Evidence map›Paper›PMID 22926009›Full record

ArticleThe Journal of infectious diseases2012

Quantifying ongoing HIV-1 exposure in HIV-1-serodiscordant couples to identify individuals with potential host resistance to HIV-1.

Romel D Mackelprang, Jared M Baeten, Deborah Donnell, Connie Celum, Carey Farquhar, Guy de Bruyn, Max Essex, M Juliana McElrath, Edith Nakku-Joloba, Jairam R Lingappa and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03701802 (Immunogenetic Modulators of Mucosal Protection From HIV-1), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.1field-weighted citation impact, top 23% 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.

NCT03701802 completednot on this mapstarted 2018, after this paper: background citation

Immunogenetic Modulators of Mucosal Protection From HIV-1: The Kinga Study

TypeobservationalSponsorUniversity of WashingtonRan2018 to 2020Enrolled812ConditionsHIV Infections, HSV-2 Infection
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 24 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

11 authors at 6 institutions in 5 countries.

Romel D MackelprangDepartment of Global Health, University of Washington, WA, USA. romelm@u.washington.edu
Jared M Baeten
Deborah Donnell
Connie Celum
Carey Farquhar
Guy de Bruyn
Max Essex
M Juliana McElrath
Edith Nakku-Joloba
Jairam R Lingappa
Partners in Prevention HSV/HIV Transmission Study Team
Botswana Harvard AIDS Institute Partnership · BWFred Hutch Cancer Center · USMakerere University · UGPerinatal HIV Research Unit · ZARegional Center for Prevention and Control of AIDS and Infectious Diseases · RUUniversity of Washington · US

Funding

Institute of Translational Health SciencesTL1TR000422 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$2.1M
Host Genetic Factors in the HIV Virus Life-Cycle and HIV Disease ProgressionR21AI073115 · NIAID · UNIVERSITY OF WASHINGTON · PI LINGAPPA, JAIRAM RAO · 2007 to 2008
$426k
NCATS NIH HHS TL1 TR000422NIAID NIH HHS AI073115NIAID NIH HHS R21 AI073115
6 · The paper itself

Abstract

backgroundImmunogenetic correlates of resistance to HIV-1 in HIV-1-exposed seronegative (HESN) individuals with consistently high exposure may inform HIV-1 prevention strategies. We developed a novel approach for quantifying HIV-1 exposure to identify individuals remaining HIV-1 uninfected despite persistent high exposure.

methodsWe used longitudinal predictors of HIV-1 transmission in HIV-1 serodiscordant couples to score HIV-1 exposure and define HESN clusters with persistently high, low, and decreasing risk trajectories. The model was validated in an independent cohort of serodiscordant couples. We describe a statistical tool that can be applied to other HESN cohorts to identify individuals with high exposure to HIV-1.

resultsHIV-1 exposure was best quantified by frequency of unprotected sex with, plasma HIV-1 RNA levels among, and presence of genital ulcer disease among HIV-1-infected partners and by age, pregnancy status, herpes simplex virus 2 serostatus, and male circumcision status among HESN participants. Overall, 14% of HESN individuals persistently had high HIV-1 exposure and exhibited a declining incidence of HIV-1 infection over time.

conclusionsA minority of HESN individuals from HIV-1-discordant couples had persistent high HIV-1 exposure over time. Decreasing incidence of infection in this group suggests these individuals were selected for resistance to HIV-1 and may be most appropriate for identifying biological correlates of natural host resistance to HIV-1 infection.

Indexed as

Disease ResistanceFamily CharacteristicsAdultFemaleHIV-1HIV InfectionsHumansIncidenceMaleModels, StatisticalPregnancy

Identifiers

PMID22926009
PMCPMC3448964
OpenAlexW2121655917

What OpenQuestion holds

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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.