Evidence map›Paper›PMID 37004096›Full record

ArticleAIDS research and therapy2023

Relating CYP2B6 genotype and efavirenz resistance among post-partum women living with HIV with high viremia in Uganda: a nested cross-sectional study.

Allan Buzibye, Kara Wools-Kaloustian, Adeniyi Olagunju, Ellon Twinomuhwezi, Constantin Yiannoutsos, Andrew Owen, Megan Neary, Joshua Matovu, Grace Banturaki, Barbara Castelnuovo and 4 more

Open access · goldAbstract read
In one paragraph

Article in AIDS research and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 52% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. 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

14 authors at 4 institutions in 3 countries.

Allan BuzibyeResearch Department, Infectious Diseases Institute, College of Health Sciences, Makerere University, P. O. Box 22418, Kampala, Uganda. abuzibye@idi.co.ug.
Kara Wools-KaloustianSchool of Medicine, Infectious Diseases, Indiana University, Indianapolis, IN, USA.
Adeniyi OlagunjuDepartment of Pharmacology and Therapeutics, University of Liverpool, Liverpool, UK.
Ellon TwinomuhweziResearch Department, Infectious Diseases Institute, College of Health Sciences, Makerere University, P. O. Box 22418, Kampala, Uganda.
Constantin YiannoutsosFairbanks School of Public Health, Indiana University, Indianapolis, IN, USA.
Andrew OwenDepartment of Pharmacology and Therapeutics, University of Liverpool, Liverpool, UK.
Megan NearyDepartment of Pharmacology and Therapeutics, University of Liverpool, Liverpool, UK.
Joshua MatovuResearch Department, Infectious Diseases Institute, College of Health Sciences, Makerere University, P. O. Box 22418, Kampala, Uganda.
Grace BanturakiResearch Department, Infectious Diseases Institute, College of Health Sciences, Makerere University, P. O. Box 22418, Kampala, Uganda.
Barbara CastelnuovoResearch Department, Infectious Diseases Institute, College of Health Sciences, Makerere University, P. O. Box 22418, Kampala, Uganda.
Mohammed LamordeResearch Department, Infectious Diseases Institute, College of Health Sciences, Makerere University, P. O. Box 22418, Kampala, Uganda.
Saye KhooDepartment of Pharmacology and Therapeutics, University of Liverpool, Liverpool, UK.
Catriona WaittDepartment of Pharmacology and Therapeutics, University of Liverpool, Liverpool, UK.
Agnes KiraggaResearch Department, Infectious Diseases Institute, College of Health Sciences, Makerere University, P. O. Box 22418, Kampala, Uganda.
University of Liverpool · GBInfectious Diseases Institute · UGMakerere University · UGIndiana University – Purdue University Indianapolis · US

Funding

East Africa International Epidemiology Database to evaluate AIDS (IeDEA) Regional ConsortiumU01AI069911 · NIAID · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI AGGREY SEMWENDERO SEMEERE, Kara Kay Wools-Kaloustian · 2006 to 2026
$57.7M
HIV Co-infections in Uganda: TB, Cryptococcus, and Viral Hepatitis.D43TW009771 · FIC · JOHNS HOPKINS UNIVERSITY · PI CASTELNUOVO, BARBARA, KAMBUGU, ANDREW DDUNGU · 2014 to 2023
$3.3M
FIC NIH HHS D43 TW009771NIAID NIH HHS U01 AI069911
6 · The paper itself

Abstract

backgroundWe investigated the association between CYP2B6 polymorphisms and efavirenz drug resistance among women living with HIV who started on antiretroviral therapy during pregnancy and with high viremia during post-partum.

methodsThis was a cross-sectional study of women with viral loads greater than 1000 copies/ml who were at least 6 weeks postpartum. Sanger sequencing was used to detect resistant mutations, as well as host genotyping, and efavirenz resistance was compared among the metabolizer genotypes.

resultsOver the course of one year (July 2017-July 2018), 322 women were screened, with 110 (34.2%) having viral loads of 1000 copies/ml and 62 having whole blood available for genotyping. Fifty-nine of these women had both viral resistance and human host genotypic results. Efavirenz resistance according to metabolizer genotype was; 47% in slow, 34% in extensive and 28% in intermediate metabolizers, but the difference was not statistically significant due to the small sample size.

conclusionsThere was no statistically significant difference in EFV resistance between EFV metabolizer genotypes in women who started antiretroviral therapy during pregnancy and had high viremia in the postpartum period. However, a numerical trend was discovered, which calls for confirmation in a large, well-designed, statistically powered study.

Indexed as

Anti-HIV AgentsHIV InfectionsAlkynesBenzoxazinesCross-Sectional StudiesCyclopropanesCytochrome P-450 CYP2B6FemaleGenotypeHumansPolymorphism, Single NucleotidePostpartum PeriodPregnancyUgandaViremiaAlkynesAnti-HIV AgentsBenzoxazinesCyclopropanesCYP2B6 protein, humanCytochrome P-450 CYP2B6efavirenzCYP2B6HIVHIV drug resistancePost-partumPregnancySingle nucleotide polymorphisms

Identifiers

PMID37004096
PMCPMC10064798
OpenAlexW4362466959

What OpenQuestion holds

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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.