Evidence map›Paper›PMID 34960781›Full record

ReviewViruses2021

Why the HIV Reservoir Never Runs Dry: Clonal Expansion and the Characteristics of HIV-Infected Cells Challenge Strategies to Cure and Control HIV Infection.

Chuen-Yen Lau, Matthew A Adan, Frank Maldarelli

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Viruses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05419024 (Imaging and Biopsy of People With HIV-1 Undergoing Analytic Treatment Interruption), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% 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.

NCT05419024 phase2recruitingnot on this mapstarted 2023, after this paper: background citation

Imaging and Biopsy of People With HIV-1 Undergoing Analytic Treatment Interruption

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2023 to 2029Enrolled50ConditionsHIVArmsAcute Treatment Interruption
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  10. Viral and immune predictors of HIV posttreatment control.Current opinion in HIV and AIDS · 2025
    Review
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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

3 authors at 1 institution in 1 country.

Chuen-Yen LauHIV Dynamics and Replication Program, NCI, NIH, Bethesda, MD 20892, USA.ORCID 0000-0002-4337-8885
Matthew A AdanHIV Dynamics and Replication Program, NCI, NIH, Bethesda, MD 20892, USA.ORCID 0000-0003-2515-8982
Frank MaldarelliHIV Dynamics and Replication Program, NCI, NIH, Bethesda, MD 20892, USA.
Columbia University · US

Funding

HIV Persistence During Suppressive Antiretroviral TherapyZIABC011466 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI MALDARELLI, FRANK · 2012 to 2025
$16.0M
NCI NIH HHS ZIA BC 011466
6 · The paper itself

Abstract

Antiretroviral therapy (ART) effectively reduces cycles of viral replication but does not target proviral populations in cells that persist for prolonged periods and that can undergo clonal expansion. Consequently, chronic human immunodeficiency virus (HIV) infection is sustained during ART by a reservoir of long-lived latently infected cells and their progeny. This proviral landscape undergoes change over time on ART. One of the forces driving change in the landscape is the clonal expansion of infected CD4 T cells, which presents a key obstacle to HIV eradication. Potential mechanisms of clonal expansion include general immune activation, antigenic stimulation, homeostatic proliferation, and provirus-driven clonal expansion, each of which likely contributes in varying, and largely unmeasured, amounts to maintaining the reservoir. The role of clinical events, such as infections or neoplasms, in driving these mechanisms remains uncertain, but characterizing these forces may shed light on approaches to effectively eradicate HIV. A limited number of individuals have been cured of HIV infection in the setting of bone marrow transplant; information from these and other studies may identify the means to eradicate or control the virus without ART. In this review, we describe the mechanisms of HIV-1 persistence and clonal expansion, along with the attempts to modify these factors as part of reservoir reduction and cure strategies.

Indexed as

Anti-HIV AgentsHIVHIV InfectionsHumansProvirusesViral LoadVirus IntegrationVirus ReplicationAnti-HIV Agentsclonal expansioncureHIVpersistencereservoir

Identifiers

PMID34960781
PMCPMC8708047
OpenAlexW4200346605

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.