Evidence map›Paper›PMID 24637942›Full record

ArticleClinical pharmacology and therapeutics2014

Antiretroviral therapy-induced mitochondrial toxicity: potential mechanisms beyond polymerase-γ inhibition.

S Selvaraj, M Ghebremichael, M Li, Y Foli, A Langs-Barlow, A Ogbuagu, L Barakat, E Tubridy, R Edifor, W Lam and 2 more

Open access · greenAbstract read
In one paragraph

Article in Clinical pharmacology and therapeutics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 5% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Mitochondrial Myopathy in the Oculoplastic Practice.Journal of clinical medicine · 2026
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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

12 authors at 3 institutions in 1 country.

S SelvarajDepartment of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA.
M GhebremichaelHarvard Medical School and Ragon Institute of MGH, MIT, and Harvard, Boston, Massachusetts, USA.
M LiDepartment of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA.
Y FoliDepartment of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA.
A Langs-BarlowDepartment of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA.
A OgbuaguDepartment of Medicine, Section of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut, USA.
L BarakatDepartment of Medicine, Section of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut, USA.
E TubridyGeorgetown University, Washington, DC, USA.
R EdiforDepartment of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA.
W LamDepartment of Pharmacology, Yale School of Medicine, New Haven, Connecticut, USA.
Y-C ChengDepartment of Pharmacology, Yale School of Medicine, New Haven, Connecticut, USA.
E Paintsil1] Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA [2] Department of Pharmacology, Yale School of Medicine, New Haven, Connecticut, USA.
Yale University · USGeorgetown University · USHarvard University · US

Funding

Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
BIOCHEMICAL PHARMACOLOGY OF ANTIHIV COMPOUNDSR01AI038204 · NIAID · YALE UNIVERSITY · PI CHENG, YUNG-CHI · 1995 to 2014
$5.2M
Research Training in Pediatric Infectious DiseasesT32AI007210 · NIAID · YALE UNIVERSITY · PI MURRAY, THOMAS SCOT, SHAPIRO, EUGENE DAVID · 1986 to 2023
$2.6M
HIV Nucleoside Analogs Translational Studies: Resistance and MetabolismK08AI074404 · NIAID · YALE UNIVERSITY · PI PAINTSIL, ELIJAH · 2008 to 2012
$629k
NCATS NIH HHS UL1 TR000142NIAID NIH HHS AI-38204NIAID NIH HHS K08 AI074404NIAID NIH HHS KO8AI074404NIAID NIH HHS R01 AI038204NIAID NIH HHS R56 AI038204NIAID NIH HHS T32 AI007210
6 · The paper itself

Abstract

We hypothesized that competition between nucleotide reverse-transcriptase inhibitor triphosphate and endogenous deoxyribonucleotide triphosphate (dNTP) may lead to depletion of dNTP pools and mitochondrial dysfunction independent of polymerase-γ (pol-γ) inhibition. We collected peripheral blood mononuclear cells from 75 adults (25 cases: HIV-infected patients with mitochondrial toxicity, 25 HIV-infected positive controls, and 25 HIV-negative controls). We observed statistically significant individual and group differences in ribonucleotide (RN) and deoxyribonucleotide (dRN) pools. The median values for the RN pools were 10,062 (interquartile range (IQR): 7,090-12,590), 4,360 (IQR: 3,058-6,838), and 2,968 (IQR: 2,538-4,436) pmol/10(6) cells for negative controls, positive controls, and cases, respectively. Cases had significantly higher absolute mitochondrial DNA copy number as compared with negative controls (P < 0.05). Moreover, cases had significantly higher expression levels of pol-γ, nucleotide transporters, cellular kinases, and adenosine triphosphate (ATP)-binding cassette (ABC) proteins as compared with controls. Antiretroviral therapy (ART) perturbs RN and dRN pools. Depletion of RN and dRN pools may be associated with ART-induced mitochondrial toxicity independent of pol-γ inhibition.

Indexed as

Nucleic Acid Synthesis InhibitorsAnti-HIV AgentsATP-Binding Cassette TransportersCase-Control StudiesDeoxyribonucleotidesDNA-Directed DNA PolymeraseDNA, MitochondrialDNA Polymerase gammaFemaleGene DosageHIV InfectionsHumansMaleMiddle AgedMitochondriaNucleotidesAnti-HIV AgentsATP-Binding Cassette TransportersDeoxyribonucleotidesDNA-Directed DNA PolymeraseDNA, MitochondrialDNA Polymerase gammaNucleic Acid Synthesis InhibitorsNucleotidesNucleotide Transport ProteinsReverse Transcriptase InhibitorsRibonucleotides

Identifiers

PMID24637942
PMCPMC4065195
OpenAlexW1992482678

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.