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Basic Characteristics of Mutations
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Mutation Site
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K101N |
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Mutation Site Sentence
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Table 2.Characteristics of patients with HIV-1 drug resistance mutations (n = 15) |
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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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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 A1 |
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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
Acquired Immunodeficiency Syndrome
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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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NNRTIs |
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Location
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Kenya |
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Literature Information
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PMID
|
30061964
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Title
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Antiretroviral resistance among HIV-1 patients on first-line therapy attending a comprehensive care clinic in Kenyatta National Hospital, Kenya: a retrospective analysis
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Author
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Kinyua JG,Lihana RW,Kiptoo M,Muasya T,Odera I,Muiruri P,Songok EM
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Journal
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The Pan African medical journal
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Journal Info
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2018 Apr 2;29:186
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Abstract
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INTRODUCTION: Antiretroviral therapy plays a major role in reducing the impact of Human Immunodeficiency Virus/Acquired Immune Disease Syndrome, especially in resource-limited settings. However, without proper infrastructure, it has resulted in emergence of drug resistance mutations in infected populations. To determine drug resistance mutations among patients attending a comprehensive care facility in Nairobi, 65 blood samples were successfully sequenced. METHODS: Whole blood samples were also tested for CD4+T-cell count and plasma HIV-1 RNA Viral load. Drug-resistance testing targeting the HIV-1 RT gene was determined. Patients were on first line ART that consisted of two NRTIs, and one NNRTI. RESULTS: Females were younger (mean 42) than males (mean 45) and lower median CD4+ counts (139 cells/mul) than males (152 cells/mul). The prevalence of drug resistance mutations (any major mutation) in this population was 23.1% (15/65). Major NRTI mutations were detected in 11 patient samples, which included M184V (n = 6), M41L (n=3), D67N (n=2), K219Q (n=3) and T215F (n=2). Major NNRTI mutations were detected in 14 patient samples. They included K103N (n = 10), G190A (n = 1), Y181C (n = 1) and Y188L (n = 1). CONCLUSION: Presence of major mutations in this study calls for proper laboratory infrastructure to monitor treatment as well as regular appraisals of available regimens.
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Sequence Data
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-
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