Evidence map›Paper›PMID 24113395›Full record

ArticleAIDS (London, England)2013

Disease progression by infecting HIV-1 subtype in a seroconverter cohort in sub-Saharan Africa.

Pauli N Amornkul, Etienne Karita, Anatoli Kamali, Wasima N Rida, Eduard J Sanders, Shabir Lakhi, Matt A Price, William Kilembe, Emmanuel Cormier, Omu Anzala and 6 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in AIDS (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 1 pooled it
5.2field-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

77 citing papers in PubMed, 1 synthesis or guideline pooled it, 111 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Antiretroviral therapy blocks natural selection on protective and disease-susceptible HLA-B alleles in HIV-1 infection.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  12. Long-term non-progression and risk factors for disease progression among children living with HIV in Botswana and Uganda: A retrospective cohort study.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2024
    Article
  13. HIV-1 subtypes maintain distinctive physicochemical signatures in Nef domains associated with immunoregulation.Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases · 2023
    Article
  14. Article
  15. Per-pathogen virulence of HIV-1 subtypes A, C and D.Proceedings. Biological sciences · 2023
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17 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

16 authors at 7 institutions in 5 countries.

Pauli N AmornkulaInternational AIDS Vaccine Initiative, New York, New York, USA bProject San Francisco, Kigali, Rwanda cMedical Research Council/Uganda Virus Research Unit, Research Unit on AIDS, Entebbe, Uganda dBiostatistics Consultant, Arlington, Virginia, USA eCentre for Geographic Medicine-Coast/Kenya Medical Research Institute, Kilifi, Kenya fUniversity of Oxford, Oxford, UK gZambia-Emory HIV Research Project, Lusaka, Zambia hKenya AIDS Vaccine Initiative, University of Nairobi, Nairobi, Kenya iAurum Institute, Rustenburg jDesmond Tutu HIV Centre, University of Cape Town, Cape Town, Republic of South Africa kEmory University, Atlanta, Georgia, USA lIAVI Human Immunology Laboratory, Imperial College, London, UK.
Etienne Karita
Anatoli Kamali
Wasima N Rida
Eduard J Sanders
Shabir Lakhi
Matt A Price
William Kilembe
Emmanuel Cormier
Omu Anzala
Mary H Latka
Linda-Gail Bekker
Susan A Allen
Jill Gilmour
Patricia E Fast
IAVI Africa HIV Prevention Partnership
Aurum Institute · ZAEmory University · USImperial College London · GBInternational AIDS Vaccine Initiative · USKenya Medical Research Institute · KEUganda Virus Research Institute · UGUniversity of Cape Town · ZA

Funding

Medical Research Council MC_U950097144Wellcome Trust 092654
6 · The paper itself

Abstract

objectiveTo describe immunologic, virologic, and clinical HIV disease progression by HIV-1 subtype among Africans with well documented estimated dates of HIV infection (EDIs).

designProspective cohort.

methodsAdults and youth with documented HIV-1 infection in the past 12 months were recruited from seroincidence cohorts in East and Southern Africa and followed at 3-6 month intervals. Blood for lymphocyte subset and viral load determination was collected at each visit. Pol was sequenced from the first positive specimen to ascertain subtype. Preantiretroviral therapy disease progression was measured by three time-to-event endpoints: CD4 cell count 350 cells/μl or less, viral load measurement at least 1 × 10 copies/ml, and clinical AIDS.

resultsFrom 2006 to 2011, 615 participants were enrolled at nine research centers in Kenya, Rwanda, South Africa, Uganda, and Zambia; 579 (94.1%) had viral subtyping completed. Predominant subtypes were C (256, 44.2%), A (209, 36.1%), and D (84, 14.5%). After adjustment for age, sex, and human leukocyte antigen alleles in Cox regression analyses, subtype C-infected participants progressed faster than subtype A to all three endpoints [CD4 hazard ratio 1.60, 95% (confidence interval) CI 1.16, 2.20; viral load hazard ratio 1.59, 95% CI 1.12, 2.25; and AIDS hazard ratio 1.60, 95% CI 1.11, 2.31). Subtype D-infected participants reached high viral load more rapidly (hazard ratio 1.61, 95% CI 1.01, 2.57) and progressed nearly twice as fast to AIDS compared to subtype A (hazard ratio 1.93, 95% CI 1.21, 3.09).

conclusionSubtype-specific differences in HIV disease progression suggest that the local subtype distribution be considered when planning HIV programs and designing and defining clinical endpoints for HIV prevention trials.

Indexed as

Disease ProgressionAdolescentAdultAfrica South of the SaharaCD4 Lymphocyte CountCohort StudiesFemaleHIV-1HIV InfectionsHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesViral LoadYoung Adult

Identifiers

PMID24113395
PMCPMC3815107
OpenAlexW2160179097

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.