Evidence map›Paper›PMID 10428918›Full record

ArticleAntimicrobial agents and chemotherapy1999

Emergence of drug-resistant populations of woodchuck hepatitis virus in woodchucks treated with the antiviral nucleoside lamivudine.

T Zhou, J Saputelli, C E Aldrich, M Deslauriers, L D Condreay, W S Mason

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.9field-weighted citation impact, top 9% 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.

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

20 citing papers in PubMed, 85 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
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  7. Article
  8. Review
  9. Viral resistance in hepatitis B: prevalence and management.Current gastroenterology reports · 2010
    Article
  10. Antiviral resistance and hepatitis B therapy.Hepatology (Baltimore, Md.) · 2009
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
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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

6 authors at 2 institutions in 1 country.

T ZhouFox Chase Cancer Center, Philadelphia, Pennsylvania 19111, USA.
J Saputelli
C E Aldrich
M Deslauriers
L D Condreay
W S Mason
Fox Chase Cancer Center · USResearch Triangle Park Foundation · US

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Margaret von Mehren · 1985 to 2026
$138.8M
MOLECULAR BASIS FOR CHRONIC HEPADNAVIRAL INFECTIONSR01AI018641 · NIAID · RESEARCH INST OF FOX CHASE CAN CTR · PI MASON, WILLIAM · 1985 to 2009
$5.2M
WOODCHUCK HEPATITIS VIRUS INFECTION, IRON AND IRON BINDING PROTEINSP01CA040737 · NCI · INSTITUTE FOR CANCER RESEARCH · PI LONDON, WILLIAM THOMAS · 1985 to 1998
–
NCI NIH HHS 3P01-CA-4073711S1NCI NIH HHS CA-06927NCI NIH HHS P30 CA006927NIAID NIH HHS AI-18641NIAID NIH HHS R01 AI018641
6 · The paper itself

Abstract

Lamivudine [(-)-beta-L-2',3'-dideoxy-3'-thiacytidine] reduces woodchuck hepatitis virus (WHV) titers in the sera of chronically infected woodchucks by inhibiting viral DNA synthesis. However, after 6 to 12 months, WHV titers begin to increase toward pretreatment levels. Three WHV variants with mutations in the active site of the DNA polymerase gene are present at this time (W. S. Mason et al., Virology 245:18-32, 1998). We have asked if these mutant viruses were responsible for the lamivudine resistance and if their emergence caused an immediate rise in virus titers. Cell cultures studies implied that the mutants were resistant to lamivudine. Emergence of mutant WHV was not always associated, however, with an immediate rise in virus titers in the serum. One of the three types of mutant viruses became prominent in serum up to 7 months before titers in serum actually began to increase, at a time when wild-type virus was still predominant in the liver. The two other mutants did not show this behavior but were detected in serum and liver later, just at the time that virus titers began to rise. A factor linking all three mutants was that a similar duration of drug administration preceded the rise in titers, irrespective of which mutant ultimately prevailed. A simple explanation for these results is that the increase in virus titers following emergence of drug-resistant mutants can occur only as the preexisting wild-type virus is cleared from the hepatocyte population, allowing spread of the mutants. Thus, prolonged suppression of virus titers in the serum may sometimes be a measure of the stability of hepatocyte infection rather than of a successful therapeutic outcome.

Indexed as

Amino Acid SequenceAnimalsAntiviral AgentsCells, CulturedDrug Resistance, MicrobialGenotypeHepatitis BHepatitis B Virus, WoodchuckHumansLamivudineMarmotaMolecular Sequence DataMutagenesis, Site-DirectedMutationReverse Transcriptase InhibitorsSequence Homology, Amino AcidAntiviral AgentsLamivudineReverse Transcriptase Inhibitors

Identifiers

PMID10428918
PMCPMC89396
OpenAlexW2160648249

What OpenQuestion holds

Textmetadata
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.