Evidence map›Paper›PMID 26047611›Full record

ArticleVirology journal2015

Prevalence of hepatitis C virus (HCV) variants resistant to NS5A inhibitors in naïve patients infected with HCV genotype 1 in Tunisia.

Jameleddine Aissa Larousse, Pascale Trimoulet, Patricia Recordon Pinson, Brigitte Tauzin, Mohamed Mssadak Azzouz, Nabyl Ben Mami, Imed Cheikh, Henda Triki, Hervé Fleury

Abstract read
In one paragraph

Article in Virology journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
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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

9 authors.

Jameleddine Aissa LarousseLR11-IPT-09, Epidémiologie et diversité génétique des virus hépatiques et entériques humains, Institut Pasteur de Tunis, 13 Place Pasteur, 1002, Tunis Belvédère, Tunisia. jamel.larous@gmail.com.
Pascale TrimouletCNRS-UMR 5234, Microbiologie fondamentale et Pathogénicité, University of Bordeaux 2, Bordeaux, France. pascale.trimoulet@chu-bordeaux.fr.
Patricia Recordon PinsonCNRS-UMR 5234, Microbiologie fondamentale et Pathogénicité, University of Bordeaux 2, Bordeaux, France. patricia.recordon-pinson@u-bordeaux2.fr.
Brigitte TauzinVirology Laboratory, Bordeaux University Hospital, Bordeaux, France. brigitte.tauzin@chu-bordeaux.fr.
Mohamed Mssadak AzzouzDepartment of Gastroenterology, Hospital of Tahar Maamouri, Nabeul, Tunisia. mm.azouz@rns.tn.
Nabyl Ben MamiDepartment of Gastroenterology B, La Rabta Hospital, Tunis, Tunisia. nabyl.benmami@rns.tn.
Imed CheikhDepartment of Gastroenterology, Habib Bougatfa Hospital, Bizerte, Tunisia. imed.cheikh@rns.tn.
Henda TrikiLR11-IPT-09, Epidémiologie et diversité génétique des virus hépatiques et entériques humains, Institut Pasteur de Tunis, 13 Place Pasteur, 1002, Tunis Belvédère, Tunisia. henda.triki@pasteur.rns.tn.
Hervé FleuryCNRS-UMR 5234, Microbiologie fondamentale et Pathogénicité, University of Bordeaux 2, Bordeaux, France. herve.fleury@viro.u-bordeaux2.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatitis C virus (HCV) non-structural protein 5A (NS5A) inhibitors have been recently developed to inhibit NS5A activities and have been approved for the treatment of HCV infection. However the drawback of these direct acting antivirals (DAAs) is the emergence of resistance mutations. The prevalence of such mutations conferring resistance to HCV-NS5A inhibitors before treatment has not been investigated so far in the Tunisian population. The aim of this study was to detect HCV variants resistant to HCV-NS5A inhibitors in hepatitis C patients infected with HCV genotype 1 before any treatment with NS5A inhibitors.

methodsAmplification and direct sequencing of the HCV NS5A region was carried out on 112 samples from 149 untreated patients.

resultsIn genotype 1a strains, amino acid substitutions conferring resistance to NS5A inhibitors (M28V) were detected in 1/7 (14.2 %) HCV NS5A sequences analyzed. In genotype 1b, resistance mutations in the NS5A region (R30Q; L31M; P58S and Y93H) were observed in 17/105 (16.2 %) HCV NS5A sequences analyzed. R30Q and Y93H (n = 6; 5.7 %) predominated over P58S (n = 4; 3.8 %) and L31M (n = 3; 2.8 %).

conclusionsMutations conferring resistance to HCV NS5A inhibitors are frequent in treatment-naïve Tunisian patients infected with HCV genotype 1b. Their influence in the context of DAA therapies has not been fully investigated and should be taken into consideration.

Indexed as

Drug Resistance, ViralGenotypeMutation, MissenseFemaleGene FrequencyHepacivirusHepatitis CHumansMaleMiddle AgedPrevalenceRNA-Dependent RNA PolymeraseRNA, ViralSequence Analysis, DNATunisiaViral Nonstructural ProteinsNS-5 protein, hepatitis C virusRNA-Dependent RNA PolymeraseRNA, ViralViral Nonstructural Proteins

Identifiers

PMID26047611
PMCPMC4465297

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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.