AI Article Synopsis

  • This study analyzed drug resistance trends in HIV-1 among former blood donors in Hubei, China, evaluating data from 290 patients treated with anti-HIV-1 therapy between 2004 and 2006.
  • Genotypic analysis revealed significant increases in specific mutations associated with drug resistance to both NRTIs and NNRTIs, indicating a rise in resistant strains among the patients.
  • The findings highlighted substantial increases in high resistance to certain drugs like zidovudine and efavirenz, as well as intermediate and low resistance to other treatments, emphasizing the growing challenge of managing HIV-1 with existing therapies.

Article Abstract

This study aimed to evaluate emerging trends of drug resistance to nucleoside reverse transcriptase inhibitors (NRTIs) and nonnucleoside reverse transcriptase inhibitors (NNRTIs) among 290 former blood donor HIV-1 infected patients in Hubei, China, from 2004 to 2006, all of whom had received anti-HIV-1 therapy. The presence of NRTI- and NNRTI-associated mutations were established by sequencing; genotypic and predicted phenotypic drug resistance were evaluated using HIVdb Program version 5.0.1 (http://hivdb.stanford.edu/pages/algs/HIVdb.html ). Genotypic drug resistance analysis showed significant increases in percentages of patients carrying HIV-1 strains with M41L, T215Y/F, D67N, K103N, G190A/S, Y181C/F or L210W mutations. Of the variants' predicted phenotypic drug resistance, highly significant increases were detected in percentages of patients carrying HIV-1 with high resistance to zidovudine (AZT) or stavudine (D4T) in NRTIs, and to delavirdine (DLV), efavirenz (EFV) or nevirapine (NVP) in NNRTIs; intermediate resistance to abacavir (ABC), AZT, D4T, didanosine (DDI) or tenofovir disoproxil fumarate (TDF) in NRTIs, and to etravirine (ETR) in NNRTIs; and low and potential low resistance to lamivudine (3TC), ABC, emtricitabine (FTC) or TDF in NRTIs, and to ETR in NNRTIs.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8222471PMC
http://dx.doi.org/10.1007/s12250-011-3210-0DOI Listing

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