Evidence map›Paper›PMID 22090117›Full record

Trial reportJournal of virology2012

HIV-1 clinical isolates resistant to CCR5 antagonists exhibit delayed entry kinetics that are corrected in the presence of drug.

Opass Putcharoen, Sun Hee Lee, Timothy J Henrich, Zixin Hu, Jakapat Vanichanan, Eoin Coakley, Wayne Greaves, Roy M Gulick, Daniel R Kuritzkes, Athe M N Tsibris

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Journal of virology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.8field-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

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Phase 1 Safety and Pharmacokinetics Study of MK-2048/Vicriviroc (MK-4176)/MK-2048A Intravaginal Rings.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Maraviroc: a review of its use in HIV infection and beyond.Drug design, development and therapy · 2015
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

10 authors at 6 institutions in 3 countries.

Opass PutcharoenBrigham and Women’s Hospital, Boston, Massachusetts, USA.
Sun Hee Lee
Timothy J Henrich
Zixin Hu
Jakapat Vanichanan
Eoin Coakley
Wayne Greaves
Roy M Gulick
Daniel R Kuritzkes
Athe M N Tsibris
Brigham and Women's Hospital · USHarvard University · USCornell University · USKing Chulalongkorn Memorial Hospital · THMerck & Co., Inc., Rahway, NJ, USA (United States) · USMetroWest Medical Center · US

Funding

Leadership and Operations Center (LOC), AIDS Clinical Trials Group (ACTG); LOC 1/UM1AI068636 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, RAJESH T GANDHI · 2011 to 2026
$1073.1M
AIDS Clinical Trials Group NetworkU01AI068636 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI KURITZKES, DANIEL R. · 2006 to 2010
$147.1M
The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI ROBERT A. PARKER · 2004 to 2026
$94.4M
HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024996 · NCRR · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2007 to 2011
$49.6M
Weill Cornell Medicine - Rutgers New Jersey Medical School Clinical Trials UnitUM1AI069419 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI ROY M. GULICK · 2012 to 2026
$44.6M
Multidisciplinary HIV Training ProgramT32AI007387 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Daniel R. Kuritzkes · 1990 to 2026
$8.8M
Cornell Clinical Trials UnitU01AI069419 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI GULICK, ROY M. · 2007 to 2011
$6.5M
HIV-1 Resistance to Chemokine Receptor AntagonistsR37AI055357 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI KURITZKES, DANIEL R. · 2007 to 2016
$4.4M
Antiretroviral Therapy for HIV-Infected PatientsK24AI051966 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI GULICK, ROY M. · 2003 to 2012
$1.6M
Fitness of Enfuvirtide-(T-20)-Resistant HIV-1R01AI055357 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI KURITZKES, DANIEL R · 2003 to 2006
$1.2M
HIV-1 THERAPEUTICS AND DRUG RESISTANCEK24RR016482 · NCRR · UNIVERSITY OF COLORADO DENVER · PI KURITZKES, DANIEL R. · 2001 to 2010
$1.0M
NCRR NIH HHS K24 RR016482NCRR NIH HHS RR016482NCRR NIH HHS RR024996NCRR NIH HHS UL1 RR024996NCRR NIH HHS UL1 RR025758NIAID NIH HHS AI051966NIAID NIH HHS AI055357NIAID NIH HHS AI068636NIAID NIH HHS AI069419NIAID NIH HHS K08 AI081547NIAID NIH HHS K24 AI051966NIAID NIH HHS P30 AI060354NIAID NIH HHS R01 AI055357NIAID NIH HHS R37 AI055357NIAID NIH HHS T32 AI007387NIAID NIH HHS U01 AI068636NIAID NIH HHS U01 AI069419NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI069419
6 · The paper itself

Abstract

HIV CCR5 antagonists select for env gene mutations that enable virus entry via drug-bound coreceptor. To investigate the mechanisms responsible for viral adaptation to drug-bound coreceptor-mediated entry, we studied viral isolates from three participants who developed CCR5 antagonist resistance during treatment with vicriviroc (VCV), an investigational small-molecule CCR5 antagonist. VCV-sensitive and -resistant viruses were isolated from one HIV subtype C- and two subtype B-infected participants; VCV-resistant isolates had mutations in the V3 loop of gp120 and were cross-resistant to TAK-779, an investigational antagonist, and maraviroc (MVC). All three resistant isolates contained a 306P mutation but had variable mutations elsewhere in the V3 stem. We used a virus-cell β-lactamase (BlaM) fusion assay to determine the entry kinetics of recombinant viruses that incorporated full-length VCV-sensitive and -resistant envelopes. VCV-resistant isolates exhibited delayed entry rates in the absence of drug, relative to pretherapy VCV-sensitive isolates. The addition of drug corrected these delays. These findings were generalizable across target cell types with a range of CD4 and CCR5 surface densities and were observed when either population-derived or clonal envelopes were used to construct recombinant viruses. V3 loop mutations alone were sufficient to restore virus entry in the presence of drug, and the accumulation of V3 mutations during VCV therapy led to progressively higher rates of viral entry. We propose that the restoration of pre-CCR5 antagonist therapy HIV entry kinetics drives the selection of V3 loop mutations and may represent a common mechanism that underlies the emergence of CCR5 antagonist resistance.

Indexed as

CCR5 Receptor AntagonistsDrug Resistance, ViralAmidesAnti-HIV AgentsHIV-1HIV Envelope Protein gp120HIV InfectionsHumansKineticsMolecular Sequence DataMutationPiperazinesPyrimidinesQuaternary Ammonium CompoundsVirus InternalizationAmidesAnti-HIV AgentsCCR5 Receptor AntagonistsHIV Envelope Protein gp120PiperazinesPyrimidinesQuaternary Ammonium CompoundsTAK 779vicriviroc

Identifiers

PMID22090117
PMCPMC3255837
OpenAlexW1978237106

What OpenQuestion holds

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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.