Evidence map›Paper›PMID 27677172›Full record

ArticlePloS one

Genome-Wide Association Study of HIV Whole Genome Sequences Validated using Drug Resistance.

Robert A Power, Siva Davaniah, Anne Derache, Eduan Wilkinson, Frank Tanser, Ravindra K Gupta, Deenan Pillay, Tulio de Oliveira

Open access · goldAbstract read
In one paragraph

Article in PloS one. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 32 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 3 countries.

Robert A PowerAfrica Centre for Health and Population Studies, University of KwaZulu-Natal, Durban, South Africa.
Siva DavaniahAfrica Centre for Health and Population Studies, University of KwaZulu-Natal, Durban, South Africa.
Anne DeracheAfrica Centre for Health and Population Studies, University of KwaZulu-Natal, Durban, South Africa.
Eduan WilkinsonAfrica Centre for Health and Population Studies, University of KwaZulu-Natal, Durban, South Africa.
Frank TanserAfrica Centre for Health and Population Studies, University of KwaZulu-Natal, Durban, South Africa.
Ravindra K GuptaDivision of Infection and Immunity, University College London, London, United Kingdom.ORCID http://orcid.org/0000-0001-9751-1808
Deenan PillayAfrica Centre for Health and Population Studies, University of KwaZulu-Natal, Durban, South Africa.
Tulio de OliveiraAfrica Centre for Health and Population Studies, University of KwaZulu-Natal, Durban, South Africa.
University of KwaZulu-Natal · ZAUniversity College London · GBInserm · FR

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundGenome-wide association studies (GWAS) have considerably advanced our understanding of human traits and diseases. With the increasing availability of whole genome sequences (WGS) for pathogens, it is important to establish whether GWAS of viral genomes could reveal important biological insights. Here we perform the first proof of concept viral GWAS examining drug resistance (DR), a phenotype with well understood genetics.

methodWe performed a GWAS of DR in a sample of 343 HIV subtype C patients failing 1st line antiretroviral treatment in rural KwaZulu-Natal, South Africa. The majority and minority variants within each sequence were called using PILON, and GWAS was performed within PLINK. HIV WGS from patients failing on different antiretroviral treatments were compared to sequences derived from individuals naïve to the respective treatment.

resultsGWAS methodology was validated by identifying five associations on a genetic level that led to amino acid changes known to cause DR. Further, we highlighted the ability of GWAS to identify epistatic effects, identifying two replicable variants within amino acid 68 of the reverse transcriptase protein previously described as potential fitness compensatory mutations. A possible additional DR variant within amino acid 91 of the matrix region of the Gag protein was associated with tenofovir failure, highlighting GWAS's ability to identify variants outside classical candidate genes. Our results also suggest a polygenic component to DR.

conclusionsThese results validate the applicability of GWAS to HIV WGS data even in relative small samples, and emphasise how high throughput sequencing can provide novel and clinically relevant insights. Further they suggested that for viruses like HIV, population structure was only minor concern compared to that seen in bacteria or parasite GWAS. Given the small genome length and reduced burden for multiple testing, this makes HIV an ideal candidate for GWAS.

Identifiers

PMID27677172
PMCPMC5038937
OpenAlexW2524637589

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.