Evidence map›Paper›PMID 40916416›Full record

ReviewCurrent HIV research2026

Characterization of Early Viral Populations in Infants Acquiring HIV Through Perinatal and Breastmilk Transmission: A Review of what is Currently Known and the Gaps that Need to be Addressed to Guide Passive HIV Immunization of Breastfeeding Infants.

Elena E Giorgi, Melissa-Rose Abrahams, Genevieve Fouda, Grace John-Stewart, Ameena Goga, James I Mullins, Sallie R Permar, Holly Janes, Troy M Martin

Abstract readReview
In one paragraph

Review in Current HIV research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Elena E GiorgiVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.ORCID 0000-0003-2968-1033
Melissa-Rose AbrahamsDivision of Medical Virology, Faculty of Health Sciences, Institute of Infectious Diseases and Molecular Medicine, University of Cape Town, Cape Town, South Africa.ORCID 0000-0002-1907-4929
Genevieve FoudaDepartment of Pediatrics, Division of Infectious Diseases, Weill Cornell Medicine, New York, USA.ORCID 0009-0005-8094-9332
Grace John-StewartDepartment of Global Health, University of Washington, Seattle, WA, USA.ORCID 0000-0002-4301-1573
Ameena GogaHIV and Other Infectious Diseases Research Unit, South African Medical Research Council, Durban, South Africa.ORCID 0000-0002-2394-6486
James I MullinsDepartment of Global Health, University of Washington, Seattle, WA, USA.
Sallie R PermarDepartment of Pediatrics, Division of Infectious Diseases, Weill Cornell Medicine, New York, USA.ORCID 0000-0003-1438-4554
Holly JanesVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.ORCID 0000-0002-3237-984X
Troy M MartinVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.

Funding

LOC: HIV Vaccine Trials NetworkUM1AI068614 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Dan H. Barouch, Lawrence Corey · 2011 to 2026
$1175.6M
SDMC: HIV Vaccine Trials NetworkUM1AI068635 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Peter B. Gilbert, Yunda Huang · 2011 to 2026
$385.9M
Project 2: RNA vaccination in early life to induce potent and broad HIV Env-specific antibody responsesP01AI117915 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI DE PARIS, KRISTINA, PERMAR, SALLIE R. · 2015 to 2024
$21.2M
Urgent Versus Post-Stabilization ART in HIV+ Children with Severe Co-infectionsR01HD023412 · NICHD · UNIVERSITY OF WASHINGTON · PI Grace C. John-Stewart, DALTON CHEKOKO WAMALWA · 1987 to 2026
$12.2M
Escape of maternal plasma broadly neutralizing antibody as a mechanism of mother to child HIV transmissionR01AI162245 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI PERMAR, SALLIE R. · 2021 to 2024
$3.2M
NIAID NIH HHS P01 AI117915NIAID NIH HHS R01 AI162245NIAID NIH HHS UM1 AI068614NIAID NIH HHS UM1 AI068635NICHD NIH HHS R01 HD023412
6 · The paper itself

Abstract

Newborns represent only 1% of the population. Yet, HIV vertical transmissions represent 10% of all new infections globally, even though antiretroviral therapy (ART) has been shown to reduce the risk of vertical transmission to less than 2%. While vaccines still represent the most efficient and cost-effective intervention to eradicate new infections, HIV immunogens that can effectively elicit broad-spectrum protection are still at least a decade away. In contrast, passive immunization with broadly neutralizing antibody (bnAb) combinations has the potential to provide a more immediate pathway to HIV prophylaxis. Early-phase infant trials are underway to establish the safety and pharmacokinetics of bnAb combinations selected for their potency against viruses acquired via adult transmissions. However, the specific characteristics and phenotypic differences of vertically transmitted viruses in infants compared to those in adults remain uncertain, including their susceptibility to known broadly neutralizing antibodies (bnAbs). We review the current knowledge of vertically transmitted HIV viruses, including their genetics and phenotypic features. Differences in immunity between adults and infants lead us to hypothesize that distinct selection and evolutionary pressures act on the virus at the time of transmission and during the early phases of infection, and these may in turn affect the choice of bnAb combinations needed for protection against vertical transmission of HIV.

Indexed as

Breast FeedingHIV-1HIV InfectionsImmunization, PassiveInfectious Disease Transmission, VerticalMilk, HumanAntibodies, NeutralizingFemaleHIV AntibodiesHumansInfantInfant, NewbornAntibodies, NeutralizingHIV AntibodiesAntiretroviral therapybnAbsHIV prophylaxisHIV virusesphenotypic featurestransmissions of HIV

Identifiers

PMID40916416
PMCPMC13489758

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.