Evidence map›Paper›PMID 27789723›Full record

ArticleThe Journal of infectious diseases2017

Prevalence and Correlates of Persistent HIV-1 RNA in Cerebrospinal Fluid During Antiretroviral Therapy.

Albert M Anderson, Jose A Muñoz-Moreno, Daniel R McClernon, Ronald J Ellis, Debra Cookson, David B Clifford, Ann C Collier, Benjamin B Gelman, Christina M Marra, Justin C McArthur and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

48 citing papers in PubMed, 76 citations in OpenAlex.

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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

19 authors at 10 institutions in 2 countries.

Albert M AndersonEmory University School of Medicine, Atlanta, Georgia.
Jose A Muñoz-MorenoGermans Trias i Pujol University Hospital, Barcelona, Spain.
Daniel R McClernonbioMONTR Labs, Research Triangle Park, North Carolina.
Ronald J EllisUniversity of California, San Diego.
Debra CooksonUniversity of California, San Diego.
David B CliffordWashington University, St. Louis, Missouri.
Ann C CollierUniversity of Washington, Seattle.
Benjamin B GelmanUniversity of Texas Medical Branch, Galveston.
Christina M MarraUniversity of Washington, Seattle.
Justin C McArthurJohns Hopkins University, Baltimore, Maryland.
J Allen McCutchanUniversity of California, San Diego.
Susan MorgelloIcahn School of Medicine at Mount Sinai, New York.
Ned SacktorJohns Hopkins University, Baltimore, Maryland.
David M SimpsonIcahn School of Medicine at Mount Sinai, New York.
Donald R FranklinUniversity of California, San Diego.
Robert K HeatonUniversity of California, San Diego.
Igor GrantUniversity of California, San Diego.
Scott L LetendreUniversity of California, San Diego.
CHARTER Group
University of California, San Diego · USIcahn School of Medicine at Mount Sinai · USJohns Hopkins University · USEmory University · USHospital Universitari Germans Trias i Pujol · ESSeattle University · USThe University of Texas Medical Branch at Galveston · USTriangle · USUniversity of Washington · USWashington University in St. Louis · US

Funding

STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DAVID J MOORE · 2001 to 2026
$50.4M
Texas NeuroAIDS Research CenterU24MH100930 · NIMH · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GELMAN, BENJAMIN B. · 2013 to 2023
$12.1M
Age related determinants of HAND: A 12 year follow-up of CHARTER participantsR01MH107345 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HEATON, ROBERT KERNACHAN, LETENDRE, SCOTT L · 2015 to 2021
$7.9M
Midcareer Investigator Award in Patient-Oriented NeuroAIDS ResearchK24MH097673 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LETENDRE, SCOTT L · 2013 to 2017
$917k
Study of zidovudine addition in HIV-associated neurocognitive disordersK23MH095679 · NIMH · EMORY UNIVERSITY · PI ANDERSON, ALBERT · 2013 to 2017
$899k
CNS HIV ANTI-RETROVIRAL THERAPY EFFECTS RESEARCH /CHARTER/ -278022005-278022005N01MH022005 · NIMH · UNIVERSITY OF CA -SAN DIEGO · PI GRANT, IGOR · 2003 to 2006
–
NIMH NIH HHS K23 MH095679NIMH NIH HHS K24 MH097673NIMH NIH HHS N01 MH022005NIMH NIH HHS R01 MH107345
6 · The paper itself

Abstract

backgroundNeurocognitive disorders remain common among human immunodeficiency virus (HIV)-positive adults, perhaps owing to persistent HIV-1 RNA in cerebrospinal fluid (CSF) during antiretroviral therapy (ART).

methodsUsing a single-copy assay, we measured HIV-1 RNA levels in CSF and plasma specimens from 220 HIV-positive adults who were taking suppressive ART. Fifty-five participants were tested twice.

resultsHIV-1 RNA was detected in 42.3% of CSF and 65.2% of plasma samples. Correlates of higher CSF HIV-1 RNA levels included higher nadir and current CD4

conclusionsLow-level HIV-1 RNA in CSF is common during suppressive ART and is associated with low-level HIV-1 RNA in blood, better immune status, and lower ART drug distribution into CSF. The association between HIV-1 RNA discordance and HIV-associated neurocognitive disorder (HAND) may reflect compartmentalization. The relationship between HAND, lower HIV-1 RNA levels in CSF, and lower CD4

Indexed as

AdultAnti-HIV AgentsCD4 Lymphocyte CountFemaleHIV-1HIV InfectionsHumansMaleMiddle AgedNeurocognitive DisordersPrevalenceRNA, ViralViral LoadAnti-HIV AgentsRNA, Viralantiretroviral therapycerebrospinal fluidcognitive disordersHIV

Identifiers

PMID27789723
PMCPMC5225254
OpenAlexW2540816954

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.