Evidence map›Paper›PMID 28679441›Full record

ArticleBMC research notes2017

HIV-1 genetic diversity and primary drug resistance mutations before large-scale access to antiretroviral therapy, Republic of Congo.

Fabien Roch Niama, Nicole Vidal, Halimatou Diop-Ndiaye, Etienne Nguimbi, Gabriel Ahombo, Philippe Diakabana, Édith Sophie Bayonne Kombo, Pembe Issamou Mayengue, Simon-Charles Kobawila, Henri Joseph Parra and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC research notes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

8 citing papers in PubMed, 16 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

11 authors at 4 institutions in 3 countries.

Fabien Roch NiamaLaboratoire National de Santé Publique, Unité de Biologie Moléculaire, BP 120 Avenue du Général De Gaule, Brazzaville, Republic of Congo. fabien.niama@gmail.com.
Nicole VidalIRD_UMI 233 TransVIHMI, Délégation Régionale Occitanie 911 avenue Agropolis, Montpellier, France.
Halimatou Diop-NdiayeLaboratoire de Bactériologie et Virologie, Hôpital Le Dantec, Dakar, Sénégal.
Etienne NguimbiLaboratoire National de Santé Publique, Unité de Biologie Moléculaire, BP 120 Avenue du Général De Gaule, Brazzaville, Republic of Congo.
Gabriel AhomboFaculté des Sciences et Techniques, Université Marien Ngouabi, Brazzaville, Republic of Congo.
Philippe DiakabanaFaculté des Sciences et Techniques, Université Marien Ngouabi, Brazzaville, Republic of Congo.
Édith Sophie Bayonne KomboFaculté des Sciences de la Santé, Université Marien Ngouabi, Brazzaville, Republic of Congo.
Pembe Issamou MayengueLaboratoire National de Santé Publique, Unité de Biologie Moléculaire, BP 120 Avenue du Général De Gaule, Brazzaville, Republic of Congo.
Simon-Charles KobawilaFaculté des Sciences et Techniques, Université Marien Ngouabi, Brazzaville, Republic of Congo.
Henri Joseph ParraLaboratoire National de Santé Publique, Unité de Biologie Moléculaire, BP 120 Avenue du Général De Gaule, Brazzaville, Republic of Congo.
Coumba Toure-KaneLaboratoire de Bactériologie et Virologie, Hôpital Le Dantec, Dakar, Sénégal.
Marien Ngouabi University · CGHôpital Aristide Le Dantec · SNLaboratoire National de Santé Publique du Congo · CGAgropolis International · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this work, we investigated the genetic diversity of HIV-1 and the presence of mutations conferring antiretroviral drug resistance in 50 drug-naïve infected persons in the Republic of Congo (RoC). Samples were obtained before large-scale access to HAART in 2002 and 2004.

methodsTo assess the HIV-1 genetic recombination, the sequencing of the pol gene encoding a protease and partial reverse transcriptase was performed and analyzed with updated references, including newly characterized CRFs. The assessment of drug resistance was conducted according to the WHO protocol.

resultsAmong the 50 samples analyzed for the pol gene, 50% were classified as intersubtype recombinants, charring complex structures inside the pol fragment. Five samples could not be classified (noted U). The most prevalent subtypes were G with 10 isolates and D with 11 isolates. One isolate of A, J, H, CRF05, CRF18 and CRF37 were also found. Two samples (4%) harboring the mutations M230L and Y181C associated with the TAMs M41L and T215Y, respectively, were found.

conclusionThis first study in the RoC, based on WHO classification, shows that the threshold of transmitted drug resistance before large-scale access to antiretroviral therapy is 4%.

Indexed as

Genetic VariationGenotypeAdolescentAdultAnti-HIV AgentsChildChild, PreschoolCongoDrug Resistance, ViralFemaleGene ExpressionGenes, polHIV-1HIV InfectionsHumansMaleAnti-HIV AgentsCongoDrugs resistancesHIVRecombinationSubtypes

Identifiers

PMID28679441
PMCPMC5498887
OpenAlexW2732614131

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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.