Evidence map›Paper›PMID 34855860›Full record

ArticlePloS one2021

Molecular transmission networks and pre-treatment drug resistance among individuals with acute HIV-1 infection in Baoding, China.

Penghui Shi, Zhixia Chen, Juan Meng, Miaomiao Su, Xuegang Yang, Weiguang Fan, Haoxi Shi, Ying Gao, Xinli Lu

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 22 citations in OpenAlex.

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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.

Penghui ShiClinical Laboratory, The People's Hospital of Baoding, Baoding, Hebei, China.
Zhixia ChenInfection Division, The People's Hospital of Baoding, Baoding, Hebei, China.
Juan MengInfection Division, The People's Hospital of Baoding, Baoding, Hebei, China.
Miaomiao SuInfection Division, The People's Hospital of Baoding, Baoding, Hebei, China.
Xuegang YangInfection Division, The People's Hospital of Baoding, Baoding, Hebei, China.
Weiguang FanClinical Laboratory, The People's Hospital of Baoding, Baoding, Hebei, China.
Haoxi ShiClinical Laboratory, The People's Hospital of Baoding, Baoding, Hebei, China.
Ying GaoClinical Laboratory, The People's Hospital of Baoding, Baoding, Hebei, China.
Xinli LuDepartment of AIDS Research, Hebei Provincial Center for Disease Control and Prevention, Shjiazhuang, Hebei, China.ORCID 0000-0003-4613-2028
Baoding People's Hospital · CNHebei Provincial Center for Disease Control and Prevention · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman immunodeficiency virus type 1 (HIV-1) genetic diversity and pre-treatment drug resistance (PDR) are major barriers to successful antiretroviral therapy (ART). In China, sexual intercourse is the most frequent route of HIV-1 transmission. However, few studies have analyzed PDR and transmission networks in detail among individuals in China with acute HIV-1 infection and their sexual contacts.

methodsA cross-sectional study was conducted in Baoding City, Hebei Province, China from 2019-2020. CD4 T cell counts and viral loads were assessed and a HIV-1 genotypic PDR assay was developed in-house. Transmission networks were visualized using Cytoscape with a threshold genetic distance of 0.015 among HIV-1 subtypes.

resultsFrom 139 newly diagnosed and drug-naïve individuals with HIV-1, 132 pol gene sequences were obtained and revealed eight HIV-1 subtypes. Circulating recombinant form (CRF)01_AE was the most frequent subtype (53.0%, 70/132) followed by CRF07_BC (26.5%, 35/132), B (13.6%, 18/132), unique recombinant forms (2.3%, 3/132), CRF55_01B (1.5%, 2/132), CRF103_01B (1.5%, 2/132), CRF65_cpx (0.8%, 1/132), and C (0.8%, 1/132). A total of 47 pol gene sequences were used to generate 10 molecular transmission networks. The overall prevalence of PDR was 7.6% and that of PDR to non-nucleotide reverse transcriptase inhibitors was 6.1%. Of three transmission networks for PDR, two were closely associated with Beijing and Tianjin, while another was restricted to sequences determined in this study.

conclusionsThese results demonstrate that during acute HIV-1 infection, PDR is transmitted in dynamic networks. This suggests that early detection, diagnosis, surveillance, and treatment are critical to effectively control HIV-1 spread.

Indexed as

AdolescentAdultAnti-Retroviral AgentsChinaCross-Sectional StudiesDrug Resistance, ViralFemaleGenotypeHIV-1HIV InfectionsHumansMaleMiddle AgedPhylogenypol Gene Products, Human Immunodeficiency VirusReverse Transcriptase InhibitorsAnti-Retroviral Agentspol Gene Products, Human Immunodeficiency VirusReverse Transcriptase InhibitorsRNA, Viral

Identifiers

PMID34855860
PMCPMC8638862
OpenAlexW3216614262

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LicenceCC BY
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Registered trials

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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.