Evidence map›Paper›PMID 18832874›Full record

ArticleAIDS (London, England)2008

Bayesian network analyses of resistance pathways against efavirenz and nevirapine.

Koen Deforche, Ricardo J Camacho, Zehave Grossman, Marcelo A Soares, Kristel Van Laethem, David A Katzenstein, P Richard Harrigan, Rami Kantor, Robert Shafer, Anne-Mieke Vandamme and 1 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in AIDS (London, England), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
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.

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

10 citing papers in PubMed, 26 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 8 institutions in 6 countries.

Koen DeforcheRega Institute for Medical Research, Katholieke Universiteit Leuven, Leuven, Belgium.
Ricardo J Camacho
Zehave Grossman
Marcelo A Soares
Kristel Van Laethem
David A Katzenstein
P Richard Harrigan
Rami Kantor
Robert Shafer
Anne-Mieke Vandamme
non-B Workgroup
Rega Institute for Medical Research · BEStanford University · USAIDS Vancouver · CABrown University · USCentro Hospitalar de Lisboa Ocidental · PTKU Leuven · BESheba Medical Center · ILUniversidade Federal do Rio de Janeiro · BR

Funding

PUBLIC HIV DRUG RESISTANCE DATABASER01AI068581 · NIAID · STANFORD UNIVERSITY · PI SHAFER, ROBERT WILLIAM · 2006 to 2017
$6.2M
HIV-1 Drug Resistance in Different SubtypesR01AI066922 · NIAID · STANFORD UNIVERSITY · PI KANTOR, RAMI, KATZENSTEIN, DAVID ALLENBERG · 2008 to 2012
$3.6M
NIAID NIH HHS R01 AI066922NIAID NIH HHS R01 AI068581
6 · The paper itself

Abstract

objectiveTo clarify the role of novel mutations selected by treatment with efavirenz or nevirapine, and investigate the influence of HIV-1 subtype on nonnucleoside reverse transcriptase inhibitor (nNRTI) resistance pathways.

designBy finding direct dependencies between treatment-selected mutations, the involvement of these mutations as minor or major resistance mutations against efavirenz, nevirapine, or coadministrated nucleoside analogue reverse transcriptase inhibitors (NRTIs) is hypothesized. In addition, direct dependencies were investigated between treatment-selected mutations and polymorphisms, some of which are linked with subtype, and between NRTI and nNRTI resistance pathways.

methodsSequences from a large collaborative database of various subtypes were jointly analyzed to detect mutations selected by treatment. Using Bayesian network learning, direct dependencies were investigated between treatment-selected mutations, NRTI and nNRTI treatment history, and known NRTI resistance mutations.

resultsSeveral novel minor resistance mutations were found: 28K and 196R (for resistance against efavirenz), 101H and 138Q (nevirapine), and 31L (lamivudine). Robust interactions between NRTI mutations (65R, 74V, 75I/M, and 184V) and nNRTI resistance mutations (100I, 181C, 190E and 230L) may affect resistance development to particular treatment combinations. For example, an interaction between 65R and 181C predicts that the nevirapine and tenofovir and lamivudine/emtricitabine combination should be more prone to failure than efavirenz and tenofovir and lamivudine/emtricitabine.

conclusionBayesian networks were helpful in untangling the selection of mutations by NRTI versus nNRTI treatment, and in discovering interactions between resistance mutations within and between these two classes of inhibitors.

Indexed as

AlkynesAnti-HIV AgentsBayes TheoremBenzoxazinesCyclopropanesDatabases, FactualDrug Resistance, ViralHIV-1HIV Reverse TranscriptaseHumansMutationNevirapineReverse Transcriptase InhibitorsSignal TransductionAlkynesAnti-HIV AgentsBenzoxazinesCyclopropanesefavirenzHIV Reverse TranscriptaseNevirapineReverse Transcriptase Inhibitors

Identifiers

PMID18832874
PMCPMC4788388
OpenAlexW2132769220

What OpenQuestion holds

Textmetadata
LicenceTDM
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.