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Basic Characteristics of Mutations
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Mutation Site
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D67D |
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Mutation Site Sentence
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Table 5.Drug Susceptibility Profiles of patients with HIV Drug Resistance Mutations Detected |
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Mutation Level
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Amino acid level |
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Mutation Type
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synonymous substitution |
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Gene/Protein/Region
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RT |
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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
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-
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Functional Impact and Mechanisms
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Disease
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HIV Infections
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Immune
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- |
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Target Gene
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-
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Clinical and Epidemiological Correlations
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Clinical Information
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Y |
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Treatment
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NRTIs |
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Location
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Nigeria |
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Literature Information
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PMID
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31959116
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Title
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Low levels of HIV-1 drug resistance mutations in patients who achieved viral re-suppression without regimen switch: a retrospective study
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Author
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Onwuamah CK,Okpokwu J,Audu R,Imade G,Meloni ST,Okwuraiwe A,Chebu P,Musa AZ,Chaplin B,Dalhatu I,Agbaji O,Samuels J,Ezechi O,Ahmed M,Odaibo G,Olaleye DO,Okonkwo P,Salako BL,Raizes E,Yang C,Kanki PJ,Idigbe EO
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Journal
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BMC microbiology
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Journal Info
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2020 Jan 20;20(1):17
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Abstract
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BACKGROUND: We identified a HIV-positive cohort in virologic failure (VF) who re-suppressed without drug switch. We characterized their drug resistance mutations (DRM) and adherence profiles to learn how to better manage HIV drug resistance. A retrospective cohort study utilizing clinical data and stored samples. Patients received ART at three Nigerian treatment centres. Plasma samples stored when they were in VF were genotyped. RESULT: Of 126 patients with samples available, 57 were successfully genotyped. From ART initiation, the proportion of patients with adherence >/=90% increased steadily from 54% at first high viral load (VL) to 67% at confirmed VF, and 81% at time of re-suppressed VL. Sixteen (28%) patients had at least one DRM. Forty-six (81%) patients had full susceptibility to the three drugs in their first-line (1 L) regimen. Thirteen (23%) were resistant to at least one antiretroviral drug but three were resistant to drugs not used in Nigeria. Ten patients had resistance to their 1 L drug(s) and six were fully susceptible to the three drugs in the recommended second-line regimen. CONCLUSION: This cohort had little drug resistance mutations. We conclude that if adherence is not assured, patients could exhibit virologic failure without having developed mutations associated with drug resistance.
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Sequence Data
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MF684375-MF684431
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