Evidence map›Paper›PMID 27124362›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2016

Rilpivirine and Doravirine Have Complementary Efficacies Against NNRTI-Resistant HIV-1 Mutants.

Steven J Smith, Gary T Pauly, Aamir Akram, Kevin Melody, Zandrea Ambrose, Joel P Schneider, Stephen H Hughes

Open access · greenAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

34 citing papers in PubMed, 57 citations in OpenAlex.

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  15. 2022 update of the drug resistance mutations in HIV-1.Topics in antiviral medicine · 2022
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  16. Cryo-EM structures of wild-type and E138K/M184I mutant HIV-1 RT/DNA complexed with inhibitors doravirine and rilpivirine.Proceedings of the National Academy of Sciences of the United States of America · 2022
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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

7 authors at 4 institutions in 1 country.

Steven J Smith*HIV Dynamics and Replication Program, National Cancer Institute-Frederick, National Institutes of Health, Frederick, MD; †Chemical Biology Laboratory, National Cancer Institute-Frederick, National Institutes of Health, Frederick, MD; ‡Department of Infectious Diseases and Microbiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA; and §Division of Infectious Diseases, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA.
Gary T Pauly
Aamir Akram
Kevin Melody
Zandrea Ambrose
Joel P Schneider
Stephen H Hughes
Frederick National Laboratory for Cancer Research · USNational Cancer Institute · USUniversity of Pittsburgh · USNational Institutes of Health · US

Funding

Structure and Function of HIV-1 Reverse TranscriptaseZIABC010481 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI HUGHES, STEPHEN H · 2009 to 2022
$15.7M
Chemical Synthesis GroupZICBC011515 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI SCHNEIDER, JOEL · 2013 to 2025
$5.1M
PITT AIDS RESEARCH TRAINING PROGRAMT32AI065380 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BARRATT-BOYES, SIMON M · 2005 to 2020
$3.2M
Structure and Function of HIV-1 Reverse TranscriptaseZ01BC010481 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI HUGHES, STEPHEN H · 2003 to 2008
$2.0M
Origin and Evolution of HIV-1 Drug Resistance in the RT-SHIVmne Macaque ModelR01AI080290 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AMBROSE, ZANDREA · 2010 to 2013
$1.5M
Intramural NIH HHS Z01 BC010481NIAID NIH HHS R01 AI080290NIAID NIH HHS T32 AI065380
6 · The paper itself

Abstract

backgroundRilpivirine (RPV) is the latest non-nucleoside reverse transcriptase inhibitor (NNRTI) to be approved by Food and Drug Administration to combat HIV-1 infections. NNRTIs inhibit the chemical step in viral DNA synthesis by binding to an allosteric site located about 10 Å from the polymerase active site of reverse transcriptase (RT). Although NNRTIs potently inhibit the replication of wild-type HIV-1, the binding site is not conserved, and mutations arise in the binding pocket. Doravirine (DOR) is a new NNRTI in phase III clinical trials.

methodsUsing a single round HIV-1 infection assay, we tested RPV and DOR against a broad panel of NNRTI-resistant mutants to determine their respective activities. We also used molecular modeling to determine if the susceptibility profile of each compound was related to how they bind RT.

resultsSeveral mutants displayed decreased susceptibility to DOR. However, with the exception of E138K, our data suggest that the mutations that reduce the potency of DOR and RPV are non-overlapping. Thus, these 2 NNRTIs have the potential to be used together in combination therapy. We also show that the location at which DOR and RPV bind with the NNRTI binding pocket of RT correlates with the differences in their respective susceptibility to the panel of NNRTI-resistance mutations.

conclusionsThis shows that (1) DOR is susceptible to a number of well-known NNRTI resistance mutations and (2) an understanding of the mutational susceptibilities and binding interactions of NNRTIs with RT could be used to develop pairs of compounds with non-overlapping mutational susceptibilities.

Indexed as

MutationDose-Response Relationship, DrugDrug Resistance, ViralHIV-1HIV InfectionsHIV Reverse TranscriptaseHumansInhibitory Concentration 50Models, MolecularPyridonesReverse Transcriptase InhibitorsRilpivirineTriazolesVirus ReplicationdoravirineHIV Reverse TranscriptasePyridonesReverse Transcriptase InhibitorsRilpivirineTriazoles

Identifiers

PMID27124362
PMCPMC4942337
OpenAlexW2344166414

What OpenQuestion holds

Textmetadata
LicenceTDM
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.