Evidence map›Paper›PMID 32910065›Full record

ArticleAIDS (London, England)2020

Mechanistic differences underlying HIV latency in the gut and blood contribute to differential responses to latency-reversing agents.

Sushama Telwatte, Peggy Kim, Tsui-Hua Chen, Jeffrey M Milush, Ma Somsouk, Steven G Deeks, Peter W Hunt, Joseph K Wong, Steven A Yukl

Open access · greenAbstract read
In one paragraph

Article in AIDS (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 22 citations in OpenAlex.

  1. Traditional Medicine Extracts ofInternational journal of molecular sciences · 2026
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  8. HIV-1 latency reversal agent boosting is not limited by opioid use.medRxiv : the preprint server for health sciences · 2024
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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

9 authors at 2 institutions in 1 country.

Sushama TelwatteDepartment of Medicine, University of California San Francisco (UCSF).
Peggy KimDepartment of Medicine, San Francisco VA Medical Center, San Francisco, California, USA.
Tsui-Hua ChenDepartment of Medicine, University of California San Francisco (UCSF).
Jeffrey M MilushDepartment of Medicine, University of California San Francisco (UCSF).
Ma SomsoukDepartment of Medicine, University of California San Francisco (UCSF).
Steven G DeeksDepartment of Medicine, University of California San Francisco (UCSF).
Peter W HuntDepartment of Medicine, University of California San Francisco (UCSF).
Joseph K WongDepartment of Medicine, University of California San Francisco (UCSF).
Steven A YuklDepartment of Medicine, University of California San Francisco (UCSF).
University of California, San Francisco · USSan Francisco VA Medical Center · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
Novel single genome approaches to determine the mechanisms of HIV latent infection in blood, gut, and lymph nodesR01DK120387 · NIDDK · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI LICHTERFELD, MATHIAS, YUKL, STEVEN A · 2019 to 2023
$4.1M
Investigating Mechanisms of HIV Persistence in the GutR01DK108349 · NIDDK · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI YUKL, STEVEN A · 2015 to 2019
$2.2M
Understanding HIV latency reversal and clearance of infected cells in vivoR01AI132128 · NIAID · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI WONG, JOSEPH K, YUKL, STEVEN A · 2017 to 2021
$1.9M
Evaluating HIV expression and latency in blood and tissues at the single cell levelR33AI116218 · NIAID · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI WONG, JOSEPH K · 2016 to 2018
$1.4M
NIAID NIH HHS P30 AI027763NIAID NIH HHS R01 AI132128NIAID NIH HHS R33 AI116218NIDDK NIH HHS R01 DK108349NIDDK NIH HHS R01 DK120387
6 · The paper itself

Abstract

objectiveWhile latently HIV-infected cells have been described in the blood, it is unclear whether a similar inducible reservoir exists in the gut, where most HIV-infected cells reside. Tissue-specific environments may contribute to differences in the mechanisms that govern latent HIV infection and amenability to reactivation. We sought to determine whether HIV-infected cells from the blood and gut differ in their responses to T-cell activation and mechanistically distinct latency reversing agents (LRAs).

designCross sectional study using samples from HIV-infected individuals (n = 11).

methodsMatched peripheral blood mononuclear cells (PBMC) and dissociated total cells from rectum ± ileum were treated ex vivo for 24 h with anti-CD3/CD28 or LRAs in the presence of antiretrovirals. HIV DNA and 'read-through', initiated, 5' elongated, completed, and multiply-spliced HIV transcripts were quantified using droplet digital PCR.

resultsT-cell activation increased levels of all HIV transcripts in PBMC and gut cells, and was the only treatment that increased multiply-spliced HIV RNA. Disulfiram increased initiated HIV transcripts in PBMC but not gut cells, while ingenol mebutate increased HIV transcription more in gut cells. Romidepsin increased HIV transcription in PBMC and gut cells, but the increase in transcription initiation was greater in PBMC.

conclusionThe gut harbors HIV-infected cells in a latent-like state that can be reversed by T-cell activation involving CD3/CD28 signaling. Histone deacetylation and protein kinase B may contribute less to HIV transcriptional initiation in the gut, whereas protein kinase C may contribute more. New LRAs or combinations are needed to induce multiply-spliced HIV and should be tested on both blood and gut.

Indexed as

Gastrointestinal MicrobiomeCD4-Positive T-LymphocytesCross-Sectional StudiesDiterpenesHIV-1HIV InfectionsHumansLeukocytes, MononuclearPolymerase Chain ReactionRNA, ViralVirus ActivationVirus Latency3-ingenyl angelateDiterpenesRNA, Viral

Identifiers

PMID32910065
PMCPMC7990078
OpenAlexW3084418555

What OpenQuestion holds

Textmetadata
LicenceTDM
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.