Evidence map›Paper›PMID 24243014›Full record

ArticleCell2013

Replication-competent noninduced proviruses in the latent reservoir increase barrier to HIV-1 cure.

Ya-Chi Ho, Liang Shan, Nina N Hosmane, Jeffrey Wang, Sarah B Laskey, Daniel I S Rosenbloom, Jun Lai, Joel N Blankson, Janet D Siliciano, Robert F Siliciano

3 registry-linked trialsAbstract read
In one paragraph

Article in Cell, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 1,050 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,050citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02154035 recruitingnot on this mapstarted 2014, after this paper: background citation

Quantitative Measurement and Correlates of the Latent HIV Reservoir in Virally Suppressed Ugandans

TypeobservationalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2014 to 2027Enrolled130ConditionsHIV
NCT03198325 nacompletednot on this mapstarted 2016, after this paper: background citation

Monitored Antiretroviral Pause in Chronic HIV-Infected Subjects With Long-Lasting Suppressed Viremia (APACHE Study)

TypeinterventionalSponsorIRCCS San RaffaeleRan2016 to 2018Enrolled18ConditionsHIV SeropositivityArmsStop of ART
NCT03692611 nacompletednot on this mapstarted 2019, after this paper: background citation

Evaluation of the Efficacy and Mechanisms of a Novel Intervention for Chronic Pain Tailored to People Living With HIV

TypeinterventionalSponsorUniversity of PittsburghRan2019 to 2025Enrolled278ConditionsChronic PainArmsSkills TO Manage Pain (STOMP), Comparison group
3 · Its place in the literature

Who cites it

1,050 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
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  7. Article
  8. Molecular therapy. Nucleic acids · 2026
    Article
  9. The immunophenotype and proviral landscape of HIV-infected CD4 T cells during antiretroviral therapy.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  10. Article
  11. Article
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  13. Article
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  16. Review
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990 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Ya-Chi HoDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
Liang Shan
Nina N Hosmane
Jeffrey Wang
Sarah B Laskey
Daniel I S Rosenbloom
Jun Lai
Joel N Blankson
Janet D Siliciano
Robert F Siliciano

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
Using NK Cells to eliminate the latent HIV reservoirU19AI096113 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LUCIW, PAUL · 2011 to 2015
$39.5M
Viral reservoirs and sanctuaries in HAART - treated patients: role and mechanismsU19AI096109 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DEEKS, STEVEN GRANT · 2011 to 2015
$29.5M
LATENT VIRAL RESERVOIRS IN HIV1 INFECTIONR01AI043222 · NIAID · JOHNS HOPKINS UNIVERSITY · PI SILICIANO, ROBERT F · 1998 to 2013
$3.5M
Significance of Low Level Viremia in Patients on HAARTR37AI051178 · NIAID · JOHNS HOPKINS UNIVERSITY · PI SILICIANO, ROBERT F · 2007 to 2016
$2.4M
Howard Hughes Medical InstituteNIAID NIH HHS AI043222NIAID NIH HHS AI096109NIAID NIH HHS AI096113NIAID NIH HHS P30 AI094189NIAID NIH HHS R01 AI043222NIAID NIH HHS R37 AI051178NIAID NIH HHS U19 AI096109NIAID NIH HHS U19 AI096113
6 · The paper itself

Abstract

Antiretroviral therapy fails to cure HIV-1 infection because latent proviruses persist in resting CD4(+) T cells. T cell activation reverses latency, but <1% of proviruses are induced to release infectious virus after maximum in vitro activation. The noninduced proviruses are generally considered defective but have not been characterized. Analysis of 213 noninduced proviral clones from treated patients showed 88.3% with identifiable defects but 11.7% with intact genomes and normal long terminal repeat (LTR) function. Using direct sequencing and genome synthesis, we reconstructed full-length intact noninduced proviral clones and demonstrated growth kinetics comparable to reconstructed induced proviruses from the same patients. Noninduced proviruses have unmethylated promoters and are integrated into active transcription units. Thus, it cannot be excluded that they may become activated in vivo. The identification of replication-competent noninduced proviruses indicates that the size of the latent reservoir-and, hence, the barrier to cure-may be up to 60-fold greater than previously estimated.

Indexed as

Virus LatencyBase SequenceCD4-Positive T-LymphocytesDNA MethylationHIV-1HIV InfectionsHIV Long Terminal RepeatLymphocyte ActivationMolecular Sequence DataMutationPhylogenyProvirusesSequence Alignment

Identifiers

PMID24243014
PMCPMC3896327

What OpenQuestion holds

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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.