Evidence map›Paper›PMID 40738892›Full record

Trial reportNature communications2025

Long-term effect of temporary ART initiated during primary HIV-1 infection on viral persistence.

Alexander O Pasternak, Pien M van Paassen, Yara L Verschoor, Jelmer Vroom, Karel A van Dort, Irma Maurer, Marlous L Grijsen, Ferdinand W Wit, Godelieve J de Bree, Neeltje A Kootstra and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. HCV-specific CD4EBioMedicine · 2026
    Article
  2. Review
  3. 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

12 authors.

Alexander O Pasternak *Laboratory of Experimental Virology, Department of Medical Microbiology, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands. a.o.pasternak@amsterdamumc.nl.ORCID http://orcid.org/0000-0002-4097-4251
Pien M van Paassen *Department of Experimental Immunology, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
Yara L VerschoorLaboratory of Experimental Virology, Department of Medical Microbiology, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.ORCID http://orcid.org/0009-0005-7217-1460
Jelmer VroomLaboratory of Experimental Virology, Department of Medical Microbiology, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
Karel A van DortDepartment of Experimental Immunology, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
Irma MaurerDepartment of Experimental Immunology, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
Marlous L GrijsenOxford University Clinical Research Unit Indonesia, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.ORCID http://orcid.org/0000-0002-7335-7313
Ferdinand W WitDepartment of Internal Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.ORCID http://orcid.org/0000-0003-2066-8115
Godelieve J de BreeDepartment of Internal Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.ORCID http://orcid.org/0000-0001-8869-9570
Neeltje A KootstraDepartment of Experimental Immunology, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.ORCID http://orcid.org/0000-0001-9429-7754
Jan M PrinsDepartment of Internal Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
Ben BerkhoutLaboratory of Experimental Virology, Department of Medical Microbiology, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.ORCID http://orcid.org/0000-0002-1905-8486

Funding

Aids Fonds (Dutch Aids Foundation) 2011020amfAR, The Foundation for AIDS Research (amfAR) 1110680-77-RPRLNederlandse Organisatie voor Wetenschappelijk Onderzoek (Netherlands Organisation for Scientific Research) KICH2.V4P.AF23.001
6 · The paper itself

Abstract

Initiation of antiretroviral therapy (ART) during primary HIV-1 infection (PHI) has been proposed to limit the formation of HIV-1 reservoirs. However, it remains unknown whether temporary ART initiated during PHI has a long-term effect on viral persistence. Here, we longitudinally quantify HIV-1 persistence markers and immunological parameters in the participants (n = 64) of a randomized controlled trial comparing 24 or 60 weeks of temporary ART vs. no treatment during PHI, who subsequently (re)initiated ART during chronic HIV-1 infection (CHI) after a median period of 116 weeks without treatment (ISRCTN59497461). Levels of several HIV-1 persistence markers (cell-associated unspliced RNA, total DNA, and intact DNA) do not significantly differ and strongly positively correlate between early and CHI ART periods in the same participants. Early ART is associated with lower HIV-1 proviral sequence diversity and superior restoration of the CD4/CD8 ratio, as well as lower levels of monocyte activation markers, compared to CHI ART, in the same participants. At CHI ART, intact HIV-1 DNA negatively correlates with HIV-specific T-cell responses. Finally, levels of HIV-1 persistence markers during CHI ART are lower in participants who had been pre-treated during PHI, indicating a long-term suppressive effect of temporary early ART on the persistence of HIV-1 reservoir.

Indexed as

Anti-HIV AgentsAnti-Retroviral AgentsHIV-1HIV InfectionsAdultAntiretroviral Therapy, Highly ActiveCD4-CD8 RatioCD4-Positive T-LymphocytesDNA, ViralFemaleHumansLongitudinal StudiesMaleMiddle AgedRNA, ViralViral LoadAnti-HIV AgentsAnti-Retroviral AgentsDNA, ViralRNA, Viral

Identifiers

PMID40738892
PMCPMC12311192

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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.