Prevalence of Primary Resistance Mutations to Integrase Inhibitors in Treatment-Naïve and -Experienced Patients Infected With B and Non-B HIV-1 Variants

作者: Carolina Gutiérrez , Beatriz Hernández-Novoa , María Jesús Pérez-Elías , Ana María Moreno , África Holguín

DOI: 10.1310/HCT1401-10

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摘要: AbstractBackground: Raltegravir (RAL) constitutes the first available integrase strand transfer inhibitor (INSTI) in clinical practice. Three independent pathways have been described to confer resistance RAL. Secondary mutations with little effect on INSTI susceptibility and additional substitutions an uncertain role also especially HIV-1 non-B variants. Methods: We evaluated prevalence of primary, secondary, INSTIs patients naive RAL or elvitegravir (EGV) carrying different Results: A total 83 infected by B subtype (64%) variants (36%) were evaluated. No primary EGV found inte-grase sequences analyzed. detected only 5 patients. Additional both According geno2pheno algorithm, some secondary (L74V, E138K, G163RS, V151I) b...

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