Evidence map›Paper›PMID 33028676›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2020

Remdesivir targets a structurally analogous region of the Ebola virus and SARS-CoV-2 polymerases.

Michael K Lo, César G Albariño, Jason K Perry, Silvia Chang, Egor P Tchesnokov, Lisa Guerrero, Ayan Chakrabarti, Punya Shrivastava-Ranjan, Payel Chatterjee, Laura K McMullan and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
1.5field-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

42 citing papers in PubMed, 69 citations in OpenAlex.

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  18. Therapeutic dilemmas in addressing SARS-CoV-2 infection: Favipiravir versus Remdesivir.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2022
    Review
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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

18 authors at 3 institutions in 2 countries.

Michael K LoViral Special Pathogens Branch, US Centers for Disease Control and Prevention, Atlanta, GA 30329; mko2@cdc.gov ccs8@cdc.gov.ORCID 0000-0002-0409-7896
César G AlbariñoViral Special Pathogens Branch, US Centers for Disease Control and Prevention, Atlanta, GA 30329.
Jason K PerryGilead Sciences Inc., Foster City, CA 94404.
Silvia ChangGilead Sciences Inc., Foster City, CA 94404.
Egor P TchesnokovDepartment of Medical Microbiology and Immunology, University of Alberta, Edmonton, AB T6G 2E1, Canada.
Lisa GuerreroViral Special Pathogens Branch, US Centers for Disease Control and Prevention, Atlanta, GA 30329.
Ayan ChakrabartiViral Special Pathogens Branch, US Centers for Disease Control and Prevention, Atlanta, GA 30329.
Punya Shrivastava-RanjanViral Special Pathogens Branch, US Centers for Disease Control and Prevention, Atlanta, GA 30329.
Payel ChatterjeeViral Special Pathogens Branch, US Centers for Disease Control and Prevention, Atlanta, GA 30329.
Laura K McMullanViral Special Pathogens Branch, US Centers for Disease Control and Prevention, Atlanta, GA 30329.ORCID 0000-0003-2748-5151
Ross MartinGilead Sciences Inc., Foster City, CA 94404.
Robert JordanGilead Sciences Inc., Foster City, CA 94404.
Matthias GötteDepartment of Medical Microbiology and Immunology, University of Alberta, Edmonton, AB T6G 2E1, Canada.
Joel M MontgomeryViral Special Pathogens Branch, US Centers for Disease Control and Prevention, Atlanta, GA 30329.
Stuart T NicholViral Special Pathogens Branch, US Centers for Disease Control and Prevention, Atlanta, GA 30329.
Mike FlintViral Special Pathogens Branch, US Centers for Disease Control and Prevention, Atlanta, GA 30329.ORCID 0000-0002-5373-787X
Danielle PorterGilead Sciences Inc., Foster City, CA 94404.
Christina F SpiropoulouViral Special Pathogens Branch, US Centers for Disease Control and Prevention, Atlanta, GA 30329; mko2@cdc.gov ccs8@cdc.gov.
Centers for Disease Control and Prevention · USGilead Sciences (United States) · USUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Remdesivir is a broad-spectrum antiviral nucleotide prodrug that has been clinically evaluated in Ebola virus patients and recently received emergency use authorization (EUA) for treatment of COVID-19. With approvals from the Federal Select Agent Program and the Centers for Disease Control and Prevention's Institutional Biosecurity Board, we characterized the resistance profile of remdesivir by serially passaging Ebola virus under remdesivir selection; we generated lineages with low-level reduced susceptibility to remdesivir after 35 passages. We found that a single amino acid substitution, F548S, in the Ebola virus polymerase conferred low-level reduced susceptibility to remdesivir. The F548 residue is highly conserved in filoviruses but should be subject to specific surveillance among novel filoviruses, in newly emerging variants in ongoing outbreaks, and also in Ebola virus patients undergoing remdesivir therapy. Homology modeling suggests that the Ebola virus polymerase F548 residue lies in the F-motif of the polymerase active site, a region that was previously identified as susceptible to resistance mutations in coronaviruses. Our data suggest that molecular surveillance of this region of the polymerase in remdesivir-treated COVID-19 patients is also warranted.

Indexed as

Adenosine MonophosphateAlanineAntiviral AgentsBetacoronavirusCell LineDrug ToleranceEbolavirusHumansModels, MolecularMutationRNA-Dependent RNA PolymeraseSARS-CoV-2Viral Nonstructural ProteinsVirus ReplicationAdenosine MonophosphateAlanineAntiviral AgentsremdesivirRNA-Dependent RNA PolymeraseViral Nonstructural Proteinsantiviral nucleotide analogCOVID-19EbolaremdesivirSARS-CoV-2

Identifiers

PMID33028676
PMCPMC7604432
OpenAlexW3092050068

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.