Evidence map›Paper›PMID 41571634›Full record

ArticleNature communications2026

Longitudinal plasma proteomic signatures of elite and viremic spontaneous HIV controllers.

Nadira Vadaq, Albert L Groenendijk, Jéssica C Dos Santos, Kavita Mehta, Ferdinand W N M Wit, Wilhelm A J W Vos, Martinus J T Blaauw, Louise E van Eekeren, Laurens Lambrechts, Sofie Rutsaert and 11 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

21 authors.

Nadira Vadaq *Department of Internal Medicine, Radboudumc, Radboud University, Nijmegen, Netherlands. N.Nadira@radboudumc.nl.ORCID http://orcid.org/0000-0002-1746-8844
Albert L Groenendijk *Department of Internal Medicine, Radboudumc, Radboud University, Nijmegen, Netherlands. a.groenendijk@erasmusmc.nl.ORCID http://orcid.org/0000-0002-2072-2532
Jéssica C Dos SantosDepartment of Internal Medicine, Radboudumc, Radboud University, Nijmegen, Netherlands.
Kavita MehtaHIV Cure Research Center, Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0002-3076-9262
Ferdinand W N M WitHIV Monitoring Foundation, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0003-2066-8115
Wilhelm A J W VosDepartment of Internal Medicine, Radboudumc, Radboud University, Nijmegen, Netherlands.ORCID http://orcid.org/0009-0007-3716-4390
Martinus J T BlaauwDepartment of Internal Medicine, Radboudumc, Radboud University, Nijmegen, Netherlands.
Louise E van EekerenDepartment of Internal Medicine, Radboudumc, Radboud University, Nijmegen, Netherlands.
Laurens LambrechtsHIV Cure Research Center, Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0002-1415-4591
Sofie RutsaertHIV Cure Research Center, Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0003-4623-0939
Erni J NelwanDivision of Tropical Medicine and Infectious Disease, Department of Internal Medicine, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.ORCID http://orcid.org/0000-0003-4064-5412
Cheng-Jian XuDepartment of Internal Medicine, Radboudumc, Radboud University, Nijmegen, Netherlands.
Leo A B JoostenDepartment of Internal Medicine, Radboudumc, Radboud University, Nijmegen, Netherlands.ORCID http://orcid.org/0000-0001-6166-9830
Quirijn de MastDepartment of Internal Medicine, Radboudumc, Radboud University, Nijmegen, Netherlands.ORCID http://orcid.org/0000-0001-6056-157X
Vasiliki MatzarakiDepartment of Internal Medicine, Radboudumc, Radboud University, Nijmegen, Netherlands. Vasiliki.Matzaraki@radboudumc.nl.ORCID http://orcid.org/0000-0002-5852-6801
Jan van LunzenDepartment of Internal Medicine, Radboudumc, Radboud University, Nijmegen, Netherlands.
Casper RokxDepartment Internal Medicine, section Infectious Diseases, Erasmus University Medical Center, Rotterdam, the Netherlands.ORCID http://orcid.org/0000-0002-1904-6450
Annelies VerbonDepartment Internal Medicine, section Infectious Diseases, Erasmus University Medical Center, Rotterdam, the Netherlands.
Mihai G NeteaDepartment of Internal Medicine, Radboudumc, Radboud University, Nijmegen, Netherlands.ORCID http://orcid.org/0000-0003-2421-6052
Linos VandekerckhoveHIV Cure Research Center, Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0002-8600-1631
André J A M van der VenDepartment of Internal Medicine, Radboudumc, Radboud University, Nijmegen, Netherlands.ORCID http://orcid.org/0000-0003-1833-3391

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A small percentage of people living with HIV (PLHIV) spontaneously regulate viral replication without suppressive antiretroviral treatment (ART) and are categorized into 'elite controllers' (EC, HIV-RNA < 50 c/mL) and 'viremic controllers' (VC, HIV-RNA between 50-10,000 c/ml). Some EC and VC may lose controller status in time. Here we provide extensive plasma proteomics to identify biomarkers and pathways related to spontaneous viral control and its long-term preservation among 36 EC and 147 VC (discovery) and 14 EC and 5 VC (validation). VC exhibited higher concentrations of CRTAM, LY9, and CD6 and lower concentrations of VAT1 compared to EC in both the discovery and validation cohort. Longitudinal analysis of pre- and post-ART samples (median follow-up: 5.3 years) revealed downregulation of various immune-related proteins in both EC and VC. Over a 17-year follow-up period, loss of viral control occurred in 31% of VC and 3% of EC. T-cell associated proteins (CRTAM, LY9, CD6), along with ICAM3, SH2D1A, C1QL2, and CNGB3, predicted loss of viral control years before its occurrence. Markers of chronic immune activation (sPD-L1, sCD25, IL-10, TGF-β, IFN-γ, and TNF-α) and systemic inflammation (TNF, IL-1β, IL-6, and sCD14) were not predictive. Our findings underscore the dynamic interplay between T cell function and viral replication in maintaining HIV control and identify key biomarkers that predict viral load surges.

Indexed as

HIV InfectionsProteomicsViremiaBiomarkersFemaleHIV-1HumansLongitudinal StudiesMaleRNA, ViralViral LoadVirus ReplicationBiomarkersRNA, Viral

Identifiers

PMID41571634
PMCPMC12859116

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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.