Evidence map›Paper›PMID 24768676›Full record

ArticleGastroenterology2014

Kinetic analyses reveal potent and early blockade of hepatitis C virus assembly by NS5A inhibitors.

David R McGivern, Takahiro Masaki, Sara Williford, Paul Ingravallo, Zongdi Feng, Frederick Lahser, Ernest Asante-Appiah, Petra Neddermann, Raffaele De Francesco, Anita Y Howe and 1 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
8.1field-weighted citation impact, top 2% 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

61 citing papers in PubMed, 107 citations in OpenAlex.

  1. Utility of hepatitis C viral load monitoring on direct-acting antiviral therapy.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2015
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  13. Effect of P-body component Mov10 on HCV virus production and infectivity.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2020
    Article
  14. Hepatitis C Virus Replication.Cold Spring Harbor perspectives in medicine · 2020
    Review
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  19. Review
  20. Review

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

David R McGivernDepartments of Medicine and Microbiology and Immunology and the Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. Electronic address: mcgivern@med.unc.edu.
Takahiro MasakiDepartments of Medicine and Microbiology and Immunology and the Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Sara WillifordDepartments of Medicine and Microbiology and Immunology and the Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Paul IngravalloMerck Research Laboratory, Kenilworth, New Jersey.
Zongdi FengDepartments of Medicine and Microbiology and Immunology and the Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Frederick LahserMerck Research Laboratory, Kenilworth, New Jersey.
Ernest Asante-AppiahMerck Research Laboratory, Kenilworth, New Jersey.
Petra NeddermannFondazione INGM, Istituto Nazionale di Genetica Molecolare "Romeo ed Enrica Invernizzi", 20122 Milan, Italy.
Raffaele De FrancescoFondazione INGM, Istituto Nazionale di Genetica Molecolare "Romeo ed Enrica Invernizzi", 20122 Milan, Italy.
Anita Y HoweMerck Research Laboratory, Kenilworth, New Jersey.
Stanley M LemonDepartments of Medicine and Microbiology and Immunology and the Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. Electronic address: smlemon@med.unc.edu.
University of North Carolina at Chapel Hill · USMerck & Co., Inc., Rahway, NJ, USA (United States) · USIstituto Nazionale Genetica Molecolare · IT

Funding

Micro-RNA 122 and Chronic Hepatitis CR01AI095690 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LEMON, STANLEY M. · 2011 to 2020
$3.7M
NIAID NIH HHS R01 AI095690NIAID NIH HHS R01-AI095690
6 · The paper itself

Abstract

BACKGROUND &

aimsAll-oral regimens combining different classes of direct-acting antivirals (DAA) are highly effective for treatment of patients with chronic hepatitis C. NS5A inhibitors will likely form a component of future interferon-sparing treatment regimens. However, despite their potential, the detailed mechanism of action of NS5A inhibitors is unclear. To study their mechanisms, we compared their kinetics of antiviral suppression with those of other classes of DAA, using the hepatitis C virus genotype 1a cell culture-infectious virus H77S.3.

methodsWe performed detailed kinetic analyses of specific steps in the hepatitis C virus life cycle using cell cultures incubated with protease inhibitors, polymerase inhibitors, or NS5A inhibitors. Assays were designed to measure active viral RNA synthesis and steady-state RNA abundance, polyprotein synthesis, virion assembly, and infectious virus production.

resultsDespite their high potency, NS5A inhibitors were slow to inhibit viral RNA synthesis compared with protease or polymerase inhibitors. By 24 hours after addition of an NS5A inhibitor, polyprotein synthesis was reduced <50%, even at micromolar concentrations. In contrast, inhibition of virus release by NS5A inhibitors was potent and rapid, with onset of inhibition as early as 2 hours. Cells incubated with NS5A inhibitors were rapidly depleted of intracellular infectious virus and RNA-containing hepatitis C virus particles, indicating a block in virus assembly.

conclusionsDAAs that target NS5A rapidly inhibit intracellular assembly of genotype 1a virions. They also inhibit formation of functional replicase complexes, but have no activity against preformed replicase, thereby resulting in slow shut-off of viral RNA synthesis.

Indexed as

Antiviral AgentsCell Line, TumorDose-Response Relationship, DrugDrug Resistance, ViralEnzyme InhibitorsGenotypeHepacivirusHumansKineticsMutationProtease InhibitorsRNA-Dependent RNA PolymeraseRNA, ViralViral Nonstructural ProteinsVirus AssemblyVirus ReplicationAntiviral AgentsEnzyme InhibitorsNS-5 protein, hepatitis C virusProtease InhibitorsRNA-Dependent RNA PolymeraseRNA, ViralViral Nonstructural ProteinsAntiviral AgentReplicationRNA-Dependent RNA PolymeraseTherapy

Identifiers

PMID24768676
PMCPMC4107048
OpenAlexW2075335279

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.