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Basic Characteristics of Mutations
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Mutation Site
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T69G |
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Mutation Site Sentence
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Table 2.Information on Individuals With CA Mutations in the Study |
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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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RT |
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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 B |
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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
|
|
Immune
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- |
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Target Gene
|
-
|
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Clinical and Epidemiological Correlations
|
|
Clinical Information
|
- |
|
Treatment
|
NRTI |
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Location
|
Taiwan |
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Literature Information
|
|
PMID
|
39935964
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Title
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Prevalence of Naturally Occurring HIV-1 Capsid Inhibitor Resistance-Related Mutations in Antiretroviral Therapy-Naive and -Experienced Individuals in Taiwan
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Author
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Chen NY,Cheng CY,Lo SH,Lu PL,Yang CJ,Tseng CY,Tsai HC,Wu TS,Hsiao YH,Liu ZH,Ku SW
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Journal
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Open forum infectious diseases
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Journal Info
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2025 Jan 17;12(2):ofaf028
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Abstract
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BACKGROUND: It is generally believed that HIV-1 capsid inhibitor-naive populations are susceptible to capsid inhibitors. Moreover, conventional HIV-1 resistance genotyping does not include the CA region, leading to limited surveillance data. METHODS: We conducted a retrospective study to investigate the presence of mutations at positions associated with capsid inhibitor resistance before the introduction of the first HIV-1 capsid inhibitor, lenacapavir, in Taiwan. Capsid mutations at positions L56, N57, M66, Q67, K70, N74, A105, and T107 were analyzed using a local HIV-1 database that encompasses near-full-length next-generation sequencing data of both antiretroviral therapy (ART)-naive and -experienced individuals with HIV-1, collected between 2017 and 2023 in Northern Taiwan. RESULTS: A total of 287 CA sequences were analyzed. Mutations at positions associated with capsid inhibitor resistance were rare, found in 4.5% (7/156) of ART-naive and 5.3% (7/131) of ART-experienced individuals, mainly as accessory mutations or polymorphisms. Notably, a Q67H mutation was found in an ART-naive individual at a frequency of 26.8%, while a Q67R mutation, with unclear clinical implications, appeared at 2.8% in an ART-experienced case. CONCLUSIONS: This result indicated low prevalence yet undeniable existence of naturally occurring capsid inhibitor resistance-related mutations in capsid inhibitor-naive individuals with HIV-1.
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Sequence Data
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PRJNA1200238
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