Evidence map›Paper›PMID 30803934›Full record

ArticleEBioMedicine2019

Increasing contribution of integrated forms to total HIV DNA in blood during HIV disease progression from primary infection.

Pauline Trémeaux, Tiphaine Lenfant, Faroudy Boufassa, Asma Essat, Adeline Mélard, Marine Gousset, Olivier Delelis, Jean-Paul Viard, Marc Bary, Cécile Goujard and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05381844 (Quantification of Antisense VIH-1 Transcripts and Comparison in Different Groups of Patients), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.4field-weighted citation impact, top 22% 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.

NCT05381844 completednot on this mapstarted 2022, after this paper: background citation

Quantification of Antisense VIH-1 Transcripts and Comparison in Different Groups of Patients

TypeobservationalSponsorInstitut National de la Santé Et de la Recherche Médicale, FranceRan2022 to 2024Enrolled60ConditionsHIV-1-infectionArmsBlood sampling
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Sustained antiviral response againstFrontiers in pharmacology · 2024
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Significance of initiating antiretroviral therapy in the early stage of HIV infection.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2022
    Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Dynamics in HIV-DNA levels over time in HIV controllers.Journal of the International AIDS Society · 2019
    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 4 institutions in 1 country.

Pauline TrémeauxUniversité Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France; INSERM, U1016, Institut Cochin, Paris, France; CNRS, UMR8104, Paris, France; AP-HP, Laboratoire de Virologie, Hôpital Cochin, Paris, France.
Tiphaine LenfantUniversité Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France.
Faroudy BoufassaUniversité Paris Sud, Université Paris Saclay, INSERM CESP U1018, le Kremlin-Bicêtre, France.
Asma EssatUniversité Paris Sud, Université Paris Saclay, INSERM CESP U1018, le Kremlin-Bicêtre, France; AP-HP, Hôpital Bicêtre, Le Kremlin-Bicêtre, France.
Adeline MélardUniversité Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France; INSERM, U1016, Institut Cochin, Paris, France; CNRS, UMR8104, Paris, France.
Marine GoussetUniversité Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France; INSERM, U1016, Institut Cochin, Paris, France; CNRS, UMR8104, Paris, France.
Olivier DelelisLaboratoire de Biologie et Pharmacologie Appliquée, Centre National de la Recherche Scientifique UMR8113, Cachan, France.
Jean-Paul ViardUniversité Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France; INSERM, U1016, Institut Cochin, Paris, France; CNRS, UMR8104, Paris, France; AP-HP, Centre de diagnostic et thérapeutique, Hôtel-Dieu, Paris, France.
Marc BaryAP-HP, Hôpital Bicêtre, Le Kremlin-Bicêtre, France.
Cécile GoujardUniversité Paris Sud, Université Paris Saclay, INSERM CESP U1018, le Kremlin-Bicêtre, France; AP-HP, Hôpital Bicêtre, Le Kremlin-Bicêtre, France.
Christine RouziouxUniversité Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France.
Laurence MeyerUniversité Paris Sud, Université Paris Saclay, INSERM CESP U1018, le Kremlin-Bicêtre, France; AP-HP, Hôpital Bicêtre, Le Kremlin-Bicêtre, France.
Véronique Avettand-FenoelUniversité Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France; INSERM, U1016, Institut Cochin, Paris, France; CNRS, UMR8104, Paris, France; AP-HP, Laboratoire de Microbiologie clinique, CHU Necker-Enfants Malades, Paris, France. Electronic address: veronique.avettand@aphp.fr.
ANRS-SEROCO and PRIMO cohorts
Délégation Paris 5 · FRUniversité Paris-Sud · FRAssistance Publique – Hôpitaux de Paris · FRCentre National de la Recherche Scientifique · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the current context of research on HIV reservoirs, offering new insights into the persistence of HIV DNA in infected cells, which prevents viral eradication, may aid in identifying cure strategies. This study aimed to describe the establishment of stable integrated forms among total HIV DNA during primary infection (PHI) and their dynamics during the natural history of infection.

methodsTotal and integrated HIV DNA were quantified in blood from 74 PHI patients and 97 recent seroconverters (<12 months following infection, "progression cohort"). The evolution of both markers over six years was modelled (mixed-effect linear models). Their predictive values for disease progression were studied (Cox models).

findingsFor most patients during PHI, stable integrated forms were a minority among total HIV DNA (median: 12%) and became predominant thereafter (median at AIDS stage: 100%). Both total and integrated HIV DNA increased over a six-year period. Patients from the progression cohort who reached clinical AIDS during follow-up (n = 34) exhibited higher total and integrated HIV DNA levels at seroconversion and a higher percentage of integrated forms than did slower progressors (n = 63) (median: 100% vs 44%). The integrated HIV DNA load was strongly associated with the risk of developing AIDS (aRR = 2.63, p = 0.002).

interpretationThe profile of "rapid" or "slower" progression in the natural history of HIV infection appears to be determined early in the course of HIV infection. The strong predominance of unstable unintegrated forms in PHI may explain the great benefit of this early treatment, which induces a sharp decrease in total HIV DNA. FUND: French National Agency for Research on AIDS and Viral Hepatitis.

Indexed as

Acquired Immunodeficiency SyndromeAdultAnti-Retroviral AgentsFemaleHIV-1HIV InfectionsHumansLeukocytes, MononuclearMaleMiddle AgedProportional Hazards ModelsRNA, ViralAnti-Retroviral AgentsRNA, ViralAcquired immunodeficiency syndromeIntegrated HIV DNAKineticsNatural historyPrimary HIV infectionReservoirsTotal HIV DNA

Identifiers

PMID30803934
PMCPMC6442355
OpenAlexW2917322261

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Registered trials

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.