Evidence map›Paper›PMID 27898590›Full record

ArticleAIDS (London, England)2017

Reactivation of simian immunodeficiency virus reservoirs in the brain of virally suppressed macaques.

Lucio Gama, Celina M Abreu, Erin N Shirk, Sarah L Price, Ming Li, Greg M Laird, Kelly A Metcalf Pate, Stephen W Wietgrefe, Shelby L O'Connor, Luiz Pianowski and 5 more

Open access · hybridAbstract read
In one paragraph

Article in AIDS (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 1 pooled it
12.1field-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

103 citing papers in PubMed, 1 synthesis or guideline pooled it, 145 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Latency Reversing Agents and the Road to an HIV CurePathogens (Basel, Switzerland) · 2025
    Review
  13. Review
  14. Single-cell analysis of CD14Frontiers in immunology · 2025
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article

43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 2 countries.

Lucio GamaaDepartment of Molecular and Comparative Pathobiology, Johns Hopkins School of Medicine, Baltimore, Maryland, USA bDepartamento de Genética, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil cDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland dDepartment of Microbiology and Immunology, University of Minnesota, Minneapolis eDepartment of Pathology and Laboratory Medicine, University of Wisconsin School of Medicine, Madison, USA fKyolab, Valinhos, São Paulo, Brazil gService of Molecular Virology, Department of Molecular Biology, Université Libre de Bruxelles, Gosselies, Belgium.
Celina M Abreu
Erin N Shirk
Sarah L Price
Ming Li
Greg M Laird
Kelly A Metcalf Pate
Stephen W Wietgrefe
Shelby L O'Connor
Luiz Pianowski
Ashley T Haase
Carine Van Lint
Robert F Siliciano
Janice E Clements
LRA-SIV Study Group
Apple (Israel) · ILJohns Hopkins University · US

Funding

WNPRC Supplemental Request for Nonhuman Primate Enclosures to Equip HIV/AIDS-Related Research FacilitiesP51OD011106 · OD · UNIVERSITY OF WISCONSIN-MADISON · PI Dorota A. Grejner-Brzezinska · 2012 to 2026
$150.7M
Project 4: Intracellular mechanism of virus persistence in astrocytes/macrophagesP01MH070306 · NIMH · JOHNS HOPKINS UNIVERSITY · PI CLEMENTS, JANICE E · 2004 to 2015
$16.0M
Training Program in Cellular and Molecular MedicineT32GM008752 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI RAO, RAJINI · 2000 to 2019
$11.7M
Viral Testing CoreU42OD013117 · OD · JOHNS HOPKINS UNIVERSITY · PI Lydia Hopper, JOSEPH L MANKOWSKI · 2017 to 2026
$10.9M
Novel SIV Model of HANDR01NS077869 · NINDS · JOHNS HOPKINS UNIVERSITY · PI CLEMENTS, JANICE E, MANKOWSKI, JOSEPH L · 2012 to 2016
$3.8M
The Role of Platelet-Monocyte Interactions in SIV InfectionK01OD018244 · OD · JOHNS HOPKINS UNIVERSITY · PI PATE, KELLY ANN METCALF · 2014 to 2018
$657k
NIGMS NIH HHS T32 GM008752NIH HHS K01 OD018244NIH HHS P51 OD011106NIH HHS U42 OD013117NIMH NIH HHS P01 MH070306NINDS NIH HHS R01 NS077869
6 · The paper itself

Abstract

objectiveResting CD4 T cells have been recognized as the major cell reservoir of latent HIV-1 during antiretroviral therapy (ART). Using an simian immunodeficiency virus (SIV)/macaque model for AIDS and HIV-related neurocognitive disorders we assessed the contribution of the brain to viral latency and reactivation.

designPigtailed macaques were dual inoculated with SIVDeltaB670 and SIV17E-Fr and treated with an efficacious central nervous system-penetrant ART. After 500 days of viral suppression animals were treated with two cycles of latency reversing agents and increases in viral transcripts were examined.

methodsLongitudinal plasma and cerebrospinal fluid (CSF) viral loads were analyzed by quantitative and digital droplet PCR. After necropsy, viral transcripts in organs were analyzed by PCR, in-situ hybridization, and phylogenetic genotyping based on env V1 loop sequences. Markers for neuronal damage and CSF activation were measured by ELISA.

resultsIncreases in activation markers and plasma and CSF viral loads were observed in one animal treated with latency reversing agents, despite ongoing ART. SIV transcripts were identified in occipital cortex macrophages by in-situ hybridization and CD68 staining. The most abundant SIV genotype in CSF was unique and expanded independent from viruses found in the periphery.

conclusionThe central nervous system harbors latent SIV genomes after long-term viral suppression by ART, indicating that the brain represents a potential viral reservoir and should be seriously considered during AIDS cure strategies.

Indexed as

Virus ActivationVirus LatencyAnimalsAnti-Retroviral AgentsBrainCerebrospinal FluidDisease Models, AnimalEnzyme-Linked Immunosorbent AssayGene Products, envGenotyping TechniquesIn Situ HybridizationMacacaNeurocognitive DisordersPhylogenyPlasmaPolymerase Chain ReactionAnti-Retroviral AgentsGene Products, env

Identifiers

PMID27898590
PMCPMC5131686
OpenAlexW2522007456

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.