Evidence map›Paper›PMID 23606943›Full record

ArticleeLife2013

Rapid localized spread and immunologic containment define Herpes simplex virus-2 reactivation in the human genital tract.

Joshua T Schiffer, David Swan, Ramzi Al Sallaq, Amalia Magaret, Christine Johnston, Karen E Mark, Stacy Selke, Negusse Ocbamichael, Steve Kuntz, Jia Zhu and 5 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

55 citing papers in PubMed, 73 citations in OpenAlex.

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  9. Spatially structured models of viral dynamics: a scoping review.Microbiology and molecular biology reviews : MMBR · 2025
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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

15 authors at 3 institutions in 1 country.

Joshua T SchifferVaccine and Infectious Diseases Division , Fred Hutchinson Cancer Research Center , Seattle , United States ; Department of Medicine , University of Washington , Seattle , United States.
David Swan
Ramzi Al Sallaq
Amalia Magaret
Christine Johnston
Karen E Mark
Stacy Selke
Negusse Ocbamichael
Steve Kuntz
Jia Zhu
Barry Robinson
Meei-Li Huang
Keith R Jerome
Anna Wald
Lawrence Corey
University of Washington · USSeattle University · USFred Hutch Cancer Center · US

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Institute of Translational Health SciencesUL1TR000423 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$49.4M
THE PERINATAL COMPLICATIONS OF ASYMPTOMATIC GENITAL HERPES SIMPLEX VIRUSP01AI030731 · NIAID · UNIVERSITY OF WASHINGTON · PI MAGARET, AMALIA S. · 1991 to 2017
$34.3M
Cytotoxic T-Cell Responses to HSV: HIV-Infected PersonsR37AI042528 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI COREY, LAWRENCE · 2002 to 2011
$3.5M
CYTOTOXIC T CELL RESPONSES TO HSV IN HIV INFECTIONR01AI042528 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI COREY, LAWRENCE, ZHU, JIA · 1998 to 2016
$2.7M
Mechanisms of Protective Local Immunity in Human Female Reproductive TractR01AI111780 · NIAID · UNIVERSITY OF WASHINGTON · PI ZHU, JIA · 2014 to 2018
$1.7M
Clinical Research in HSV InfectionsK24AI071113 · NIAID · UNIVERSITY OF WASHINGTON · PI WALD, ANNA · 2006 to 2015
$1.7M
Intense Validation of a Mathematical Model of Herpes Simplex Virus-2 PathogenesisK23AI087206 · NIAID · UNIVERSITY OF WASHINGTON · PI SCHIFFER, JOSHUA TISDELL · 2010 to 2014
$641k
Dynamic Reactivation of Herpes Simplex Virus-2 and the Genital Mucosal ResponseK23AI079394 · NIAID · UNIVERSITY OF WASHINGTON · PI JOHNSTON, CHRISTINE MICHELLE · 2008 to 2011
$491k
Effect of Suppressive Therapy on Behavioral Determinants of HSV-2 TransmissionK23AI071257 · NIAID · UNIVERSITY OF WASHINGTON · PI MARK, KAREN ELIZABETH · 2007 to 2009
$379k
NCATS NIH HHS UL1 TR000423NCATS NIH HHS UL1TR000423NCATS NIH HHS UL1 TR002319NIAID NIH HHS K23 AI071257NIAID NIH HHS K23 AI079394NIAID NIH HHS K23 AI087206NIAID NIH HHS K24 AI071113NIAID NIH HHS K24 AI07113NIAID NIH HHS P01 AI030731NIAID NIH HHS R01 AI042528NIAID NIH HHS R01 AI111780NIAID NIH HHS R37 AI042528
6 · The paper itself

Abstract

Herpes simplex virus-2 (HSV-2) is shed episodically, leading to occasional genital ulcers and efficient transmission. The biology explaining highly variable shedding patterns, in an infected person over time, is poorly understood. We sampled the genital tract for HSV DNA at several time intervals and concurrently at multiple sites, and derived a spatial mathematical model to characterize dynamics of HSV-2 reactivation. The model reproduced heterogeneity in shedding episode duration and viral production, and predicted rapid early viral expansion, rapid late decay, and wide spatial dispersion of HSV replication during episodes. In simulations, HSV-2 spread locally within single ulcers to thousands of epithelial cells in <12 hr, but host immune responses eliminated infected cells in <24 hr; secondary ulcers formed following spatial propagation of cell-free HSV-2, allowing for episode prolongation. We conclude that HSV-2 infection is characterized by extremely rapid virological growth and containment at multiple contemporaneous sites within genital epithelium. DOI:http://dx.doi.org/10.7554/eLife.00288.001.

Indexed as

Virus ActivationCD8-Positive T-LymphocytesComputer SimulationDNA, ViralGenitaliaHerpes GenitalisHerpesvirus 2, HumanHost-Pathogen InteractionsHumansKineticsModels, ImmunologicalViral LoadVirus SheddingDNA, ViralHerpes simplexHumanMathematical modelingMucosal immunityOtherViruses

Identifiers

PMID23606943
PMCPMC3629793
OpenAlexW2050690866

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.