Evidence map›Paper›PMID 23314410›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2013

Antiretroviral therapy initiated during acute HIV infection fails to prevent persistent T-cell activation.

Michael J Vinikoor, Anna Cope, Cynthia L Gay, Guido Ferrari, Kara S McGee, Joann D Kuruc, Jeffrey L Lennox, David M Margolis, Charles B Hicks, Joseph J Eron

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02384395 (IGHID 11417 - The Safety and Efficacy of Fixed Dose Combination Dolutegravir/Abacavir/Lamivudine FDC Initiated During Acute HIV Infection), which is not on this map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
3.1field-weighted citation impact, top 8% 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.

NCT02384395 nacompletednot on this mapstarted 2015, after this paper: background citation

IGHID 11417 - The Safety and Efficacy of Fixed Dose Combination Dolutegravir/Abacavir/Lamivudine FDC Initiated During Acute HIV Infection: Impact on the Latent HIV Reservoir and Long-Term Immunologic Effect

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2015 to 2021Enrolled40ConditionsHIV, Acute HIV InfectionArmsDolutegravir 50 mg, Lamivudine 300 mg, Abacavir 600 mg
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 60 citations in OpenAlex.

  1. Trial
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  8. Observational
  9. Review
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  13. Observational
  14. Review
  15. Harnessing CD8Frontiers in immunology · 2019
    Review
  16. Article
  17. Acute HIV Infection and CD4/CD8 Ratio Normalization After Antiretroviral Therapy Initiation.Journal of acquired immune deficiency syndromes (1999) · 2018
    Article
  18. Peering into the HIV reservoir.Reviews in medical virology · 2018
    Review
  19. Review
  20. Elevated Level of CD4Frontiers in immunology · 2018
    Article
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 4 institutions in 1 country.

Michael J VinikoorDepartment of Medicine, Center for Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. mjv@med.unc.edu
Anna Cope
Cynthia L Gay
Guido Ferrari
Kara S McGee
Joann D Kuruc
Jeffrey L Lennox
David M Margolis
Charles B Hicks
Joseph J Eron
Duke University · USOffice of Infectious Diseases · USEmory University · USUniversity of North Carolina at Chapel Hill · US

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
UNC Clinical and Translational Science AwardUL1TR000083 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2012 to 2013
$11.6M
Training in Sexually Transmitted Infections and HIVT32AI007001 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SENA-SOBERANO, ARLENE C. · 1985 to 2025
$10.9M
Poly-functional analyses of vaccine-induced T cell responsesR01AI050483 · NIAID · DUKE UNIVERSITY · PI FERRARI, GUIDO · 2001 to 2010
$3.5M
Midcareer Investigator Award/Patient-Oriented ResearchK24AI001608 · NIAID · DUKE UNIVERSITY · PI HICKS, CHARLES B. · 1999 to 2008
$1.0M
Infectious Diseases in Africa: Immune Escape and HIV VaccinesR13AI084562 · NIAID · DUKE UNIVERSITY · PI FERRARI, GUIDO · 2009 to 2019
$316k
NCATS NIH HHS UL1 TR000083NCATS NIH HHS UL1TR000083NIAID NIH HHS 1P30 AI 50410-04NIAID NIH HHS 1P30 AI 64518NIAID NIH HHS 2K24 AI01608NIAID NIH HHS 5R01 AI050483NIAID NIH HHS 5R13 AI084562NIAID NIH HHS 5T32 AI07001-35NIAID NIH HHS K24 AI001608NIAID NIH HHS P30 AI050410NIAID NIH HHS P30 AI064518NIAID NIH HHS R01 AI050483NIAID NIH HHS R13 AI084562NIAID NIH HHS T32 AI007001
6 · The paper itself

Abstract

Initiation of antiretroviral therapy during acute HIV-1 infection may prevent persistent immune activation. We analyzed longitudinal CD38+HLA-DR+ CD8+ T-cell percentages in 31 acutely infected individuals who started early (median 43 days since infection) and successful antiretroviral therapy, and maintained viral suppression through 96 weeks. Pretherapy a median of 72.6% CD8+ T cells were CD38+HLA-DR+, and although this decreased to 15.6% by 96 weeks, it remained substantially higher than seronegative controls (median 8.9%, P = 0.008). Shorter time to suppression predicted lower activation at 96 weeks. These results support the hypothesis that very early events in HIV-1 pathogenesis may result in prolonged immune dysfunction.

Indexed as

AdultAnti-HIV AgentsCD8-Positive T-LymphocytesFemaleHIV-1HIV InfectionsHumansLinear ModelsLongitudinal StudiesLymphocyte ActivationMaleMiddle AgedRNA, ViralViral LoadYoung AdultAnti-HIV AgentsRNA, Viral

Identifiers

PMID23314410
PMCPMC3683110
OpenAlexW2020635157

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.