Evidence map›Paper›PMID 28129343›Full record

ArticlePloS one2017

Plasma HIV-1 Tropism and the Risk of Short-Term Clinical Progression to AIDS or Death.

Maria Casadellà, Alessandro Cozzi-Lepri, Andrew Phillips, Marc Noguera-Julian, Markus Bickel, Dalibor Sedlacek, Kai Zilmer, Bonaventura Clotet, Jens D Lundgren, Roger Paredes and 1 more

Abstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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

11 authors.

Maria CasadellàIrsiCaixa AIDS Research Institute, Badalona, Catalonia, Spain.ORCID 0000-0002-4115-2305
Alessandro Cozzi-LepriRoyal Free Hospital, London, United Kingdom.
Andrew PhillipsRoyal Free Hospital, London, United Kingdom.
Marc Noguera-JulianIrsiCaixa AIDS Research Institute, Badalona, Catalonia, Spain.
Markus BickelGoethe University, Frankfurt/Main, Germany.
Dalibor SedlacekCharles University Hospital, Plzen, Česká Republika.
Kai ZilmerWest-Tallinn Central Hospital, Tallinn, Estonia.
Bonaventura ClotetIrsiCaixa AIDS Research Institute, Badalona, Catalonia, Spain.
Jens D LundgrenCHIP, Department of Infectious Diseases, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Roger ParedesIrsiCaixa AIDS Research Institute, Badalona, Catalonia, Spain.
EuroSIDA in EuroCOORD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate if plasma HIV-1 tropism testing could identify subjects at higher risk for clinical progression and death in routine clinical management.

designNested case-control study within the EuroSIDA cohort.

methodsCases were subjects with AIDS or who died from any cause, with a plasma sample with HIV-1 RNA >1000 copies/mL available for tropism testing 3 to 12 months prior to the event. At least 1 control matched for age, HIV-1 RNA and HCV status at the time of sampling were selected per each case. Conditional logistic regression was used to investigate exposures associated with clinical progression to AIDS or death. A linear mixed model with random intercept was used to compare CD4+T-cell slopes by HIV tropism over the 12 months following the date of sampling.

resultsThe study included 266 subjects, 100 cases and 166 controls; one quarter had X4 HIV; 26% were ART-naïve. Baseline factors independently associated with clinical progression or death were female gender (OR = 2.13 vs. male, 95CI = 1.04, 4.36), p = 0.038), CD4+T-cell count (OR = 0.90 (95CI = 0.80, 1.00) per 100 cells/mm3 higher, p = 0.058), being on ART (OR = 2.72 vs. being off-ART (95CI = 1.15, 6.41), p = 0.022) and calendar year of sample [OR = 0.84 (95CI = 0.77, 0.91) per more recent year, p<0.001). Baseline tropism was not associated with the risk of clinical progression or death. CD4+T-cell slopes did not differ within or between tropism groups.

conclusionsThe predictive role of plasma tropism determined using 454 sequencing in the context of people receiving cART with detectable VL is not helpful to identify subjects at higher risk for clinical progression to AIDS or death.

Indexed as

Acquired Immunodeficiency SyndromeAdultAnti-HIV AgentsCD4 Lymphocyte CountCD4-Positive T-LymphocytesDisease ProgressionFemaleHIV-1HumansMaleMiddle AgedRNA, ViralViral LoadViral TropismAnti-HIV AgentsRNA, Viral

Identifiers

PMID28129343
PMCPMC5271314

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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.