Evidence map›Paper›PMID 32591400›Full record

Trial reportJournal of immunology (Baltimore, Md. : 1950)2020

Rapid HIV Progression Is Associated with Extensive Ongoing Somatic Hypermutation.

Ben S Wendel, Yajing Fu, Chenfeng He, Stefany M Hernandez, Mingjuan Qu, Zining Zhang, Yongjun Jiang, Xiaoxu Han, Junjie Xu, Haibo Ding and 2 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Journal of immunology (Baltimore, Md. : 1950), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 30% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

12 authors at 2 institutions in 2 countries.

Ben S WendelMcKetta Department of Chemical Engineering, Cockrell School of Engineering, The University of Texas at Austin, Austin, TX 78712.ORCID 0000-0001-6896-3354
Yajing FuKey Laboratory of AIDS Immunology of National Health Commission (China Medical University), Department of Laboratory Medicine, The First Affiliated Hospital of China Medical University, Shenyang 110001, China.ORCID 0000-0002-4343-2220
Chenfeng HeDepartment of Biomedical Engineering, Cockrell School of Engineering, The University of Texas at Austin, Austin, TX 78712; and.ORCID 0000-0002-9171-3879
Stefany M HernandezMcKetta Department of Chemical Engineering, Cockrell School of Engineering, The University of Texas at Austin, Austin, TX 78712.
Mingjuan QuDepartment of Biomedical Engineering, Cockrell School of Engineering, The University of Texas at Austin, Austin, TX 78712; and.
Zining ZhangKey Laboratory of AIDS Immunology of National Health Commission (China Medical University), Department of Laboratory Medicine, The First Affiliated Hospital of China Medical University, Shenyang 110001, China.
Yongjun JiangKey Laboratory of AIDS Immunology of National Health Commission (China Medical University), Department of Laboratory Medicine, The First Affiliated Hospital of China Medical University, Shenyang 110001, China.
Xiaoxu HanKey Laboratory of AIDS Immunology of National Health Commission (China Medical University), Department of Laboratory Medicine, The First Affiliated Hospital of China Medical University, Shenyang 110001, China.
Junjie XuKey Laboratory of AIDS Immunology of National Health Commission (China Medical University), Department of Laboratory Medicine, The First Affiliated Hospital of China Medical University, Shenyang 110001, China.
Haibo DingKey Laboratory of AIDS Immunology of National Health Commission (China Medical University), Department of Laboratory Medicine, The First Affiliated Hospital of China Medical University, Shenyang 110001, China.
Ning JiangDepartment of Biomedical Engineering, Cockrell School of Engineering, The University of Texas at Austin, Austin, TX 78712; and hongshang100@hotmail.com jiang@austin.utexas.edu.
Hong ShangKey Laboratory of AIDS Immunology of National Health Commission (China Medical University), Department of Laboratory Medicine, The First Affiliated Hospital of China Medical University, Shenyang 110001, China; hongshang100@hotmail.com jiang@austin.utexas.edu.
National Health and Family Planning Commission · CNThe University of Texas at Austin · US

Funding

Genomic Approaches to the T Cell Receptor Repertoire during AgingR00AG040149 · NIA · UNIVERSITY OF TEXAS AT AUSTIN · PI JIANG, NING JENNY · 2013 to 2015
$740k
BioMark HD System for High-Throughput Genomic StudiesS10OD020072 · OD · UNIVERSITY OF TEXAS AT AUSTIN · PI JIANG, NING JENNY · 2015 to 2015
$489k
NIA NIH HHS R00 AG040149NIH HHS S10 OD020072
6 · The paper itself

Abstract

The Ab response to HIV is of great interest, particularly in the context of a protective vaccine and broadly neutralizing Abs, but research is typically geared toward elite controllers because of their ability to successfully control the virus. In this study, we studied the evolution of the Ab repertoire over the first year of HIV infection in people classified as rapid progressors (RP) compared with typical progressors. HIV RPs are an important yet understudied group of HIV patients classified by a rapid decline in CD4 counts and accelerated development of AIDS. We found that the global IgG somatic hypermutation load negatively correlated with disease progression, possibly because of exaggerated isotype switching of unmutated sequences in patients with low CD4 counts. We measured Ab sequence evolution over time using longitudinal samples taken during the early stages of infection and 1 year postinfection. Within clonal lineages spanning both timepoints, visit 2-derived sequences harbored considerably more mutations than their visit 1 relatives. Despite extensive ongoing somatic hypermutation, the initially strong signs of Ag selection pressure observed in visit 1-derived sequences decayed by visit 2. These data suggest that excessive immune activation in RPs leads to a hyperactive B cell response that fails to confer protection.

Indexed as

Somatic Hypermutation, ImmunoglobulinAdolescentAdultCD4 Lymphocyte CountDisease ProgressionHIV-1HIV AntibodiesHIV InfectionsHumansImmunoglobulin GMaleHIV AntibodiesImmunoglobulin G

Identifiers

PMID32591400
PMCPMC7372316
OpenAlexW3037243775

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.