Evidence map›Paper›PMID 31192893›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2019

Impact of Integrase Inhibition Compared With Nonnucleoside Inhibition on HIV Reservoirs in Lymphoid Tissues.

Meghan Rothenberger, Krystelle Nganou-Makamdop, Cissy Kityo, Francis Ssali, Jeffrey G Chipman, Gregory J Beilman, Torfi Hoskuldsson, Jodi Anderson, Jake Jasurda, Thomas E Schmidt and 13 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

16 citing papers in PubMed, 22 citations in OpenAlex.

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  10. CD32iScience · 2021
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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

23 authors at 5 institutions in 3 countries.

Meghan RothenbergerDepartment of Medicine, University of Minnesota, Minneapolis, MN.
Krystelle Nganou-MakamdopVaccine Research Center, National Institutes of Allergy and Infectious Diseases, NIH, Bethesda, MD.
Cissy KityoJoint Clinical Research Center, Kampala, Uganda.
Francis SsaliJoint Clinical Research Center, Kampala, Uganda.
Jeffrey G Chipman
Gregory J Beilman
Torfi Hoskuldsson
Jodi AndersonDepartment of Medicine, University of Minnesota, Minneapolis, MN.
Jake JasurdaDepartment of Medicine, University of Minnesota, Minneapolis, MN.
Thomas E SchmidtDepartment of Medicine, University of Minnesota, Minneapolis, MN.
Samuel P CalistoDepartment of Medicine, University of Minnesota, Minneapolis, MN.
Hope PearsonDepartment of Medicine, University of Minnesota, Minneapolis, MN.
Thomas ReimannDepartment of Medicine, University of Minnesota, Minneapolis, MN.
Caitlin DavidDepartment of Medicine, University of Minnesota, Minneapolis, MN.
Katherine PerkeyDepartment of Medicine, University of Minnesota, Minneapolis, MN.
Peter SouthernMicrobiology and Immunology.
Steve WietgrefeMicrobiology and Immunology.
Erika HelgesonBiostatistics, University of Minnesota, Minneapolis, MN.
Cavan ReillyBiostatistics, University of Minnesota, Minneapolis, MN.
Ashley T HaaseMicrobiology and Immunology.
Daniel C DouekVaccine Research Center, National Institutes of Allergy and Infectious Diseases, NIH, Bethesda, MD.
Courtney V FletcherCollege of Pharmacy, University of Nebraska Medical Center, Omaha, NE.
Timothy W SchackerDepartment of Medicine, University of Minnesota, Minneapolis, MN.
University of Minnesota · USBipar · FRJoint Clinical Research Centre · UGNational Institute of Allergy and Infectious Diseases · USUniversity of Nebraska Medical Center · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
The HIV ReservoirZIAAI005034 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DOUEK, DANIEL CESAR · 2009 to 2025
$7.5M
InflammationZIAAI005031 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI DOUEK, DANIEL CESAR · 2009 to 2024
$5.9M
The Lymphoid Tissue Pharmacology of Antiretroviral DrugsR01AI124965 · NIAID · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI FLETCHER, COURTNEY V · 2016 to 2020
$3.7M
NCATS NIH HHS UL1 TR000114NCATS NIH HHS UL1 TR002494NIAID NIH HHS R01 AI124965
6 · The paper itself

Abstract

backgroundHIV is produced in lymphoid tissues (LT) and stored on the follicular dendritic cell network in LT. When antiretroviral therapy is started, plasma viremia decays in 2 phases; the first within days of starting therapy and the second over weeks. Raltegravir (RAL), an integrase inhibitor, has been associated with only a single rapid phase of decay, and we speculated this may be due to higher intracellular concentration (IC) of RAL in LT. We have previously measured suboptimal ICs of antiretroviral therapy agents in LT, which were associated with slower decay of both vRNA+ cells and the follicular dendritic cell network pool.

settingOutpatient clinic at the Joint Clinical Research Center in Kampala, Uganda.

methodsWe compared the rate of decay in LT in people starting RAL with those starting efavirenz (EFV).

resultsThere was no difference in the rate of virus decay in LT. The ratio of the ICs of RAL and EFV in lymph node to the concentration of drug that inhibits 95% of virus in blood was 1 log lower in lymph node for EFV and >3 logs lower for RAL.

conclusionThese data further highlight the challenges of drug delivery to LT in HIV infection and demonstrate that RAL is not superior to EFV as judged by direct measurements of the source of virus in LT.

Indexed as

AdultAlkynesAnti-HIV AgentsBenzoxazinesCD4 Lymphocyte CountCyclopropanesDendritic Cells, FollicularFemaleHIV InfectionsHIV Integrase InhibitorsHumansIn Situ HybridizationLymph NodesLymphoid TissueMaleRaltegravir PotassiumAlkynesAnti-HIV AgentsBenzoxazinesCyclopropanesefavirenzHIV Integrase InhibitorsRaltegravir Potassium

Identifiers

PMID31192893
PMCPMC6582649
OpenAlexW2927544761

What OpenQuestion holds

Textmetadata
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.