Evidence map›Paper›PMID 29182633›Full record

ArticlePLoS medicine2017

Extensive virologic and immunologic characterization in an HIV-infected individual following allogeneic stem cell transplant and analytic cessation of antiretroviral therapy: A case study.

Nathan W Cummins, Stacey Rizza, Mark R Litzow, Stephane Hua, Guinevere Q Lee, Kevin Einkauf, Tae-Wook Chun, Frank Rhame, Jason V Baker, Michael P Busch and 17 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in PLoS medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Risks and Outcomes of Allogeneic Hematopoietic Stem Cell Transplantation for Hematologic Malignancies in Patients with HIV Infection.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
    Pooled it
  2. Allogeneic Hematopoietic Cell Transplant for HIV Patients with Hematologic Malignancies: The BMT CTN-0903/AMC-080 Trial.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
    Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Modelling HIV-1 control and remission.NPJ systems biology and applications · 2024
    Review
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Whole genome sequencing ofFrontiers in genome editing · 2022
    Article
  18. Review
  19. Altered Immune Reconstitution in Allogeneic Stem Cell Transplant Recipients With Human Immunodeficiency Virus (HIV).Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  20. 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

27 authors at 10 institutions in 2 countries.

Nathan W CumminsDivision of Infectious Diseases, Mayo Clinic, Rochester, Minnesota, United States of America.ORCID http://orcid.org/0000-0002-0703-1550
Stacey RizzaDivision of Infectious Diseases, Mayo Clinic, Rochester, Minnesota, United States of America.
Mark R LitzowDivision of Hematology, Mayo Clinic, Rochester, Minnesota, United States of America.
Stephane HuaRagon Institute of MGH, MIT and Harvard, Cambridge, Massachusetts, United States of America.ORCID http://orcid.org/0000-0002-2244-5663
Guinevere Q LeeRagon Institute of MGH, MIT and Harvard, Cambridge, Massachusetts, United States of America.ORCID http://orcid.org/0000-0002-9412-886X
Kevin EinkaufRagon Institute of MGH, MIT and Harvard, Cambridge, Massachusetts, United States of America.
Tae-Wook ChunHIV Immunovirology Unit, Laboratory of Immunoregulation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, United States of America.ORCID http://orcid.org/0000-0001-5153-7340
Frank RhameAbbott Northwestern Hospital, Allina Health, Minneapolis, Minnesota, United States of America.
Jason V BakerDivision of Infectious Diseases, Hennepin County Medical Center, Minneapolis, Minnesota, United States of America.ORCID http://orcid.org/0000-0002-5542-1545
Michael P BuschBlood Systems Research Institute, San Francisco, California, United States of America.
Nicolas ChomontCentre de Recherche du CHUM, University of Montreal Hospital Centre, Montreal, Canada.ORCID http://orcid.org/0000-0001-9747-5018
Patrick G DeanDivision of Transplantation Surgery, Mayo Clinic, Rochester, Minnesota, United States of America.
Rémi FromentinCentre de Recherche du CHUM, University of Montreal Hospital Centre, Montreal, Canada.ORCID http://orcid.org/0000-0002-8153-1799
Ashley T HaaseDepartment of Microbiology and Immunology, University of Minnesota, Minneapolis, Minnesota, United States of America.ORCID http://orcid.org/0000-0002-5374-2388
Dylan HamptonBlood Systems Research Institute, San Francisco, California, United States of America.
Sheila M KeatingBlood Systems Research Institute, San Francisco, California, United States of America.ORCID http://orcid.org/0000-0002-8324-3694
Steven M LadaUniversity of California, San Diego, San Diego, California, United States of America.
Tzong-Hae LeeBlood Systems Research Institute, San Francisco, California, United States of America.
Sekar NatesampillaiDivision of Infectious Diseases, Mayo Clinic, Rochester, Minnesota, United States of America.
Douglas D RichmanUniversity of California, San Diego, San Diego, California, United States of America.ORCID http://orcid.org/0000-0003-0962-9254
Timothy W SchackerDepartment of Medicine, University of Minnesota, Minneapolis, Minnesota, United States of America.
Stephen WietgrefeDepartment of Microbiology and Immunology, University of Minnesota, Minneapolis, Minnesota, United States of America.ORCID http://orcid.org/0000-0003-0468-8431
Xu G YuRagon Institute of MGH, MIT and Harvard, Cambridge, Massachusetts, United States of America.
Joseph D YaoDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, United States of America.
John ZeuliDivision of Infectious Diseases, Mayo Clinic, Rochester, Minnesota, United States of America.
Mathias LichterfeldRagon Institute of MGH, MIT and Harvard, Cambridge, Massachusetts, United States of America.
Andrew D BadleyDivision of Infectious Diseases, Mayo Clinic, Rochester, Minnesota, United States of America.ORCID http://orcid.org/0000-0001-7796-7680
Mayo Clinic · USUniversity of Minnesota · USRagon Institute of MGH, MIT and Harvard · USBlood Systems Research Institute · USBrigham and Women's Hospital · USCentre Hospitalier de l’Université de Montréal · CAUniversity of California San Diego · USUniversity of California, San Francisco · USHennepin County Medical Center · USNational Institutes of Health · US

Funding

VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI David Mitchell Smith · 1994 to 2026
$78.4M
Using NK Cells to eliminate the latent HIV reservoirU19AI096113 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MARGOLIS, DAVID M. · 2011 to 2015
$39.5M
Role of Viral Reservoirs in the Pathogenesis of HIV DiseaseZIAAI000851 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI CHUN, TAE-WOOK · 2009 to 2025
$29.3M
First-in-human study of two anti-SARS CoV-2 antibodies in health volunteersUM1AI126620 · NIAID · WISTAR INSTITUTE · PI MONTANER, LUIS J, RILEY, JAMES L. · 2016 to 2021
$24.5M
Collaboratory of AIDS Researchers for Eradication (CARE)UM1AI126619 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MARGOLIS, DAVID M. · 2016 to 2020
$23.2M
A Pilot Clinical Trial for HIV-1 EradicationU01AI117841 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI KURITZKES, DANIEL R., LICHTERFELD, MATHIAS · 2015 to 2020
$10.7M
Prime shock and kill for HIV erradicationR01AI110173 · NIAID · MAYO CLINIC ROCHESTER · PI BADLEY, ANDREW D · 2014 to 2024
$6.9M
Early Infant TreatmentU01AI114235 · NIAID · HARVARD SCHOOL OF PUBLIC HEALTH · PI KURITZKES, DANIEL R., LICHTERFELD, MATHIAS · 2014 to 2020
$5.1M
Immunoregulatory Function of Myelomonocytic Receptors in HIV-1 InfectionR01AI078799 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI YU, XU · 2008 to 2017
$4.1M
A systems biology approach to fingerprint HIV immune defense in Elite ControllersR01HL134539 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI YU, XU · 2016 to 2019
$3.3M
Evaluating the role of the novel apoptosis inhibitor TRAILshort, in maintaining HIV persistence.R01AI120698 · NIAID · MAYO CLINIC ROCHESTER · PI BADLEY, ANDREW D · 2015 to 2019
$2.5M
Quantification of the HIV-1 Reservoir by Immuno-PCRR01AI120008 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI HEREDIA, ALONSO, LICHTERFELD, MATHIAS · 2015 to 2019
$1.9M
NHLBI NIH HHS R01 HL134539NIAID NIH HHS P30 AI036214NIAID NIH HHS R01 AI078799NIAID NIH HHS R01 AI098487NIAID NIH HHS R01 AI110173NIAID NIH HHS R01 AI120008NIAID NIH HHS R01 AI120698NIAID NIH HHS R21 AI106468NIAID NIH HHS R21 AI116228NIAID NIH HHS R21 AI124776NIAID NIH HHS R33 AI116228NIAID NIH HHS R56 AI120698NIAID NIH HHS U01 AI114235NIAID NIH HHS U01 AI117841NIAID NIH HHS U19 AI096113NIAID NIH HHS UM1 AI126619NIAID NIH HHS UM1 AI126620
6 · The paper itself

Abstract

backgroundNotwithstanding 1 documented case of HIV-1 cure following allogeneic stem cell transplantation (allo-SCT), several subsequent cases of allo-SCT in HIV-1 positive individuals have failed to cure HIV-1 infection. The aim of our study was to describe changes in the HIV reservoir in a single chronically HIV-infected patient on suppressive antiretroviral therapy who underwent allo-SCT for treatment of acute lymphoblastic leukemia. METHODS AND

findingsWe prospectively collected peripheral blood mononuclear cells (PBMCs) by leukapheresis from a 55-year-old man with chronic HIV infection before and after allo-SCT to measure the size of the HIV-1 reservoir and characterize viral phylogeny and phenotypic changes in immune cells. At day 784 post-transplant, when HIV-1 was undetectable by multiple measures-including PCR measurements of both total and integrated HIV-1 DNA, replication-competent virus measurement by large cell input quantitative viral outgrowth assay, and in situ hybridization of colon tissue-the patient consented to an analytic treatment interruption (ATI) with frequent clinical monitoring. He remained aviremic off antiretroviral therapy until ATI day 288, when a low-level virus rebound of 60 HIV-1 copies/ml occurred, which increased to 1,640 HIV-1 copies/ml 5 days later, prompting reinitiation of ART. Rebounding plasma HIV-1 sequences were phylogenetically distinct from proviral HIV-1 DNA detected in circulating PBMCs before transplantation. The main limitations of this study are the insensitivity of reservoir measurements, and the fact that it describes a single case.

conclusionsallo-SCT led to a significant reduction in the size of the HIV-1 reservoir and a >9-month-long ART-free remission from HIV-1 replication. Phylogenetic analyses suggest that the origin of rebound virus was distinct from the viruses identified pre-transplant in the PBMCs.

Indexed as

Anti-Retroviral AgentsHIVHIV-1HIV InfectionsHumansLeukocytes, MononuclearMaleMiddle AgedPhylogenyPrecursor Cell Lymphoblastic Leukemia-LymphomaStem Cell TransplantationViral LoadAnti-Retroviral Agents

Identifiers

PMID29182633
PMCPMC5705162
OpenAlexW2769329598

What OpenQuestion holds

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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.