Evidence map›Paper›PMID 25919760›Full record

ArticleAIDS research and human retroviruses2015

Genetic Changes in HIV-1 Gag-Protease Associated with Protease Inhibitor-Based Therapy Failure in Pediatric Patients.

Jennifer Giandhari, Adriaan E Basson, Ashraf Coovadia, Louise Kuhn, Elaine J Abrams, Renate Strehlau, Lynn Morris, Gillian M Hunt

Abstract read
In one paragraph

Article in AIDS research and human retroviruses, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

12 citing papers in PubMed, 18 citations in OpenAlex.

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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 3 institutions in 2 countries.

Jennifer Giandhari1 Centre for HIV and STIs, National Institute for Communicable Diseases (NICD) , Johannesburg, South Africa .
Adriaan E Basson1 Centre for HIV and STIs, National Institute for Communicable Diseases (NICD) , Johannesburg, South Africa .
Ashraf Coovadia3 Empilweni Services and Research Unit, Rahima Moosa Mother and Child Hospital, Faculty of Health Sciences, University of Witwatersrand , Johannesburg, South Africa .
Louise Kuhn4 Gertrude H. Sergievsky Center, College of Physicians and Surgeons, and Department of Epidemiology, Mailman School of Public Health, Columbia University , New York, New York.
Elaine J Abrams5 International Center for AIDS Programs, Mailman School of Public Health, Columbia University , New York, New York.
Renate Strehlau3 Empilweni Services and Research Unit, Rahima Moosa Mother and Child Hospital, Faculty of Health Sciences, University of Witwatersrand , Johannesburg, South Africa .
Lynn Morris1 Centre for HIV and STIs, National Institute for Communicable Diseases (NICD) , Johannesburg, South Africa .
Gillian M Hunt1 Centre for HIV and STIs, National Institute for Communicable Diseases (NICD) , Johannesburg, South Africa .
National Institute for Communicable DiseasesUniversity of the Witwatersrand · ZAColumbia University · US

Funding

Clinical Relevance of Transient Nevirapine ResistanceR01HD047177 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KUHN, LOUISE · 2004 to 2008
$2.6M
NICHD NIH HHS HD 47177
6 · The paper itself

Abstract

Studies have shown a low frequency of HIV-1 protease drug resistance mutations in patients failing protease inhibitor (PI)-based therapy. Recent studies have identified mutations in Gag as an alternate pathway for PI drug resistance in subtype B viruses. We therefore genotyped the Gag and protease genes from 20 HIV-1 subtype C-infected pediatric patients failing a PI-based regimen. Major protease resistance mutations (M46I, I54V, and V82A) were identified in eight (40%) patients, as well as Gag cleavage site (CS) mutations (at codons 373, 374, 378, 428, 431, 449, 451, and 453) in nine (45%) patients. Four of these Gag CS mutations occurred in the absence of major protease mutations at PI failure. In addition, amino acid changes were noted at Gag non-CS with some predicted to be under HLA/KIR immune-mediated pressure and/or drug selection pressure. Changes in Gag during PI failure therefore warrant further investigation of the Gag gene and its role in PI failure in HIV-1 subtype C infection.

Indexed as

Drug Resistance, Viralgag Gene Products, Human Immunodeficiency VirusHIV-1HIV InfectionsHIV ProteaseHIV Protease InhibitorsHumansInfantMolecular Sequence DataMutation, MissenseRetrospective StudiesSequence Analysis, DNATreatment Failuregag Gene Products, Human Immunodeficiency VirusHIV ProteaseHIV Protease Inhibitorsp16 protease, Human immunodeficiency virus 1

Identifiers

PMID25919760
PMCPMC4533029
OpenAlexW1956254863

What OpenQuestion holds

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Registered trials

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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.