1. Analysis of HIV-1 integrase genotypes and polymorphisms among integrase inhibitors-based antiretroviral treatment naïve patients in South Sudan
- Author
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Marta Giovanetti, Stefania Farcomeni, Leonardo Sernicola, Sara Virtuoso, Lucia Fontanelli Sulekova, Maria T Maggiorella, Stefano Buttò, Gloria Taliani, Massimo Ciccozzi, and Alessandra Borsetti
- Subjects
Infectious Diseases ,Genotype ,Anti-HIV Agents ,Virology ,Drug Resistance, Viral ,Mutation ,HIV-1 ,Humans ,HIV Infections ,HIV Integrase ,HIV Integrase Inhibitors ,South Sudan ,Phylogeny - Abstract
HIV-1 genetic diversity and drug resistance mutations remain public health challenges especially in regions where treatment is limited. The aim of this study was to characterize the HIV-1 integrase (IN) subtype and the possible occurrence of drug-resistance mutations or polymorphisms in resource-poor settings in South Sudan. Dried blood spots from integrase inhibitor treatment (Integrase strand transfer inhibitor [INSTI]) naïve HIV-1 infected patients were subjected to DNA amplification and direct sequencing of integrase genes. The sequences were interpreted for drug resistance according to the Stanford algorithm and the International AIDS Society-USA guidelines. Phylogenetic analysis revealed that HIV-1 subtype D, C, G, A1, and recombinant forms accounted for 40%, 10%, 13.3%, 23.4%, and 13.3%, respectively. Furthermore, inter-subtype recombinants were interspersed within viral strains sampled in other African countries, highlighting complex transmission dynamics within a mobile host population. A total of 78 of 288 (27%) amino acid IN positions presented at least one polymorphism each. Major INSTI resistance mutations were absent, however, polymorphic accessory mutations at positions M50ILR (26.6%) and L74I (3.3%) were detected. Despite the limited size of the study population, our findings underscore the need for monitoring minor and natural polymorphisms that may influence the outcome of treatment regimens.
- Published
- 2022