hiv-1 drug resistance genotyping from antiretroviral therapy (art) na?ve and first-line treatment failures in djiboutian patientshiv - 1型耐药性从抗逆转录病毒疗法(art)na ve和吉患者的一线治疗失败.pdfVIP

hiv-1 drug resistance genotyping from antiretroviral therapy (art) na?ve and first-line treatment failures in djiboutian patientshiv - 1型耐药性从抗逆转录病毒疗法(art)na ve和吉患者的一线治疗失败.pdf

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hiv-1 drug resistance genotyping from antiretroviral therapy (art) na?ve and first-line treatment failures in djiboutian patientshiv - 1型耐药性从抗逆转录病毒疗法(art)na ve和吉患者的一线治疗失败

Elmi Abar et al. Diagnostic Pathology 2012, 7:138 /content/7/1/138 RESEARCH Open Access HIV-1 drug resistance genotyping from antiretroviral therapy (ART) naïve and first-line treatment failures in Djiboutian patients 1,2* 2 3 2 2 Aden Elmi Abar , Asma Jlizi , Houssein Youssouf Darar , Mohamed Ali Ben Hadj Kacem and Amine Slim Abstract: In this study we report the prevalence of antiretroviral drug resistant HIV-1 genotypes of virus isolated from Djiboutian patients who failed first-line antiretroviral therapy (ART) and from ART naïve patients. Patients and methods: A total of 35 blood samples from 16 patients who showed first-line ART failure (1000 viral genome copies/ml) and 19 ART-naïve patients were collected in Djibouti from October 2009 to December 2009. Both the protease (PR) and reverse transcriptase (RT) genes were amplified and sequenced using National Agency for AIDS Research (ANRS) protocols. The Stanford HIV database algorithm was used for interpretation of resistance data and genotyping. Results: Among the 16 patients with first-line ART failure, nine (56.2%) showed reverse transcriptase inhibitor-resistant HIV-1 strains: two (12.5%) were resistant to nucleoside (NRTI), one (6.25%) to non-nucleoside (NNRTI) reverse transcriptase inhibitors, and six (37.5%) to both. Analysis of the DNA sequencing data indicated that the most common mutations conferring drug resistance were M184V (38%) for NRTI and K103N (25%) for NNRTI. Only NRTI primary mutations K101Q, K103N and the PI minor mutation L10V were found in ART naïve individuals. No protease inhibitor resistant strains were detected. In our study, we found no detectable resistance in 44% of all pat

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