Evidence map›Paper›PMID 31454973›Full record

ReviewVaccines2019

Anti-Tat Immunity in HIV-1 Infection: Effects of Naturally Occurring and Vaccine-Induced Antibodies Against Tat on the Course of the Disease.

Aurelio Cafaro, Antonella Tripiciano, Orietta Picconi, Cecilia Sgadari, Sonia Moretti, Stefano Buttò, Paolo Monini, Barbara Ensoli

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Vaccines, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04263207 (Observational Study for the Evaluation of the Role of HIV-1 Tat Protein and Anti-Tat Immune Response in Peripheral Blood HIV Reservoir Dynamics), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% of its field
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.

NCT04263207 suspendednot on this mapstarted 2020, after this paper: background citation

Observational Study for the Evaluation of the Role of HIV-1 Tat Protein and Anti-Tat Immune Response in Peripheral Blood HIV Reservoir Dynamics

TypeobservationalSponsorBarbara Ensoli, MD, PhDRan2020 to 2025Enrolled100ConditionsHIV/AIDSArmsNo intervention
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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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

8 authors at 1 institution in 1 country.

Aurelio CafaroNational HIV/AIDS Research Center, Istituto Superiore di Sanità, Rome 00161, Italy.ORCID 0000-0001-9675-6344
Antonella TripicianoNational HIV/AIDS Research Center, Istituto Superiore di Sanità, Rome 00161, Italy.
Orietta PicconiNational HIV/AIDS Research Center, Istituto Superiore di Sanità, Rome 00161, Italy.
Cecilia SgadariNational HIV/AIDS Research Center, Istituto Superiore di Sanità, Rome 00161, Italy.ORCID 0000-0003-0364-4912
Sonia MorettiNational HIV/AIDS Research Center, Istituto Superiore di Sanità, Rome 00161, Italy.
Stefano ButtòNational HIV/AIDS Research Center, Istituto Superiore di Sanità, Rome 00161, Italy.
Paolo MoniniNational HIV/AIDS Research Center, Istituto Superiore di Sanità, Rome 00161, Italy.
Barbara EnsoliNational HIV/AIDS Research Center, Istituto Superiore di Sanità, Rome 00161, Italy. barbara.ensoli@iss.it.ORCID 0000-0002-0545-8737
Istituto Superiore di Sanità · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

HIV-1 Tat is an essential protein in the virus life cycle, which is required for virus gene expression and replication. Most Tat that is produced during infection is released extracellularly and it plays a key role in HIV pathogenesis, including residual disease upon combination antiretroviral therapy (cART). Here, we review epidemiological and experimental evidence showing that antibodies against HIV-1 Tat, infrequently occurring in natural infection, play a protective role against disease progression, and that vaccine targeting Tat can intensify cART. In fact, Tat vaccination of subjects on suppressive cART in Italy and South Africa promoted immune restoration, including CD4+ T-cell increase in low immunological responders, and a reduction of proviral DNA even after six years of cART, when both CD4+ T-cell gain and DNA decay have reached a plateau. Of note, DNA decay was predicted by the neutralization of Tat-mediated entry of Env into dendritic cells by anti-Tat antibodies, which were cross-clade binding and neutralizing. Anti-Tat cellular immunity also contributed to the DNA decay. Based on these data, we propose the Tat therapeutic vaccine as a pathogenesis-driven intervention that effectively intensifies cART and it may lead to a functional cure, providing new perspectives and opportunities also for prevention and virus eradication strategies.

Indexed as

anti-Tat antibodiescART intensificationcrossclade antibodiesfunctional cureHIV-1 TatHIV-1 Tat therapeutic vaccineHIV-1 vaccine developmentHIV reservoirnatural vs. vaccine-induced antibody responseperspective for clinical implications

Identifiers

PMID31454973
PMCPMC6789840
OpenAlexW2969616311

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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 Socratic graph.