Evidence map›Paper›PMID 30232278›Full record

ArticleJCI insight2018

Long-term remission despite clonal expansion of replication-competent HIV-1 isolates.

Rebecca T Veenhuis, Abena K Kwaa, Caroline C Garliss, Rachel Latanich, Maria Salgado, Christopher W Pohlmeyer, Christopher L Nobles, John Gregg, Eileen P Scully, Justin R Bailey and 2 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.5field-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

32 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. CD8Nature · 2026
    Article
  6. CD8medRxiv : the preprint server for health sciences · 2025
    Article
  7. Review
  8. HIV controllers: hope for a functional cure.Frontiers in immunology · 2025
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
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  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

12 authors at 2 institutions in 1 country.

Rebecca T VeenhuisDepartment of Medicine and.
Abena K KwaaDepartment of Medicine and.
Caroline C GarlissDepartment of Medicine and.
Rachel LatanichDepartment of Medicine and.
Maria SalgadoDepartment of Medicine and.
Christopher W PohlmeyerDepartment of Medicine and.
Christopher L NoblesDepartment of Microbiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
John GreggDepartment of Microbiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Eileen P ScullyDepartment of Medicine and.
Justin R BaileyDepartment of Medicine and.
Frederic D BushmanDepartment of Microbiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Joel N BlanksonDepartment of Medicine and.
University of Pennsylvania · USJohns Hopkins University · US

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI ROBERT GROSS · 1999 to 2026
$78.6M
Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
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
BIOCHEMISTRY, CELLULAR AND MOLECULAR BIOLOGY PROGRAMT32GM007445 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI GREEN, RACHEL · 1985 to 2021
$24.1M
Sequencing and Viral Evolution CoreU19AI117950 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI WHERRY, E. JOHN · 2015 to 2019
$12.0M
Training Program in Cellular and Molecular MedicineT32GM008752 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI RAO, RAJINI · 2000 to 2019
$11.7M
Favored Sites for HIV Integration in the Human GenomeR01AI052845 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI BUSHMAN, FREDERIC D · 2002 to 2017
$5.6M
Massively Parallel Analysis of Integration in Therapeutic Gene TransferR01AI082020 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI BUSHMAN, FREDERIC D · 2009 to 2018
$3.5M
Optimization of high throughput viral outgrowth assays for the detection of HIV-1 reservoirsR01AI140789 · NIAID · JOHNS HOPKINS UNIVERSITY · PI BLANKSON, JOEL N · 2018 to 2021
$1.6M
A mouse viral outgrowth assay for the detection of residual HIV-1 reservoirsR01AI120024 · NIAID · JOHNS HOPKINS UNIVERSITY · PI BLANKSON, JOEL N · 2015 to 2017
$1.2M
Harnessing NK cell activity to eliminate the HIV-1 reservoirK08AI116344 · NIAID · JOHNS HOPKINS UNIVERSITY · PI SCULLY, EILEEN PATRICIA · 2016 to 2020
$973k
CD8+ T cell mediated inhibition of HIV-1 replication in Elite SuppressorsR56AI080328 · NIAID · JOHNS HOPKINS UNIVERSITY · PI BLANKSON, JOEL N · 2014 to 2014
$405k
NIAID NIH HHS K08 AI116344NIAID NIH HHS P30 AI045008NIAID NIH HHS P30 AI094189NIAID NIH HHS R01 AI052845NIAID NIH HHS R01 AI082020NIAID NIH HHS R01 AI120024NIAID NIH HHS R01 AI140789NIAID NIH HHS R56 AI080328NIAID NIH HHS U19 AI117950NIAID NIH HHS UM1 AI126620NIGMS NIH HHS T32 GM007445NIGMS NIH HHS T32 GM008752
6 · The paper itself

Abstract

Clonal expansion of T cells harboring replication-competent virus has recently been demonstrated in patients on suppressive antiretroviral therapy (ART) regimens. However, there has not been direct evidence of this phenomenon in settings of natural control, including in posttreatment controllers who maintain control of viral replication after treatment when ART is discontinued. We present a case of an individual who has had undetectable viral loads for more than 15 years following the cessation of ART. Using near-full-genome sequence analysis, we demonstrate that 9 of 12 replication-competent isolates cultured from this subject were identical and that this identity was maintained 6 months later. A similar pattern of replication-competent virus clonality was seen in a treatment-naive HLA-B*57 elite controller. In both cases, we show that CD8+ T cells are capable of suppressing the replication of the clonally expanded viruses in vitro. Our data suggest that, while clonal expansion of replication-competent virus can present a barrier to viral eradication, these viral isolates remain susceptible to HIV-specific immune responses and can be controlled in patients with long-term suppression of viral replication.

Indexed as

HIV Long-Term SurvivorsVirus ReplicationAIDS VaccinesCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesEpitopesEpitopes, T-Lymphocytegag Gene Products, Human Immunodeficiency VirusHIV-1HIV InfectionsHLA-B AntigensHumansnef Gene Products, Human Immunodeficiency VirusTime FactorsViral LoadAIDS VaccinesEpitopesEpitopes, T-Lymphocytegag Gene Products, Human Immunodeficiency VirusHLA-B57 antigenHLA-B Antigensnef Gene Products, Human Immunodeficiency Virusnef protein, Human immunodeficiency virus 1AIDS/HIVAIDS vaccineT cells

Identifiers

PMID30232278
PMCPMC6237238
OpenAlexW2891422706

What OpenQuestion holds

Textmetadata
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.