Transmitted raltegravir resistance in an HIV-1 CRF_AG-infected patient

被引:59
作者
Boyd, Sarita D. [1 ,2 ]
Maldarelli, Frank [3 ]
Sereti, Irini [1 ]
Ouedraogo, G. Laissa [1 ,2 ]
Rehm, Catherine A. [1 ]
Boltz, Valerie [3 ]
Shoemaker, Diana [1 ]
Pau, Alice K. [1 ]
机构
[1] NIAID, NIH, Bethesda, MD 20892 USA
[2] SAIC Frederick Inc, Frederick, MD USA
[3] NCI, HIV Drug Resistance Program, NIH, Bethesda, MD 20892 USA
基金
美国国家卫生研究院;
关键词
ANTIRETROVIRAL DRUG-RESISTANCE; REVERSE-TRANSCRIPTASE; INTEGRASE INHIBITORS; MUTATIONS; NAIVE; THERAPY; SUSCEPTIBILITY; INDIVIDUALS; PREVALENCE; CITIES;
D O I
10.3851/IMP1749
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Here, we describe an HIV-infected patient with pretreatment resistance to raltegravir, nucleoside reverse transcriptase inhibitors, non-nucleoside reverse transcriptase inhibitors and protease inhibitors, and the ultimate ability to achieve viral suppression. Pretreatment integrase resistance testing is not routinely performed because transmitted integrase mutations conferring resistance to raltegravir are currently thought to be negligible. We suggest obtaining a pretreatment integrase genotype in patients with transmitted multiclass drug resistance in order to create an optimal first regimen and increase the chance for virological suppression.
引用
收藏
页码:257 / 261
页数:5
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