Evidence map›Paper›PMID 28656011›Full record

ReviewThe Yale journal of biology and medicine2017

Mechanisms of Virologic Control and Clinical Characteristics of HIV+ Elite/Viremic Controllers.

Elena Gonzalo-Gil, Uchenna Ikediobi, Richard E Sutton

Abstract readReview
In one paragraph

Review in The Yale journal of biology and medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing 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

57 citing papers in PubMed.

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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

3 authors.

Elena Gonzalo-GilSection of Infectious Diseases, Department of Internal Medicine, Yale University School of Medicine.
Uchenna IkediobiSection of Infectious Diseases, Department of Internal Medicine, Yale University School of Medicine.
Richard E SuttonSection of Infectious Diseases, Department of Internal Medicine, Yale University School of Medicine.

Funding

TRAINING IN THE PATHOGENESIS OF INFECTIOUS DISEASEST32AI007517 · NIAID · YALE UNIVERSITY · PI Jaimie Meyer, Albert C Shaw · 1997 to 2026
$6.1M
Host Genetic Control of HIVDP1DA036463 · NIDA · YALE UNIVERSITY · PI SUTTON, RICHARD · 2013 to 2017
$3.7M
NIAID NIH HHS T32 AI007517NIDA NIH HHS DP1 DA036463
6 · The paper itself

Abstract

Human immunodeficiency virus type 1 (HIV-1) disease is pandemic, with approximately 36 million infected individuals world-wide. For the vast majority of these individuals, untreated HIV eventually causes CD4+ T cell depletion and profound immunodeficiency, resulting in morbidity and mortality. But for a remarkable few (0.2 to 0.5 percent), termed elite controllers (ECs), viral loads (VLs) remain suppressed to undetectable levels (< 50 copies/ml) and peripheral CD4+ T cell counts remain high (200 to 1000/μl), all in the absence of antiretroviral therapy (ART). Viremic controllers (VCs) are a similar but larger subset of HIV-1 infected individuals who have the ability to suppress their VLs to low levels. These patients have been intensively studied over the last 10 years in order to determine how they are able to naturally control HIV in the absence of medications, and a variety of mechanisms have been proposed. Defective HIV does not explain the clinical status of most ECs/VCs; rather these individuals appear to somehow control HIV infection, through immune or other unknown mechanisms. Over time, many ECs and VCs eventually lose the ability to control HIV, leading to CD4+ T cell depletion and immunologic dysfunction in the absence of ART. Elucidating novel mechanisms of HIV control in this group of patients will be an important step in understanding HIV infection. This will extend our knowledge of HIV-host interaction and may pave the way for the development of new therapeutic approaches and advance the cure agenda.

Indexed as

HIV Long-Term SurvivorsAnti-HIV AgentsDisease ProgressionHIV-1HIV InfectionsHumansImmunity, CellularT-LymphocytesViral LoadViremiaAnti-HIV AgentsElite ControllersHIVLong-term non progressorsViremic controllers

Identifiers

PMID28656011
PMCPMC5482301

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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.