Evidence map›Paper›PMID 27432972›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

Defective HIV-1 proviruses produce novel protein-coding RNA species in HIV-infected patients on combination antiretroviral therapy.

Hiromi Imamichi, Robin L Dewar, Joseph W Adelsberger, Catherine A Rehm, Una O'Doherty, Ellen E Paxinos, Anthony S Fauci, H Clifford Lane

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 254 papers.

0numbers the graph read from it
0cells of the map it votes in
254citing papers in PubMed
19.6field-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.

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

254 citing papers in PubMed, 346 citations in OpenAlex.

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  7. Quantitative Human Immunodeficiency Virus (HIV)-1 Antibodies Correlate With Plasma HIV-1 RNA and Cell-associated DNA Levels in Children on Antiretroviral Therapy.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
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  17. Immortalization and Targeted Enrichment of HIV-Infected CD4International journal of molecular sciences · 2026
    Article
  18. Article
  19. Molecular therapy. Methods & clinical development · 2025
    Article
  20. Article

194 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 at 5 institutions in 1 country.

Hiromi ImamichiLaboratory of Immunoregulation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892;
Robin L DewarClinical Services Program, Applied and Development Research Directorate, Leidos Biomedical Research, Inc., Frederick, MD 21072;
Joseph W AdelsbergerClinical Services Program, Applied and Development Research Directorate, Leidos Biomedical Research, Inc., Frederick, MD 21072;
Catherine A RehmLaboratory of Immunoregulation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892;
Una O'DohertyDepartment of Pathology and Laboratory Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104;
Ellen E PaxinosApplications and Collaborations, Pacific Biosciences, Menlo Park, CA 94025.
Anthony S FauciLaboratory of Immunoregulation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892; afauci@niaid.nih.gov.
H Clifford LaneLaboratory of Immunoregulation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892;
National Institutes of Health · USLeidos Biomedical Research Inc. (United States)National Institute of Allergy and Infectious Diseases · USPacific Biosciences (United States) · USUniversity of Pennsylvania · US

Funding

Pathogenesis and Treatment of HIV InfectionZIAAI000585 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI LANE, CLIFFORD · 2009 to 2025
$26.8M
A FAST Assay to Quantify HIV ReservoirsR01AI120011 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI O'DOHERTY, UNA T, SAMBUCETTI, LIDIA C · 2015 to 2019
$3.1M
CCR NIH HHS HHSN261200800001CNCI NIH HHS HHSN261200800001ENIAID NIH HHS R01 AI120011
6 · The paper itself

Abstract

Despite years of plasma HIV-RNA levels <40 copies per milliliter during combination antiretroviral therapy (cART), the majority of HIV-infected patients exhibit persistent seropositivity to HIV-1 and evidence of immune activation. These patients also show persistence of proviruses of HIV-1 in circulating peripheral blood mononuclear cells. Many of these proviruses have been characterized as defective and thus thought to contribute little to HIV-1 pathogenesis. By combining 5'LTR-to-3'LTR single-genome amplification and direct amplicon sequencing, we have identified the presence of "defective" proviruses capable of transcribing novel unspliced HIV-RNA (usHIV-RNA) species in patients at all stages of HIV-1 infection. Although these novel usHIV-RNA transcripts had exon structures that were different from those of the known spliced HIV-RNA variants, they maintained translationally competent ORFs, involving elements of gag, pol, env, rev, and nef to encode a series of novel HIV-1 chimeric proteins. These novel usHIV-RNAs were detected in five of five patients, including four of four patients with prolonged viral suppression of HIV-RNA levels <40 copies per milliliter for more than 6 y. Our findings suggest that the persistent defective proviruses of HIV-1 are not "silent," but rather may contribute to HIV-1 pathogenesis by stimulating host-defense pathways that target foreign nucleic acids and proteins.

Indexed as

Anti-Retroviral AgentsDNA, ViralGene Expression Regulation, ViralHIV-1HIV InfectionsHumansLeukocytes, MononuclearProvirusesRNA, ViralViral ProteinsAnti-Retroviral AgentsDNA, ViralRNA, ViralViral ProteinsactivationHIV-1latencyprovirus

Identifiers

PMID27432972
PMCPMC4978246
OpenAlexW2480104137

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.