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Transmission of drug-resistant HIV-1 in Europe remains limited to single classes

Transmission of drug-resistant HIV-1 in Europe remains limited to single classes

Authors :
Wensing, Annemarie M.J.
Vercauteren, Jurgen
Van De Vijver, David A.
Albert, Jan
Åsjö, Birgitta
Balotta, Claudia
Camacho, Ricardo
Coughlan, Suzie
Grossman, Zehava
Horban, Andrzej
Kücherer, Claudia
Nielsen, Claus
Paraskevis, Dimitris
Loke, Wei C.
Poggensee, Gabrielle
Puchhammer-Stöckl, Elisabeth
Riva, Chiara
Ruiz, Lidia
Schmit, Jean Claude
Schuurman, Rob
Salminen, Mika
Sonnerborg, Anders
Stanojevic, Maja
Struck, Daniel
Vandamme, Anne Mieke
Boucher, Charles A.B.
Wensing, Annemarie M.J.
Vercauteren, Jurgen
Van De Vijver, David A.
Albert, Jan
Åsjö, Birgitta
Balotta, Claudia
Camacho, Ricardo
Coughlan, Suzie
Grossman, Zehava
Horban, Andrzej
Kücherer, Claudia
Nielsen, Claus
Paraskevis, Dimitris
Loke, Wei C.
Poggensee, Gabrielle
Puchhammer-Stöckl, Elisabeth
Riva, Chiara
Ruiz, Lidia
Schmit, Jean Claude
Schuurman, Rob
Salminen, Mika
Sonnerborg, Anders
Stanojevic, Maja
Struck, Daniel
Vandamme, Anne Mieke
Boucher, Charles A.B.
Source :
Wensing , A M J , Vercauteren , J , SPREAD investigators , Van De Vijver , D A , Albert , J , Åsjö , B , Balotta , C , Camacho , R , Coughlan , S , Grossman , Z , Horban , A , Kücherer , C , Nielsen , C , Paraskevis , D , Loke , W C , Poggensee , G , Puchhammer-Stöckl , E , Riva , C , Ruiz , L , Schmit , J C , Schuurman , R , Salminen , M , Sonnerborg , A , Stanojevic , M , Struck , D , Vandamme , A M & Boucher , C A B 2008 , ' Transmission of drug-resistant HIV-1 in Europe remains limited to single classes ' , AIDS , vol. 22 , no. 5 , pp. 625-635 .
Publication Year :
2008

Abstract

BACKGROUND: The spread of drug-resistant HIV-1 might compromise the future success of current first-line regimens. OBJECTIVE: To analyse the extent and impact of transmission of drug-resistant HIV-1 variants in Europe. DESIGN AND METHODS: The European prospective programme (SPREAD) collected demographic, clinical and virological data from 1245 HIV-1-infected individuals in 17 countries diagnosed in 2002-2003. The potential impact of transmitted drug resistance mutations (TDRMs) on therapy response was determined by using genotypic interpretation algorithms. RESULTS: The overall prevalence of viruses with drug-resistance mutations was 9.1% [96/1050; 95% confidence interval: 7.5-11.1]. The majority (71%) harboured only a single amino acid substitution with limited effect on predicted drug susceptibility. Mutations associated with resistance to nucleoside reverse transcriptase inhibitors were observed most frequently [57/1050 (5.4%)], followed by mutations related to protease inhibitors [32/1050 (3.0%)] and mutations related to non-nucleoside reverse transcriptase inhibitors (NNRTIs) [27/1050 (2.6%)].In some cases, however, resistance was quite extensive. Four individuals were infected with viruses with reduced susceptibility to all nucleoside reverse transcriptase inhibitors, 3 to all protease inhibitors and 20 to both NNRTIs. Remarkably, in one individual, the resistance pattern was so extensive that none of the available current antiretroviral drugs was predicted to be fully active. CONCLUSION: The prevalence of TDRM-HIV is quite prominent (9.1%) but did not increase in comparison with a large retrospective European study. Particularly the presence of single NNRTI mutations may impact the efficacy of the first-line regimens. Continuous prospective monitoring remains indicated to explore the patterns and factors contributing to the transmission of TDRMs as well as the potential clinical consequences.

Details

Database :
OAIster
Journal :
Wensing , A M J , Vercauteren , J , SPREAD investigators , Van De Vijver , D A , Albert , J , Åsjö , B , Balotta , C , Camacho , R , Coughlan , S , Grossman , Z , Horban , A , Kücherer , C , Nielsen , C , Paraskevis , D , Loke , W C , Poggensee , G , Puchhammer-Stöckl , E , Riva , C , Ruiz , L , Schmit , J C , Schuurman , R , Salminen , M , Sonnerborg , A , Stanojevic , M , Struck , D , Vandamme , A M & Boucher , C A B 2008 , ' Transmission of drug-resistant HIV-1 in Europe remains limited to single classes ' , AIDS , vol. 22 , no. 5 , pp. 625-635 .
Notes :
application/pdf, English
Publication Type :
Electronic Resource
Accession number :
edsoai.on1383760251
Document Type :
Electronic Resource