Evidence map›Paper›PMID 24466079›Full record

ArticlePloS one2014

HCV genotypes, characterization of mutations conferring drug resistance to protease inhibitors, and risk factors among blood donors in São Paulo, Brazil.

Anna S Nishiya, Cesar de Almeida-Neto, Suzete C Ferreira, Cecília S Alencar, Claudia Di-Lorenzo-Oliveira, José E Levi, Nanci A Salles, Alfredo Mendrone, Ester C Sabino

Abstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Article
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  8. Viral Surveillance in Serum Samples From Patients With Acute Liver Failure By Metagenomic Next-Generation Sequencing.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Article
  9. Article
  10. Article
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  12. Association of genotypes with viral load and biochemical markers in HCV-infected Sindhi patients.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology]
    Article
  13. Phylogenetic analysis of the emergence of main hepatitis C virus subtypes in São Paulo, Brazil.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    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

9 authors.

Anna S NishiyaFundação Pró-Sangue/Hemocentro de São Paulo, São Paulo, Brazil ; Infectious Diseases Division (DIPA), Federal University of São Paulo, São Paulo, Brazil.
Cesar de Almeida-NetoFundação Pró-Sangue/Hemocentro de São Paulo, São Paulo, Brazil ; Discipline of Medical Science, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Suzete C FerreiraFundação Pró-Sangue/Hemocentro de São Paulo, São Paulo, Brazil ; Infectious Diseases Division (DIPA), Federal University of São Paulo, São Paulo, Brazil.
Cecília S AlencarInfectious Diseases Division (DIPA), Federal University of São Paulo, São Paulo, Brazil ; LIM 03 Lab. Medice Laboratory, Department of Pathology, HCFMUSP, São Paulo, Brazil.
Claudia Di-Lorenzo-OliveiraUniversity of São João del-Rei, Divinópolis, Minas Gerais, Brazil.
José E LeviFundação Pró-Sangue/Hemocentro de São Paulo, São Paulo, Brazil.
Nanci A SallesFundação Pró-Sangue/Hemocentro de São Paulo, São Paulo, Brazil.
Alfredo MendroneFundação Pró-Sangue/Hemocentro de São Paulo, São Paulo, Brazil.
Ester C SabinoInfectious Diseases Division (DIPA), Federal University of São Paulo, São Paulo, Brazil ; Department of Infectious Disease, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatitis C virus (HCV) infection is a global health problem estimated to affect almost 200 million people worldwide. The aim of this study is to analyze the subtypes and existence of variants resistant to protease inhibitors and their association with potential HCV risk factors among blood donors in Brazil.

methodsRepeat anti-HCV reactive blood donors are systematically asked to return for retest, notification, and counseling in which they are interviewed for risk factors for transfusion-transmitted diseases. We analyzed 202 donors who returned for counseling from 2007 to 2010 and presented enzyme immunoassay- and immunoblot-reactive results. The HCV genotypes and resistance mutation analyses were determined by the direct sequencing of the NS5b and NS3 regions, respectively. The HCV viral load was determined using an in-house real-time PCR assay targeting the 5'-NCR.

resultsHCV subtypes 1b, 1a, and 3a were found in 45.5%, 32.0%, and 18.0% of the donors, respectively. The mean viral load of genotype 1 was significantly higher than that of the genotype 3 isolates. Subtype 1a was more frequent among young donors and 3a was more frequent among older donors. Protease inhibitor-resistant variants were detected in 12.8% of the sequenced samples belonging to genotype 1, and a higher frequency was observed among subtype 1a (20%) in comparison to 1b (8%). There was no difference in the prevalence of HCV risk factors among the genotypes or drug-resistant variants.

conclusionsWe found a predominance of subtype 1b, with an increase in the frequency of subtype 1a, in young subjects. Mutations conferring resistance to NS3 inhibitors were frequent in treatment-naïve blood donors, particularly those infected with subtype 1a. These variants were detected in the major viral population of HCV quasispecies, have replicative capacities comparable to nonresistant strains, and could be important for predicting the response to antiviral triple therapy.

Indexed as

AdolescentAdultBlood DonorsBrazilDrug Resistance, ViralFemaleGenotypeHepacivirusHepatitis CHumansMaleMiddle AgedMutationProtease InhibitorsRisk FactorsYoung AdultProtease Inhibitors

Identifiers

PMID24466079
PMCPMC3897703

What OpenQuestion holds

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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.