Evidence map›Paper›PMID 25520426›Full record

Trial reportThe Journal of infectious diseases2015

Antiretroviral Pre-Exposure Prophylaxis Does Not Enhance Immune Responses to HIV in Exposed but Uninfected Persons.

Laura Pattacini, Pamela M Murnane, Jared M Baeten, Tayler R Fluharty, Katherine K Thomas, Elizabeth Bukusi, Elly Katabira, Nelly Mugo, Deborah Donnell, Jairam R Lingappa and 5 more

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03701802 (Immunogenetic Modulators of Mucosal Protection From HIV-1), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.2field-weighted citation impact, top 22% 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.

NCT03701802 completednot on this mapstarted 2018, after this paper: background citation

Immunogenetic Modulators of Mucosal Protection From HIV-1: The Kinga Study

TypeobservationalSponsorUniversity of WashingtonRan2018 to 2020Enrolled812ConditionsHIV Infections, HSV-2 Infection
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. HIV-1-specific CD8PNAS nexus · 2025
    Article
  7. Article
  8. Article
  9. Cell reports. Medicine · 2021
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Cellular immune correlates analysis of an HIV-1 preexposure prophylaxis trial.Proceedings of the National Academy of Sciences of the United States of America · 2015
    Article
  15. 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

15 authors at 5 institutions in 4 countries.

Laura PattaciniVaccine and Infectious Disease Division.
Pamela M MurnaneDepartment of Global Health Department of Epidemiology.
Jared M BaetenDepartment of Global Health Department of Epidemiology Department of Medicine.
Tayler R FluhartyVaccine and Infectious Disease Division.
Katherine K ThomasDepartment of Global Health.
Elizabeth BukusiDepartment of Global Health Department of Obstetrics and Gynecology Centre for Microbiology Research.
Elly KatabiraDepartment of Medicine, Makerere University, Kampala, Uganda.
Nelly MugoDepartment of Global Health Centre for Clinical Research, Kenya Medical Research Institute, Nairobi.
Deborah DonnellStatistical Center for HIV/AIDS Research and Prevention, Fred Hutchinson Cancer Research Center Department of Global Health.
Jairam R LingappaDepartment of Global Health Department of Medicine Department of Pediatrics, University of Washington, Seattle.
Connie CelumDepartment of Global Health Department of Epidemiology Department of Medicine.
Mark MarzinkeDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
M Juliana McElrathVaccine and Infectious Disease Division Department of Global Health Department of Medicine.
Jennifer M LundVaccine and Infectious Disease Division Department of Global Health.
Partners PrEP Study Team
Cape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa · ZAJohns Hopkins Medicine · USKenya Medical Research Institute · KEMakerere University · UGUniversity of Washington · US

Funding

PrEP and protective immune responses against HIV-1R01AI096968 · NIAID · UNIVERSITY OF WASHINGTON · PI BAETEN, JARED, LUND, JENNIFER M · 2012 to 2015
$2.8M
NIAID NIH HHS 1R01AI096968NIAID NIH HHS R01 AI096968
6 · The paper itself

Abstract

backgroundAntiretroviral preexposure prophylaxis (PrEP), using daily oral combination tenofovir disoproxil fumarate plus emtricitabine, is an effective human immunodeficiency virus (HIV) prevention strategy for populations at high risk of HIV acquisition. Although the primary mode of action for the protective effect of PrEP is probably direct antiviral activity, nonhuman primate studies suggest that PrEP may also allow for development of HIV-specific immune responses, hypothesized to result from aborted HIV infections providing a source of immunologic priming. We sought to evaluate whether PrEP affects the development of HIV-specific immune response in humans. METHODS AND

resultsWithin a PrEP clinical trial among high-risk heterosexual African men and women, we detected HIV-specific CD4(+) and CD8(+) peripheral blood T-cell responses in 10%-20% of 247 subjects evaluated. The response rate and magnitude of T-cell responses did not vary significantly between those assigned PrEP versus placebo, and no significant difference between those assigned PrEP and placebo was observed in measures of innate immune function.

conclusionsWe found no evidence to support the hypothesis that PrEP alters either the frequency or magnitude of HIV-specific immune responses in HIV-1-exposed seronegative individuals. These results suggest that PrEP is unlikely to serve as an immunologic prime to aid protection by a putative HIV vaccine.

Indexed as

AdenineAdultAfricaAnimalsAnti-Retroviral AgentsCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesChemopreventionClinical Trials as TopicDeoxycytidineEmtricitabineFemaleHIV-1HumansMaleOrganophosphonatesAdenineAnti-Retroviral AgentsDeoxycytidineEmtricitabineOrganophosphonatesPlacebosTenofovircellular immunityHIV-1prevention of sexual transmissionT-lymphocyte

Identifiers

PMID25520426
PMCPMC4836720
OpenAlexW2143505032

What OpenQuestion holds

Textmetadata
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.