Evidence map›Paper›PMID 19937690›Full record

ArticleHepatology (Baltimore, Md.)2009

High diversity of hepatitis C viral quasispecies is associated with early virological response in patients undergoing antiviral therapy.

Xiaofeng Fan, Qing Mao, Donghui Zhou, Yang Lu, Jianwei Xing, Yanjuan Xu, Stuart C Ray, Adrian M Di Bisceglie

Open access · greenAbstract read
In one paragraph

Article in Hepatology (Baltimore, Md.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

18 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

8 authors at 5 institutions in 2 countries.

Xiaofeng FanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, St Louis University School of Medicine, St Louis, MO, USA. fanx@slu.edu
Qing Mao
Donghui Zhou
Yang Lu
Jianwei Xing
Yanjuan Xu
Stuart C Ray
Adrian M Di Bisceglie
Saint Louis University · USArmy Medical University · CNJohns Hopkins University · USNanjing Medical University · CNSt. Louis University High School · US

Funding

Midwest Hepatitis B ConsortiumU01DK082871 · NIDDK · SAINT LOUIS UNIVERSITY · PI DI BISCEGLIE, ADRIAN MICHAEL · 2008 to 2019
$4.7M
Hepatitis C Virus Quasispecies in the Resistance to Antiviral TherapyR01DK080711 · NIDDK · SAINT LOUIS UNIVERSITY · PI FAN, XIAOFENG · 2008 to 2012
$1.5M
Cell Culture System for Hepatitis C Virus Genotype 1aR21AI076834 · NIAID · SAINT LOUIS UNIVERSITY · PI DI BISCEGLIE, ADRIAN MICHAEL · 2008 to 2009
$404k
NIAID NIH HHS R21 AI076834NIDDK NIH HHS R01 DK080711NIDDK NIH HHS R01 DK80711NIDDK NIH HHS U01 DK082871
6 · The paper itself

Abstract

unlabelledDifferential response patterns to optimal antiviral therapy, peginterferon alpha plus ribavirin, are well documented in patients with chronic hepatitis C virus (HCV) infection. Among many factors that may affect therapeutic efficiency, HCV quasispecies (QS) characteristics have been a major focus of previous studies, yielding conflicting results. To obtain a comprehensive understanding of the role of HCV QS in antiviral therapy, we performed the largest-ever HCV QS analysis in 153 patients infected with HCV genotype 1 strains. A total of 4,314 viral clones spanning hypervarible region 1 were produced from these patients during the first 12 weeks of therapy, followed by detailed genetic analyses. Our data show an exponential distribution pattern of intrapatient QS diversity in this study population in which most patients (63%) had small QS diversity with genetic distance (d) less than 0.2. The group of patients with genetic distance located in the decay region (d>0.53) had a significantly higher early virologic response (EVR) rate (89.5%), which contributed substantially to the overall association between EVR and increased baseline QS diversity. In addition, EVR was linked to a clustered evolutionary pattern in terms of QS dynamic changes.

conclusionEVR is associated with elevated HCV QS diversity and complexity, especially in patients with significantly higher HCV genetic heterogeneity.

Indexed as

Antiviral AgentsGenotypeHepacivirusHepatitis CHumansViral LoadAntiviral Agents

Identifiers

PMID19937690
PMCPMC2911951
OpenAlexW2167962605

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.