Evidence map›Paper›PMID 27651417›Full record

ArticleThe Journal of infectious diseases2016

Dynamics of Persistent Oral Cytomegalovirus Shedding During Primary Infection in Ugandan Infants.

Bryan T Mayer, Laura Matrajt, Corey Casper, Elizabeth M Krantz, Lawrence Corey, Anna Wald, Soren Gantt, Joshua T Schiffer

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 31 citations in OpenAlex.

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  8. Functional biomes beyond the bacteriome in the oral ecosystem.The Japanese dental science review · 2022
    Review
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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 4 institutions in 3 countries.

Bryan T MayerVaccine and Infectious Disease Division.
Laura MatrajtVaccine and Infectious Disease Division.
Corey CasperVaccine and Infectious Disease Division.
Elizabeth M KrantzVaccine and Infectious Disease Division.
Lawrence CoreyVaccine and Infectious Disease Division.
Anna WaldVaccine and Infectious Disease Division.
Soren GanttVaccine and Infectious Disease Division.
Joshua T SchifferVaccine and Infectious Disease Division.
University of Washington · USBC Children's Hospital · CACancer Research Center · USClinical Research Management · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Marian Esvelt · 1985 to 2026
$296.4M
University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Kenneth Sherr · 1988 to 2026
$104.9M
THE PERINATAL COMPLICATIONS OF ASYMPTOMATIC GENITAL HERPES SIMPLEX VIRUSP01AI030731 · NIAID · UNIVERSITY OF WASHINGTON · PI JOHNSTON, CHRISTINE MICHELLE · 1991 to 2017
$34.3M
NCCIH Supplement to NCATS/CTSA Program for KL2 Scholars - M. SoddersKL2TR002317 · NCATS · UNIVERSITY OF WASHINGTON · PI Christy Michelle McKinney · 2017 to 2026
$14.5M
Institute for Translational Health Science (KL2)KL2RR025015 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$9.3M
NCATS NIH HHS KL2 TR002317NCI NIH HHS P30 CA015704NCRR NIH HHS KL2 RR025015NIAID NIH HHS P01 AI030731NIAID NIH HHS P30 AI027757
6 · The paper itself

Abstract

Cytomegalovirus (CMV) infection occurs frequently in young children, who, when infected, are then a major source of transmission. Oral CMV shedding by 14 infants with primary infection was comprehensively characterized using quantitative polymerase chain reaction weekly for ≥9 months. Three phases of oral shedding were identified: expansion, transition, and clearance. Viral expansion occurred over a median of 7 weeks, with a median doubling time of 3 days. During the transition phase, expansion slowed over a median of 6 weeks before peak viral load was reached. Clearance was slow (22-day median half-life), and shedding did not resolve during observation for any infant. Mathematical modeling demonstrated that prolonged oral CMV expansion is explained by a low within-host reproduction number (median, 1.63) and a delayed immune response that only decreases the infected cell half-life by 44%. Thus, the prolonged oral CMV shedding observed during primary infection can be explained by slow viral expansion and inefficient immunologic control.

Indexed as

Virus SheddingChild, PreschoolCohort StudiesCytomegalovirusCytomegalovirus InfectionsFemaleHumansInfantInfant, NewbornMaleModels, TheoreticalMouthPregnancyReal-Time Polymerase Chain ReactionTime FactorsUgandacytomegalovirusepidemiologyimmunologymathematical modeltheoretical biologytransmission

Identifiers

PMID27651417
PMCPMC5144733
OpenAlexW2521480424

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.