Evidence map›Paper›PMID 26855971›Full record

ArticleJournal of virus eradication

Deep sequencing of HIV-1 variants from paired plasma and cerebrospinal fluid during primary HIV infection.

Arjet Gega, Michael J Kozal, Jennifer Chiarella, Evelyn Lee, Julia Peterson, Frederick M Hecht, Teri Liegler, Elizabeth P St John, Birgitte B Simen, Richard W Price and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of virus eradication. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 46% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Neurologic Complications of Acute HIV Infection.Current treatment options in infectious diseases · 2020
    Article
  10. HIV-associated neurocognitive disorder.Current opinion in infectious diseases · 2017
    Review
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

11 authors at 3 institutions in 1 country.

Arjet GegaDepartment of Medicine, School of Medicine, Yale University, New Haven, CT, USA.
Michael J KozalDepartment of Medicine, School of Medicine, Yale University, New Haven, CT, USA.
Jennifer ChiarellaDepartment of Medicine, School of Medicine, Yale University, New Haven, CT, USA.
Evelyn LeeDepartment of Neurology, University of California San Francisco, CA, USA.
Julia PetersonDepartment of Neurology, University of California San Francisco, CA, USA.
Frederick M HechtDepartment of Medicine, University of California San Francisco, CA, USA.
Teri LieglerDepartment of Medicine, University of California San Francisco, CA, USA.
Elizabeth P St John454 Life Sciences (a Roche Company), Branford, CT, USA.
Birgitte B Simen454 Life Sciences (a Roche Company), Branford, CT, USA.
Richard W PriceDepartment of Neurology, University of California San Francisco, CA, USA.
Serena S SpudichDepartment of Neurology, School of Medicine, Yale University, New Haven, CT, USA.
Enzo Life Sciences (United States) · USUniversity of California, San Francisco · USYale University · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
The Neuropathobiology of Primary HIV-1 InfectionR01MH081772 · NIMH · YALE UNIVERSITY · PI SPUDICH, SERENA S · 2008 to 2013
$2.7M
Therapeutic Interventions during Acute Infection to Address the CNS Reservoir forR01NS084911 · NINDS · YALE UNIVERSITY · PI ANANWORANICH, JINTANAT, SPUDICH, SERENA S · 2013 to 2017
$2.3M
Central Nervous System Events in Primary HIV InfectionK23MH074466 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SPUDICH, SERENA S · 2005 to 2009
$835k
NIAID NIH HHS P30 AI027763NIMH NIH HHS K23 MH074466NIMH NIH HHS R01 MH081772NINDS NIH HHS R01 NS084911
6 · The paper itself

Abstract

backgroundLimited data exist comparing viral quasispecies between cerebrospinal fluid (CSF) and plasma compartments during primary HIV infection. Deep sequencing is a new method to examine the HIV plasma and CSF quasispecies.

methodsIn this pilot study, deep sequencing of protease (PR) and reverse transcriptase (RT) was performed in plasma and CSF from participants during primary HIV infection. Estimated mutational load was calculated by mutant variant frequency multiplied by HIV-RNA level.

resultsPaired plasma and CSF samples were studied from five antiretroviral therapy-naïve male participants with median 109 days post estimated transmission, age 32 years, CD4 cell count 580 cells/μL, HIV-RNA 5.18 log

conclusionsDeep sequencing of CSF HIV is technically possible with sufficient HIV-RNA levels. Differences between the quasispecies in the two compartments detected in one participant, which were present with a high mutational load in CSF at an estimated 3.6 months after HIV infection, suggest that early CNS compartmentalisation may be revealed by sensitive deep-sequencing methods. The presence of distinct low abundance (<1%) resistance variants in plasma and CSF of three other subjects may be significant, but further investigation is needed.

Indexed as

cerebrospinal fluidcompartmentalisationHIV-1HIV-associated neurocognitive disorderprimary HIV infectionresistance mutations

Identifiers

PMID26855971
PMCPMC4743659
OpenAlexW2270733519

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.