Evidence map›Paper›PMID 26498496›Full record

ArticleEBioMedicine2015

During Stably Suppressive Antiretroviral Therapy Integrated HIV-1 DNA Load in Peripheral Blood is Associated with the Frequency of CD8 Cells Expressing HLA-DR/DP/DQ.

Alessandra Ruggiero, Ward De Spiegelaere, Alessandro Cozzi-Lepri, Maja Kiselinova, Georgios Pollakis, Apostolos Beloukas, Linos Vandekerckhove, Matthew Strain, Douglas Richman, Andrew Phillips and 2 more

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

36 citing papers in PubMed, 49 citations in OpenAlex.

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  10. HIV-1 latency reversal agent boosting is not limited by opioid use.medRxiv : the preprint server for health sciences · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 3 countries.

Alessandra RuggieroDepartment of Clinical Infection, Microbiology and Immunology (CIMI), Institute of Infection and Global Health (IGH), University of Liverpool, 8 West Derby Street, Liverpool L697BE, United Kingdom.
Ward De SpiegelaereHIV Translational Research Unit, Department of Internal Medicine, Ghent University and University Hospital Ghent, De Pintelaan 1859000, Ghent, Belgium.
Alessandro Cozzi-LepriDepartment of Infection and Population Health, University College London, Royal Free Campus, Rowland Hill Street, London, NW32PF, United Kingdom.
Maja KiselinovaHIV Translational Research Unit, Department of Internal Medicine, Ghent University and University Hospital Ghent, De Pintelaan 1859000, Ghent, Belgium.
Georgios PollakisDepartment of Clinical Infection, Microbiology and Immunology (CIMI), Institute of Infection and Global Health (IGH), University of Liverpool, 8 West Derby Street, Liverpool L697BE, United Kingdom.
Apostolos BeloukasDepartment of Clinical Infection, Microbiology and Immunology (CIMI), Institute of Infection and Global Health (IGH), University of Liverpool, 8 West Derby Street, Liverpool L697BE, United Kingdom.
Linos VandekerckhoveHIV Translational Research Unit, Department of Internal Medicine, Ghent University and University Hospital Ghent, De Pintelaan 1859000, Ghent, Belgium.
Matthew StrainVA San Diego Healthcare System and Center for AIDS Research, University of California San Diego, La Jolla, CA 92093, United States.
Douglas RichmanVA San Diego Healthcare System and Center for AIDS Research, University of California San Diego, La Jolla, CA 92093, United States.
Andrew PhillipsDepartment of Infection and Population Health, University College London, Royal Free Campus, Rowland Hill Street, London, NW32PF, United Kingdom.
Anna Maria GerettiDepartment of Clinical Infection, Microbiology and Immunology (CIMI), Institute of Infection and Global Health (IGH), University of Liverpool, 8 West Derby Street, Liverpool L697BE, United Kingdom.
ERAS Study Group
University of Liverpool · GBGhent University Hospital · BENorth Middlesex Hospital · GBThe Royal Free Hospital · GBUniversity of California San Diego · USKing's College Hospital · GBSt Mary's Hospital · GBSt Thomas' Hospital · GBUniversity College Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCharacterising the correlates of HIV persistence improves understanding of disease pathogenesis and guides the design of curative strategies. This study investigated factors associated with integrated HIV-1 DNA load during consistently suppressive first-line antiretroviral therapy (ART).

methodTotal, integrated, and 2-long terminal repeats (LTR) circular HIV-1 DNA, residual plasma HIV-1 RNA, T-cell activation markers, and soluble CD14 (sCD14) were measured in peripheral blood of 50 patients that had received 1-14 years of efavirenz-based or nevirapine-based therapy.

resultsIntegrated HIV-1 DNA load (per 10(6) peripheral blood mononuclear cells) was median 1.9 log10 copies (interquartile range 1.7-2.2) and showed a mean difference of 0.2 log10 copies per 10 years of suppressive ART (95% confidence interval - 0.2, 0.6; p = 0.28). It was positively correlated with total HIV-1 DNA load and frequency of CD8(+)HLA-DR/DP/DQ(+) cells, and was also higher in subjects with higher sCD14 levels, but showed no correlation with levels of 2-LTR circular HIV-1 DNA and residual plasma HIV-1 RNA, or the frequency of CD4(+)CD38(+) and CD8(+)CD38(+) cells. Adjusting for pre-ART viral load, duration of suppressive ART, CD4 cell counts, residual plasma HIV-1 RNA levels, and sCD14 levels, integrated HIV-1 DNA load was mean 0.5 log10 copies higher for each 50% higher frequency of CD8(+)HLA-DR/DP/DQ(+) cells (95% confidence interval 0.2, 0.9; p = 0.01).

conclusionsThe observed positive association between integrated HIV-1 DNA load and frequency of CD8(+)DR/DP/DQ(+) cells indicates that a close correlation between HIV persistence and immune activation continues during consistently suppressive therapy. The inducers of the distinct activation profile warrant further investigation.

Indexed as

AdultAntiretroviral Therapy, Highly ActiveCD8-Positive T-LymphocytesDNA, ViralFemaleHIV-1HLA-DP AntigensHLA-DQ AntigensHLA-DR AntigensHumansLinear ModelsMaleMiddle AgedMultivariate AnalysisViral LoadDNA, ViralHLA-DP AntigensHLA-DQ AntigensHLA-DR Antigens2-LTR, 2-long terminal repeatsActivationART, Anti-retroviral therapyCMV, cytomegalovirus virusCRN, Clinical Research NetworkEBV, Epstein-Bar virusELISA, enzyme-linked immune-enzymatic assayHIC, HIV-1 controllersHIV-1, Human Immunodeficiency Virus type 1HIV-1 VL, HIV-1 viral loadHLA, Human Leukocyte AntigenIntegrationLPS, lipopolysaccharideNIHR, National Institute for Health ResearchNNRTI, Non-nucleoside reverse-transcriptase inhibitorsNRTI, nucleoside/nucleotide reverse transcriptase inhibitorsPBMCs, Peripheral blood mononuclear cellsPCR, Polymerase chain reactionPersistencePFA, paraformaldehydeReservoirsCD14, soluble CD14SuppressionVLS, Viral Load SuppressionWHO, World Health Organisation

Identifiers

PMID26498496
PMCPMC4588402
OpenAlexW1943881540

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Registered trials

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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.