Evidence map›Paper›PMID 27751765›Full record

ArticleEBioMedicine2016

Infecting HIV-1 Subtype Predicts Disease Progression in Women of Sub-Saharan Africa.

Colin M Venner, Immaculate Nankya, Fred Kyeyune, Korey Demers, Cynthia Kwok, Pai-Lien Chen, Sandra Rwambuya, Marshall Munjoma, Tsungai Chipato, Josaphat Byamugisha and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in EBioMedicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05322083 (Analysis of HIV Subtype A6 Genome in Patients With Virological Failure After Switching to Doravirine), which is not on this map. Cited by 60 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT05322083 unknown statusnot on this mapstarted 2022, after this paper: background citation

Analysis of HIV Subtype A6 Genome in Patients With Virological Failure After Switching to Doravirine (DOR)

TypeobservationalSponsorGamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian FederationRan2022 to 2024Enrolled60ConditionsVirus-HIVArmsDoravirine
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  18. Long-term non-progression and risk factors for disease progression among children living with HIV in Botswana and Uganda: A retrospective cohort study.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2024
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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

15 authors.

Colin M VennerDepartment of Microbiology and Immunology, Western University, London, ON, Canada.
Immaculate NankyaJoint Clinical Research Centre, Kampala, Uganda; Division of Infectious Diseases and HIV Medicine, Department of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Fred KyeyuneJoint Clinical Research Centre, Kampala, Uganda.
Korey DemersJoint Clinical Research Centre, Kampala, Uganda; Division of Infectious Diseases and HIV Medicine, Department of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Cynthia KwokFamily Health International 360, Durham, NC, USA.
Pai-Lien ChenFamily Health International 360, Durham, NC, USA.
Sandra RwambuyaJoint Clinical Research Centre, Kampala, Uganda; Division of Infectious Diseases and HIV Medicine, Department of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Marshall MunjomaDepartment of Obstetrics and Gynaecology, University of Zimbabwe, Harare, Zimbabwe.
Tsungai ChipatoDepartment of Obstetrics and Gynaecology, University of Zimbabwe, Harare, Zimbabwe.
Josaphat ByamugishaFaculty of Medicine, Makerere University, Kampala, Uganda.
Barbara Van Der PolDivision of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, USA.
Peter MugyenyiJoint Clinical Research Centre, Kampala, Uganda.
Robert A SalataDivision of Infectious Diseases and HIV Medicine, Department of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Charles S MorrisonFamily Health International 360, Durham, NC, USA.
Eric J ArtsDepartment of Microbiology and Immunology, Western University, London, ON, Canada; Joint Clinical Research Centre, Kampala, Uganda; Division of Infectious Diseases and HIV Medicine, Department of Medicine, Case Western Reserve University, Cleveland, OH, USA. Electronic address: earts@uwo.ca.

Funding

Impact of HIV-1 Fitness on Disease ProgressionR01AI049170 · NIAID · UNIVERSITY OF WESTERN ONTARIO · PI ARTS, ERIC J · 2002 to 2024
$6.8M
NIAID NIH HHS R01 AI049170
6 · The paper itself

Abstract

introductionLong-term natural history cohorts of HIV-1 in the absence of treatment provide the best measure of virulence by different viral subtypes.

methodsNewly HIV infected Ugandan and Zimbabwean women (N=303) were recruited and monitored for clinical, social, behavioral, immunological and viral parameters for 3 to 9.5years.

resultsUgandan and Zimbabwean women infected with HIV-1 subtype C had 2.5-fold slower rates of CD4 T-cell declines and higher frequencies of long-term non-progression than those infected with subtype A or D (GEE model, P<0.001), a difference not associated with any other clinical parameters. Relative replicative fitness and entry efficiency of HIV-1 variants directly correlated with virulence in the patients, subtype D>A>C (P<0.001, ANOVA). DISCUSSION: HIV-1 subtype C was less virulent than either A or D in humans; the latter being the most virulent. Longer periods of asymptomatic HIV-1 subtype C could explain the continued expansion and dominance of subtype C in the global epidemic.

Indexed as

Africa South of the SaharaCD4 Lymphocyte CountCD4-Positive T-LymphocytesCell Line, TumorDisease ProgressionFemaleFollow-Up StudiesGenetic FitnessGenetic VariationGenotypeGeographyHIV-1HIV InfectionsHumansViral LoadVirus ReplicationAfricaDisease progressionHIV-1 diversityPathogenesisSubtypes

Identifiers

PMID27751765
PMCPMC5264310

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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.