Evidence map›Paper›PMID 30397065›Full record

ArticleAntimicrobial agents and chemotherapy2019

Cidofovir Diphosphate Inhibits Adenovirus 5 DNA Polymerase via both Nonobligate Chain Termination and Direct Inhibition, and Polymerase Mutations Confer Cidofovir Resistance on Intact Virus.

Jeffrey M Chamberlain, Katherine Sortino, Phiroze Sethna, Andrew Bae, Randall Lanier, Robert A Bambara, Stephen Dewhurst

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

28 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
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  8. Review
  9. Article
  10. Article
  11. Article
  12. Small Molecule Drugs Targeting Viral Polymerases.Pharmaceuticals (Basel, Switzerland) · 2024
    Review
  13. Cidofovir in Severe Hypoxemic Adenoviral Pneumonia.Indian journal of pediatrics · 2024
    Article
  14. Article
  15. Article
  16. Preparing for the next viral threat with broad-spectrum antivirals.The Journal of clinical investigation · 2023
    Review
  17. Review
  18. Review
  19. Review
  20. The evolving epidemiology of monkeypox virus.Cytokine & growth factor reviews · 2022
    Review
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 2 institutions in 1 country.

Jeffrey M ChamberlainDepartment of Microbiology and Immunology, University of Rochester Medical Center, Rochester, New York, USA.
Katherine SortinoDepartment of Microbiology and Immunology, University of Rochester Medical Center, Rochester, New York, USA.
Phiroze SethnaChimerix, Durham, North Carolina, USA.
Andrew BaeChimerix, Durham, North Carolina, USA.
Randall LanierChimerix, Durham, North Carolina, USA.
Robert A BambaraDepartment of Microbiology and Immunology, University of Rochester Medical Center, Rochester, New York, USA.
Stephen DewhurstDepartment of Microbiology and Immunology, University of Rochester Medical Center, Rochester, New York, USA Stephen_Dewhurst@urmc.rochester.edu.
University of Rochester Medical Center · USChimerix (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human adenovirus (AdV) can cause fatal disease in immune-suppressed individuals, but treatment options are limited, in part because the antiviral cytidine analog cidofovir (CDV) is nephrotoxic. The investigational agent brincidofovir (BCV) is orally bioavailable, nonnephrotoxic, and generates the same active metabolite, cidofovir diphosphate (CDVpp). However, its mechanism of action against AdV is poorly understood. Therefore, we have examined the effect of CDVpp on DNA synthesis by a purified adenovirus 5 (AdV5) DNA polymerase (Pol). CDVpp was incorporated into nascent DNA strands and promoted a nonobligate form of chain termination (i.e., AdV5 Pol can extend, albeit inefficiently, a DNA chain even after the incorporation of a first CDVpp molecule). Moreover, unlike a conventional mismatched base pair, misincorporated CDVpp was not readily excised by the AdV5 Pol. At elevated concentrations, CDVpp inhibited AdV5 Pol in a manner consistent with both chain termination and direct inhibition of Pol activity. Finally, a recombinant AdV5 was constructed, containing Pol mutations (V303I and T87I) that were selected following an extended passage of wild-type AdV5 in the presence of BCV. This virus had a 2.1-fold elevated 50% effective concentration (EC

Indexed as

Adenoviruses, HumanAdenovirus Infections, HumanAntiviral AgentsCidofovirCytosineDNA-Directed DNA PolymeraseDNA PrimersDNA, ViralDose-Response Relationship, DrugHumansKineticsMutationOrganophosphonatesReal-Time Polymerase Chain ReactionRecombinant ProteinsViral ProteinsAntiviral AgentsbrincidofovirCidofovirCytosineDNA-Directed DNA PolymeraseDNA PrimersDNA, ViralOrganophosphonatesRecombinant ProteinsViral Proteinsadenovirusesantiviral agentsDNA polymerase

Identifiers

PMID30397065
PMCPMC6325223
OpenAlexW2900081709

What OpenQuestion holds

Textmetadata
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.