Evidence map›Paper›PMID 19295330›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2009

Envelope coreceptor tropism, drug resistance, and viral evolution among subtype C HIV-1-infected individuals receiving nonsuppressive antiretroviral therapy.

Seble Kassaye, Elizabeth Johnston, Bryan McColgan, Rami Kantor, Lynn Zijenah, David Katzenstein

Abstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2009. 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
0.8field-weighted citation impact, top 31% 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, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. HIV-1 tropism testing and clinical management of CCR5 antagonists: Quebec review and recommendations.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2013
    Article
  9. Article
  10. Article
  11. Article
  12. Extreme genetic divergence is required for coreceptor switching in HIV-1 subtype C.Journal of acquired immune deficiency syndromes (1999) · 2011
    Article
  13. Article
  14. Article
  15. Article
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 4 institutions in 2 countries.

Seble KassayeDepartment of Medicine, Division of Infectious Diseases, Stanford University Medical Center, Stanford, CA 94305, USA. skassaye@stanford.edu
Elizabeth Johnston
Bryan McColgan
Rami Kantor
Lynn Zijenah
David Katzenstein
Stanford University · USBrown University · USStanford Medicine · USUniversity of Zimbabwe · ZW

Funding

Drug Resistance and Pathogenesis in Subtype C HIV-1R01AI060399 · NIAID · STANFORD UNIVERSITY · PI KATZENSTEIN, DAVID ALLENBERG · 2005 to 2008
$1.2M
African Program for Research training in HIV, TB and associated opportunistic infU2RTW006878 · FIC · STANFORD UNIVERSITY · PI KATZENSTEIN, DAVID ALLENBERG · 2005 to 2009
$747k
FIC NIH HHS U2R TW006878NIAID NIH HHS R01 AI060399
6 · The paper itself

Abstract

backgroundIn resource-constrained settings, antiretroviral treatment (ART) is often continued based on clinical and CD4 responses, without virologic monitoring. ART with incomplete viral suppression was assessed in 27 subjects with subtype C HIV-1.

methodsPlasma HIV-1 RNA, drug resistance, viral tropism, and evolution in polymerase (pol) and envelope (env) genes were measured. The association between these viral parameters and CD4 cell change over time was analyzed using linear regression models.

resultsIncreased area under the curve of HIV-1 RNA replication was a predictor of lower CD4 cell gains (P < 0.007), while less drug resistance measured as a genotypic susceptibility score (GSS) (P = 0.065), and lower rates of evolution in pol and env genes (P = 0.08 and 0.097, respectively) measured as genetic distance were modestly associated with increasing CD4 cell counts. Evolution of pol and env were correlated (R2 = 0.48, P = 0.005), however, greater evolution was identified in env vs. pol (P < 0.05). CXCR4-usage (X4) was detected in 14/27 (52%) but no differences in CD4 cell change or plasma viremia were associated with X4-usage. DISCUSSION: Among subtype C HIV-1 infected patients in Zimbabwe receiving incompletely suppressive ART, higher virus replication and lower CD4 cell gains were associated with drug resistance and evolution of polymerase and envelope.

Indexed as

Drug Resistance, Multiple, ViralAdultAnti-HIV AgentsCD4 Lymphocyte CountFemaleGenes, envGenes, polHIV-1HIV InfectionsHumansMaleMiddle AgedPhylogenyRNA, ViralTropismAnti-HIV AgentsRNA, Viral

Identifiers

PMID19295330
PMCPMC2818215
OpenAlexW2055379037

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.