Evidence map›Paper›PMID 38224350›Full record

Observational studyAIDS (London, England)2024

Effects of COVID-19 mRNA vaccination on HIV viremia and reservoir size.

Maggie C Duncan, F Harrison Omondi, Natalie N Kinloch, Hope R Lapointe, Sarah Speckmaier, Nadia Moran-Garcia, Tanya Lawson, Mari L DeMarco, Janet Simons, Daniel T Holmes and 10 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in AIDS (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
5.4field-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.

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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Phase 2 Trial of Long-Acting Cabotegravir and VRC07-523LS for Viral Suppression in Adults With HIV-1: ACTG A5357.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 5 institutions in 2 countries.

Maggie C DuncanBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
F Harrison OmondiBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
Natalie N KinlochBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
Hope R LapointeBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
Sarah SpeckmaierBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
Nadia Moran-GarciaBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
Tanya LawsonDivision of Medical Microbiology and Virology, St. Paul's Hospital, Vancouver, Canada.
Mari L DeMarcoDepartment of Pathology and Laboratory Medicine, Providence Healthcare, Vancouver, Canada.
Janet SimonsDepartment of Pathology and Laboratory Medicine, Providence Healthcare, Vancouver, Canada.
Daniel T HolmesDepartment of Pathology and Laboratory Medicine, Providence Healthcare, Vancouver, Canada.
Christopher F LoweDivision of Medical Microbiology and Virology, St. Paul's Hospital, Vancouver, Canada.
Nic BacaniBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
Paul SeredaBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
Rolando BarriosBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
Marianne HarrisBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
Marc G RomneyDivision of Medical Microbiology and Virology, St. Paul's Hospital, Vancouver, Canada.
Julio S G MontanerBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
Chanson J BrummeBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
Mark A BrockmanBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
Zabrina L BrummeBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada.
AIDS Vancouver · CAUniversity of British Columbia · CAProvidence Health Care · CASimon Fraser University · CASt. Paul's Hospital · CA

Funding

REACH: Research Enterprise to Advance a Cure for HIVUM1AI164565 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI Marina Caskey, R. Brad Jones · 2021 to 2026
$32.9M
NIAID NIH HHS UM1 AI164565
6 · The paper itself

Abstract

objectiveThe immunogenic nature of coronavirus disease 2019 (COVID-19) mRNA vaccines led to some initial concern that these could stimulate the HIV reservoir. We analyzed changes in plasma HIV loads (pVL) and reservoir size following COVID-19 mRNA vaccination in 62 people with HIV (PWH) receiving antiretroviral therapy (ART), and analyzed province-wide trends in pVL before and after the mass vaccination campaign.

designLongitudinal observational cohort and province-wide analysis.

methodsSixty-two participants were sampled prevaccination, and one month after their first and second COVID-19 immunizations. Vaccine-induced anti-SARS-CoV-2-Spike antibodies in serum were measured using the Roche Elecsys Anti-S assay. HIV reservoirs were quantified using the intact proviral DNA assay; pVL were measured using the cobas 6800 (lower limit of quantification: 20 copies/ml). The province-wide analysis included all 290 401 pVL performed in British Columbia, Canada between 2012 and 2022.

resultsPrevaccination, the median intact reservoir size was 77 [interquartile range (IQR): 20-204] HIV copies/million CD4 + T-cells, compared to 74 (IQR: 27-212) and 65 (IQR: 22-174) postfirst and -second dose, respectively (all comparisons P > 0.07). Prevaccination, 82% of participants had pVL <20 copies/ml (max: 110 copies/ml), compared to 79% postfirst dose (max: 183 copies/ml) and 85% postsecond dose (max: 79 copies/ml) ( P  > 0.4). There was no evidence that the magnitude of the vaccine-elicited anti-SARS-CoV-2-Spike immune response influenced pVL nor changes in reservoir size ( P  > 0.6). We found no evidence linking the COVID-19 mass vaccination campaign to population-level increases in detectable pVL frequency among all PWH in the province, nor among those who maintained pVL suppression on ART.

conclusionWe found no evidence that COVID-19 mRNA vaccines induced changes in HIV reservoir size nor plasma viremia.

Indexed as

COVID-19COVID-19 VaccinesHIV InfectionsSARS-CoV-2Viral LoadViremiaAdultAntibodies, ViralBritish ColumbiaDisease ReservoirsFemaleHumansLongitudinal StudiesMaleMiddle AgedVaccinationAntibodies, ViralCOVID-19 Vaccines

Identifiers

PMID38224350
PMCPMC11139238
OpenAlexW4390889321

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.