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Acta Virologica Vol.62, No.3, p.259-265, 2018 |
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Title: Drug resistance-associated mutations in antiretroviral treatment-naïve and -experienced patients in Kuwait | ||
Author: W. CHEHADEH, O. ALBAKSAMI, S. E. JOHN, W. AL-NAKIB | ||
Abstract: The identification of human immunodeficiency virus (HIV) mutations leading to drug resistance enables patient-specific adaptation of the treatment regimen and predicts the risk of transmission of drug-resistant HIV. In this study, we report for the first time the prevalence in Kuwait of non-polymorphic resistance-associated mutations (RAMs) in patients under first-line antiretroviral therapy. Viral RNA was extracted from plasma samples of 64 treatment-naïve (untreated) and 64 treatment-experienced patients. The HIV-1 load was determined by real-time RT-PCR. The protease- and reverse transcriptase-encoding regions were analyzed by subtyping, and for drug resistance. The HIV-1 load at sampling in treatment-naïve patients ranged from 1.61 x 104 to 1.91 x 106 copies/ml, whereas that in treatment-experienced patients ranged from bitors (PIs) and NNRTIs. These results necessitate efforts to be made for reducing emergence of resistance-associated mutations in treated patients, and highlight the need for continuous monitoring of drug resistance patterns in Kuwait. |
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Keywords: HIV-1; genotyping; mutations; drug resistance; surveillance; Kuwait | ||
Published online: 30-Aug-2018 | ||
Year: 2018, Volume: 62, Issue: 3 | Page From: 259, Page To: 265 | |
doi:10.4149/av_2018_219 |
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