Evidence map›Paper›PMID 26814962›Full record

ArticleNature2016

Persistent HIV-1 replication maintains the tissue reservoir during therapy.

Ramon Lorenzo-Redondo, Helen R Fryer, Trevor Bedford, Eun-Young Kim, John Archer, Sergei L Kosakovsky Pond, Yoon-Seok Chung, Sudhir Penugonda, Jeffrey Chipman, Courtney V Fletcher and 6 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Nature, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 425 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
425citing papers in PubMed, 1 pooled it
59.4field-weighted citation impact, top 1% 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.

NCT02707926 withdrawnnot on this mapstarted 2023, after this paper: background citation

The Lymphoid Tissue Pharmacology of Antiretroviral Drugs

TypeobservationalSponsorUniversity of NebraskaRan2023 to 2023Enrolled0ConditionsHIV InfectionArmsAnti-HIV Agents
NCT04263207 suspendednot on this mapstarted 2020, after this paper: background citation

Observational Study for the Evaluation of the Role of HIV-1 Tat Protein and Anti-Tat Immune Response in Peripheral Blood HIV Reservoir Dynamics

TypeobservationalSponsorBarbara Ensoli, MD, PhDRan2020 to 2025Enrolled100ConditionsHIV/AIDSArmsNo intervention
3 · Its place in the literature

Who cites it

425 citing papers in PubMed, 1 synthesis or guideline pooled it, 622 citations in OpenAlex.

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  20. Targeting the pDC/IFN-I axis in HIV-1 immunotherapy.Current opinion in HIV and AIDS · 2026
    Review

365 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 10 institutions in 4 countries.

Ramon Lorenzo-Redondo *Division of Infectious Diseases, Northwestern University Feinberg School of Medicine, Chicago, IL 60011, USA.
Helen R Fryer *Institute for Emerging Infections, Department of Zoology, University of Oxford, Oxford, OX1 3PS, UK.
Trevor BedfordVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA.
Eun-Young KimDivision of Infectious Diseases, Northwestern University Feinberg School of Medicine, Chicago, IL 60011, USA.
John ArcherCentro de Investigação em Biodiversidade e Recursos Genéticos Universidade do Porto, Vairão, Portugal.
Sergei L Kosakovsky PondDepartment of Medicine, University of California, San Diego, CA 92093, USA.
Yoon-Seok ChungCenter for Infectious Disease Research, Korean National Institutes of Health, Osong, Korea.
Sudhir PenugondaDivision of Infectious Diseases, Northwestern University Feinberg School of Medicine, Chicago, IL 60011, USA.
Jeffrey ChipmanDepartment of Surgery, University of Minnesota, Minneapolis, MN, 55455 USA.
Courtney V FletcherAntiviral Pharmacology Laboratory, University of Nebraska Medical Center, College of Pharmacy, Omaha, NE 68198, USA.
Timothy W SchackerDivision of Infectious Diseases, University of Minnesota, Minneapolis, MN 55455, USA.
Michael H MalimDepartment of Infectious Diseases, King's College London, Guy's Hospital, London, UK.
Andrew RambautCentre for Immunology, Infection and Evolution, University of Edinburgh, Edinburgh, UK.
Ashley T HaaseDepartment of Microbiology, University of Minnesota, Minneapolis, MN 55455, USA.
Angela R McLeanInstitute for Emerging Infections, Department of Zoology, University of Oxford, Oxford, OX1 3PS, UK.
Steven M WolinskyDivision of Infectious Diseases, Northwestern University Feinberg School of Medicine, Chicago, IL 60011, USA.
Northwestern University · USUniversity of Minnesota · USUniversity of Oxford · GBFred Hutch Cancer Center · USGuy's Hospital · GBKorea National Institute of Health · KRUniversidade do Porto · PTUniversity of California, San Diego · USUniversity of Edinburgh · GBUniversity of Nebraska Medical Center · US

Funding

Validation, CLIA and Qualification (VQC): Enhancing the RS ratio as a tool for AIDS Clinical Trial Group (ACTG) tuberculosis trialsUM1AI106701 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$116.8M
Virological Measurements of Cryptic ReplicationP01AI074340 · NIAID · UNIVERSITY OF MINNESOTA · PI SCHACKER, TIMOTHY W · 2008 to 2012
$12.1M
A Systems-level Approach to Studying HIV/AIDS Susceptibility and Substance AbuseR01DA033773 · NIDA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI WOLINSKY, STEVEN M · 2012 to 2016
$4.6M
Modeling Epidemic Infectious Diseases Using Sequence AnalysisU01GM110749 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI POND, SERGEI L KOSAKOVSKY · 2014 to 2018
$3.0M
European Research Council 260864Medical Research Council G1000196NIAID NIH HHS AI1074340NIAID NIH HHS P01 AI074340NIAID NIH HHS UM1 AI106701NIDA NIH HHS DA033773NIDA NIH HHS R01 DA033773NIGMS NIH HHS GM110749NIGMS NIH HHS U01 GM110749Wellcome Trust
6 · The paper itself

Abstract

Lymphoid tissue is a key reservoir established by HIV-1 during acute infection. It is a site associated with viral production, storage of viral particles in immune complexes, and viral persistence. Although combinations of antiretroviral drugs usually suppress viral replication and reduce viral RNA to undetectable levels in blood, it is unclear whether treatment fully suppresses viral replication in lymphoid tissue reservoirs. Here we show that virus evolution and trafficking between tissue compartments continues in patients with undetectable levels of virus in their bloodstream. We present a spatial and dynamic model of persistent viral replication and spread that indicates why the development of drug resistance is not a foregone conclusion under conditions in which drug concentrations are insufficient to completely block virus replication. These data provide new insights into the evolutionary and infection dynamics of the virus population within the host, revealing that HIV-1 can continue to replicate and replenish the viral reservoir despite potent antiretroviral therapy.

Indexed as

Viral LoadVirus ReplicationAnti-HIV AgentsCarrier StateDrug Resistance, ViralHaplotypesHIV-1HIV InfectionsHumansLymph NodesModels, BiologicalMolecular Sequence DataPhylogenySelection, GeneticSequence Analysis, DNASpatio-Temporal AnalysisAnti-HIV Agents

Identifiers

PMID26814962
PMCPMC4865637
OpenAlexW2263584512

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.