Evidence map›Paper›PMID 32045386›Full record

ArticleJCI insight2020

Differential decay of intact and defective proviral DNA in HIV-1-infected individuals on suppressive antiretroviral therapy.

Michael J Peluso, Peter Bacchetti, Kristen D Ritter, Subul Beg, Jun Lai, Jeffrey N Martin, Peter W Hunt, Timothy J Henrich, Janet D Siliciano, Robert F Siliciano and 2 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 177 papers.

0numbers the graph read from it
0cells of the map it votes in
177citing papers in PubMed
17.8field-weighted citation impact, top 1% 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

177 citing papers in PubMed, 241 citations in OpenAlex.

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  11. The immunophenotype and proviral landscape of HIV-infected CD4 T cells during antiretroviral therapy.Proceedings of the National Academy of Sciences of the United States of America · 2026
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117 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

12 authors at 4 institutions in 1 country.

Michael J PelusoDivision of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, and.
Peter BacchettiDepartment of Epidemiology and Biostatistics, UCSF, San Francisco, California, USA.
Kristen D RitterAccelevir Diagnostics, Baltimore, Maryland, USA.
Subul BegJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Jun LaiJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Jeffrey N MartinDepartment of Epidemiology and Biostatistics, UCSF, San Francisco, California, USA.
Peter W HuntDivision of Experimental Medicine, Department of Medicine, UCSF, San Francisco, California, USA.
Timothy J HenrichDivision of Experimental Medicine, Department of Medicine, UCSF, San Francisco, California, USA.
Janet D SilicianoJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Robert F SilicianoJohns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Gregory M LairdAccelevir Diagnostics, Baltimore, Maryland, USA.
Steven G DeeksDivision of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, and.
University of California, San Francisco · USJohns Hopkins University · USOffice of Infectious Diseases · USHoward Hughes Medical Institute · US

Funding

Unsolicited R24 for the CFAR-Network of Integrated Clinical Sciences, CNICSR24AI067039 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Michael S. Saag · 2006 to 2026
$99.4M
Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
Viral reservoirs and sanctuaries in HAART - treated patients: role and mechanismsU19AI096109 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SCHACKER, TIMOTHY W · 2011 to 2015
$29.5M
Delaney AIDS Research Enterprise to Cure HIVUM1AI126611 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DEEKS, STEVEN GRANT, PICKER, LOUIS J. · 2016 to 2020
$27.9M
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
Combined Immunologic Approaches to Cure HIV-1UM1AI126603 · NIAID · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BAROUCH, DAN H., MELLORS, JOHN W · 2016 to 2020
$23.6M
Training in HIV Translational ResearchT32AI060530 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Diane V Havlir · 2005 to 2026
$6.4M
Centralized Resource to Accurately Quantify Latent and Expressed HIV ReservoirsU24AI143502 · NIAID · ACCELEVIR DIAGNOSTICS, LLC · PI LAIRD, GREGORY MICHAEL, MARTIN, ALBINE · 2020 to 2024
$4.9M
Targeting Non Viral Markers of HIV PersistenceR01AI141003 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HENRICH, TIMOTHY JENSEN · 2018 to 2022
$4.9M
A Novel Test to Measure Latent Virus in HIV-1 Infected PatientsR44AI124996 · NIAID · ACCELEVIR DIAGNOSTICS, LLC · PI LAIRD, GREGORY MICHAEL · 2018 to 2019
$2.0M
Biomarkers of CNS HIV PersistenceR21MH116716 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HENRICH, TIMOTHY JENSEN · 2018 to 2019
$440k
Howard Hughes Medical InstituteNIAID NIH HHS P30 AI027763NIAID NIH HHS R01 AI141003NIAID NIH HHS R24 AI067039NIAID NIH HHS R44 AI124996NIAID NIH HHS T32 AI060530NIAID NIH HHS U19 AI096109NIAID NIH HHS U24 AI143502NIAID NIH HHS UM1 AI126603NIAID NIH HHS UM1 AI126611NIAID NIH HHS UM1 AI126620NIMH NIH HHS R21 MH116716
6 · The paper itself

Abstract

BACKGROUNDThe relative stabilities of the intact and defective HIV genomes over time during effective antiretroviral therapy (ART) have not been fully characterized.METHODSWe used the intact proviral DNA assay (IPDA) to estimate the rate of change of intact and defective proviruses in HIV-infected adults on ART. We used linear spline models with a knot at seven years and a random intercept and slope up to the knot. We estimated the influence of covariates on rates of change.RESULTSWe studied 81 individuals for a median of 7.3 (IQR 5.9-9.6) years. Intact genomes declined more rapidly from initial suppression through seven years (15.7% per year decline; 95% CI -22.8%, -8.0%) and more slowly after seven years (3.6% per year; 95% CI -8.1%, +1.1%). The estimated half-life of the reservoir was 4.0 years (95% CI 2.7-8.3) until year seven and 18.7 years (95% CI 8.2-infinite) thereafter. There was substantial variability between individuals in the rate of decline until year seven. Intact provirus declined more rapidly than defective provirus (P < 0.001) and showed a faster decline in individuals with higher CD4+ T cell nadirs.CONCLUSIONThe biology of the replication-competent (intact) reservoir differs from that of the replication-incompetent (non-intact) pool of proviruses. The IPDA will likely be informative when investigating the impact of interventions targeting the reservoir.FUNDINGDelaney AIDS Research Enterprise, UCSF/Gladstone Institute of Virology & Immunology CFAR, CFAR Network of Integrated Systems, amfAR Institute for HIV Cure Research, I4C and Beat-HIV Collaboratories, Howard Hughes Medical Institute, Gilead Sciences, Bill and Melinda Gates Foundation.

Indexed as

AdultAnti-HIV AgentsCD4-CD8 RatioCD4 Lymphocyte CountCD4-Positive T-LymphocytesCohort StudiesDisease ReservoirsDNA, ViralFemaleHIV-1HIV InfectionsHumansMaleMiddle AgedPolymerase Chain ReactionProvirusesAnti-HIV AgentsDNA, ViralAIDS/HIVMolecular biology

Identifiers

PMID32045386
PMCPMC7101154
OpenAlexW3005734087

What OpenQuestion holds

Textmetadata
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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.