS HOPKINS UNIVERSITY · PI RAY, STUART C · 2007 to 2011
$2.6M
Intramural NIH HHSNIAID NIH HHS P30 AI050410NIAID NIH HHS R01 AI029168NIAID NIH HHS R37 AI029168NIAID NIH HHS U01 AI068613NIAID NIH HHS U01AI068613NIAID NIH HHS U01 AI068617NIAID NIH HHS U01AI068617NIAID NIH HHS U01 AI068619NIAID NIH HHS U01AI068619NIAID NIH HHS UM1 AI068613NIAID NIH HHS UM1AI068613NIDA NIH HHS R01 DA024565NIDA NIH HHS R01DA024565
6 · The paper itself

Abstract

backgroundThe HIV Prevention Trials Network (HPTN) 052 trial demonstrated that early initiation of antiretroviral therapy (ART) reduces human immunodeficiency virus (HIV) transmission from HIV-infected adults (index participants) to their HIV-uninfected sexual partners. We analyzed HIV from 38 index-partner pairs and 80 unrelated index participants (controls) to assess the linkage of seroconversion events.

methodsLinkage was assessed using phylogenetic analysis of HIV pol sequences and Bayesian analysis of genetic distances between pol sequences from index-partner pairs and controls. Selected samples were also analyzed using next-generation sequencing (env region).

resultsIn 29 of the 38 (76.3%) cases analyzed, the index was the likely source of the partner's HIV infection (linked). In 7 cases (18.4%), the partner was most likely infected from a source other than the index participant (unlinked). In 2 cases (5.3%), linkage status could not be definitively established.

conclusionsNearly one-fifth of the seroconversion events in HPTN 052 were unlinked. The association of early ART and reduced HIV transmission was stronger when the analysis included only linked events. This underscores the importance of assessing the genetic linkage of HIV seroconversion events in HIV prevention studies involving serodiscordant couples.

Indexed as

Genetic LinkageSexual PartnersAdultBayes TheoremFemaleHIV-1HIV SeropositivityHumansMalePhylogenypol Gene Products, Human Immunodeficiency VirusSequence Analysis, DNApol Gene Products, Human Immunodeficiency Virus

Identifiers

PMID21990420
PMCPMC3209811
OpenAlexW2127504354

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.