|
Basic Characteristics of Mutations
|
|
Mutation Site
|
D67N |
|
Mutation Site Sentence
|
Four participants had at least one thymidine-associated mutation (TAM)-two recipients of ZDV+ddI had D67N + K70R, another ZDV+ddI recipient had K70R alone. |
|
Mutation Level
|
Amino acid level |
|
Mutation Type
|
Nonsynonymous substitution |
|
Gene/Protein/Region
|
RT |
|
Standardized Encoding Gene
|
gag-pol:155348
|
|
Genotype/Subtype
|
HIV-1 A;C;D |
|
Viral Reference
|
-
|
|
Functional Impact and Mechanisms
|
|
Disease
|
HIV Infections
|
|
Immune
|
- |
|
Target Gene
|
CD4
|
|
Clinical and Epidemiological Correlations
|
|
Clinical Information
|
Y |
|
Treatment
|
ZDV/ddI;LPV/r |
|
Location
|
South Africa |
|
Literature Information
|
|
PMID
|
21694608
|
|
Title
|
Genotypic resistance at viral rebound among patients who received lopinavir/ritonavir-based or efavirenz-based first antiretroviral therapy in South Africa
|
|
Author
|
Dlamini JN,Hu Z,Ledwaba J,Morris L,Maldarelli FM,Dewar RL,Highbarger HC,Somaroo H,Sangweni P,Follmann DA,Pau AK
|
|
Journal
|
Journal of acquired immune deficiency syndromes (1999)
|
|
Journal Info
|
2011 Nov 1;58(3):304-8
|
|
Abstract
|
Nonnucleoside reverse transcriptase inhibitor-drug resistance mutations (DRM) are increasingly reported in Africans failing their first antiretroviral regimen. The Phidisa II trial randomized treatment-naive participants to lopinavir/ritonavir or efavirenz with stavudine + lamivudine or zidovudine + didanosine. We report the prevalence of DRM in subjects who achieved HIV RNA <400 copies per milliliter at 6 months, but subsequently had 2 consecutive HIV RNA >1000 copies per milliliter. Sixty-eight participants fulfilled the inclusion criteria. nonnucleoside reverse transcriptase inhibitor-DRM were found in 17 of 36 (47.2%) efavirenz recipients, and M184V/I mutation in 14 of 40 (35.0%) lamivudine recipients. No protease inhibitor mutation was identified in 38 lopinavir/ritonavir recipients. This is one of the first studies in Africa confirming the paucity of protease inhibitor-associated DRM despite virologic failure.
|
|
Sequence Data
|
-
|