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(PDF) Mutation patterns of the reverse transcriptase genes in HIV-1 infected patients receiving combinations of nucleoside and non nucleoside inhibitors

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one non nucleoside reverse transcriptase (nevirapine) inhibitor. The frequencies of T215S/Y/F, M41L, D67N, L210W K70R, K219Q mutations, detectable in plasma samples, conferring resistance to zidovudine were 61.2, 56.2, 36.2, 31.5, 27.5 and 17.5%, respectively. Mutations (M184V or M184I) conferring resistance to lamivudine were detected in an extremely high percentage of patients (61%). Among mutations correlated to high (K103N, V106A, Y181C/I, Y188C/H/L, G190A/C/E/Q/S/T) or moderate (V108I, V118I) levels of nevirapine resistance, the predominant amino acid change was a substitution at 103 codon, present in 24 of 80 samples tested. Finally Q151M, the marker mutation able to confer resistance to all nucleoside analogues, was detected in seven patients with a viral load of between 1 )/10 4 and 9 )/10 4 HIV-1 RNA copies/ml. The relationship between the genotype and the viral load showed that the incidence of some specific mutations [M41L, T215Y (correlated to zidovudine resistance) and K103N (correlated to all NNRTIs drugs)] significantly (P 0/0.001) increased with higher viral load. Our results, albeit limited to a small cohort, showed a high frequency of mutations correlated to drugs in use, suggesting a need for therapeutic change in the near future and demonstrating that the development of genotyping tests helps to guide the therapeutic management of HIV-1 infected people. Our data highlight the dangers of selecting antiretroviral therapy without previous antiretroviral drug testing. Although the cost of these assays is a concern, prescribing inefficacious drugs could create serious problems for HIV-1 patients. #","publication_date":"2003,,","publication_name":"International Journal of Antimicrobial Agents","grobid_abstract_attachment_id":"44963420"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Mutation patterns of the reverse transcriptase genes in HIV-1 infected patients receiving combinations of nucleoside and non nucleoside inhibitors","broadcastable":false,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [32888829]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "control"; window.loswp.useOptimizedScribd4genScript = false; window.loswp.appleClientId = 'edu.academia.applesignon';</script><script defer="" 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src="//a.academia-assets.com/images/s65_no_pic.png" />Francesco Chiodo</a></div><div class="ds-work-card--detail"><p class="ds-work-card--detail ds2-5-body-sm">2003, International Journal of Antimicrobial Agents</p></div><div class="ds-work-card--button-container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;continue-reading-button--work-card&quot;,&quot;attachmentId&quot;:44963420,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:&quot;https://www.academia.edu/13779379/Mutation_patterns_of_the_reverse_transcriptase_genes_in_HIV_1_infected_patients_receiving_combinations_of_nucleoside_and_non_nucleoside_inhibitors&quot;}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" 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data-author-id="240158462" href="https://independent.academia.edu/SimonaGiuliaSignorini">Simona Giulia Signorini</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Clinical Laboratory Analysis, 2001</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Analysis of HIV-1 mutation patterns in patients failing antiretroviral therapy&quot;,&quot;attachmentId&quot;:100986568,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/100061692/Analysis_of_HIV_1_mutation_patterns_in_patients_failing_antiretroviral_therapy&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link 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Nucleoside and Nonnucleoside Reverse Transcriptase Inhibitors on Human Immunodeficiency Virus Type 1 Mutation Frequencies</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="232131279" href="https://independent.academia.edu/RenxiangChen">Renxiang Chen</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Virology, 2005</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Human Immunodeficiency Virus Mutagenesis during Antiviral Therapy: Impact of Drug-Resistant Reverse Transcriptase and Nucleoside and Nonnucleoside Reverse Transcriptase Inhibitors on Human Immunodeficiency Virus Type 1 Mutation 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href="https://independent.academia.edu/ChristineKatlama">Christine Katlama</a></div><p class="ds-related-work--metadata ds2-5-body-xs">1998</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Line Probe Assay for Detection of Human Immunodeficiency Virus Type 1 Mutations Conferring Resistance to Nucleoside Inhibitors of Reverse Transcriptase: Comparison with Sequence Analysis&quot;,&quot;attachmentId&quot;:42091185,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/19437990/Line_Probe_Assay_for_Detection_of_Human_Immunodeficiency_Virus_Type_1_Mutations_Conferring_Resistance_to_Nucleoside_Inhibitors_of_Reverse_Transcriptase_Comparison_with_Sequence_Analysis&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" 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ds2-5-body-sm ds2-5-body-link" data-author-id="37789728" href="https://independent.academia.edu/NettoE">Eduardo Netto</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Brazilian Journal of Infectious Diseases, 2004</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Evaluation of the genotypic pattern of HIV-1 resistance in AIDS patients failing antiretroviral therapy&quot;,&quot;attachmentId&quot;:71519508,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/55839787/Evaluation_of_the_genotypic_pattern_of_HIV_1_resistance_in_AIDS_patients_failing_antiretroviral_therapy&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free 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Cell Proviral DNA among Antiretroviral Treatment-Naive and Treatment-Experienced Patients from Pune, India</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="243641190" href="https://independent.academia.edu/JohannesPr%C3%B6ll">Johannes Pröll</a></div><p class="ds-related-work--metadata ds2-5-body-xs">AIDS Research and Human Retroviruses, 2007</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Human Immunodeficiency Virus Type 1 Drug Resistance Mutations in Peripheral Blood Mononuclear Cell Proviral DNA among Antiretroviral Treatment-Naive and Treatment-Experienced Patients from Pune, 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18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="10" data-entity-id="11485470" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/11485470/Minority_Variants_Associated_with_Transmitted_and_Acquired_HIV_1_Nonnucleoside_Reverse_Transcriptase_Inhibitor_Resistance_Implications_for_the_Use_of_Second_Generation_Nonnucleoside_Reverse_Transcriptase_Inhibitors">Minority Variants Associated with Transmitted and Acquired HIV-1 Nonnucleoside Reverse Transcriptase Inhibitor Resistance: Implications for the Use of Second-Generation Nonnucleoside Reverse Transcriptase Inhibitors</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="27976848" href="https://independent.academia.edu/TommyLiu2">Tommy Liu</a></div><p class="ds-related-work--metadata ds2-5-body-xs">JAIDS Journal of Acquired Immune Deficiency Syndromes, 2009</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Minority Variants Associated with Transmitted and Acquired HIV-1 Nonnucleoside Reverse Transcriptase Inhibitor Resistance: Implications for the Use of Second-Generation Nonnucleoside Reverse Transcriptase Inhibitors&quot;,&quot;attachmentId&quot;:46678421,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/11485470/Minority_Variants_Associated_with_Transmitted_and_Acquired_HIV_1_Nonnucleoside_Reverse_Transcriptase_Inhibitor_Resistance_Implications_for_the_Use_of_Second_Generation_Nonnucleoside_Reverse_Transcriptase_Inhibitors&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" 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