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Basic Characteristics of Mutations
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Mutation Site
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M46I |
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Mutation Site Sentence
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Table 1.Resistance-associated-mutations (RAMs) detected in the protease (PR), reverse transcriptase (RT) and integrase (IN) sequences according to antiretroviral class. |
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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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PR |
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Standardized Encoding Gene
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gag-pol
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Genotype/Subtype
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HIV-1 |
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Viral Reference
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AF004885;AF069670;U51190;AF484509;AF286238;AF286237;K03455;AY173951;AY423387;AY331295;U46016;U52953;AF067155;AY772699;K03454;U88824;AY371157;AY253311;AF005494;AF077336;AF075703;AJ249238;AJ249236;AJ249237;AY371158;AF377956;AF061642;AF061640;AF084936;U88826
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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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PIs |
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Location
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Russia |
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Literature Information
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PMID
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32331438
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Title
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HIV-1 Sub-Subtype A6: Settings for Normalised Identification and Molecular Epidemiology in the Southern Federal District, Russia
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Author
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Schlosser M,Kartashev VV,Mikkola VH,Shemshura A,Saukhat S,Kolpakov D,Suladze A,Tverdokhlebova T,Hutt K,Heger E,Knops E,Bohm M,Di Cristanziano V,Kaiser R,Sonnerborg A,Zazzi M,Bobkova M,Sierra S
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Journal
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Viruses
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Journal Info
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2020 Apr 22;12(4):475
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Abstract
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Russia has one of the largest and fastest growing HIV epidemics. However, epidemiological data are scarce. Sub-subtype A6 is most prevalent in Russia but its identification is challenging. We analysed protease/reverse transcriptase-, integrase-sequences, and epidemiological data from 303 patients to develop a methodology for the systematisation of A6 identification and to describe the HIV epidemiology in the Russian Southern Federal District. Drug consumption (32.0%) and heterosexual contact (27.1%) were the major reported transmission risks. This study successfully established the settings for systematic identification of A6 samples. Low frequency of subtype B (3.3%) and large prevalence of sub-subtype A6 (69.6%) and subtype G (23.4%) were detected. Transmitted PI- (8.8%) and NRTI-resistance (6.4%) were detected in therapy-naive patients. In therapy-experienced patients, 17.3% of the isolates showed resistance to PIs, 50.0% to NRTI, 39.2% to NNRTIs, and 9.5% to INSTIs. Multiresistance was identified in 52 isolates, 40 corresponding to two-class resistance and seven to three-class resistance. Two resistance-associated-mutations significantly associated to sub-subtype A6 samples: A62V(RT) and G190S(RT). This study establishes the conditions for a systematic annotation of sub-subtype A6 to normalise epidemiological studies. Accurate knowledge on South Russian epidemiology will allow for the development of efficient regional frameworks for HIV-1 infection management.
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Sequence Data
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MK029062-MK029336
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