Evidence map›Paper›PMID 23945375›Full record

ArticleThe Journal of infectious diseases2014

Common and new acyclovir resistant herpes simplex virus-1 mutants causing bilateral recurrent herpetic keratitis in an immunocompetent patient.

Dongli Pan, Stephen B Kaye, Mark Hopkins, Ruaidhri Kirwan, Ian J Hart, Donald M Coen

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in The Journal of infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Carrageenan-Acyclovir Complex and Its Liposomal Form.International journal of molecular sciences · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Incidence and Risk Factors of Bilateral Herpetic Keratitis: 2022 Update.Tropical medicine and infectious disease · 2022
    Review
  14. Inhibition of herpes simplex virus type 1 infection byMedical journal of the Islamic Republic of Iran · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. New strategies against drug resistance to herpes simplex virus.International journal of oral science · 2016
    Review
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 3 institutions in 2 countries.

Dongli PanDepartment of Biological Chemistry and Molecular Pharmacology, Harvard Medical School, Boston, Massachusetts.
Stephen B Kaye
Mark Hopkins
Ruaidhri Kirwan
Ian J Hart
Donald M Coen
Harvard University · USRoyal Liverpool University Hospital · GBUniversity of Liverpool · GB

Funding

VIRAL AND CELLULAR GENES IN HSV LATENCY AND REACTIVATIONP01NS035138 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI KNIPE, DAVID M. · 1996 to 2010
$15.0M
MECHANISMS REGULATING HSV TK EXPRESSION DURING INFECTIONR01AI026126 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI COEN, DONALD M · 1988 to 2010
$3.2M
NIAID NIH HHS R01 AI026126NIAID NIH HHS R01 AI26126NINDS NIH HHS P01 NS035138NINDS NIH HHS P01 NS35138
6 · The paper itself

Abstract

We investigated thymidine kinase (tk) mutants isolated during multiple episodes of recurrent bilateral acyclovir resistant herpes simplex keratitis in an immunocompetent patient. From one eye, we found a single guanine insertion, previously shown to greatly reduce TK expression, and from the other, a previously unidentified substitution, which genetic experiments confirmed confers drug resistance. The substitution, although distant from substrate binding sites, reduced thymidine phosphorylation 10-20-fold, and acyclovir phosphorylation >100-fold. This phenotype should permit reactivation from latency to cause recurrent disease. The results may have implications for the prevalence and prevention of acyclovir resistance in patients with herpes simplex keratitis.

Indexed as

Drug Resistance, ViralAcyclovirAdultAmino Acid SubstitutionAntiviral AgentsDNA, ViralHerpesvirus 1, HumanHumansKeratitis, HerpeticMaleMolecular Sequence DataMutant ProteinsMutation, MissensePhosphorylationPoint MutationRecurrenceAcyclovirAntiviral AgentsDNA, ViralMutant ProteinsThymidineThymidine KinaseViral Proteinsacyclovirantiviral drug resistanceherpes simplex keratititsherpes simplex virusthymidine kinase

Identifiers

PMID23945375
PMCPMC3883165
OpenAlexW2171440853

What OpenQuestion holds

Textmetadata
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.