Selection of nonnucleoside reverse transcriptase inhibitor-associated mutations in HIV-1 subtype C: evidence of etravirine cross-resistance

被引:19
作者
Neogi, Ujjwal [2 ,3 ,4 ]
Shet, Anita [2 ,4 ]
Shamsundar, Ranjani [2 ]
Ekstrand, Maria L. [1 ,2 ]
机构
[1] Univ Calif San Francisco, Ctr AIDS Prevent Studies, Dept Med, San Francisco, CA 94105 USA
[2] St Johns Natl Acad Hlth Sci, Bangalore, Karnataka, India
[3] Karolinska Inst, Dept Med, Stockholm, Sweden
[4] Karolinska Inst, Div Global Hlth, Stockholm, Sweden
关键词
EXPERIENCED HIV-1-INFECTED PATIENTS; PLACEBO-CONTROLLED TRIAL; DRUG-RESISTANCE; ANTIRETROVIRAL THERAPY; TMC125; ETRAVIRINE; INDIAN PATIENTS; DOUBLE-BLIND; B HIV-1; NEVIRAPINE; NAIVE;
D O I
10.1097/QAD.0b013e328346269f
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Prevalence of etravirine genotypic resistance was assessed among 92 HIV-1C-infected patients failing nevirapine and efavirenz-based regimens from a cohort of 552 Indian patients. Overall, prevalence of etravirine cross-resistance identified using the Tibotec Weighted Score was 41% (31.5% intermediately-resistant and 9.8% fully-resistant). The most frequently described nonnucleoside reverse transcriptase inhibitor-associated mutations included Y181 (35.9%), K101 (20.7%), G190 (17.4%), and V108 (15.2%). The resistant group demonstrated higher viral load (P = 0.01) and longer duration of antiretroviral treatment (P = 0.03) compared with the susceptible group.
引用
收藏
页码:1123 / 1126
页数:4
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