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Basic Characteristics of Mutations
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Mutation Site
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Q95K |
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Mutation Site Sentence
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Combinations of majority and minority INSTI mutations were found in three (2.1%) individuals analysed by NGS, including G163R (2.3%) + Q95K (2.3%), E138K (2.8%) + S230R (1.0%) and the previously described T97A (>99%) + R263K (1.9%). |
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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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IN |
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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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INSTIs |
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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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32929472
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Title
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Primary resistance to integrase strand transfer inhibitors in Spain using ultrasensitive HIV-1 genotyping
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Author
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Casadella M,Santos JR,Noguera-Julian M,Mican-Rivera R,Domingo P,Antela A,Portilla J,Sanz J,Montero-Alonso M,Navarro J,Masia M,Valcarce-Pardeiro N,Ocampo A,Perez-Martinez L,Pasquau J,Vivancos MJ,Imaz A,Carmona-Oyaga P,Munoz-Medina L,Villar-Garcia J,Barrufet P,Paredes R
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Journal
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The Journal of antimicrobial chemotherapy
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Journal Info
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2020 Dec 1;75(12):3517-3524
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Abstract
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BACKGROUND: Transmission of resistance mutations to integrase strand transfer inhibitors (INSTIs) in HIV-infected patients may compromise the efficacy of first-line antiretroviral regimens currently recommended worldwide. Continued surveillance of transmitted drug resistance (TDR) is thus warranted. OBJECTIVES: We evaluated the rates and effects on virological outcomes of TDR in a 96 week prospective multicentre cohort study of ART-naive HIV-1-infected subjects initiating INSTI-based ART in Spain between April 2015 and December 2016. METHODS: Pre-ART plasma samples were genotyped for integrase, protease and reverse transcriptase resistance using Sanger population sequencing or MiSeq using a >/= 20% mutant sensitivity cut-off. Those present at 1%-19% of the virus population were considered to be low-frequency variants. RESULTS: From a total of 214 available samples, 173 (80.8%), 210 (98.1%) and 214 (100.0%) were successfully amplified for integrase, reverse transcriptase and protease genes, respectively. Using a Sanger-like cut-off, the overall prevalence of any TDR, INSTI-, NRTI-, NNRTI- and protease inhibitor (PI)-associated mutations was 13.1%, 1.7%, 3.8%, 7.1% and 0.9%, respectively. Only three (1.7%) subjects had INSTI TDR (R263K, E138K and G163R), while minority variants with integrase TDR were detected in 9.6% of subjects. There were no virological failures during 96 weeks of follow-up in subjects harbouring TDR as majority variants. CONCLUSIONS: Transmitted INSTI resistance remains rare in Spain and, to date, is not associated with virological failure to first-line INSTI-based regimens.
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Sequence Data
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-
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