Evidence map›Paper›PMID 12239335›Full record

ArticleJournal of virology2002

Insertions in the reverse transcriptase increase both drug resistance and viral fitness in a human immunodeficiency virus type 1 isolate harboring the multi-nucleoside reverse transcriptase inhibitor resistance 69 insertion complex mutation.

Miguel E Quiñones-Mateu, Mahlet Tadele, Mariona Parera, Antonio Mas, Jan Weber, Héctor R Rangel, Bikram Chakraborty, Bonaventura Clotet, Esteban Domingo, Luis Menéndez-Arias and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of virology, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed, 40 citations in OpenAlex.

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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

11 authors at 3 institutions in 2 countries.

Miguel E Quiñones-MateuDepartment of Virology/NN10, Lerner Research Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA. quinonm@ccf.org
Mahlet Tadele
Mariona Parera
Antonio Mas
Jan Weber
Héctor R Rangel
Bikram Chakraborty
Bonaventura Clotet
Esteban Domingo
Luis Menéndez-Arias
Miguel A Martínez
Cleveland Clinic · USConsejo Superior de Investigaciones Científicas · ESHospital Universitari Germans Trias i Pujol · ES

Funding

WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI CHERYL M CAMERON · 1994 to 2026
$50.0M
HIV EVOLUTION AND ROLE OF CHEMOKINES IN THE LUNGK01HL067610 · NHLBI · CLEVELAND CLINIC LERNER COL/MED-CWRU · PI QUINONES-MATEU, MIGUEL E · 2000 to 2004
$660k
NHLBI NIH HHS 5K01 HL 67610-02NHLBI NIH HHS K01 HL067610NIAID NIH HHS AI 36219NIAID NIH HHS P30 AI036219
6 · The paper itself

Abstract

Recent studies have shown that the accumulation of multiple mutations associated with nucleoside reverse transcriptase inhibitor (NRTI) resistance may be grouped as multi-NRTI resistance (MNR) complexes. In this study, we have examined the viral fitness of recombinant viruses carrying the reverse transcriptase (RT) of a human immunodeficiency virus type 1 (HIV-1) primary isolate harboring mutations comprising the MNR 69 insertion complex. Different RT mutants were prepared in the sequence context of either the wild-type RT sequence of the HIV-1(BH10) isolate or the sequence found in a clinical HIV-1 isolate with the MNR 69 insertion mutation. As expected, in the presence of zidovudine, recombinant viruses harboring the MNR RT from the patient were more fit than wild-type viruses. However, in the absence of drug, the virus with the RT from the original clinical isolate (SS) was more fit than (i) the wild-type virus with an engineered serine insertion between residues 69 and 70 (T69SSS) and (ii) the recombinant virus with the MNR RT where the insertion was removed (2S0S). These results suggest that RT insertions, in the right sequence context (i.e., additional mutations contained in the MNR 69 insertion complex), enhance NRTI resistance and may improve viral fitness. Thus, comparing complex mutation patterns with viral fitness may help to elucidate the role of uncharacterized drug resistance mutations in antiretroviral treatment failure.

Indexed as

AdultAnti-HIV AgentsDrug Resistance, Multiple, ViralHIV-1HIV InfectionsHumansMaleMutagenesis, InsertionalReverse Transcriptase InhibitorsRNA-Directed DNA PolymeraseZidovudineAnti-HIV AgentsReverse Transcriptase InhibitorsRNA-Directed DNA PolymeraseZidovudine

Identifiers

PMID12239335
PMCPMC136580
OpenAlexW2162085823

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.