Evidence map›Paper›PMID 28915040›Full record

ArticleJournal of chemical theory and computation2017

Elucidating the Interdependence of Drug Resistance from Combinations of Mutations.

Debra A Ragland, Troy W Whitfield, Sook-Kyung Lee, Ronald Swanstrom, Konstantin B Zeldovich, Nese Kurt-Yilmaz, Celia A Schiffer

Open access · greenAbstract read
In one paragraph

Article in Journal of chemical theory and computation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
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

18 citing papers in PubMed, 31 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

7 authors at 1 institution in 1 country.

Debra A Ragland
Troy W Whitfield
Sook-Kyung LeeDepartment of Biochemistry and Biophysics, and the UNC Center for AIDS Research, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina 27599, United States.
Ronald SwanstromDepartment of Biochemistry and Biophysics, and the UNC Center for AIDS Research, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina 27599, United States.
Konstantin B Zeldovich
University of North Carolina at Chapel Hill · US

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Tracking the evolution of drug resistance for highly potent HIV protease inhibitoP01GM109767 · NIGMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SCHIFFER, CELIA A. · 2014 to 2018
$8.0M
The Interdependence of Drug Resistance: HIV-1 ProteaseF31GM111101 · NIGMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI RAGLAND, DEBRA ANN · 2014 to 2016
$78k
NIAID NIH HHS P30 AI050410NIGMS NIH HHS F31 GM111101NIGMS NIH HHS P01 GM109767
6 · The paper itself

Abstract

HIV-1 protease is responsible for the cleavage of 12 nonhomologous sites within the Gag and Gag-Pro-Pol polyproteins in the viral genome. Under the selective pressure of protease inhibition, the virus evolves mutations within (primary) and outside of (secondary) the active site, allowing the protease to process substrates while simultaneously countering inhibition. The primary protease mutations impede inhibitor binding directly, while the secondary mutations are considered accessory mutations that compensate for a loss in fitness. However, the role of secondary mutations in conferring drug resistance remains a largely unresolved topic. We have shown previously that mutations distal to the active site are able to perturb binding of darunavir (DRV) via the protein's internal hydrogen-bonding network. In this study, we show that mutations distal to the active site, regardless of context, can play an interdependent role in drug resistance. Applying eigenvalue decomposition to collections of hydrogen bonding and van der Waals interactions from a series of molecular dynamics simulations of 15 diverse HIV-1 protease variants, we identify sites in the protease where amino acid substitutions lead to perturbations in nonbonded interactions with DRV and/or the hydrogen-bonding network of the protease itself. While primary mutations are known to drive resistance in HIV-1 protease, these findings delineate the significant contributions of accessory mutations to resistance. Identifying the variable positions in the protease that have the greatest impact on drug resistance may aid in future structure-based design of inhibitors.

Indexed as

Drug ResistanceAmino Acid SubstitutionCatalytic DomainHIV ProteaseHIV Protease InhibitorsHumansMutationHIV ProteaseHIV Protease Inhibitorsp16 protease, Human immunodeficiency virus 1

Identifiers

PMID28915040
PMCPMC5927819
OpenAlexW2755238254

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.