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Basic Characteristics of Mutations
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Mutation Site
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K103N |
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Mutation Site Sentence
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Table 3.HIV drug resistance mutations among Chinese patients with acquired drug resistance from 2003 to 2015 (9–24 months of first-line ART) |
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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 |
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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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NNRTI |
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Location
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China |
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Literature Information
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PMID
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32138739
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Title
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HIV drug resistance in patients in China's national HIV treatment programme who have been on first-line ART for at least 9 months
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Author
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Liu P,Xing H,Liao L,Feng Y,Leng X,Wang J,Kan W,Yan J,Li Y,Zuo Z,You Y,Ruan Y,Shao Y
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Journal
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AIDS research and therapy
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Journal Info
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2020 Mar 5;17(1):9
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Abstract
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BACKGROUND: The aim of this study was to assess trends in drug resistance and associated clinical and programmatic factors at a national level during the rapid scale up of ART. METHODS: Logistic regression was used to identify the factors associated with HIVDR. Variables associated with drug resistance in multivariable logistic regression were included in the Cochran-Armitage test for trend. RESULTS: A total of 11,976 patients were enrolled in the study. The prevalence of HIVDR among patients who received ART for 9-24 months during 2003-2008, 2009-2012, and 2013-2015 significantly decreased (15.5%, 6.3%, and 2.3%, respectively, P < 0.01). With respect to the class of antiretroviral, there were substantial increases in resistance to both non-nucleoside reverse transcriptase inhibitors (NNRTIs) and nucleoside reverse transcriptase inhibitors (NRTIs) (2003-2008, 2009-2012, and 2013-2015: 49.7%, 58.9%, and 73.0%, respectively, P < 0.01). The prevalence of DR to protease inhibitors (PIs) was low, which supported their continued use as second-line therapy in China. CONCLUSIONS: Our results provide evidence for the effectiveness of China's ""Treat All"" approach to guide policy makers to improve training for healthcare providers and education on ART adherence among patients.
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Sequence Data
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-
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