Evidence map›Paper›PMID 27023593›Full record

ArticleViruses2016

Frequency of Natural Resistance within NS5a Replication Complex Domain in Hepatitis C Genotypes 1a, 1b: Possible Implication of Subtype-Specific Resistance Selection in Multiple Direct Acting Antivirals Drugs Combination Treatment.

Sabrina Bagaglio, Andrea Andolina, Marco Merli, Caterina Uberti-Foppa, Giulia Morsica

Open access · goldAbstract read
In one paragraph

Article in Viruses, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Hepatitis C virus deep sequencing for sub-genotype identification in mixed infections: A real-life experience.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2018
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Application of next generation sequencing for the detection of human viral pathogens in clinical specimens.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2017
    Article
  13. Review
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

5 authors at 2 institutions in 1 country.

Sabrina BagaglioInfectious Diseases Department, Scientific Institute Ospedale San Raffaele, 20127 Milan, Italy. bagaglio.sabrina@hsr.it.
Andrea AndolinaInfectious Diseases Department, Scientific Institute Ospedale San Raffaele, 20127 Milan, Italy. andolinaandrea9@gmail.com.
Marco MerliInfectious Diseases Department, Scientific Institute Ospedale San Raffaele, 20127 Milan, Italy. merli.marco@hsr.it.
Caterina Uberti-FoppaInfectious Diseases Department, Scientific Institute Ospedale San Raffaele, 20127 Milan, Italy. uberti.caterina@hsr.it.
Giulia MorsicaInfectious Diseases Department, Scientific Institute Ospedale San Raffaele, 20127 Milan, Italy. morsica.giulia@hsr.it.
IRCCS Ospedale San Raffaele · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Different HCV subtypes may naturally harbor different resistance selection to anti-NS5a inhibitors. 2761 sequences retrieved from the Los Alamos HCV database were analyzed in the NS5a domain 1, the target of NS5a inhibitors. The NS5a resistance-associated polymorphisms (RAPs) were more frequently detected in HCV G1b compared to G1a. The prevalence of polymorphisms associated with cross-resistance to compounds in clinical use (daclatasvir, DCV, ledipasvir, LDV, ombitasvir, and OMV) or scheduled to come into clinical use in the near future (IDX719, elbasvir, and ELV) was higher in G1b compared to G1a (37/1552 (2.4%) in 1b sequences and 15/1209 (1.2%) in 1a isolates, p = 0.040). Interestingly, on the basis of the genotype-specific resistance pattern, 95 (6.1%) G1b sequences had L31M RAP to DCV/IDX719, while 6 sequences of G1a (0.5%) harbored L31M RAP, conferring resistance to DCV/LDV/IDX719/ELV (p < 0.0001). Finally, 28 (2.3%) G1a and none of G1b isolates harbored M28V RAP to OMV (p < 0.0001). In conclusion, the pattern of subtype-specific resistance selection in the naturally occurring strains may guide the treatment option in association with direct acting antivirals (DAAs) targeting different regions, particularly in patients that are difficult to cure, such as those with advanced liver disease or individuals who have failed previous DAAs.

Indexed as

Drug Resistance, ViralGenotypeMutationAllelesAmino Acid SubstitutionAntiviral AgentsHepacivirusHumansMicrobial Sensitivity TestsProtein Interaction Domains and MotifsRNA-Dependent RNA PolymeraseViral Nonstructural ProteinsAntiviral AgentsNS-5 protein, hepatitis C virusRNA-Dependent RNA PolymeraseViral Nonstructural ProteinsHCV genotypesHCV natural resistanceNS5a inhibitors

Identifiers

PMID27023593
PMCPMC4848586
OpenAlexW2306129803

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.