Evidence map›Paper›PMID 32017709›Full record

Trial reportThe Journal of clinical investigation2020

Plasmacytoid dendritic cells sense HIV replication before detectable viremia following treatment interruption.

Julie L Mitchell, Hiroshi Takata, Roshell Muir, Donn J Colby, Eugène Kroon, Trevor A Crowell, Carlo Sacdalan, Suteeraporn Pinyakorn, Suwanna Puttamaswin, Khunthalee Benjapornpong and 16 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

30 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
  2. Article
  3. Early immune responses anticipate HIV rebound and precede viral control.bioRxiv : the preprint server for biology · 2026
    Article
  4. HIV Virion Capturing Liposomes for Therapeutic Vaccination.bioRxiv : the preprint server for biology · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Prevention, treatment and cure of HIV infection.Nature reviews. Microbiology · 2023
    Review
  13. Review
  14. Article
  15. Review
  16. Advances in HIV Research Using Mass Cytometry.Current HIV/AIDS reports · 2023
    Review
  17. Article
  18. Article
  19. Engaging innate immunity in HIV-1 cure strategies.Nature reviews. Immunology · 2022
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 8 institutions in 4 countries.

Julie L MitchellUS Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Hiroshi TakataUS Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Roshell MuirDivision of Infectious Diseases and HIV Medicine, Department of Medicine, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
Donn J ColbyUS Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Eugène KroonSouth East Asia Research Collaboration with Hawaii (SEARCH), Thai Red Cross AIDS Research Centre (TRC-ARC), Bangkok, Thailand.
Trevor A CrowellUS Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Carlo SacdalanSouth East Asia Research Collaboration with Hawaii (SEARCH), Thai Red Cross AIDS Research Centre (TRC-ARC), Bangkok, Thailand.
Suteeraporn PinyakornUS Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Suwanna PuttamaswinSouth East Asia Research Collaboration with Hawaii (SEARCH), Thai Red Cross AIDS Research Centre (TRC-ARC), Bangkok, Thailand.
Khunthalee BenjapornpongSouth East Asia Research Collaboration with Hawaii (SEARCH), Thai Red Cross AIDS Research Centre (TRC-ARC), Bangkok, Thailand.
Rapee TrichavarojDepartment of Retrovirology, Armed Forces Research Institute of Medical Sciences (AFRIMS) United States Component, Bangkok, Thailand.
Randall L TresslerDivision of AIDS, National Institute of Allergy and Infectious Diseases (NIAID), NIH, Bethesda, Maryland, USA.
Lawrence FoxDivision of AIDS, National Institute of Allergy and Infectious Diseases (NIAID), NIH, Bethesda, Maryland, USA.
Victoria R PolonisUS Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Diane L BoltonUS Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Frank MaldarelliHIV Dynamics and Replication Program, National Cancer Institute (NCI), NIH, Frederick, Maryland, USA.
Sharon R LewinPeter Doherty Institute for Infection and Immunity, University of Melbourne and Royal Melbourne Hospital, Melbourne, Australia.
Elias K HaddadDivision of Infectious Diseases and HIV Medicine, Department of Medicine, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
Praphan PhanuphakSouth East Asia Research Collaboration with Hawaii (SEARCH), Thai Red Cross AIDS Research Centre (TRC-ARC), Bangkok, Thailand.
Merlin L RobbUS Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Nelson L MichaelUS Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Mark de SouzaSouth East Asia Research Collaboration with Hawaii (SEARCH), Thai Red Cross AIDS Research Centre (TRC-ARC), Bangkok, Thailand.
Nittaya PhanuphakSouth East Asia Research Collaboration with Hawaii (SEARCH), Thai Red Cross AIDS Research Centre (TRC-ARC), Bangkok, Thailand.
Jintanat AnanworanichUS Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
Lydie TrautmannUS Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
RV397, RV411, and RV254 Study Groups
Henry M. Jackson Foundation · USThai Red Cross Society · THDrexel University · USNational Institute of Allergy and Infectious Diseases · USWalter Reed Army Institute of Research · USArmed Forces Research Institute of Medical Science · THCenter for Cancer Research · USThe Royal Melbourne Hospital · AU

Funding

Clinical Interventional Studies of HIV ReservoirsZIABC011464 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI MALDARELLI, FRANK · 2012 to 2025
$13.2M
Preservation of adaptive immunity leads to HIV control upon treatment cessation.R01AI108433 · NIAID · VGTI FLORIDA · PI VASAN, SANDHYA · 2014 to 2018
$3.6M
Critical Role of Cytotoxic T Cells in HIV NeuropathogenesisR01MH106466 · NIMH · OREGON HEALTH & SCIENCE UNIVERSITY · PI PICKER, LOUIS J., SPUDICH, SERENA S · 2016 to 2020
$2.8M
NIAID NIH HHS R01 AI108433NIMH NIH HHS R01 MH106466
6 · The paper itself

Abstract

Plasmacytoid dendritic cells (pDCs) are robust producers of IFNα and one of the first immune cells to respond to SIV infection. To elucidate responses to early HIV-1 replication, we studied blood pDCs in 29 HIV-infected participants who initiated antiretroviral therapy during acute infection and underwent analytic treatment interruption (ATI). We observed an increased frequency of partially activated pDCs in the blood before detection of HIV RNA. Concurrent with peak pDC frequency, we detected a transient decline in the ability of pDCs to produce IFNα in vitro, which correlated with decreased phosphorylation of IFN regulatory factory 7 (IRF7) and NF-κB. The levels of phosphorylated IRF7 and NF-κB inversely correlated with plasma IFNα2 levels, implying that pDCs were refractory to in vitro stimulation after IFNα production in vivo. After ATI, decreased expression of IFN genes in pDCs inversely correlated with the time to viral detection, suggesting that pDC IFN loss is part of an effective early immune response. These data from a limited cohort provide a critical first step in understanding the earliest immune response to HIV-1 and suggest that changes in blood pDC frequency and function can be used as an indicator of viral replication before detectable plasma viremia.

Indexed as

AdultDendritic CellsFemaleHIV-1HIV InfectionsHumansInterferon-alphaInterferon Regulatory Factor-7MaleNF-kappa BViremiaVirus ReplicationIFNA2 protein, humanInterferon-alphaInterferon Regulatory Factor-7IRF7 protein, humanNF-kappa BAIDS/HIVDendritic cellsImmunologyInnate immunity

Identifiers

PMID32017709
PMCPMC7260031
OpenAlexW3004460520

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.