Evidence map›Paper›PMID 33181671›Full record

ArticleMedicine2020

HIV-1 diversity and compartmentalization in urine, semen, and blood.

Hannah Stadtler, Elizabeth Wescott, Kelly Hughes, Jerry Chang, Feng Gao, Mary Klotman, Maria Blasi

Open access · goldAbstract read
In one paragraph

Article in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. An Update on Viral Infection-Associated Collapsing Glomerulopathy.Advances in kidney disease and health · 2024
    Review
  5. Review
  6. Digital Form for Assessing Dentists' Knowledge about Oral Care of People Living with HIV.International journal of environmental research and public health · 2022
    Article
  7. Article
  8. 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

7 authors at 2 institutions in 1 country.

Hannah StadtlerDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Elizabeth WescottDepartment of Pathology, Microbiology, and Immunology, Vanderbilt University School of Medicine, Nashville, TN, USA.
Kelly HughesDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Jerry ChangDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Feng GaoDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Mary KlotmanDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Maria BlasiDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0002-7091-0312
Duke University · USVanderbilt University · US

Funding

VIRAL PATHOGENESIS OF HIV ASSOCIATED NEPHROPATHYP01DK056492 · NIDDK · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI KLOTMAN, MARY E. · 1999 to 2021
$27.8M
The Genitourinary Tract as a compartment and reservoir for HIVR01DK108367 · NIDDK · DUKE UNIVERSITY · PI KLOTMAN, MARY E. · 2015 to 2019
$2.4M
NIDDK NIH HHS P01 DK056492NIDDK NIH HHS R01 DK108367
6 · The paper itself

Abstract

HIV-1 persists indefinitely in multiple cellular reservoirs despite antiretroviral therapy. We previously demonstrated HIV-1 compartmentalization in kidney and urine. Here, we further characterized viruses in urine and when available, compared them to those present in semen from HIV-1 positive participants with detectable plasma viremia to further understand the viral dynamics in the upper and lower genitourinary tract.Blood and urine samples were obtained from 19 HIV-1 positive participants. Simultaneous semen samples were obtained from 16 of the 19 participants. HIV-1 envelope (env) gene sequences were obtained by single-genome amplification (SGA) and neighbor-joining trees were constructed using the Kimura 2-parameter model.HIV-1 env gene sequences were amplified from blood in 19/19 (100%) participants, urine in 18/19 (95%) participants, and semen in 12/16 (75%). In individuals from which both urine and semen samples were obtained, differences in viral shedding between the 2 sources were observed, where HIV-1 env sequences could only be amplified from either urine or semen. Longitudinal phylogenetic analysis of urine-derived env sequences from 1 participant demonstrated that urine clusters distinct from blood are maintained over time (20 weeks), consistent with viral compartmentalization and local replication. Comparison of urine and semen derived sequences demonstrated either virus compartmentalization or equilibration.Our results demonstrate that when present, viral compartmentalization in urine persists over time. Comparison of timing of viral shedding in urine and semen samples from our cohort suggest different viral kinetics between the upper and lower genitourinary tract and sequence analysis suggests that HIV-1 populations in urine and semen can either be imported from blood or produced locally.

Indexed as

AdultFemaleGene AmplificationHIV-1HIV InfectionsHumansMalePhylogenySemenSerumUrineViral LoadViremiaVirus Shedding

Identifiers

PMID33181671
PMCPMC7668469
OpenAlexW3100859143

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.