Evidence map›Paper›PMID 40872843›Full record

ArticleViruses2025

Next-Generation Sequencing Analysis for HIV-1 Genotyping and Drug Resistance Mutations Mapping in Sicily, Italy.

Luca Pipitò, Sara Cannella, Chiara Mascarella, Domenico Graceffa, Marcello Trizzino, Chiara Iaria, Pietro Colletti, Giovanni Mazzola, Giovanni M Giammanco, Antonio Cascio and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Luca PipitòDepartment of Health Promotion, Mother and Child Care, Internal Medicine, and Medical Specialties "G D'Alessandro", University of Palermo, 90133 Palermo, Italy.ORCID 0000-0002-1871-4285
Sara CannellaDepartment of Health Promotion, Mother and Child Care, Internal Medicine, and Medical Specialties "G D'Alessandro", University of Palermo, 90133 Palermo, Italy.ORCID 0009-0003-8629-8097
Chiara MascarellaDepartment of Health Promotion, Mother and Child Care, Internal Medicine, and Medical Specialties "G D'Alessandro", University of Palermo, 90133 Palermo, Italy.
Domenico GraceffaMicrobiology and Virology Unit, AOU Policlinico "P. Giaccone", 90133 Palermo, Italy.ORCID 0000-0003-0768-6319
Marcello TrizzinoInfectious and Tropical Diseases Unit and Sicilian Regional Reference Center for the Fight Against AIDS, AOU Policlinico "P. Giaccone", 90133 Palermo, Italy.ORCID 0000-0002-8105-5139
Chiara IariaInfectious Disease Unit, ARNAS Civico-Di Cristina, 90100 Palermo, Italy.
Pietro CollettiUnit of Infectious Diseaseas, Paolo Borsellino Hospital, ASP Trapani, 91025 Trapani, Italy.
Giovanni MazzolaUnit of Infectious Diseases, AOOR Villa Sofia-Cervello, 90100 Palermo, Italy.
Giovanni M GiammancoDepartment of Health Promotion, Mother and Child Care, Internal Medicine, and Medical Specialties "G D'Alessandro", University of Palermo, 90133 Palermo, Italy.ORCID 0000-0002-7874-6289
Antonio CascioDepartment of Health Promotion, Mother and Child Care, Internal Medicine, and Medical Specialties "G D'Alessandro", University of Palermo, 90133 Palermo, Italy.ORCID 0000-0002-1992-1796
Celestino BonuraDepartment of Health Promotion, Mother and Child Care, Internal Medicine, and Medical Specialties "G D'Alessandro", University of Palermo, 90133 Palermo, Italy.ORCID 0000-0002-6250-9203
Sicilian Grt Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe advent and continuous improvement in antiretroviral therapy (ART) have profoundly altered the clinical course of HIV infection, shifting the focus from AIDS-related complications to the management of age-related comorbidities and non-AIDS-related hospitalizations. In this evolving context, optimizing ART is essential, with genotypic resistance testing (GRT), particularly through next-generation sequencing (NGS), playing a pivotal role.

methodsThis multicenter, retrospective cross-sectional study investigated HIV-1 subtypes, resistance mutations, and drug resistance profiles among 367 people living with HIV (PLWH) in Sicily, based on 384 GRTs performed at the Microbiology Laboratory of the University Hospital of Palermo.

resultsSubtype B was the most prevalent (50%), followed by circulating recombinant forms (30%). Among treatment-naïve individuals, resistance-associated mutations were infrequent, with prevalence rates of 0.4% for NRTIs, 5.5% for NNRTIs, 1.3% for PIs, and 0.8% for INIs. Conversely, treatment-experienced individuals showed significantly higher resistance rates, especially to NRTIs (16.3%), NNRTIs (10.6%), and INIs (9.6%). No significant differences in resistance patterns were observed between B and non-B subtypes.

conclusionsThis study provides the first regional overview of HIV drug resistance across Sicily. Despite the detection of resistance-associated mutations, the overall prevalence of clinically relevant resistance, particularly to currently recommended therapies, remains low, especially among treatment-naïve individuals.

Indexed as

Drug Resistance, ViralHigh-Throughput Nucleotide SequencingHIV-1HIV InfectionsMutationAdultAgedAnti-HIV AgentsCross-Sectional StudiesFemaleGenotypeHumansMaleMiddle AgedRetrospective StudiesSicilyAnti-HIV Agentsgenotypic resistance testGRTHIVmutationsnext generation sequencingNGSresistancesubtypes

Identifiers

PMID40872843
PMCPMC12390713

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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.