Genotypic resistance of archived and circulating viral strains in the blood of treated HIV-infected individuals

The aim of this study was to evaluate patterns of antiretroviral resistance of HIV-1 in peripheral blood mononuclear cells (PBMCs) and in the plasma of patients whose therapeutic regimen is failing. Plasma and PBMC samples were collected from 95 HIV-infected patients undergoing long-term treatment. Genotyping of the reverse transcriptase (RT) and protease genes of HIV-1 was undertaken using the fluorescent dideoxy-terminator method. Comparison of the amino acid sequence of the RT and protease genes in cell-associated variants of HIV-1 with that of the plasma revealed that 62 of the 95 patients' samples tested exhibited different genotypic resistance patterns (discordant samples [DSs]). In 27% of samples, the patterns of resistance detected were concordant in both compartments. In 51% of DSs, the greatest number of mutations was found in plasma; however, in 37% of DSs, greater numbers of mutations were found in PBMC DNA. The HIV mutation patterns detected in plasma do not necessarily reflect those found in the cell-associated compartment. The observation that the cellular compartment may contain an archive of the resistance variant makes this reservoir an interesting substrate for analysis of the "resistance potential" in a given patient.

Medienart:

Artikel

Erscheinungsjahr:

2007

Erschienen:

2007

Enthalten in:

Zur Gesamtaufnahme - volume:44

Enthalten in:

Journal of acquired immune deficiency syndromes (1999) - 44(2007), 5 vom: 15. Apr., Seite 518-24

Sprache:

Englisch

Beteiligte Personen:

Turriziani, Ombretta [VerfasserIn]
Bucci, Mauro [VerfasserIn]
Stano, Armando [VerfasserIn]
Scagnolari, Carolina [VerfasserIn]
Bellomi, Francesca [VerfasserIn]
Fimiani, Caterina [VerfasserIn]
Mezzaroma, Ivano [VerfasserIn]
D'Ettorre, Gabriella [VerfasserIn]
Brogi, Andrea [VerfasserIn]
Vullo, Vincenzo [VerfasserIn]
Antonelli, Guido [VerfasserIn]

Themen:

Anti-HIV Agents
EC 2.7.7.49
EC 3.4.23.-
HIV Protease
HIV Reverse Transcriptase
Journal Article
RNA, Viral

Anmerkungen:

Date Completed 16.05.2007

Date Revised 30.09.2020

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM167711164