dc.creatorPassaes, Carolina Bittencourt
dc.creatorGuimarães, Monick Lindemeyer
dc.creatorFernandez, Saada Lima Chquer
dc.creatorLorete, Roberta dos Santos
dc.creatorTeixeira, Sylvia Lopes Maia
dc.creatorFernandez, José Carlos Couto
dc.creatorMorado, Mariza Gonçalves
dc.date2017-08-15T15:13:33Z
dc.date2017-08-15T15:13:33Z
dc.date2009
dc.date.accessioned2023-09-26T22:21:14Z
dc.date.available2023-09-26T22:21:14Z
dc.identifierPASSAES, Caroline Bittencourt; et al. Lack of Primary Mutations Associated With Integrase Inhibitors Among HIV-1 Subtypes B, C, and F Circulating in Brazil. J. Acquir Immune Defic Syndr, v.51, n.1, p.7- 12, May 2009.
dc.identifier1525-4135
dc.identifierhttps://www.arca.fiocruz.br/handle/icict/20623
dc.identifier1944-7884
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8878238
dc.descriptionBackground: Antiretroviral drugs targeting integrase (IN) have recently been approved for use in combined and salvage therapeutic interventions. Objective: To evaluate the presence of natural polymorphisms and resistance mutations associated with IN inhibitors among HIV-1 subtypes B, C, and F samples obtained from drug-naive individuals and patients failing highly active antiretroviral therapy in Brazil. Methods: Proviral DNA was obtained from blood samples of 105 HIV-1–positive drug-naive patients infected by B, C, or F subtypes and plasma viral RNA from 30 subtype B–infected individuals failing highly active antiretroviral therapy. The IN region was amplified by nested polymerase chain reaction and automatically sequenced for subtype determination. Translated amino acid sequences were inspected for IN mutations associated with antiretroviral resistance. Results: Eleven mutations described as conferring in vitro resistance to IN strand transfer inhibitors were detected among the HIV-1 Brazilian samples. V72I and V201I were considered as polymorphisms. Major mutations associated with elvitegravir or raltegravir in vivo resistance (Q148K/H/R, N155H) were not detected. Conclusions: Although some naturally occurring polymorphisms were observed, the absence of major resistance mutations for the current IN inhibitors provides a good rationale for the introduction of these drugs in Brazil. These results highlight the importance of the continuous surveillance of IN genetic diversity.
dc.description2030-01-01
dc.formatapplication/pdf
dc.languageeng
dc.publisherLippincott, Williams & Wilkins
dc.rightsrestricted access
dc.subjectTerapia antiretroviral
dc.subjectBrasil
dc.subjectPolimorfismo genético
dc.subjectInibidores de Integrase de HIV
dc.subjectSubtipos de HIV-1
dc.subjectMutação de resistência
dc.subjectantiretroviral treatment
dc.subjectBrazil
dc.subjectgenetic polymorphisms
dc.subjectHIV-1 integrase
dc.subjectHIV-1 subtypes
dc.subjectresistance mutation
dc.titleLack of Primary Mutations Associated With Integrase Inhibitors Among HIV-1 Subtypes B, C, and F Circulating in Brazil
dc.typeArticle


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