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Basic Characteristics of Mutations
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Mutation Site
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N88D |
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Mutation Site Sentence
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TDR mutations found in non-transferred were M41L, D67N, M184V, L210W, T215Y/S in RT and L24I, D30N, V32I, I54V, V82A and N88D in PR. |
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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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-
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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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- |
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Treatment
|
PIs |
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Location
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Spain |
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Literature Information
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PMID
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33037235
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Title
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Virological outcome among HIV infected patients transferred from pediatric care to adult units in Madrid, Spain (1997-2017)
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Author
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Beltran-Pavez C,Gutierrez-Lopez M,Rubio-Garrido M,Valades-Alcaraz A,Prieto L,Ramos JT,Jimenez De Ory S,Navarro M,Diez-Romero C,Pulido F,Valencia E,Holguin A
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Journal
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Scientific reports
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Journal Info
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2020 Oct 9;10(1):16891
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Abstract
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The aim of this transversal study was to describe the virological and immunological features of HIV-infected youths transferred from pediatric to adult care units since 1997 vs. the non-transferred patients from the Madrid Cohort of HIV-infected children and adolescents in Spain. We included 106 non-transferred and 184 transferred patients under clinical follow-up in 17 public hospitals in Madrid by the end of December 2017. Virological and immunological outcomes were compared in transferred vs. non-transferred patients. ART drug resistance mutations and HIV-variants were analyzed in all subjects with available resistance pol genotypes and/or genotypic resistance profiles. Among the study cohort, 133 (72.3%) of 184 transferred and 75 (70.7%) of 106 non-transferred patients had available resistance genotypes. Most (88.9%) of transferred had ART experience at sampling. A third (33.3%) had had a triple-class experience. Acquired drug resistance (ADR) prevalence was significantly higher in pretreated transferred than non-transferred patients (71.8% vs. 44%; p = 0.0009), mainly to NRTI (72.8% vs. 31.1%; p < 0.0001) and PI (29.1% vs. 12%; p = 0.0262). HIV-1 non-B variants were less frequent in transferred vs. non-transferred (6.9% vs. 32%; p < 0.0001). In conclusion, the frequent resistant genotypes found in transferred youths justifies the reinforcement of HIV resistance monitoring after the transition to avoid future therapeutic failures.
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Sequence Data
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-
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