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Basic Characteristics of Mutations
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Mutation Site
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D232N |
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Mutation Site Sentence
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Furthermore, analysis of the integrase region revealed 3 accessory resistance mutations (T97A, Q146QH, D232N). |
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Mutation Level
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Amino acid level |
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Mutation Type
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Nonsynonymous substitution |
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Gene/Protein/Region
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IN |
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Standardized Encoding Gene
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gag-pol:155348
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Genotype/Subtype
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HIV-1 |
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Viral Reference
|
K03455.1
|
|
Functional Impact and Mechanisms
|
|
Disease
|
HIV Infections
|
|
Immune
|
- |
|
Target Gene
|
-
|
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Clinical and Epidemiological Correlations
|
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Clinical Information
|
Y |
|
Treatment
|
INSTIs |
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Location
|
Croatia |
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Literature Information
|
|
PMID
|
31754119
|
|
Title
|
Analysis of HIV-1 diversity, primary drug resistance and transmission networks in Croatia
|
|
Author
|
Oroz M,Begovac J,Planinic A,Rokic F,Lunar MM,Zorec TM,Beluzic R,Korac P,Vugrek O,Poljak M,Lepej SZ
|
|
Journal
|
Scientific reports
|
|
Journal Info
|
2019 Nov 21;9(1):17307
|
|
Abstract
|
Molecular epidemiology of HIV-1 infection in treatment-naive HIV-1 infected persons from Croatia was investigated. We included 403 persons, representing 92.4% of all HIV-positive individuals entering clinical care in Croatia in 2014-2017. Overall prevalence of transmitted drug resistance (TDR) was estimated at 16.4%. Resistance to nucleoside reverse transcriptase inhibitors (NRTIs), non-nucleoside RTI (NNRTIs) and protease inhibitors (PIs) was found in 11.4%, 6.7% and 2.5% of persons, respectively. Triple-class resistance was determined in 2.2% of individuals. In addition, a single case (1.0%) of resistance to integrase strand-transfer inhibitors (InSTIs) was found. Deep sequencing was performed on 48 randomly selected samples and detected additional TDR mutations in 6 cases. Phylogenetic inference showed that 347/403 sequences (86.1%) were part of transmission clusters and identified forward transmission of resistance in Croatia, even that of triple-class resistance. The largest TDR cluster of 53 persons with T215S was estimated to originate in the year 1992. Our data show a continuing need for pre-treatment HIV resistance testing in Croatia. Even though a low prevalence of resistance to InSTI was observed, surveillance of TDR to InSTI should be continued.
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Sequence Data
|
-
|
|
|