No difference in HIV-1 integrase inhibitor resistance between CSF and blood compartments

نویسندگان

چکیده

Abstract Background Little is known about HIV-1 integrase inhibitor resistance in the CNS. Objectives This study aimed to evaluate CSF, as a marker of CNS, and compare it with plasma. Methods HIV was sequenced both plasma CSF for 59 patients. The clinical biological data were collected from routine care. Results Among patients, 32 (54.2%) under antiretroviral (ARV) treatment. median (IQR) RNA viraemic patients 5.32 (3.85–5.80) 3.59 (2.16–4.50) log10 copies/mL versus 4.79 (3.56–5.25) 3.80 (2.68–4.33) ARV-naive ARV-treated respectively. mainly infected non-B subtypes (72.2%) most prevalent recombinant form being CRF02_AG (42.4%). sequences presented mutations 9/27 (33.3%) 8/32 (25.0%) (L74I, n = 3; L74I/M, 1; T97A, E157Q, 4) 6; L74M, N155H, 1) Integrase similar those plasma, except 1/59 Conclusions work shows profiles CNS population

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

HIV-1 Integrase Inhibitor Resistance and Its Clinical Implications

With the approval in 2007 of the first integrase inhibitor (INI), raltegravir, clinicians became better able to suppress virus replication in patients infected with human immunodeficiency virus type 1 (HIV-1) who were harboring many of the most highly drug-resistant viruses. Raltegravir also provided clinicians with additional options for first-line therapy and for the simplification of regimen...

متن کامل

Natural polymorphism of the HIV-1 integrase gene and mutations associated with integrase inhibitor resistance.

BACKGROUND Two inhibitors of the HIV-1 integrase enzyme (INIs) are in late stage clinical development. To date, approximately 42 mutations within the HIV-1 integrase (IN) gene have been associated with INI drug resistance. Naturally occurring IN gene polymorphisms may have important implications for INI development. In this study, we evaluated clinical HIV-1 strains from INI-naive patients to d...

متن کامل

Lack of impact of pre-existing T97A HIV-1 integrase mutation on integrase strand transfer inhibitor resistance and treatment outcome

T97A is an HIV-1 integrase polymorphism associated with integrase strand transfer inhibitor (INSTI) resistance. Using pooled data from 16 clinical studies, we investigated the prevalence of T97A (pre-existing and emergent) and its impact on INSTI susceptibility and treatment response in INSTI-naive patients who enrolled on elvitegravir (EVG)- or raltegravir (RAL)-based regimens. Prior to INSTI-...

متن کامل

Effects of HIV type-1 immune selection on susceptability to integrase inhibitor resistance.

BACKGROUND All site-specific interactions between HIV type-1 (HIV-1) subtype, human leukocyte antigen (HLA)-associated immune selection and integrase inhibitor resistance are not completely understood. We examined naturally occurring polymorphisms in HIV-1 integrase sequences from 342 antiretroviral-naive individuals from the Western Australian HIV Cohort Study and the Swiss HIV Cohort Study. ...

متن کامل

Raltegravir: the first HIV type 1 integrase inhibitor.

Raltegravir is the first approved human immunodeficiency virus type 1 (HIV-1) integrase inhibitor; it targets the strand transfer step of HIV-1 integration. Clinical trials have demonstrated that raltegravir-containing regimens have potent antiretroviral activity and are well tolerated in HIV-1-infected individuals. In antiretroviral treatment-experienced persons with drug-resistant HIV infecti...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Journal of Antimicrobial Chemotherapy

سال: 2021

ISSN: ['1460-2091', '0305-7453']

DOI: https://doi.org/10.1093/jac/dkab064