Evidence map›Paper›PMID 25822022›Full record

ArticleThe Journal of clinical investigation2015

Ex vivo analysis identifies effective HIV-1 latency-reversing drug combinations.

Gregory M Laird, C Korin Bullen, Daniel I S Rosenbloom, Alyssa R Martin, Alison L Hill, Christine M Durand, Janet D Siliciano, Robert F Siliciano

Abstract readComparative Study
In one paragraph

Article in The Journal of clinical investigation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 286 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
286citing 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.

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

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

  1. Pooled it
  2. Trial
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  10. Traditional Medicine Extracts ofInternational journal of molecular sciences · 2026
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  20. CD8medRxiv : the preprint server for health sciences · 2025
    Article

226 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

8 authors.

Gregory M Laird
C Korin Bullen
Daniel I S Rosenbloom
Alyssa R Martin
Alison L Hill
Christine M Durand
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
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007309 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI COX, ANDREA L · 1985 to 2019
$43.2M
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 SCHACKER, TIMOTHY W · 2011 to 2015
$29.5M
Training Program in Cellular and Molecular MedicineT32GM008752 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI RAO, RAJINI · 2000 to 2019
$11.7M
Quantification and prediction of treatment efficacy for HIV cure strategiesDP5OD019851 · OD · JOHNS HOPKINS UNIVERSITY · PI HILL, ALISON LYNN · 2014 to 2018
$2.1M
Ex vivo reversal of HIV-1 latency using PKC-agonist / HDAC inhibitor combinationsF31AI116316 · NIAID · JOHNS HOPKINS UNIVERSITY · PI LAIRD, GREGORY MICHAEL · 2015 to 2015
$28k
Howard Hughes Medical InstituteNIAID NIH HHS 1U19AI096109NIAID NIH HHS AI096113NIAID NIH HHS F31 AI116316NIAID NIH HHS F31AI116316NIAID NIH HHS P30 AI094189NIAID NIH HHS U19 AI096109NIAID NIH HHS U19 AI096113NIGMS NIH HHS T32 GM007309NIGMS NIH HHS T32 GM008752NIH HHS DP5 OD019851NIH HHS DP5OD019851PHS HHS R0143222
6 · The paper itself

Abstract

Reversal of HIV-1 latency by small molecules is a potential cure strategy. This approach will likely require effective drug combinations to achieve high levels of latency reversal. Using resting CD4+ T cells (rCD4s) from infected individuals, we developed an experimental and theoretical framework to identify effective latency-reversing agent (LRA) combinations. Utilizing ex vivo assays for intracellular HIV-1 mRNA and virion production, we compared 2-drug combinations of leading candidate LRAs and identified multiple combinations that effectively reverse latency. We showed that protein kinase C agonists in combination with bromodomain inhibitor JQ1 or histone deacetylase inhibitors robustly induce HIV-1 transcription and virus production when directly compared with maximum reactivation by T cell activation. Using the Bliss independence model to quantitate combined drug effects, we demonstrated that these combinations synergize to induce HIV-1 transcription. This robust latency reversal occurred without release of proinflammatory cytokines by rCD4s. To extend the clinical utility of our findings, we applied a mathematical model that estimates in vivo changes in plasma HIV-1 RNA from ex vivo measurements of virus production. Our study reconciles diverse findings from previous studies, establishes a quantitative experimental approach to evaluate combinatorial LRA efficacy, and presents a model to predict in vivo responses to LRAs.

Indexed as

AdultAnti-HIV AgentsAzepinesBryostatinsCD4-Positive T-LymphocytesCells, CulturedDisulfiramDrug Evaluation, PreclinicalDrug SynergismFemaleHistone Deacetylase InhibitorsHIV-1HIV InfectionsHumansLymphocyte ActivationLymphokinesAnti-HIV AgentsAzepinesbryostatin 1BryostatinsDisulfiramHistone Deacetylase Inhibitors(+)-JQ1 compoundLymphokinesPhorbol EstersprostratinProtein Kinase CRNA, MessengerRNA, ViralTriazoles

Identifiers

PMID25822022
PMCPMC4463209

What OpenQuestion holds

Textmetadata
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.