Evidence map›Paper›PMID 16912327›Full record

ArticleJournal of virology2006

Role of the envelope genetic context in the development of enfuvirtide resistance in human immunodeficiency virus type 1-infected patients.

Béatrice Labrosse, Laurence Morand-Joubert, Armelle Goubard, Séverine Rochas, Jean-Louis Labernardière, Jerôme Pacanowski, Jean-Luc Meynard, Allan J Hance, François Clavel, Fabrizio Mammano

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In one paragraph

Article in Journal of virology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 50 citations in OpenAlex.

  1. Trial
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  18. Viral dynamics and in vivo fitness of HIV-1 in the presence and absence of enfuvirtide.Journal of acquired immune deficiency syndromes (1999) · 2008
    Article
  19. Enfuvirtide antiretroviral therapy in HIV-1 infection.Therapeutics and clinical risk management · 2008
    Article
  20. 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

10 authors at 6 institutions in 1 country.

Béatrice LabrosseInserm U552, Unité de Recherche Antivirale, Hôpital Bichat-Claude Bernard, Paris, France. labrosse@bichat.inserm.fr
Laurence Morand-Joubert
Armelle Goubard
Séverine Rochas
Jean-Louis Labernardière
Jerôme Pacanowski
Jean-Luc Meynard
Allan J Hance
François Clavel
Fabrizio Mammano
Hôpital Bichat-Claude-Bernard · FRSorbonne Université · FRAssistance Publique – Hôpitaux de Paris · FRDélégation Paris 7 · FRUniversité Claude Bernard Lyon 1 · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acquired human immunodeficiency virus type 1(HIV-1) resistance to the fusion inhibitor enfuvirtide (ENF) is primarily associated with mutations within the highly conserved first heptad repeat (HR1) region of gp41. Viral env sequences, however, are remarkably variable, and the envelope genetic background could have an important impact on optimal expression of HR1 mutations. We have examined the genetic evolution of env sequences, ENF susceptibility, and Env replicative capacity in patients failing ENF treatment. Sequential plasma-derived virus populations, obtained from six patients initiating ENF treatment as part of a salvage therapy, were studied using a recombinant phenotypic assay evaluating the entire gp120 and the gp41 ectodomains. Regardless of major differences in the baseline ENF susceptibilities, viral populations with similar phenotypic ENF resistance (50% inhibitory concentration, >3,000 ng/ml) were selected under treatment in four of six patients. As expected, in all patients ENF-resistant viruses harbored one or more HR1 mutations (positions 36, 38, and 43). Interestingly, in five patients the emergence of resistance mutations was not associated with reduced Env replicative capacity. Phylogenetic analysis of env sequences in sequential samples from two patients showed that the HR1 mutations had emerged in the context of env quasi-species that were different from those prevalent at baseline. Thus, the envelope genetic context appears to play a critical role in the selection of HR1 mutations and the expression of ENF resistance, thereby conditioning the evolution of HIV-1 under fusion inhibitor selective pressure.

Indexed as

Amino Acid SequenceCell LineDrug Resistance, ViralEnfuvirtideEvolution, MolecularGenotypeHIV-1HIV Envelope Protein gp120HIV Envelope Protein gp41HIV Fusion InhibitorsHumansMicrobial Sensitivity TestsMolecular Sequence DataPeptide FragmentsPhenotypePhylogenyEnfuvirtideHIV Envelope Protein gp120HIV Envelope Protein gp41HIV Fusion InhibitorsPeptide Fragments

Identifiers

PMID16912327
PMCPMC1563884
OpenAlexW1973984443

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.