Evidence map›Paper›PMID 32492145›Full record

ArticleThe Journal of infectious diseases2020

Mapping of HIV-1C Transmission Networks Reveals Extensive Spread of Viral Lineages Across Villages in Botswana Treatment-as-Prevention Trial.

Vlad Novitsky, Melissa Zahralban-Steele, Sikhulile Moyo, Tapiwa Nkhisang, Dorcas Maruapula, Mary Fran McLane, Jean Leidner, Kara Bennett, PANGEA Consortium, Kathleen E Wirth and 10 more

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01965470 (Botswana Combination Prevention Project), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT01965470 phase4completednot on this map

Botswana Combination Prevention Project: -Evaluation Protocol (Protocol #1): Research Design and Impact Evaluation -Closed Clinical Cohort Protocol (Protocol #3) Implementation, Monitoring and Evaluation of Combination HIV Prevention Interventions in Rural and Peri-Urban Communities in Botswana

TypeinterventionalSponsorCenters for Disease Control and PreventionRan2013 to 2018ConditionsHIVArmsCombination Prevention, Enhanced Care
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

20 authors.

Vlad NovitskyBotswana Harvard AIDS Institute, Gaborone, Botswana.
Melissa Zahralban-SteeleDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
Sikhulile MoyoBotswana Harvard AIDS Institute, Gaborone, Botswana.
Tapiwa NkhisangDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
Dorcas MaruapulaBotswana Harvard AIDS Institute, Gaborone, Botswana.
Mary Fran McLaneDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
Jean LeidnerGoodtables Data Consulting LLC, Norman, Oklahoma, USA.
Kara BennettBennett Statistical Consulting Inc, Ballston Lake, New York, USA.
PANGEA Consortium
Kathleen E WirthDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
Tendani GaolatheBotswana Harvard AIDS Institute, Gaborone, Botswana.
Etienne KadimaBotswana Harvard AIDS Institute, Gaborone, Botswana.
Unoda ChakalisaBotswana Harvard AIDS Institute, Gaborone, Botswana.
Molly Pretorius HolmeDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
Shahin LockmanBotswana Harvard AIDS Institute, Gaborone, Botswana.
Mompati MmalaneBotswana Harvard AIDS Institute, Gaborone, Botswana.
Joseph MakhemaBotswana Harvard AIDS Institute, Gaborone, Botswana.
Simani GaseitsiweBotswana Harvard AIDS Institute, Gaborone, Botswana.
Victor DeGruttolaDepartment of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
M EssexBotswana Harvard AIDS Institute, Gaborone, Botswana.

Funding

GWAS on Determinants of HIV-1 Subtype C InfectionRC4AI092715 · NIAID · HARVARD SCHOOL OF PUBLIC HEALTH · PI ESSEX, MYRON E · 2010 to 2010
$6.2M
Training in HIV Genomics, Treatment, and Cure Research in BotswanaD43TW009610 · FIC · THE BOTSWANA HARVARD HEALTH PARTNERSHIP · PI SHAHIN LOCKMAN, Joseph Moeketsi Makhema · 2013 to 2026
$4.4M
An HIV Prevention Program for Mochudi, BotswanaR01AI083036 · NIAID · HARVARD SCHOOL OF PUBLIC HEALTH · PI ESSEX, MYRON E · 2009 to 2012
$3.5M
Methods to Advance the HIV Prevention Research AgendaR37AI051164 · NIAID · HARVARD SCHOOL OF PUBLIC HEALTH · PI DEGRUTTOLA, VICTOR GERARD · 2012 to 2019
$3.3M
IDENTIFICATION OF HLA RESTRICTED CTL EPITOPES OF HIV-1 CR01AI047067 · NIAID · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI ESSEX, MYRON E · 2000 to 2004
$2.5M
CGH CDC HHS U01 GH000447CGH CDC HHS U2G GH001911FIC NIH HHS D43 TW009610Gates Foundation OPP1084362Gates Foundation OPP1175094Medical Research Council MC_EX_MR/L016273/1Medical Research Council MC_UU_00027/1NIAID NIH HHS R01 AI047067NIAID NIH HHS R01 AI083036NIAID NIH HHS R37 AI051164NIAID NIH HHS RC4 AI092715NIH HHSPEPFAR
6 · The paper itself

Abstract

backgroundPhylogenetic mapping of HIV-1 lineages circulating across defined geographical locations is promising for better understanding HIV transmission networks to design optimal prevention interventions.

methodsWe obtained near full-length HIV-1 genome sequences from people living with HIV (PLWH), including participants on antiretroviral treatment in the Botswana Combination Prevention Project, conducted in 30 Botswana communities in 2013-2018. Phylogenetic relationships among viral sequences were estimated by maximum likelihood.

resultsWe obtained 6078 near full-length HIV-1C genome sequences from 6075 PLWH. We identified 984 phylogenetically distinct HIV-1 lineages (molecular HIV clusters) circulating in Botswana by mid-2018, with 2-27 members per cluster. Of these, dyads accounted for 62%, approximately 32% (n = 316) were found in single communities, and 68% (n = 668) were spread across multiple communities. Men in clusters were approximately 3 years older than women (median age 42 years, vs 39 years; P < .0001). In 65% of clusters, men were older than women, while in 35% of clusters women were older than men. The majority of identified viral lineages were spread across multiple communities.

conclusionsA large number of circulating phylogenetically distinct HIV-1C lineages (molecular HIV clusters) suggests highly diversified HIV transmission networks across Botswana communities by 2018.

Indexed as

AdolescentAdultAntirheumatic AgentsBotswanaDiagnostic Tests, RoutineFemaleGenome, ViralGenotypeHIV-1HIV InfectionsHumansMaleMiddle AgedPhylogenyResearch DesignSequence AlignmentAntirheumatic AgentsBotswanaHIV-1 clusterstransmission networkviral lineages

Identifiers

PMID32492145
PMCPMC7936922

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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.