Evidence map›Paper›PMID 30024859›Full record

ArticleThe Journal of clinical investigation2018

HIV-1 proviral landscapes distinguish posttreatment controllers from noncontrollers.

Radwa Sharaf, Guinevere Q Lee, Xiaoming Sun, Behzad Etemad, Layla M Aboukhater, Zixin Hu, Zabrina L Brumme, Evgenia Aga, Ronald J Bosch, Ying Wen and 15 more

Open access · bronzeAbstract read
In one paragraph

Article 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 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
6.6field-weighted citation impact, top 2% 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

61 citing papers in PubMed, 81 citations in OpenAlex.

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  12. Viral and immune predictors of HIV posttreatment control.Current opinion in HIV and AIDS · 2025
    Review
  13. HIV controllers: hope for a functional cure.Frontiers in immunology · 2025
    Review
  14. Article
  15. Modelling HIV-1 control and remission.NPJ systems biology and applications · 2024
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Recent advances in CD8Heliyon · 2023
    Review

1 more citing papers are in PubMed but not listed here.

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

25 authors at 12 institutions in 2 countries.

Radwa SharafBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Guinevere Q LeeRagon Institute of MGH, MIT, and Harvard, Cambridge, Massachusetts, USA.
Xiaoming SunRagon Institute of MGH, MIT, and Harvard, Cambridge, Massachusetts, USA.
Behzad EtemadBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Layla M AboukhaterBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Zixin HuBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Zabrina L BrummeSimon Fraser University, Burnaby, British Columbia, Canada.
Evgenia AgaHarvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Ronald J BoschHarvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Ying WenBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Golnaz NamaziBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Ce GaoRagon Institute of MGH, MIT, and Harvard, Cambridge, Massachusetts, USA.
Edward P AcostaUniversity of Alabama at Birmingham, Birmingham, Alabama, USA.
Rajesh T GandhiRagon Institute of MGH, MIT, and Harvard, Cambridge, Massachusetts, USA.
Jeffrey M JacobsonTemple University, Philadelphia, Pennsylvania, USA.
Daniel SkiestUniversity of Massachusetts Medical School-Baystate, Springfield, Massachusetts, USA.
David M MargolisUNC School of Medicine, Chapel Hill, North Carolina, USA.
Ronald MitsuyasuUCLA, Los Angeles, California, USA.
Paul VolberdingGladstone Center for AIDS Research, UCSF, San Francisco, California, USA.
Elizabeth ConnickUniversity of Arizona College of Medicine, Tucson, Arizona, USA.
Daniel R KuritzkesBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Michael M LedermanCase Western Reserve University, Cleveland, Ohio, USA.
Xu G YuRagon Institute of MGH, MIT, and Harvard, Cambridge, Massachusetts, USA.
Mathias LichterfeldBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Jonathan Z LiBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Brigham and Women's Hospital · USRagon Institute of MGH, MIT and Harvard · USHarvard University · USBaystate Medical Center · USCase Western Reserve University · USSan Francisco AIDS Foundation · USSimon Fraser University · CATemple University · USUCLA Health · USUniversity of Alabama at Birmingham · USUniversity of Arizona · USUniversity of North Carolina Health Care · US

Funding

Leadership and Operations Center (LOC), AIDS Clinical Trials Group (ACTG); LOC 1/UM1AI068636 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, RAJESH T GANDHI · 2011 to 2026
$1073.1M
Statistical and Data Management Center (SDMC), AIDS Clinical Trials Group (ACTG)UM1AI068634 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Marlene Ann Cooper, Michael David Hughes · 2011 to 2026
$246.6M
Validation, CLIA and Qualification (VQC): Enhancing the RS ratio as a tool for AIDS Clinical Trial Group (ACTG) tuberculosis trialsUM1AI106701 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$116.8M
The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI ROBERT A. PARKER · 2004 to 2026
$94.4M
Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
Statistical and Data Management Center for the AIDS Clinical Trials GroupU01AI068634 · NIAID · HARVARD SCHOOL OF PUBLIC HEALTH · PI HUGHES, MICHAEL DAVID · 2006 to 2010
$71.9M
University of North Carolina Global HIV Prevention and Treatment Clinical Trials Unit 2024 SupplementUM1AI069423 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, MINA CHRISTINE HOSSEINIPOUR · 2012 to 2026
$71.8M
Harvard Medical School Vaccine Clinical Trials UnitUM1AI069412 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI Lindsey Robert Baden, Daniel R. Kuritzkes · 2012 to 2026
$57.2M
UCLA AIDS Prevention and Treatment Clinical Trials UnitUM1AI069424 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Judith S. Currier, RAPHAEL J LANDOVITZ · 2012 to 2026
$51.8M
WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Sharon L. Hillier, JONATHAN KARN · 1994 to 2026
$50.0M
Case Clinical Trials Unit: Administrative Supplement NOSI AI-20-031.UM1AI069501 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI George Yendewa · 2012 to 2026
$40.4M
San Francisco Vaccine and Prevention UnitUM1AI069496 · NIAID · PUBLIC HEALTH FOUNDATION ENTERPRISES · PI Susan Buchbinder, Diane V Havlir · 2012 to 2026
$30.5M
NIAID NIH HHS P30 AI027763NIAID NIH HHS P30 AI036219NIAID NIH HHS P30 AI060354NIAID NIH HHS R01 AI098487NIAID NIH HHS R01 AI130005NIAID NIH HHS R56 AI125109NIAID NIH HHS U01 AI068634NIAID NIH HHS U01 AI069501NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI069412NIAID NIH HHS UM1 AI069423NIAID NIH HHS UM1 AI069424NIAID NIH HHS UM1 AI069496NIAID NIH HHS UM1 AI069501NIAID NIH HHS UM1 AI106701NIAID NIH HHS UM1 AI126617
6 · The paper itself

Abstract

HIV posttreatment controllers (PTCs) represent a natural model of sustained HIV remission, but they are rare and little is known about their viral reservoir. We obtained 1,450 proviral sequences after near-full-length amplification for 10 PTCs and 16 posttreatment noncontrollers (NCs). Before treatment interruption, the median intact and total reservoir size in PTCs was 7-fold lower than in NCs, but the proportion of intact, defective, and total clonally expanded proviral genomes was not significantly different between the 2 groups. Quantification of total but not intact proviral genome copies predicted sustained HIV remission as 81% of NCs, but none of the PTCs had a total proviral genome greater than 4 copies per million peripheral blood mononuclear cells (PBMCs). The results highlight the restricted intact and defective HIV reservoir in PTCs and suggest that total proviral genome burden could act as the first biomarker for identifying PTCs. Total and defective but not intact proviral copy numbers correlated with levels of cell-associated HIV RNA, activated NK cell percentages, and both HIV-specific CD4+ and CD8+ responses. These results support the concept that defective HIV genomes can lead to viral antigen production and interact with both the innate and adaptive immune systems.

Indexed as

HIV Long-Term SurvivorsAdultAnti-HIV AgentsDefective VirusesDisease ReservoirsFemaleGenome, ViralHIV-1HIV InfectionsHumansMaleMiddle AgedProvirusesViral LoadAnti-HIV AgentsAIDS/HIVAIDS vaccineInfectious disease

Identifiers

PMID30024859
PMCPMC6118642
OpenAlexW2883804067

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.