|
Basic Characteristics of Mutations
|
|
Mutation Site
|
M184V |
|
Mutation Site Sentence
|
After several weeks, virological failure was confirmed with 4.01 HIV RNA Log copies/mL and R263K and M184V resistance mutations were detected. |
|
Mutation Level
|
Amino acid level |
|
Mutation Type
|
Nonsynonymous substitution |
|
Gene/Protein/Region
|
RT |
|
Standardized Encoding Gene
|
gag-pol:155348
|
|
Genotype/Subtype
|
HIV-1 |
|
Viral Reference
|
-
|
|
Functional Impact and Mechanisms
|
|
Disease
|
HIV Infections
|
|
Immune
|
- |
|
Target Gene
|
-
|
|
Clinical and Epidemiological Correlations
|
|
Clinical Information
|
Y |
|
Treatment
|
bictegravir (BIC);emtricitabine (FTC);tenofovir alafenamide (TAF) |
|
Location
|
Spain |
|
Literature Information
|
|
PMID
|
31982483
|
|
Title
|
Failure to bictegravir and development of resistance mutations in an antiretroviral-experienced patient
|
|
Author
|
Lozano AB,Chueca N,de Salazar A,Fernandez-Fuertes E,Collado A,Fernandez JM,Alvarez M,Garcia F
|
|
Journal
|
Antiviral research
|
|
Journal Info
|
2020 Jul;179:104717
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|
Abstract
|
We present here one of the first cases of virological failure during treatment with bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF). On March 2019, an antiretroviral-experienced HIV-infected patient was admitted to hospital because of cerebral toxoplasmosis. After undergoing treatment with sulfadiazine-pyrimethamine for two weeks, the patient initiated a BIC/FTC/TAF treatment, with 6.01 HIV RNA Log copies/mL, and 37 CD4 cells/muL. After two months under antiretroviral therapy (ART), acute neurologic deterioration with epilepsy, right hemiparesis and dysphagia occurred, leading to nasogastric nutrition and treatment. After several weeks, virological failure was confirmed with 4.01 HIV RNA Log copies/mL and R263K and M184V resistance mutations were detected.
|
|
Sequence Data
|
-
|