Evidence map›Paper›PMID 28489920›Full record

ArticlePloS one2017

A national study of the molecular epidemiology of HIV-1 in Australia 2005-2012.

Alison Castley, Shailendra Sawleshwarkar, Rick Varma, Belinda Herring, Kiran Thapa, Dominic Dwyer, Doris Chibo, Nam Nguyen, Karen Hawke, Rodney Ratcliff and 4 more

Open access · goldAbstract 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 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 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

14 authors at 11 institutions in 1 country.

Alison CastleyDepartment of Clinical Immunology, Royal Perth Hospital, Perth Western Australia.
Shailendra SawleshwarkarWestern Sydney Sexual Health Centre, Western Sydney Local Health District, Parramatta NSW Australia.
Rick VarmaWestern Sydney Sexual Health Centre, Western Sydney Local Health District, Parramatta NSW Australia.
Belinda HerringCentre for Infectious Diseases and Microbiology Laboratory Services, ICPMR-Pathology West (NSW Health Pathology), Westmead Hospital and University of Sydney, Westmead NSW, Australia.
Kiran ThapaCentre for Infectious Diseases and Microbiology Laboratory Services, ICPMR-Pathology West (NSW Health Pathology), Westmead Hospital and University of Sydney, Westmead NSW, Australia.
Dominic DwyerCentre for Infectious Diseases and Microbiology Laboratory Services, ICPMR-Pathology West (NSW Health Pathology), Westmead Hospital and University of Sydney, Westmead NSW, Australia.
Doris ChiboHIV Characterisation Laboratory, Victorian Infectious Diseases Reference Laboratory, Doherty Institute, Melbourne, Victoria, Australia.
Nam NguyenDivision of Immunology, HSQ Pathology Queensland Central Laboratory, RBWH Herston, Queensland, Australia.
Karen HawkeSouth Australian Health and Medical Research Institute, Adelaide, South Australia.
Rodney RatcliffClinic 275, Royal Adelaide Hospital, Adelaide, South Australia.
Roger GarsiaThe Clinical Immunology Department, Royal Prince Alfred Hospital, Sydney NSW, Australia.
Anthony KelleherThe Kirby Institute for Infection and Immunity in Society, University of New South Wales, Sydney NSW Australia.
David NolanDepartment of Clinical Immunology, Royal Perth Hospital, Perth Western Australia.
Australian Molecular Epidemiology Network-HIV (AMEN-HIV)
Royal Perth Hospital · AUThe University of Sydney · AUQueensland Health · AURoyal Prince Alfred Hospital · AUSouth Australian Health and Medical Research Institute · AUSouth Australia Pathology · AUSydney Local Health District · AUSydney Sexual Health Centre · AUUNSW Sydney · AUVictorian Infectious Diseases Reference Laboratory · AUWestmead Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRates of new HIV-1 diagnoses are increasing in Australia, with evidence of an increasing proportion of non-B HIV-1 subtypes reflecting a growing impact of migration and travel. The present study aims to define HIV-1 subtype diversity patterns and investigate possible HIV-1 transmission networks within Australia.

methodsThe Australian Molecular Epidemiology Network (AMEN) HIV collaborating sites in Western Australia, South Australia, Victoria, Queensland and western Sydney (New South Wales), provided baseline HIV-1 partial pol sequence, age and gender information for 4,873 patients who had genotypes performed during 2005-2012. HIV-1 phylogenetic analyses utilised MEGA V6, with a stringent classification of transmission pairs or clusters (bootstrap ≥98%, genetic distance ≤1.5% from at least one other sequence in the cluster).

resultsHIV-1 subtype B represented 74.5% of the 4,873 sequences (WA 59%, SA 68.4%, w-Syd 73.8%, Vic 75.6%, Qld 82.1%), with similar proportion of transmission pairs and clusters found in the B and non-B cohorts (23% vs 24.5% of sequences, p = 0.3). Significantly more subtype B clusters were comprised of ≥3 sequences compared with non-B clusters (45.0% vs 24.0%, p = 0.021) and significantly more subtype B pairs and clusters were male-only (88% compared to 53% CRF01_AE and 17% subtype C clusters). Factors associated with being in a cluster of any size included; being sequenced in a more recent time period (p<0.001), being younger (p<0.001), being male (p = 0.023) and having a B subtype (p = 0.02). Being in a larger cluster (>3) was associated with being sequenced in a more recent time period (p = 0.05) and being male (p = 0.008).

conclusionThis nationwide HIV-1 study of 4,873 patient sequences highlights the increased diversity of HIV-1 subtypes within the Australian epidemic, as well as differences in transmission networks associated with these HIV-1 subtypes. These findings provide epidemiological insights not readily available using standard surveillance methods and can inform the development of effective public health strategies in the current paradigm of HIV prevention in Australia.

Indexed as

Molecular EpidemiologyAustraliaCohort StudiesHIV-1HIV InfectionsHumansPhylogeny

Identifiers

PMID28489920
PMCPMC5425008
OpenAlexW2613890724

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.