Evidence map›Paper›PMID 20597164›Full record

ArticleAIDS (London, England)2010

Full-length HIV-1 Gag determines protease inhibitor susceptibility within in vitro assays.

Ravindra K Gupta, Arinder Kohli, Adele L McCormick, Greg J Towers, Deenan Pillay, Chris M Parry

Abstract read
In one paragraph

Article in AIDS (London, England), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% 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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 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

6 authors at 2 institutions in 1 country.

Ravindra K GuptaMRC Centre for Medical Molecular Virology, University College London, Windeyer Institute, London, UK.
Arinder Kohli
Adele L McCormick
Greg J Towers
Deenan Pillay
Chris M Parry
University College London · GBMRC London Institute of Medical Sciences · GB

Funding

Medical Research Council G0801172Medical Research Council G0801172(87743)Medical Research Council G9721629Wellcome Trust 076608Wellcome Trust 081772Wellcome Trust WT081772MA
6 · The paper itself

Abstract

objectiveThere is evidence that gag contributes to protease inhibitor susceptibility in treatment-experienced patients. Moreover, protease inhibitor resistance-associated mutations can arise in gag in the absence of protease mutations in vitro. We wished to assess the contribution of full-length Gag to protease inhibitor susceptibility in viruses unexposed to protease inhibitors, in particular from the most common HIV-1 subtypes, namely subtype A and C.

designWe compared the drug resistance profiles of subtype A and C cognate gag-protease (from viruses not previously exposed to protease inhibitor) to protease combined with a generic subtype B gag as in routine phenotypic testing.

methodsWe amplified gag-protease sequences from plasma-derived virus or molecular clones, and used a single cycle transfection-based drug resistance assay to compare the fold changes in the concentration of drug required to inhibit 50% of viral replication of these viruses to a generic subtype B. We made a series of chimeras to explore phenotypes further.

resultsIn some cases, use of protease sequences without the cognate gag overestimated susceptibility to protease inhibitors, in particular to lopinavir. We provide evidence that gag sequences from wild-type viruses can contribute as much as 14-fold reduction in susceptibility to lopinavir, and that cognate protease can balance this by partially restoring susceptibility.

conclusionOur findings demonstrate the importance of considering protease inhibitor susceptibility in the context of full-length gag, particularly with respect to the range of HIV-1 subtypes circulating worldwide.

Indexed as

Genes, gagDrug Resistance, ViralHIV-1HIV ProteaseHIV Protease InhibitorsHumansLopinavirMicrobial Sensitivity TestsMolecular Sequence DataMutationPyrimidinonesVirus ReplicationHIV ProteaseHIV Protease InhibitorsLopinavirPyrimidinones

Identifiers

PMID20597164
PMCPMC2923069
OpenAlexW2049673515

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.