Evidence map›Paper›PMID 29723162›Full record

Trial reportThe Journal of clinical investigation2018

HIV-1 replicates and persists in vaginal epithelial dendritic cells.

Victor Pena-Cruz, Luis M Agosto, Hisashi Akiyama, Alex Olson, Yvetane Moreau, Jean-Robert Larrieux, Andrew Henderson, Suryaram Gummuluru, Manish Sagar

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in The Journal of clinical investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

51 citing papers in PubMed, 67 citations in OpenAlex.

  1. Article
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  3. Review
  4. Innate Immune Protection Against HIV in the Female Genital Tract.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Victor Pena-CruzDepartment of Medicine and.
Luis M AgostoDepartment of Medicine and.
Hisashi AkiyamaDepartment of Microbiology, Boston University School of Medicine, Boston, Massachusetts, USA.
Alex OlsonDepartment of Medicine and.
Yvetane MoreauDepartment of Medicine and.
Jean-Robert LarrieuxDepartment of Obstetrics and Gynecology, Boston University, Boston, Massachusetts, USA.
Andrew HendersonDepartment of Medicine and.
Suryaram GummuluruDepartment of Microbiology, Boston University School of Medicine, Boston, Massachusetts, USA.
Manish SagarDepartment of Medicine and.
Boston University · US

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI LARRY K BROWN · 1998 to 2026
$51.7M
Mechanism of cell-associated HIV-1 transmissionR01AI064099 · NIAID · BOSTON UNIVERSITY MEDICAL CAMPUS · PI GUMMULURU, SURYARAM · 2005 to 2020
$5.9M
CD1a Vaginal Dendritic Cells and HIV-1 Acquisition in the Female Genital TractR01AI122209 · NIAID · BOSTON MEDICAL CENTER · PI SAGAR, MANISH · 2015 to 2019
$2.2M
HIV-1 mucosal transmission and persistenceK24AI145661 · NIAID · BOSTON MEDICAL CENTER · PI SAGAR, MANISH · 2019 to 2023
$908k
NIAID NIH HHS K24 AI145661NIAID NIH HHS P30 AI042853NIAID NIH HHS R01 AI064099NIAID NIH HHS R01 AI122209
6 · The paper itself

Abstract

HIV-1 acquisition occurs most commonly after sexual contact. To establish infection, HIV-1 must infect cells that support high-level replication, namely CD4+ T cells, which are absent from the outermost genital epithelium. Dendritic cells (DCs), present in mucosal epithelia, potentially facilitate HIV-1 acquisition. We show that vaginal epithelial DCs, termed CD1a+ VEDCs, are unlike other blood- and tissue-derived DCs because they express langerin but not DC-SIGN, and unlike skin-based langerin+ DC subset Langerhans cells (LCs), they do not harbor Birbeck granules. Individuals primarily acquire HIV-1 that utilizes the CCR5 receptor (termed either R5 or R5X4) during heterosexual transmission, and the mechanism for the block against variants that only use the CXCR4 receptor (classified as X4) remains unclear. We show that X4 as compared with R5 HIV-1 shows limited to no replication in CD1a+ VEDCs. This differential replication occurs after fusion, suggesting that receptor usage influences postentry steps in the virus life cycle. Furthermore, CD1a+ VEDCs isolated from HIV-1-infected virologically suppressed women harbor HIV-1 DNA. Thus, CD1a+ VEDCs are potentially infected early during heterosexual transmission and also retain virus during treatment. Understanding the interplay between HIV-1 and CD1a+ VEDCs is important for future prevention and cure strategies.

Indexed as

Langerhans CellsAdultCD4-Positive T-LymphocytesFemaleHIV-1HIV InfectionsHumansMucous MembraneReceptors, CCR5Receptors, CXCR4Virus ReplicationCCR5 protein, humanCXCR4 protein, humanReceptors, CCR5Receptors, CXCR4AIDS/HIVDendritic cellsInfectious disease

Identifiers

PMID29723162
PMCPMC6063466
OpenAlexW2802488873

What OpenQuestion holds

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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.