Evidence map›Paper›PMID 25124927›Full record

ArticleThe Journal of infectious diseases2015

Characterization of drug-resistant influenza A(H7N9) variants isolated from an oseltamivir-treated patient in Taiwan.

Henju Marjuki, Vasiliy P Mishin, Anton P Chesnokov, Joyce Jones, Juan A De La Cruz, Katrina Sleeman, Daisuke Tamura, Ha T Nguyen, Ho-Sheng Wu, Feng-Yee Chang and 6 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
–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

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

  1. Pooled it
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  12. Journal of virology · 2020
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  17. Novel Avian Influenza A Virus Infections of Humans.Infectious disease clinics of North America · 2019
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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

16 authors.

Henju MarjukiInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention.
Vasiliy P MishinInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention.
Anton P ChesnokovInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention Battelle Memorial Institute, Atlanta, Georgia.
Joyce JonesInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention.
Juan A De La CruzInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention Battelle Memorial Institute, Atlanta, Georgia.
Katrina SleemanInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention.
Daisuke TamuraInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention Oak Ridge Institute for Science and Education, Tennessee.
Ha T NguyenInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention Battelle Memorial Institute, Atlanta, Georgia.
Ho-Sheng WuTaiwan Centers for Disease Control, Taipei City.
Feng-Yee ChangTaiwan Centers for Disease Control, Taipei City.
Ming-Tsan LiuTaiwan Centers for Disease Control, Taipei City.
Alicia M FryInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention.
Nancy J CoxInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention.
Julie M VillanuevaInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention.
Charles T DavisInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention.
Larisa V GubarevaInfluenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention lgubareva@cdc.gov.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundPatients contracting influenza A(H7N9) infection often developed severe disease causing respiratory failure. Neuraminidase (NA) inhibitors (NAIs) are the primary option for treatment, but information on drug-resistance markers for influenza A(H7N9) is limited.

methodsFour NA variants of A/Taiwan/1/2013(H7N9) virus containing a single substitution (NA-E119V, NA-I222K, NA-I222R, or NA-R292K) recovered from an oseltamivir-treated patient were tested for NAI susceptibility in vitro; their replicative fitness was evaluated in cell culture, mice, and ferrets.

resultsNA-R292K led to highly reduced inhibition by oseltamivir and peramivir, while NA-E119V, NA-I222K, and NA-I222R caused reduced inhibition by oseltamivir. Mice infected with any virus showed severe clinical signs with high mortality rates. NA-I222K virus was the most virulent in mice, whereas virus lacking NA change (NA-WT) and NA-R292K virus seemed the least virulent. Sequence analysis suggests that PB2-S714N increased virulence of NA-I222K virus in mice; NS1-K126R, alone or in combination with PB2-V227M, produced contrasting effects in NA-WT and NA-R292K viruses. In ferrets, all viruses replicated to high titers in the upper respiratory tract but produced only mild illness. NA-R292K virus, showed reduced replicative fitness in this animal model.

conclusionsOur data highlight challenges in assessment of the replicative fitness of H7N9 NA variants that emerged in NAI-treated patients.

Indexed as

Drug Resistance, ViralAnimalsAntiviral AgentsDisease Models, AnimalFerretsHumansInfluenza A Virus, H7N9 SubtypeInfluenza, HumanMice, Inbred BALB CMicrobial Sensitivity TestsMutant ProteinsMutation, MissenseNeuraminidaseOrthomyxoviridae InfectionsOseltamivirViral ProteinsAntiviral AgentsMutant ProteinsNA protein, influenza A virusNeuraminidaseOseltamivirViral ProteinsE119VferretsH7N9I222KI222Rinfluenza virusmiceoseltamivirperamivirR292K

Identifiers

PMID25124927
PMCPMC6943751

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.