Primary HIV-1 Drug-Resistant Minority Variants.

Primary HIV drug-resistant mutations are mutations that occur in an HIV-infected individual prior to the initiation of antiretroviral therapy. These mutations may arise by de novo mutagenesis or result from transmission. Drug-resistant mutations may reduce the effectiveness of antiretroviral therapy...

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Publicado en:AIDS Reviews Vol. 19; no. 2; pp. 89 - 97
Autores principales: Chimukangara, Benjamin, Samuel, Reshmi, Naidoo, Kogieleum, de Oliveira, Tulio
Formato: Artículo
Publicado: Publicidad Permanyer SLU Apr-Jun2017
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: Primary HIV-1 Drug-Resistant Minority Variants.
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        au:
          Chimukangara, Benjamin
          Samuel, Reshmi
          Naidoo, Kogieleum
          de Oliveira, Tulio
        affil:
          Africa Centre for Population Health, Doris Duke Medical Research Institute, Nelson Mandela School of Medicine, University of KwaZulu-Natal
          Department of Virology, National Health Laboratory Service, University of KwaZulu-Natal
          Centre for the AIDS Programme of Research in South Africa, University of KwaZulu-Natal
          South African Medical Research Council (SAMRC)-CAPRISA HIV-TB Pathogenesis and Treatment Research Unit. Durban, South Africa
      su:
        HIV infections
        Therapeutics
        Antiretroviral agents
        Genetic mutation
        Drug resistance in microorganisms
        Drug efficacy
      sug:
        subj:
          HIV infections
          Therapeutics
          Antiretroviral agents
          Genetic mutation
          Drug resistance in microorganisms
          Drug efficacy
      keyword:
        Antiretroviral therapy
        Minority variant
        Next generation sequencing
        Primary drug resistance
      ab: Primary HIV drug-resistant mutations are mutations that occur in an HIV-infected individual prior to the initiation of antiretroviral therapy. These mutations may arise by de novo mutagenesis or result from transmission. Drug-resistant mutations may reduce the effectiveness of antiretroviral therapy, leading to inadequate virological outcomes. Currently, Sanger sequencing is the standard method for detection of drug-resistant mutations to inform treatment decisions, but it does not detect minor variant mutations. Drug-resistant minority variants can be detected by next generation sequencing. However, several challenges, including cost of infrastructure and the need for complex data analysis bioinformatics tools, remain major setbacks for next generation sequencing use. More importantly, the clinical impact of drugresistant minority variants on antiretroviral therapy is not well understood, underscoring the importance for understanding whether the levels of primary drug-resistant minority variants for different mutations impact on the effectiveness of antiretroviral therapy and the rationale for inclusion in routine diagnostics. Understanding the impact of primary drug-resistant minority variants will help inform how next generation sequencing may be utilized in the future for pre-emptive clinical antiretroviral therapy decision making.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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      custom: Copyright of AIDS Reviews is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use.
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