Evidence map›Paper›PMID 23089590›Full record

ArticleThe Journal of infectious diseases2013

Cell-based measures of viral persistence are associated with immune activation and programmed cell death protein 1 (PD-1)-expressing CD4+ T cells.

Hiroyu Hatano, Vivek Jain, Peter W Hunt, Tzong-Hae Lee, Elizabeth Sinclair, Tri D Do, Rebecca Hoh, Jeffrey N Martin, Joseph M McCune, Frederick Hecht and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 182 papers.

0numbers the graph read from it
0cells of the map it votes in
182citing papers in PubMed
7.5field-weighted citation impact, top 2% 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

182 citing papers in PubMed, 255 citations in OpenAlex.

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  17. IL-27 effects on HIVFrontiers in virology (Lausanne, Switzerland) · 2025
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122 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

12 authors at 5 institutions in 3 countries.

Hiroyu HatanoDepartment of Medicine, San Francisco General Hospital, 995 Potrero Ave, San Francisco, CA 94110, USA. hhatano@php.ucsf.edu
Vivek Jain
Peter W Hunt
Tzong-Hae Lee
Elizabeth Sinclair
Tri D Do
Rebecca Hoh
Jeffrey N Martin
Joseph M McCune
Frederick Hecht
Michael P Busch
Steven G Deeks
Blood Systems Research Institute · USCancer Research And Biostatistics · USRoche (Switzerland) · CHSan Francisco General Hospital · USSystems Research Institute · PL

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
Unsolicited R24 for the CFAR-Network of Integrated Clinical Sciences, CNICSR24AI067039 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Michael S. Saag · 2006 to 2026
$99.4M
Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Sheri Ann Lippman · 2001 to 2026
$57.4M
Viral reservoirs and sanctuaries in HAART - treated patients: role and mechanismsU19AI096109 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SEKALY, RAFICK PIERRE · 2011 to 2015
$29.5M
NIH Director's Pioneer Award (RMI)DP1OD000329 · OD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MCCUNE, JOSEPH M · 2004 to 2008
$4.2M
The impact of early antiretroviral therapy on HIV persistence and inflammationR01AI087145 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DEEKS, STEVEN GRANT · 2009 to 2010
$1.6M
Preventing the Establishment of Enfuvirtide-resistance in the Latent ReservoirK24AI069994 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DEEKS, STEVEN GRANT · 2007 to 2016
$1.5M
Virologic and host factors contributing to HIV control in elite controllersK23AI075985 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HATANO, HIROYU · 2007 to 2011
$626k
NCRR NIH HHS UL1 RR024131NIAID NIH HHS K23 AI075985NIAID NIH HHS K24 AI069994NIAID NIH HHS P30 AI027763NIAID NIH HHS R01 AI087145NIAID NIH HHS R24 AI067039NIAID NIH HHS U19 AI096109NIAID NIH HHS U19 AI0961090NIH HHS DP1 OD000329NIH HHS DPI OD00329NIMH NIH HHS P30 MH062246NIMH NIH HHS P30 MH62246
6 · The paper itself

Abstract

backgroundStudies aimed at defining the association between host immune responses and human immunodeficiency virus (HIV) persistence during therapy are necessary to develop new strategies for cure.

methodsWe performed a comprehensive assessment of ultrasensitive plasma HIV RNA levels, cell-associated HIV RNA levels, proviral HIV DNA levels, and T cell immunophenotyping in a cohort of 190 subjects in whom HIV levels were suppressed by highly active antiretroviral therapy.

resultsThe median CD4(+) T cell count was 523 cells/mm(3), and the median duration of viral suppression was 31 months. Cell-associated RNA and proviral DNA levels (but not ultrasensitive plasma HIV RNA levels) were positively correlated with frequencies of CD4(+) and CD8(+) T cells expressing markers of T-cell activation/dysfunction (CD38, HLA-DR, CCR5, and/or programmed cell death protein 1 [PD-1]) (P < .05). Having a low CD4(+) T-cell count despite receipt of virologically suppressive therapy was associated with high cell-associated RNA and proviral DNA levels (P < .01) and higher frequencies of CD4(+) T cells expressing CD38, HLA-DR, CCR5, and/or PD-1 (P < .0001).

conclusionsCell-based measurements of viral persistence were consistently associated with markers of immune activation and the frequency of PD-1-expressing CD4(+) T cells. Treated patients with a low CD4(+) T-cell count had higher frequencies of PD-1-expressing CD4(+) T cells and cell-based measures of viral persistence, suggesting that HIV infection in these individuals may be more difficult to cure and may require unique interventions.

Indexed as

Antiretroviral Therapy, Highly ActiveAdultCD4 Lymphocyte CountCD4-Positive T-LymphocytesDNA, ViralFemaleHIVHIV InfectionsHumansImmunity, CellularLymphocyte ActivationMaleMiddle AgedProgrammed Cell Death 1 ReceptorProvirusesRNA, ViralDNA, ViralPDCD1 protein, humanProgrammed Cell Death 1 ReceptorRNA, Viral2-LTR circlesD-dimerHIVongoing viral replicationraltegravir intensification

Identifiers

PMID23089590
PMCPMC3666131
OpenAlexW2110558548

What OpenQuestion holds

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Registered trials

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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.