Evidence map›Paper›PMID 34578414›Full record

ArticleViruses2021

Genetic Subtypes and Natural Resistance Mutations in HCV Genotype 4 Infected Saudi Arabian Patients.

Mariantonietta Di Stefano, Mona H Ismail, Thomas Leitner, Giuseppina Faleo, Saada A Elmnan Adem, Mohamed O M E Elamin, Obeidi Eltreifi, Marwan J Alwazzeh, Jose R Fiore, Teresa A Santantonio

Open access · goldAbstract read
In one paragraph

Article in Viruses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. 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

10 authors at 3 institutions in 3 countries.

Mariantonietta Di StefanoDepartment of Clinical and Experimental Medicine, Section of Infectious Diseases, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0001-8814-0953
Mona H IsmailCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 32210, Saudi Arabia.ORCID 0000-0001-6371-3997
Thomas LeitnerTheoretical Biology & Biophysics Group, Los Alamos National Laboratory, Los Alamos, NM 87544, USA.ORCID 0000-0001-8160-2588
Giuseppina FaleoDepartment of Clinical and Experimental Medicine, Section of Infectious Diseases, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0001-5969-3890
Saada A Elmnan AdemDivision of Gastroenterology, King Fahd Hospital of the University, Al-Khobar 34217, Saudi Arabia.
Mohamed O M E ElaminCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 32210, Saudi Arabia.
Obeidi EltreifiCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 32210, Saudi Arabia.
Marwan J AlwazzehCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 32210, Saudi Arabia.ORCID 0000-0002-4646-6717
Jose R FioreDepartment of Clinical and Experimental Medicine, Section of Infectious Diseases, University of Foggia, 71122 Foggia, Italy.
Teresa A SantantonioDepartment of Clinical and Experimental Medicine, Section of Infectious Diseases, University of Foggia, 71122 Foggia, Italy.
King Fahd Hospital of the University · SAUniversity of Foggia · ITLos Alamos National Laboratory · US

Funding

Reconstructing HIV Epidemics from HIV PhylogeneticsR01AI087520 · NIAID · TRIAD NATIONAL SECURITY, LLC · PI Thomas K. Leitner · 2010 to 2026
$11.2M
NIAID NIH HHS R01 AI087520
6 · The paper itself

Abstract

This study aimed to characterize the HCV genetic subtypes variability and the presence of natural occurring resistance-associated substitutions (RASs) in Saudi Arabia patients. A total of 17 GT patients were analyzed. Sequence analysis of NS3, NS5A, and NS5B regions was performed by direct sequencing, and phylogenetic analyses were used to determine genetic subtypes, RAS, and polymorphisms. Nine patients were infected by GT 4a, two with GT 4o and three with GT 4d. Two patients were infected with apparent recombinant virus (4a/4o/4a in NS3/NS5A/NS5B), and one patient was infected with a previously unknown, unclassifiable, virus of GT 4. Natural RASs were found in six patients (35%), including three infected by GT 4a, two by GT 4a/GT 4o/GT 4a, and one patient infected by an unknown, unclassifiable, virus of GT 4. In particular, NS3-RAS V170I was demonstrated in three patients, while NS5A-RASs (L28M, L30R, L28M + M31L) were detected in the remaining three patients. All patients were treated with sofosbuvir plus daclatasvir; three patients were lost to follow-up, whereas 14 patients completed the treatment. A sustained virological response (SVR) was obtained in all but one patient carrying NS3-RAS V170I who later relapsed. GT 4a is the most common subtype in this small cohort of Saudi Arabia patients infected with hepatitis C infection. Natural RASs were observed in about one-third of patients, but only one of them showed a treatment failure.

Indexed as

MutationAdultAgedDisease ResistanceFemaleGenotypeHepacivirusHepatitis CHumansMaleMiddle AgedMolecular TypingPhylogenyRNA, ViralSaudi ArabiaSequence Analysis, RNARNA, ViralDAAgenotypesHCVsubtypes

Identifiers

PMID34578414
PMCPMC8472952
OpenAlexW3173120693

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.