Evidence map›Paper›PMID 27894862›Full record

ArticleJournal of virological methods2017

HIV drug resistance testing among patients failing second line antiretroviral therapy. Comparison of in-house and commercial sequencing.

Benjamin Chimukangara, Bhavini Varyani, Tinei Shamu, Junior Mutsvangwa, Justen Manasa, Elizabeth White, Cleophas Chimbetete, Ruedi Luethy, David Katzenstein

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of virological methods, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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 at 4 institutions in 4 countries.

Benjamin ChimukangaraDepartment of Molecular Biology, Biomedical Research and Training Institute, Harare, Zimbabwe; Department of Virology, National Health Laboratory Service, University of KwaZulu-Natal, Durban, South Africa. Electronic address: benjiechim@yahoo.com.
Bhavini VaryaniDepartment of Molecular Biology, Biomedical Research and Training Institute, Harare, Zimbabwe. Electronic address: bhavinivaryani@gmail.com.
Tinei ShamuNewlands Clinic, Newlands, Harare, Zimbabwe. Electronic address: TineiS@newlandsclinic.org.zw.
Junior MutsvangwaDepartment of Molecular Biology, Biomedical Research and Training Institute, Harare, Zimbabwe. Electronic address: Jnr.mutsvangwa@gmail.com.
Justen ManasaDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: jmanasa@gmail.com.
Elizabeth WhiteDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: betsyjohn@aol.com.
Cleophas ChimbeteteNewlands Clinic, Newlands, Harare, Zimbabwe; Institute of Social and Preventive Medicine, University of Bern, Switzerland. Electronic address: cleophasc@newlandsclinic.org.zw.
Ruedi LuethyNewlands Clinic, Newlands, Harare, Zimbabwe. Electronic address: RuediL@newlandsclinic.org.zw.
David KatzensteinDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: davidkk@stanford.edu.
Stanford University · USBiomedical Research and Training Institute · ZWInstitute of Social and Preventive Medicine · CHNational Health Laboratory Service · ZA

Funding

Research Mentoring and Building Capacity of underrepresented Minority Research Scientists in India.D43TW010540 · FIC · YALE UNIVERSITY · PI MICHELE BARRY, Eva Harris · 2017 to 2026
$15.5M
African Program for Research training in HIV, TB and associated opportunistic infU2RTW006878 · FIC · STANFORD UNIVERSITY · PI KATZENSTEIN, DAVID ALLENBERG · 2005 to 2009
$747k
Zimbabwe ICT Project (ZIP) and HIV Research TrainingG11TW010320 · FIC · STANFORD UNIVERSITY · PI BARRY, MICHELE · 2016 to 2018
$300k
FIC NIH HHS D43 TW010540FIC NIH HHS G11 TW010320FIC NIH HHS U2R TW006878
6 · The paper itself

Abstract

introductionHIV genotyping is often unavailable in low and middle-income countries due to infrastructure requirements and cost. We compared genotype resistance testing in patients with virologic failure, by amplification of HIV pol gene, followed by "in-house" sequencing and commercial sequencing.

methodsRemnant plasma samples from adults and children failing second-line ART were amplified and sequenced using in-house and commercial di-deoxysequencing, and analyzed in Harare, Zimbabwe and at Stanford, U.S.A, respectively. HIV drug resistance mutations were determined using the Stanford HIV drug resistance database.

resultsTwenty-six of 28 samples were amplified and 25 were successfully genotyped. Comparison of average percent nucleotide and amino acid identities between 23 pairs sequenced in both laboratories were 99.51 (±0.56) and 99.11 (±0.95), respectively. All pairs clustered together in phylogenetic analysis. Sequencing analysis identified 6/23 pairs with mutation discordances resulting in differences in phenotype, but these did not impact future regimens.

conclusionsThe results demonstrate our ability to produce good quality drug resistance data in-house. Despite discordant mutations in some sequence pairs, the phenotypic predictions were not clinically significant.

Indexed as

Anti-Retroviral AgentsAntiretroviral Therapy, Highly ActiveDrug Resistance, ViralGenotyping TechniquesHIVHIV InfectionsHumansMicrobial Sensitivity TestsSequence Analysis, DNATreatment FailureUnited StatesZimbabweAnti-Retroviral AgentsGenotypingHIV drug resistanceSATuRNTreatment failureZimbabwe

Identifiers

PMID27894862
PMCPMC5393912
OpenAlexW2549180609

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.