Update on primary HIV-1 resistance in Argentina: Emergence of mutations conferring high-level resistance to nonnucleoside reverse transcriptase inhibitors in drug-naive patients

Here we present a survey including 52 drug-naive recently HIV-1-infected subjects from Buenos Aires City and province (79%) and 3 other regions in Argentina (21%). Recent infections were established from previous negative serology (32/52), indeterminate Western blot (12/52), or acute retroviral synd...

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Autores principales: Petroni, A., Deluchi, G., Pryluka, D., Rotryng, F., Bortolozzi, R., Lopardo, G., Bouzas, M.B., Zapiola, I., Garone, D., Rodríguez, C., Chiocconi, E., Lázaro, M.E., Murano, F., Maranzana, A., Oliva, S.M., Aparicio, M., Beltrán, M., Benetucci, J.A.
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Acceso en línea:http://hdl.handle.net/20.500.12110/paper_15254135_v42_n4_p506_Petroni
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spelling todo:paper_15254135_v42_n4_p506_Petroni2023-10-03T16:21:01Z Update on primary HIV-1 resistance in Argentina: Emergence of mutations conferring high-level resistance to nonnucleoside reverse transcriptase inhibitors in drug-naive patients Petroni, A. Deluchi, G. Pryluka, D. Rotryng, F. Bortolozzi, R. Lopardo, G. Bouzas, M.B. Zapiola, I. Garone, D. Rodríguez, C. Chiocconi, E. Lázaro, M.E. Murano, F. Maranzana, A. Oliva, S.M. Aparicio, M. Beltrán, M. Benetucci, J.A. Argentina B/F recombinant viruses HIV-1 primary resistance K103N L89M M41L proteinase recombinant enzyme RNA directed DNA polymerase RNA directed DNA polymerase inhibitor adult amino acid sequence amino acid substitution Argentina controlled study exposure female gene mutation genotype health survey high risk population human Human immunodeficiency virus 1 Human immunodeficiency virus infection major clinical study male nucleotide sequence phylogeny priority journal review serology virus resistance Western blotting Argentina Base Sequence DNA Primers Female HIV Infections HIV-1 Humans Male Mutation Phylogeny Polymorphism, Genetic Recombination, Genetic Reverse Transcriptase Inhibitors Reverse Transcriptase Polymerase Chain Reaction Here we present a survey including 52 drug-naive recently HIV-1-infected subjects from Buenos Aires City and province (79%) and 3 other regions in Argentina (21%). Recent infections were established from previous negative serology (32/52), indeterminate Western blot (12/52), or acute retroviral syndrome after high-risk HIV exposure (8/52) within 9 months before genotyping (median time, 4.2 months). Genotyping was performed from plasma by sequencing both protease and reverse transcriptase. Phylogenetic analysis combined with bootscanning resulted in 21 subtype B sequences and 31 B/F recombinants (RecBF). On protease, minor resistance-related mutations were found in both subtype B and RecBF with low frequencies. The substitution L89M, recently suggested as a resistance-related mutation in some subtype F viruses, was observed in 1 RecBF. On reverse transcriptase, major resistance-related mutations were found in 4 of 52 (7.7%) patients from different health centers: M41L (subtype B) and K103N±P225H (1 RecBF and 2 subtype B). The greater than 5% resistance threshold found indicates a need for sentinel resistance surveillances calling for an update in the current resistance testing guidelines in Argentina. Copyright © 2006 by Lippincott Williams & Wilkins. JOUR info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/2.5/ar http://hdl.handle.net/20.500.12110/paper_15254135_v42_n4_p506_Petroni
institution Universidad de Buenos Aires
institution_str I-28
repository_str R-134
collection Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic Argentina
B/F recombinant viruses
HIV-1 primary resistance
K103N
L89M
M41L
proteinase
recombinant enzyme
RNA directed DNA polymerase
RNA directed DNA polymerase inhibitor
adult
amino acid sequence
amino acid substitution
Argentina
controlled study
exposure
female
gene mutation
genotype
health survey
high risk population
human
Human immunodeficiency virus 1
Human immunodeficiency virus infection
major clinical study
male
nucleotide sequence
phylogeny
priority journal
review
serology
virus resistance
Western blotting
Argentina
Base Sequence
DNA Primers
Female
HIV Infections
HIV-1
Humans
Male
Mutation
Phylogeny
Polymorphism, Genetic
Recombination, Genetic
Reverse Transcriptase Inhibitors
Reverse Transcriptase Polymerase Chain Reaction
spellingShingle Argentina
B/F recombinant viruses
HIV-1 primary resistance
K103N
L89M
M41L
proteinase
recombinant enzyme
RNA directed DNA polymerase
RNA directed DNA polymerase inhibitor
adult
amino acid sequence
amino acid substitution
Argentina
controlled study
exposure
female
gene mutation
genotype
health survey
high risk population
human
Human immunodeficiency virus 1
Human immunodeficiency virus infection
major clinical study
male
nucleotide sequence
phylogeny
priority journal
review
serology
virus resistance
Western blotting
Argentina
Base Sequence
DNA Primers
Female
HIV Infections
HIV-1
Humans
Male
Mutation
Phylogeny
Polymorphism, Genetic
Recombination, Genetic
Reverse Transcriptase Inhibitors
Reverse Transcriptase Polymerase Chain Reaction
Petroni, A.
Deluchi, G.
Pryluka, D.
Rotryng, F.
Bortolozzi, R.
Lopardo, G.
Bouzas, M.B.
Zapiola, I.
Garone, D.
Rodríguez, C.
Chiocconi, E.
Lázaro, M.E.
Murano, F.
Maranzana, A.
Oliva, S.M.
Aparicio, M.
Beltrán, M.
Benetucci, J.A.
Update on primary HIV-1 resistance in Argentina: Emergence of mutations conferring high-level resistance to nonnucleoside reverse transcriptase inhibitors in drug-naive patients
topic_facet Argentina
B/F recombinant viruses
HIV-1 primary resistance
K103N
L89M
M41L
proteinase
recombinant enzyme
RNA directed DNA polymerase
RNA directed DNA polymerase inhibitor
adult
amino acid sequence
amino acid substitution
Argentina
controlled study
exposure
female
gene mutation
genotype
health survey
high risk population
human
Human immunodeficiency virus 1
Human immunodeficiency virus infection
major clinical study
male
nucleotide sequence
phylogeny
priority journal
review
serology
virus resistance
Western blotting
Argentina
Base Sequence
DNA Primers
Female
HIV Infections
HIV-1
Humans
Male
Mutation
Phylogeny
Polymorphism, Genetic
Recombination, Genetic
Reverse Transcriptase Inhibitors
Reverse Transcriptase Polymerase Chain Reaction
description Here we present a survey including 52 drug-naive recently HIV-1-infected subjects from Buenos Aires City and province (79%) and 3 other regions in Argentina (21%). Recent infections were established from previous negative serology (32/52), indeterminate Western blot (12/52), or acute retroviral syndrome after high-risk HIV exposure (8/52) within 9 months before genotyping (median time, 4.2 months). Genotyping was performed from plasma by sequencing both protease and reverse transcriptase. Phylogenetic analysis combined with bootscanning resulted in 21 subtype B sequences and 31 B/F recombinants (RecBF). On protease, minor resistance-related mutations were found in both subtype B and RecBF with low frequencies. The substitution L89M, recently suggested as a resistance-related mutation in some subtype F viruses, was observed in 1 RecBF. On reverse transcriptase, major resistance-related mutations were found in 4 of 52 (7.7%) patients from different health centers: M41L (subtype B) and K103N±P225H (1 RecBF and 2 subtype B). The greater than 5% resistance threshold found indicates a need for sentinel resistance surveillances calling for an update in the current resistance testing guidelines in Argentina. Copyright © 2006 by Lippincott Williams & Wilkins.
format JOUR
author Petroni, A.
Deluchi, G.
Pryluka, D.
Rotryng, F.
Bortolozzi, R.
Lopardo, G.
Bouzas, M.B.
Zapiola, I.
Garone, D.
Rodríguez, C.
Chiocconi, E.
Lázaro, M.E.
Murano, F.
Maranzana, A.
Oliva, S.M.
Aparicio, M.
Beltrán, M.
Benetucci, J.A.
author_facet Petroni, A.
Deluchi, G.
Pryluka, D.
Rotryng, F.
Bortolozzi, R.
Lopardo, G.
Bouzas, M.B.
Zapiola, I.
Garone, D.
Rodríguez, C.
Chiocconi, E.
Lázaro, M.E.
Murano, F.
Maranzana, A.
Oliva, S.M.
Aparicio, M.
Beltrán, M.
Benetucci, J.A.
author_sort Petroni, A.
title Update on primary HIV-1 resistance in Argentina: Emergence of mutations conferring high-level resistance to nonnucleoside reverse transcriptase inhibitors in drug-naive patients
title_short Update on primary HIV-1 resistance in Argentina: Emergence of mutations conferring high-level resistance to nonnucleoside reverse transcriptase inhibitors in drug-naive patients
title_full Update on primary HIV-1 resistance in Argentina: Emergence of mutations conferring high-level resistance to nonnucleoside reverse transcriptase inhibitors in drug-naive patients
title_fullStr Update on primary HIV-1 resistance in Argentina: Emergence of mutations conferring high-level resistance to nonnucleoside reverse transcriptase inhibitors in drug-naive patients
title_full_unstemmed Update on primary HIV-1 resistance in Argentina: Emergence of mutations conferring high-level resistance to nonnucleoside reverse transcriptase inhibitors in drug-naive patients
title_sort update on primary hiv-1 resistance in argentina: emergence of mutations conferring high-level resistance to nonnucleoside reverse transcriptase inhibitors in drug-naive patients
url http://hdl.handle.net/20.500.12110/paper_15254135_v42_n4_p506_Petroni
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