Drug resistance mutations in patients infected with HIV-2 living in Spain
Background In contrast with HIV-1, information about drug resistance in HIV-2 is scarce and mainly derived from small series of patients failing antiretroviral therapy. Methods The spectrum of changes in the reverse transcriptase (RT), protease (PR) and integrase (INT) genes was examined in HIV-2 in...
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Published in | Journal of antimicrobial chemotherapy Vol. 66; no. 7; pp. 1484 - 1488 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Oxford
Oxford University Press
01.07.2011
Oxford Publishing Limited (England) |
Subjects | |
Online Access | Get full text |
ISSN | 0305-7453 1460-2091 1460-2091 |
DOI | 10.1093/jac/dkr164 |
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Abstract | Background
In contrast with HIV-1, information about drug resistance in HIV-2 is scarce and mainly derived from small series of patients failing antiretroviral therapy.
Methods
The spectrum of changes in the reverse transcriptase (RT), protease (PR) and integrase (INT) genes was examined in HIV-2 individuals enrolled in the HIV-2 Spanish register.
Results
From a total of 236 HIV-2-infected individuals registered in Spain from 1989 to June 2010, 53 PR, 44 RT and 8 INT sequences were obtained. Low plasma viraemia precluded collection of this information from most of the remaining cases. No major mutations associated with drug resistance in HIV-1 were recognized in 29 PR, 20 RT and 5 INT sequences from antiretroviral-naive HIV-2 individuals, although natural polymorphisms with potential effects on susceptibility to PR inhibitors were recognized at 10 positions (L10V/I, V32I, M36I, M46I, I47V, Q58E, A71V/I, G73A, V82I and L89I/V) and for nucleoside reverse transcriptase inhibitors at three positions (T69N, V75I and K219E). In 24 antiretroviral-experienced patients with virological failure the most frequent major RT resistance mutations were M184V (58%), Q151M (33%) and K65R (21%), which are rarely seen thymidine analogue mutations. In PR the most frequent major changes were V47A (17%), I54M (17%), I82F (13%), L90M (29%) and L99F (29%). Two of the three patients who failed on raltegravir had N155H in the INT region.
Conclusions
Drug resistance mutations in HIV-2 are selected at the same positions as in HIV-1, although with different frequency. Polymorphisms in the RT and PR associated with drug resistance in HIV-1 as compensatory changes are common in untreated HIV-2 subjects. These findings highlight the need for specific guidelines for interpreting genotypic resistance patterns in HIV-2 infection. |
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AbstractList | In contrast with HIV-1, information about drug resistance in HIV-2 is scarce and mainly derived from small series of patients failing antiretroviral therapy.
The spectrum of changes in the reverse transcriptase (RT), protease (PR) and integrase (INT) genes was examined in HIV-2 individuals enrolled in the HIV-2 Spanish register.
From a total of 236 HIV-2-infected individuals registered in Spain from 1989 to June 2010, 53 PR, 44 RT and 8 INT sequences were obtained. Low plasma viraemia precluded collection of this information from most of the remaining cases. No major mutations associated with drug resistance in HIV-1 were recognized in 29 PR, 20 RT and 5 INT sequences from antiretroviral-naive HIV-2 individuals, although natural polymorphisms with potential effects on susceptibility to PR inhibitors were recognized at 10 positions (L10V/I, V32I, M36I, M46I, I47V, Q58E, A71V/I, G73A, V82I and L89I/V) and for nucleoside reverse transcriptase inhibitors at three positions (T69N, V75I and K219E). In 24 antiretroviral-experienced patients with virological failure the most frequent major RT resistance mutations were M184V (58%), Q151M (33%) and K65R (21%), which are rarely seen thymidine analogue mutations. In PR the most frequent major changes were V47A (17%), I54M (17%), I82F (13%), L90M (29%) and L99F (29%). Two of the three patients who failed on raltegravir had N155H in the INT region.
Drug resistance mutations in HIV-2 are selected at the same positions as in HIV-1, although with different frequency. Polymorphisms in the RT and PR associated with drug resistance in HIV-1 as compensatory changes are common in untreated HIV-2 subjects. These findings highlight the need for specific guidelines for interpreting genotypic resistance patterns in HIV-2 infection. Background In contrast with HIV-1, information about drug resistance in HIV-2 is scarce and mainly derived from small series of patients failing antiretroviral therapy. Methods The spectrum of changes in the reverse transcriptase (RT), protease (PR) and integrase (INT) genes was examined in HIV-2 individuals enrolled in the HIV-2 Spanish register. Results From a total of 236 HIV-2-infected individuals registered in Spain from 1989 to June 2010, 53 PR, 44 RT and 8 INT sequences were obtained. Low plasma viraemia precluded collection of this information from most of the remaining cases. No major mutations associated with drug resistance in HIV-1 were recognized in 29 PR, 20 RT and 5 INT sequences from antiretroviral-naive HIV-2 individuals, although natural polymorphisms with potential effects on susceptibility to PR inhibitors were recognized at 10 positions (L10V/I, V32I, M36I, M46I, I47V, Q58E, A71V/I, G73A, V82I and L89I/V) and for nucleoside reverse transcriptase inhibitors at three positions (T69N, V75I and K219E). In 24 antiretroviral-experienced patients with virological failure the most frequent major RT resistance mutations were M184V (58%), Q151M (33%) and K65R (21%), which are rarely seen thymidine analogue mutations. In PR the most frequent major changes were V47A (17%), I54M (17%), I82F (13%), L90M (29%) and L99F (29%). Two of the three patients who failed on raltegravir had N155H in the INT region. Conclusions Drug resistance mutations in HIV-2 are selected at the same positions as in HIV-1, although with different frequency. Polymorphisms in the RT and PR associated with drug resistance in HIV-1 as compensatory changes are common in untreated HIV-2 subjects. These findings highlight the need for specific guidelines for interpreting genotypic resistance patterns in HIV-2 infection. In contrast with HIV-1, information about drug resistance in HIV-2 is scarce and mainly derived from small series of patients failing antiretroviral therapy. The spectrum of changes in the reverse transcriptase (RT), protease (PR) and integrase (INT) genes was examined in HIV-2 individuals enrolled in the HIV-2 Spanish register. From a total of 236 HIV-2-infected individuals registered in Spain from 1989 to June 2010, 53 PR, 44 RT and 8 INT sequences were obtained. Low plasma viraemia precluded collection of this information from most of the remaining cases. No major mutations associated with drug resistance in HIV-1 were recognized in 29 PR, 20 RT and 5 INT sequences from antiretroviral-naive HIV-2 individuals, although natural polymorphisms with potential effects on susceptibility to PR inhibitors were recognized at 10 positions (L10V/I, V32I, M36I, M46I, I47V, Q58E, A71V/I, G73A, V82I and L89I/V) and for nucleoside reverse transcriptase inhibitors at three positions (T69N, V75I and K219E). In 24 antiretroviral-experienced patients with virological failure the most frequent major RT resistance mutations were M184V (58%), Q151M (33%) and K65R (21%), which are rarely seen thymidine analogue mutations. In PR the most frequent major changes were V47A (17%), I54M (17%), I82F (13%), L90M (29%) and L99F (29%). Two of the three patients who failed on raltegravir had N155H in the INT region. Drug resistance mutations in HIV-2 are selected at the same positions as in HIV-1, although with different frequency. Polymorphisms in the RT and PR associated with drug resistance in HIV-1 as compensatory changes are common in untreated HIV-2 subjects. These findings highlight the need for specific guidelines for interpreting genotypic resistance patterns in HIV-2 infection. In contrast with HIV-1, information about drug resistance in HIV-2 is scarce and mainly derived from small series of patients failing antiretroviral therapy.BACKGROUNDIn contrast with HIV-1, information about drug resistance in HIV-2 is scarce and mainly derived from small series of patients failing antiretroviral therapy.The spectrum of changes in the reverse transcriptase (RT), protease (PR) and integrase (INT) genes was examined in HIV-2 individuals enrolled in the HIV-2 Spanish register.METHODSThe spectrum of changes in the reverse transcriptase (RT), protease (PR) and integrase (INT) genes was examined in HIV-2 individuals enrolled in the HIV-2 Spanish register.From a total of 236 HIV-2-infected individuals registered in Spain from 1989 to June 2010, 53 PR, 44 RT and 8 INT sequences were obtained. Low plasma viraemia precluded collection of this information from most of the remaining cases. No major mutations associated with drug resistance in HIV-1 were recognized in 29 PR, 20 RT and 5 INT sequences from antiretroviral-naive HIV-2 individuals, although natural polymorphisms with potential effects on susceptibility to PR inhibitors were recognized at 10 positions (L10V/I, V32I, M36I, M46I, I47V, Q58E, A71V/I, G73A, V82I and L89I/V) and for nucleoside reverse transcriptase inhibitors at three positions (T69N, V75I and K219E). In 24 antiretroviral-experienced patients with virological failure the most frequent major RT resistance mutations were M184V (58%), Q151M (33%) and K65R (21%), which are rarely seen thymidine analogue mutations. In PR the most frequent major changes were V47A (17%), I54M (17%), I82F (13%), L90M (29%) and L99F (29%). Two of the three patients who failed on raltegravir had N155H in the INT region.RESULTSFrom a total of 236 HIV-2-infected individuals registered in Spain from 1989 to June 2010, 53 PR, 44 RT and 8 INT sequences were obtained. Low plasma viraemia precluded collection of this information from most of the remaining cases. No major mutations associated with drug resistance in HIV-1 were recognized in 29 PR, 20 RT and 5 INT sequences from antiretroviral-naive HIV-2 individuals, although natural polymorphisms with potential effects on susceptibility to PR inhibitors were recognized at 10 positions (L10V/I, V32I, M36I, M46I, I47V, Q58E, A71V/I, G73A, V82I and L89I/V) and for nucleoside reverse transcriptase inhibitors at three positions (T69N, V75I and K219E). In 24 antiretroviral-experienced patients with virological failure the most frequent major RT resistance mutations were M184V (58%), Q151M (33%) and K65R (21%), which are rarely seen thymidine analogue mutations. In PR the most frequent major changes were V47A (17%), I54M (17%), I82F (13%), L90M (29%) and L99F (29%). Two of the three patients who failed on raltegravir had N155H in the INT region.Drug resistance mutations in HIV-2 are selected at the same positions as in HIV-1, although with different frequency. Polymorphisms in the RT and PR associated with drug resistance in HIV-1 as compensatory changes are common in untreated HIV-2 subjects. These findings highlight the need for specific guidelines for interpreting genotypic resistance patterns in HIV-2 infection.CONCLUSIONSDrug resistance mutations in HIV-2 are selected at the same positions as in HIV-1, although with different frequency. Polymorphisms in the RT and PR associated with drug resistance in HIV-1 as compensatory changes are common in untreated HIV-2 subjects. These findings highlight the need for specific guidelines for interpreting genotypic resistance patterns in HIV-2 infection. Background In contrast with HIV-1, information about drug resistance in HIV-2 is scarce and mainly derived from small series of patients failing antiretroviral therapy. Methods The spectrum of changes in the reverse transcriptase (RT), protease (PR) and integrase (INT) genes was examined in HIV-2 individuals enrolled in the HIV-2 Spanish register. Results From a total of 236 HIV-2-infected individuals registered in Spain from 1989 to June 2010, 53 PR, 44 RT and 8 INT sequences were obtained. Low plasma viraemia precluded collection of this information from most of the remaining cases. No major mutations associated with drug resistance in HIV-1 were recognized in 29 PR, 20 RT and 5 INT sequences from antiretroviral-naive HIV-2 individuals, although natural polymorphisms with potential effects on susceptibility to PR inhibitors were recognized at 10 positions (L10V/I, V32I, M36I, M46I, I47V, Q58E, A71V/I, G73A, V82I and L89I/V) and for nucleoside reverse transcriptase inhibitors at three positions (T69N, V75I and K219E). In 24 antiretroviral-experienced patients with virological failure the most frequent major RT resistance mutations were M184V (58%), Q151M (33%) and K65R (21%), which are rarely seen thymidine analogue mutations. In PR the most frequent major changes were V47A (17%), I54M (17%), I82F (13%), L90M (29%) and L99F (29%). Two of the three patients who failed on raltegravir had N155H in the INT region. Conclusions Drug resistance mutations in HIV-2 are selected at the same positions as in HIV-1, although with different frequency. Polymorphisms in the RT and PR associated with drug resistance in HIV-1 as compensatory changes are common in untreated HIV-2 subjects. These findings highlight the need for specific guidelines for interpreting genotypic resistance patterns in HIV-2 infection. |
Author | Roc, Lourdes Aguilera, Antonio Soriano, Vincent Caballero, Estrella Benito, Rafael Rodríguez, Carmen Cabezas, Teresa Treviño, Ana Parra, Patricia de Mendoza, Carmen |
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CitedBy_id | crossref_primary_10_1021_acsinfecdis_9b00512 crossref_primary_10_1074_jbc_RA117_000177 crossref_primary_10_1186_s12977_015_0146_8 crossref_primary_10_1089_aid_2013_0153 crossref_primary_10_1099_vir_0_038638_0 crossref_primary_10_1097_QCO_0b013e32835a1de7 crossref_primary_10_1128_JVI_06597_11 crossref_primary_10_2217_fvl_2017_0037 crossref_primary_10_1093_infdis_jiaa026 crossref_primary_10_1093_jac_dkz007 crossref_primary_10_1093_jac_dkx090 crossref_primary_10_1128_AAC_00744_17 crossref_primary_10_1097_QAI_0b013e31826327c4 crossref_primary_10_1097_MD_0000000000014313 crossref_primary_10_1097_QAD_0b013e32834cdb89 crossref_primary_10_1371_journal_pone_0092747 crossref_primary_10_1097_QAD_0000000000001485 crossref_primary_10_3390_pathogens10111377 crossref_primary_10_1016_j_jcv_2015_01_001 crossref_primary_10_1186_s12981_020_0259_6 crossref_primary_10_3390_ijms24065905 crossref_primary_10_1016_j_virol_2016_02_008 crossref_primary_10_1128_AAC_01326_15 |
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ContentType | Journal Article |
Contributor | Lopez-Dieguez, M Ramos, J M Rodríguez-Iglesias, M Tuset, T Regueiro, B García, R Pérez, S Pérez-Trallero, E García, J García, I Tuset, C Capote, F Escudero, D Pumarola, T López-Aldeguer, J Treviño, A Del Romero, J Cortizo, S Domingo, P Eiros, J M Cilla, G Calderón, E Hernandez-Betancor, A Molina, I Gutiérrez, M M Rodríguez, C Niubó, J Trigo, M Miró, J M Fernandez, J M Viciana, I Force, L Paz, I López Lirola, A M Raya, C Soriano, V Roc, L Caballero, E Diz, J Pujol, E Marcaida, G Fernández-Pereira, L Torres, A Benito, R Gorgolas, M Alvarez, P García-Campello, M Lozano, A Rodríguez, J C González-Praetorius, A Gutiérrez, M Mena, A Pérez, J L de Mendoza, C Medrano, F J Veloso, S Peñaranda, M Martinez Sapiña, A Montejo, J M Gutiérrez, F Cabezas, T Dronda, F Cifuentes, C Aguilera, A Sola, J Gaspar, G Rodríguez-Calviño, J J Leal, M Moreno, S Gómez-Hernando, C Gómez Sirvent, J L Ortiz de Lejarazu, R Vallejo, A Borrás, M Martín, A M Guelar, A Parra, P |
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Copyright | The Author 2011. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com 2011 2015 INIST-CNRS Copyright Oxford Publishing Limited(England) Jul 2011 |
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Keywords | protease reverse transcriptase integrase Human Immunopathology Treatment resistance RNA-directed DNA polymerase Enzyme Transferases Reverse transcription Patient AIDS Immune deficiency Infection Peptidases Nucleotidyltransferases Viral disease Hydrolases Genetics Mutation |
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PublicationTitle | Journal of antimicrobial chemotherapy |
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References | (11_21588780) 2006; 57 Parkin (7_18103353) 2004; 9 Witvrouw (8_18103359) 2004; 9 Colson (10_18032997) 2004; 42 (13_30314687) 2008; 52 Damond (14_30572241) 2008; 22 Ohtaka (4_18547229) 2005; 88 de Mendoza (22_34340063) 2009; 11 (18_39882508) 2010; 15 (25_38265184) 2009; 48 (6_34905560) 2009; 53 Brower (12_30590652) 2008; 71 Poulsen (1_10274482) 1993; 6 Little (15_17185500) 2002; 347 de Mendoza (16_19449352) 2005; 41 (21_34948345) 2009; 37 Rodes (19_6537432) 2000; 38 Salgado (32_35331772) 2009; 46 Reeves (2_17069233) 2002; 83 Poveda (9_18161604) 2004; 20 (17_38264744) 2009; 48 (27_22989785) 2007; 51 (3_35411037) 1991; 180 Descamps (24_18302481) 2004; 74 Johnson (20_36474904) 2009; 17 (5_31749377) 2008; 62 Rod s (30_19737035) 2006; 20 Damond (23_18453096) 2004; 9 |
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In contrast with HIV-1, information about drug resistance in HIV-2 is scarce and mainly derived from small series of patients failing antiretroviral... In contrast with HIV-1, information about drug resistance in HIV-2 is scarce and mainly derived from small series of patients failing antiretroviral therapy.... In contrast with HIV-1, information about drug resistance in HIV-2 is scarce and mainly derived from small series of patients failing antiretroviral... Background In contrast with HIV-1, information about drug resistance in HIV-2 is scarce and mainly derived from small series of patients failing antiretroviral... |
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SubjectTerms | Adolescent Adult Aged Aged, 80 and over Anti-HIV Agents - pharmacology Antibiotics. Antiinfectious agents. Antiparasitic agents Antiretroviral drugs Biological and medical sciences Child Child, Preschool Drug resistance Drug Resistance, Viral Female HIV HIV Infections - virology HIV Protease - genetics HIV Reverse Transcriptase - genetics HIV-2 - drug effects HIV-2 - genetics HIV-2 - isolation & purification Human immunodeficiency virus Human immunodeficiency virus 1 Human immunodeficiency virus 2 Human viral diseases Humans Immunodeficiencies Immunodeficiencies. Immunoglobulinopathies Immunopathology Infectious diseases Integrases - genetics Male Medical sciences Middle Aged Mutation Mutation, Missense Pharmacology. Drug treatments Polymorphism Polymorphism, Genetic Sequence Analysis, DNA Spain Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Viral Proteins - genetics Young Adult |
Title | Drug resistance mutations in patients infected with HIV-2 living in Spain |
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