Evidence map›Paper›PMID 25635815›Full record

ArticlePloS one2015

HIV drug resistance mutations in proviral DNA from a community treatment program.

Anne Derache, Hyoung-Shik Shin, Maya Balamane, Elizabeth White, Dennis Israelski, Jeffrey D Klausner, Alexandra H Freeman, David Katzenstein

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Article
  5. Nucleic acid amplification testing using dried blood spots to confirm the diagnosis of HIV-1 in adults.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2024
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  17. Sanger and Next Generation Sequencing Approaches to Evaluate HIV-1 Virus in Blood Compartments.International journal of environmental research and public health · 2018
    Article
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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

8 authors at 4 institutions in 2 countries.

Anne DeracheStanford University, Infectious Diseases Department /Medical School, Stanford, California, United States of America.
Hyoung-Shik ShinCenter for Infectious Diseases National Medical Center, Seoul, South Korea.
Maya BalamaneStanford University, Infectious Diseases Department /Medical School, Stanford, California, United States of America.
Elizabeth WhiteStanford University, Infectious Diseases Department /Medical School, Stanford, California, United States of America.
Dennis IsraelskiStanford University, Infectious Diseases Department /Medical School, Stanford, California, United States of America.
Jeffrey D KlausnerUniversity of California, Los Angeles, California, United States of America.
Alexandra H FreemanKaiser Permanente San Francisco, California, United States of America.
David KatzensteinStanford University, Infectious Diseases Department /Medical School, Stanford, California, United States of America.
Stanford University · USKaiser Permanente San Francisco Medical Center · USNational Medical Center · KRUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDrug resistance mutations archived in resting memory CD4+ cells may persist despite suppression of HIV RNA to <50 copies/ml. We sequenced pol gene from proviral DNA among viremic and suppressed patients to identify drug resistance mutations.

methodsThe Peninsula AIDS Research Cohort study enrolled and followed over 2 years 120 HIV infected patients from San Mateo and San Francisco Counties. HIV-1 pol genotyping by bulk sequencing was performed on 38 DNA and RNA from viremic patients and DNA only among 82 suppressed patients at baseline. Antiretroviral susceptibility was predicted by HIVDB.stanford.edu.

resultsAmong 120 subjects, 81% were on antiretroviral therapy and had been treated for a median time of 7 years. Thirty-two viremic patients showed concordant RNA and DNA genotypes (84%); the discordant profiles were mainly observed in patients with low-level viremia. Among suppressed patients, 21 had drug resistance mutations in proviral DNA (26%) with potential resistance to one, two or three ARV classes in 16, 4 and 1 samples respectively.

conclusionsThe high level of genotype concordance between DNA and RNA in viremic patients suggested that DNA genotyping might be used to assess drug resistance in resource-limited settings, and further investigation of extracted DNA from dried blood spots is needed. Drug resistance mutations in proviral DNA in 26% of subjects with less than 50 copies/ml pose a risk for the transmission of drug resistant virus with virologic failure, treatment interruption or decreased adherence.

Indexed as

Residence CharacteristicsAdultAntiretroviral Therapy, Highly ActiveDemographyDNA, ViralDrug Resistance, ViralFemaleFollow-Up StudiesHIV-1HIV InfectionsHumansMaleMutationPhylogenyProvirusesViremiaDNA, Viral

Identifiers

PMID25635815
PMCPMC4311981
OpenAlexW2057321665

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.