Evidence map›Paper›PMID 29077766›Full record

ArticlePloS one2017

Peripheral blood HIV-1 DNA dynamics in antiretroviral-treated HIV/HCV co-infected patients receiving directly-acting antivirals.

Gabriella Rozera, Gabriele Fabbri, Patrizia Lorenzini, Ilaria Mastrorosa, Laura Timelli, Mauro Zaccarelli, Alessandra Amendola, Alessandra Vergori, Maria Maddalena Plazzi, Stefania Cicalini 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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.8field-weighted citation impact, top 31% 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

14 citing papers in PubMed, 14 citations in OpenAlex.

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  8. Review
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  10. HIV antibodies level as a marker of HIV persistence: the role of hepatitis C virus coinfection.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Article
  11. Article
  12. Gesicle-Mediated Delivery of CRISPR/Cas9 Ribonucleoprotein Complex for Inactivating the HIV Provirus.Molecular therapy : the journal of the American Society of Gene Therapy · 2019
    Article
  13. Article
  14. 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

14 authors at 2 institutions in 1 country.

Gabriella RozeraLaboratory of Virology, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Rome, Italy.
Gabriele FabbriClinical Department, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Rome, Italy.
Patrizia LorenziniClinical Department, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Rome, Italy.
Ilaria MastrorosaClinical Department, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Rome, Italy.
Laura TimelliClinical Department, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Rome, Italy.
Mauro ZaccarelliClinical Department, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Rome, Italy.
Alessandra AmendolaLaboratory of Virology, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Rome, Italy.
Alessandra VergoriClinical Department, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Rome, Italy.
Maria Maddalena PlazziClinical Department, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Rome, Italy.
Stefania CicaliniClinical Department, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Rome, Italy.
Andrea AntinoriClinical Department, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Rome, Italy.
Maria Rosaria CapobianchiLaboratory of Virology, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Rome, Italy.
Isabella AbbateLaboratory of Virology, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Rome, Italy.
Adriana AmmassariClinical Department, National Institute for Infectious Diseases "L. Spallanzani" IRCCS, Rome, Italy.
Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAim was to determine the dynamics of peripheral blood mononuclear cells (PBMC)- associated total HIV-1 DNA in successfully ART-treated HIV/HCV co-infected patients receiving DAA treatment and to explore possible virological hypotheses underlying the phenomenon.

methodsLongitudinal, single-centre study measuring total HIV-1 DNA before the start of DAA, at the end of treatment (EOT), and 3 months after treatment. Univariable and multivariable analyses were used to assess factors associated with HIV-1 DNA increase ≥0.5 Log copies/million PBMC. Episomal 2-LTR forms, residual HIV-1 viremia and proviral DNA quasispecies evolution were also investigated.

results119 successfully ART-treated HIV/HCV co-infected patients were included. Median baseline HIV-1 DNA was 3.84 Log copies/million PBMC (95%CI 3.49-4.05), and no significant variation with respect to baseline was found at EOT and after 3 months of DAA termination. In 17% of cases an increase ≥0.5 Log copies/million PBMC was observed at EOT compared to baseline. HIV-1 DNA increase was independently associated with lower baseline HIV-1 DNA, longer HIV suppression, raltegravir-based ART and previous exposure to interferon/ribavirin for HCV treatment. In none of the patients with HIV-1 DNA increase, 2-LTR forms were detected at baseline, while in 2 cases 2-LTR forms were found at EOT, without association with residual HIV-1 RNA viremia. No evidence of viral evolution was observed.

conclusionsIn successfully ART-treated HIV/HCV co-infected patients receiving DAA, PBMC-associated total HIV-1 DNA was quite stable over time, but some patients showed a considerable increase at EOT when compared to baseline. A significantly higher risk of HIV DNA increase was found, in presence of lower cellular HIV reservoir at baseline. Activation of replicative-competent virus generating new rounds of viral replication seems unlikely, while mobilization of cell-associated HIV from tissue reservoirs could be hypothesized.

Indexed as

DNA, ViralFemaleHepatitis CHIV-1HIV InfectionsHIV Long Terminal RepeatHumansLongitudinal StudiesMaleMiddle AgedPhylogenyDNA, Viral

Identifiers

PMID29077766
PMCPMC5659787
OpenAlexW2767063890

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.