Evidence map›Paper›PMID 40300610›Full record

ArticleMed (New York, N.Y.)2025

A genetic fingerprint associated with durable HIV remission after interruption of antiretroviral treatment: ANRS VISCONTI/PRIMO.

Asma Essat, Anaïs Chapel, Kahina Amokrane, Valérie Monceaux, Céline Didier, Adeline Melard, Elise Gardiennet, Véronique Avettand-Fenoel, Sylvie Orr, Faroudy Boufassa and 13 more

Abstract read
In one paragraph

Article in Med (New York, N.Y.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Review
  6. The elite controller phenotype.Current opinion in HIV and AIDS · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. CD8Nature · 2026
    Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Post-intervention control in HIV immunotherapy trials.Current opinion in HIV and AIDS · 2025
    Review
  17. Article
  18. 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

23 authors.

Asma EssatUniversité Paris-Saclay, Inserm CESP U1018, AP-HP, Department of Public Health, Bicêtre Hospital, 94270 Paris-Saclay, France.
Anaïs ChapelInstitut Pasteur, Université Paris Cité, Viral Reservoirs and Immune Control Unit, 75015 Paris, France; Institut Pasteur, Université Paris Cité, HIV Inflammation and Persistence Unit, 75015 Paris, France.
Kahina AmokraneAP-HP, Hôpital Saint-Louis, Université Paris Cité, Laboratoire d'Immunologie et Histocompatibilité, 75010 Paris, France.
Valérie MonceauxInstitut Pasteur, Université Paris Cité, Viral Reservoirs and Immune Control Unit, 75015 Paris, France; Institut Pasteur, Université Paris Cité, HIV Inflammation and Persistence Unit, 75015 Paris, France.
Céline DidierInstitut Pasteur, Unité Régulation des Infections Rétrovirales, 75015 Paris, France.
Adeline MelardUniversité Paris Cité, Faculté de Médecine, 75015 Paris, France; INSERM U1016, CNRS UMR8104, Institut Cochin, 75014 Paris, France.
Elise GardiennetUniversité Paris Cité, Faculté de Médecine, 75015 Paris, France; INSERM U1016, CNRS UMR8104, Institut Cochin, 75014 Paris, France.
Véronique Avettand-FenoelUniversité Paris Cité, Faculté de Médecine, 75015 Paris, France; INSERM U1016, CNRS UMR8104, Institut Cochin, 75014 Paris, France; Université d'Orléans, LI(2)RSO, CHU Orléans, Virologie, 45100 Orléans, France.
Sylvie OrrUniversité Paris-Saclay, Inserm CESP U1018, AP-HP, Department of Public Health, Bicêtre Hospital, 94270 Paris-Saclay, France.
Faroudy BoufassaUniversité Paris-Saclay, Inserm CESP U1018, AP-HP, Department of Public Health, Bicêtre Hospital, 94270 Paris-Saclay, France.
Olivier LambotteUniversité Paris-Saclay, Inserm, CEA, Center for Immunology of Viral, Auto-immune, Hematological, Bacterial Diseases (IMVA-HB/IDMIT/UMRS1184), 94270 Le Kremlin Bicêtre, France.
Michaela Müller-TrutwinInstitut Pasteur, Université Paris Cité, HIV Inflammation and Persistence Unit, 75015 Paris, France.
Camille LécurouxUniversité Paris-Saclay, Inserm, CEA, Center for Immunology of Viral, Auto-immune, Hematological, Bacterial Diseases (IMVA-HB/IDMIT/UMRS1184), 94270 Le Kremlin Bicêtre, France.
Antoine ChéretINSERM U1016, CNRS UMR8104, Institut Cochin, 75014 Paris, France; Université Paris-Saclay, AP-HP, Hôpital Bicêtre, DMU 7, Inserm U1018, CESP, 94270 Le Kremlin Bicêtre, France.
Cécile GoujardUniversité Paris-Saclay, AP-HP, Hôpital Bicêtre, DMU 7, Inserm U1018, CESP, 94270 Le Kremlin Bicêtre, France.
Christine RouziouxUniversité Paris Cité, Faculté de Médecine, 75015 Paris, France.
Sophie Caillat-ZucmanAP-HP, Hôpital Saint-Louis, Université Paris Cité, Laboratoire d'Immunologie et Histocompatibilité, 75010 Paris, France.
Laurent HocquelouxCentre Hospitalier Universitaire, Service des Maladies Infectieuses, 45100 Orléans, France.
Daniel Scott-AlgaraInstitut Pasteur, Université Paris Cité, Lymphocyte Cell Biology Unit, 75015 Paris, France.
Laurence MeyerUniversité Paris-Saclay, Inserm CESP U1018, AP-HP, Department of Public Health, Bicêtre Hospital, 94270 Paris-Saclay, France.
Asier Sáez-CiriónInstitut Pasteur, Université Paris Cité, Viral Reservoirs and Immune Control Unit, 75015 Paris, France; Institut Pasteur, Université Paris Cité, HIV Inflammation and Persistence Unit, 75015 Paris, France. Electronic address: asier.saez-cirion@pasteur.fr.
ANRS PRIMO cohort
VISCONTI study

Funding

ERASE HIV: Enterprise for Research and Advancements to Stop and Eradicate HIVUM1AI164562 · NIAID · EMORY UNIVERSITY · PI Deanna A Kulpa, Mirko Paiardini · 2021 to 2026
$30.0M
Viral dynamics of rebound and control following early treatment of HIV/SIVP01AI131365 · NIAID · BOSTON COLLEGE · PI WHITNEY, JAMES BURTON · 2017 to 2021
$7.5M
NIAID NIH HHS P01 AI131365NIAID NIH HHS UM1 AI164562
6 · The paper itself

Abstract

backgroundThere is currently no curative treatment for HIV-1 infection. However, some individuals (defined as posttreatment controllers) durably control viremia after the discontinuation of antiretroviral therapy (ART). Although the ability to achieve this HIV-1 remission status is enhanced by early treatment initiation, the mechanisms leading to posttreatment HIV-1 control remain unclear.

methodsWe retrospectively explored the immunogenetic characteristics of long-term posttreatment controllers from the ANRS VISCONTI study and persons monitored since primary HIV-1 infection in the ANRS PRIMO cohort and evaluated their influence on clinical parameters and outcome after ART discontinuation.

findingsWe identified a major histocompatibility complex (MHC)-related fingerprint favoring sustained HIV-1 remission. HLA-B∗35 alleles, which are associated with rapid progression to AIDS during natural HIV-1 infection, were paradoxically overrepresented among posttreatment controllers and had a positive impact on outcome after treatment discontinuation in people who began therapy during primary infection. Specifically, the influence of HLA-B∗35 alleles was observed when they were carried in combination with other HLA class I alleles expressing Bw4 and C2 ligands of killer immunoglobulin-like receptors (KIRs) in a genetic context that favors KIR education of natural killer (NK) cells (Bw4TTC2 genotype). Accordingly, posttreatment controllers with HLA-B∗35 alleles carry distinct KIR genotypes and NK cells.

conclusionsThe combination of HLA-B∗35 with Bw4TTC2 genotype, associated with KIR education of NK cells, was abundant among posttreatment HIV-1 controllers and promoted viral control after interruption of early-initiated antiretroviral treatment. These results support a role of NK cells in sustained HIV-1 remission.

fundingThe VISCONTI study and the PRIMO cohort are funded by the ANRS-MIE.

Indexed as

Anti-HIV AgentsAnti-Retroviral AgentsHIV-1HIV InfectionsAdultAllelesFemaleHLA-B AntigensHumansMaleMiddle AgedRemission InductionRetrospective StudiesWithholding TreatmentAnti-HIV AgentsAnti-Retroviral AgentsHLA-B AntigensART interruptionHIV-1HIV remissionHLAHLA-B∗35immunogeneticsKIRNK cellsposttreatment controlprimary infectionTranslation to patients

Identifiers

PMID40300610
PMCPMC12335927

What OpenQuestion holds

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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.