Evidence map›Paper›PMID 40854874›Full record

ArticleNature communications2025

Longitudinal cervicovaginal bacteriome and virome alterations associate with discordant shedding and ART duration in women living with HIV in Peru.

Emily A Kaelin, Caroline Mitchell, Jaime Soria, Alberto La Rosa, Eduardo Ticona, Robert W Coombs, Lisa M Frenkel, Marta E Bull, Efrem S Lim

Abstract read
In one paragraph

Article in Nature communications, 2025. 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
–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

9 citing papers in PubMed.

  1. Article
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  3. Review
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  8. Review
  9. Genome sequences of human anelloviruses in theMicrobiology resource announcements · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Emily A KaelinSchool of Life Sciences, Arizona State University, Tempe, AZ, USA.
Caroline MitchellDepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
Jaime SoriaInfectious Diseases Departamento, Hospital Nacional Dos de Mayo, Universidad de San Marcos, Lima, Peru.ORCID http://orcid.org/0000-0002-5863-0502
Alberto La RosaAsociaciòn Civil Impacta Salud y Educación, Lima, Peru.
Eduardo TiconaInfectious Diseases Departamento, Hospital Nacional Dos de Mayo, Asociaciòn Civil Impacta Salud y Educación, Universidad de San Marcos, Lima, Peru.ORCID http://orcid.org/0000-0002-6556-1082
Robert W CoombsDepartments of Medicine, Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0003-2709-0512
Lisa M FrenkelDepartments of Medicine, Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-9566-8959
Marta E BullSeattle Children's Research Institute, Seattle, WA, USA. marta.bull@gmail.com.
Efrem S LimSchool of Life Sciences, Arizona State University, Tempe, AZ, USA. Efrem_Lim@cda.gov.sg.ORCID http://orcid.org/0000-0002-3397-9310

Funding

Validation, CLIA and Qualification (VQC): Enhancing the RS ratio as a tool for AIDS Clinical Trial Group (ACTG) tuberculosis trialsUM1AI106701 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$116.8M
University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
Mechanism/predictors of genital/rectal HIV shedding during ART w/plasma <50c/mLR01AI071212 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI FRENKEL, LISA M · 2006 to 2010
$2.4M
HIV-1 evolution in the female genital tract and trafficking to the bloodR01AI091550 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI FRENKEL, LISA M · 2011 to 2015
$1.9M
The Virome and Microbiome in Health and BK Disease of Kidney Transplant PatientsR00DK107923 · NIDDK · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI LIM, EFREM · 2017 to 2019
$747k
NIAID NIH HHS P30 AI027757NIAID NIH HHS R01 AI071212NIAID NIH HHS R01 AI091550NIAID NIH HHS UM1 AI106701NIDDK NIH HHS R00 DK107923U.S. Department of Health & Human Services | National Institutes of Health (NIH) R00DK107923
6 · The paper itself

Abstract

Despite successful suppression of plasma HIV replication by antiretroviral therapy (ART), some women living with HIV (WLHIV) can still experience genital HIV shedding (discordant shedding). Female genital tract (FGT) bacterial and viral microbiome (bacteriome and virome) community dynamics during long-term ART in WLHIV are poorly understood but might contribute to discordant HIV shedding, as the bacteriome and virome are known to influence FGT health. Here, using metagenomic next-generation sequencing, we characterize the bacteriome and virome in 125 cervicovaginal specimens collected over two years from 31 WLHIV in Lima, Peru, and show that FGT bacteriome instability is associated with discordant HIV shedding, while longitudinal changes in FGT virome composition are associated with ART duration. Intrapersonal bacteriome variation is higher in discordant HIV shedders compared to non-shedders. Cervicovaginal virome composition changes over time, particularly in non-shedders. Specifically, anellovirus relative abundance is inversely associated with ART duration and CD4 counts. Our results suggest that discordant HIV shedding is linked with FGT bacteriome instability, and immune recovery during ART influences FGT virome composition.

Indexed as

Cervix UteriHIV InfectionsMicrobiotaVaginaViromeVirus SheddingAdultAnti-HIV AgentsBacteriaCD4 Lymphocyte CountFemaleHigh-Throughput Nucleotide SequencingHIV-1HumansLongitudinal StudiesMetagenomicsAnti-HIV Agents

Identifiers

PMID40854874
PMCPMC12379241

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.