Evidence map›Paper›PMID 39459930›Full record

ArticleViruses2024

Frequency of Major Transmitted Integrase Resistance in Poland Remains Low Despite Change in Subtype Variability.

Kaja Mielczak, Karol Serwin, Anna Urbańska, Bogusz Aksak-Wąs, Malwina Karasińska-Cieślak, Elżbieta Mularska, Adam Witor, Paweł Jakubowski, Maria Hlebowicz, Monika Bociąga-Jasik and 5 more

Abstract read
In one paragraph

Article in Viruses, 2024. 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
–field-weighted citation impact
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. Article
  2. 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

15 authors.

Kaja MielczakDepartment of Infectious, Tropical Diseases and Immune Deficiency, Pomeranian Medical University in Szczecin, 71455 Szczecin, Poland.ORCID 0000-0001-5951-9067
Karol SerwinDepartment of Infectious, Tropical Diseases and Immune Deficiency, Pomeranian Medical University in Szczecin, 71455 Szczecin, Poland.ORCID 0000-0002-1071-8337
Anna UrbańskaDepartment of Infectious, Tropical Diseases and Immune Deficiency, Pomeranian Medical University in Szczecin, 71455 Szczecin, Poland.
Bogusz Aksak-WąsDepartment of Infectious, Tropical Diseases and Immune Deficiency, Pomeranian Medical University in Szczecin, 71455 Szczecin, Poland.ORCID 0000-0003-2092-3737
Malwina Karasińska-CieślakDepartment of Infectious, Tropical Diseases and Immune Deficiency, Pomeranian Medical University in Szczecin, 71455 Szczecin, Poland.
Elżbieta MularskaOutpatient Clinic for AIDS Diagnostics and Therapy, Specialistic Hospital in Chorzow, 41500 Chorzow, Poland.
Adam WitorOutpatient Clinic for AIDS Diagnostics and Therapy, Specialistic Hospital in Chorzow, 41500 Chorzow, Poland.
Paweł JakubowskiInfectious Diseases Gdansk, Pomeranian Hospitals, 80214 Gdansk, Poland.
Maria HlebowiczDepartment of Infectious Diseases, Medical University of Gdansk, 81519 Gdansk, Poland.
Monika Bociąga-JasikDepartment of Infectious Diseases, Jagiellonian University Medical College, 30688 Krakow, Poland.ORCID 0000-0002-6474-0177
Elżbieta JabłonowskaDepartment of Infectious Diseases and Hepatology, Medical University of Lodz, 91347 Lodz, Poland.
Aleksandra SzymczakDepartment of Infectious Diseases, Liver Diseases and Acquired Immune Deficiencies, Wroclaw Medical University, 51149 Wroclaw, Poland.ORCID 0000-0001-6695-2942
Bartosz SzetelaDepartment of Infectious Diseases, Liver Diseases and Acquired Immune Deficiencies, Wroclaw Medical University, 51149 Wroclaw, Poland.ORCID 0000-0001-7178-9801
Władysław ŁojewskiDepartment of Infectious Diseases, University Hospital in Zielona Gora, 65046 Zielona Gora, Poland.
Miłosz ParczewskiDepartment of Infectious, Tropical Diseases and Immune Deficiency, Pomeranian Medical University in Szczecin, 71455 Szczecin, Poland.ORCID 0000-0003-1869-1084

Funding

National Science Center UMO-2018/30/E/NZ6/00696
6 · The paper itself

Abstract

With the widespread use of integrase inhibitors and the expanding use of long-acting cabotegravir in both pre-exposure prophylaxis and antiretroviral treatment, molecular surveillance on the transmission of integrase resistance has regained clinical significance. This study aimed to determine the frequency of INSTI-transmitted drug resistance mutations (DRMs) among treatment-naïve individuals in Poland from 2016 to 2023. INSTI resistance was analyzed in 882 antiretroviral treatment-naïve individuals using Sanger sequencing. Integrase DRMs were defined based on the Stanford HIV drug resistance database scores. Phylogeny was used to investigate subtyping and clustering. For the analysis of time-trends, logistic regression was used. Major (E138K and R263K) integrase mutations were detected in 0.45% of cases with minor resistance observed in 14.85%, most commonly (13.95%) E157Q. Overall, no major clusters of transmitted drug resistance were identified, and the transmission of E157Q showed a decreasing trend (

Indexed as

Drug Resistance, ViralHIV-1HIV InfectionsHIV IntegraseHIV Integrase InhibitorsMutationPhylogenyAdultFemaleGenetic VariationGenotypeHumansMaleMiddle AgedPolandYoung AdultHIV IntegraseHIV Integrase InhibitorsclusteringHIVintegrase strand transfer inhibitorsresistance mutationstransmitted drug resistance

Identifiers

PMID39459930
PMCPMC11512334

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Registered trials

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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.