|
Basic Characteristics of Mutations
|
|
Mutation Site
|
M46I |
|
Mutation Site Sentence
|
He had been on numerous prior antiretroviral regimens to treat his HIV and harbored multiclass resistance to agents in the nonnucleoside reverse transcriptase inhibitor (NRTI: M184V and T215N/S/Y) and protease inhibitor (PI: L33I, M46I, I54V, I62V, and V82A/I/T) classes. |
|
Mutation Level
|
Amino acid level |
|
Mutation Type
|
Nonsynonymous substitution |
|
Gene/Protein/Region
|
PR |
|
Standardized Encoding Gene
|
gag-pol
|
|
Genotype/Subtype
|
HIV-1 |
|
Viral Reference
|
-
|
|
Functional Impact and Mechanisms
|
|
Disease
|
HIV-HCV Coinfection
|
|
Immune
|
- |
|
Target Gene
|
-
|
|
Clinical and Epidemiological Correlations
|
|
Clinical Information
|
- |
|
Treatment
|
PIs |
|
Location
|
the State of Rhode Island |
|
Literature Information
|
|
PMID
|
32082657
|
|
Title
|
Successful Kidney Transplantation in a Recipient Coinfected with Hepatitis C Genotype 2 and HIV from a Donor Infected with Hepatitis C Genotype 1 in the Direct-Acting Antiviral Era
|
|
Author
|
Farmakiotis D,Weiss Z,Brotherton AL,Morrissey P,Gohh R,Vieira K,Taylor LE,Garland JM
|
|
Journal
|
Case reports in hepatology
|
|
Journal Info
|
2020 Jan 29;2020:7679147
|
|
Abstract
|
Despite significant advances in transplantation of HIV-infected individuals, little is known about HIV coinfected patients with hepatitis C virus (HCV) genotypes other than genotype 1, especially when receiving HCV-infected organs with a different genotype. We describe the first case of kidney transplantation in a man coinfected with hepatitis C and HIV in our state. To our knowledge, this is also the first report of an HIV/HCV/HBV tri-infected patient with non-1 (2a) HCV genotype who received an HCV-infected kidney graft with the discordant genotype (1a), to which he converted after transplant. Our case study highlights the following: (1) transplant centers need to monitor wait times for an HCV-infected organ and regularly assess the risk of delaying HCV antiviral treatment for HCV-infected transplant candidates in anticipation of the transplant from an HCV-infected donor; (2) closer monitoring of tacrolimus levels during the early phases of anti-HCV protease inhibitor introduction and discontinuation may be indicated; (3) donor genotype transmission can occur; (4) HIV/HCV coinfected transplant candidates require a holistic approach with emphasis on the cardiovascular risk profile and low threshold for cardiac catheterization as part of their pretransplant evaluation.
|
|
Sequence Data
|
-
|