Antiretroviral resistance and genetic diversity of human immunodeficiency virus type 1 isolates from the Federal District, Central Brazil

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Main Author: Cerqueira, Daniela M
Publication Date: 2004
Other Authors: Amorim, Regina MS, Silva, Ruiter R, Camara, Geni NL, Brígido, Marcelo de Macedo, Martins, Cláudia RF
Format: Article
Language: eng
Source: Repositório Institucional da UnB
Download full: http://repositorio.unb.br/handle/10482/26148
https://dx.doi.org/10.1590/S0074-02762004000800016
Summary: In the context of universal access to antiretroviral therapy, the surveillance of human immunodeficiency virus type 1 (HIV-1) genetic diversity and resistance becomes pivotal. In this work our purpose was to describe the genetic variability; prevalence of drug-resistance mutations; and genotypic resistance profiles in HIV-1 infected individuals under antiretroviral treatment, from the Federal District, Brasília, Central Brazil. The entire viral protease and codons 19 to 234 of the reverse transcriptase gene from 45 HIV-1 isolates were amplified and sequenced for subtyping and genotyping. By phylogenetic analysis, 96% of the samples clustered with subtype B and the remaining 4% with HIV-1 subtype F sequences. One major protease inhibitor resistance-associated mutation, I50V, was detected in 38% of the samples. Minor mutations were also found at the protease gene: L10I/V (7%), K20M (2%), M36I (11%), L63P (20%), A71T (2%), and V77I (7%). Many mutations associated with reduced susceptibility to nucleoside or non-nucleoside reverse transcriptase inhibitors were detected: M41L (11%), E44D (4%), D67N (11%), T69D (2%), K70R (11%), L74V (2%), L100I (4%), K103N (18%), V118I (9%), Y181C (11%), M184V (18%), G190A (4%), T215Y (4%), and K219E (4%). This study has shown that 84% of the studied population from the Federal District, showing evidences of therapy failure, presented viral genomic mutations associated with drug resistance. The main antiretrovirals to which this population showed resistance were the PI amprenavir (38%), the NNRTIs delavirdine, nevirapine (31%), and efavirenz (24%), and the NRTIs lamivudine (18%), abacavir, and zidovudine (13%).
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author Cerqueira, Daniela M
author2 Amorim, Regina MS
Silva, Ruiter R
Camara, Geni NL
Brígido, Marcelo de Macedo
Martins, Cláudia RF
author2_role author
author
author
author
author
author_browse Amorim, Regina MS
Brígido, Marcelo de Macedo
Camara, Geni NL
Cerqueira, Daniela M
Martins, Cláudia RF
Silva, Ruiter R
author_facet Cerqueira, Daniela M
Amorim, Regina MS
Silva, Ruiter R
Camara, Geni NL
Brígido, Marcelo de Macedo
Martins, Cláudia RF
author_role author
bitstream.checksum.fl_str_mv 218e20810b81f1a93a46386b572c43c9
bitstream.checksumAlgorithm.fl_str_mv MD5
bitstream.url.fl_str_mv http://repositorio.unb.br/bitstream/10482/26148/1/v99n8a16.pdf
collection Repositório Institucional da UnB
dc.contributor.author.fl_str_mv Cerqueira, Daniela M
Amorim, Regina MS
Silva, Ruiter R
Camara, Geni NL
Brígido, Marcelo de Macedo
Martins, Cláudia RF
dc.date.accessioned.fl_str_mv 2017-12-07T04:39:12Z
dc.date.available.fl_str_mv 2017-12-07T04:39:12Z
dc.date.issued.fl_str_mv 2004
dc.identifier.citation.fl_str_mv Mem. Inst. Oswaldo Cruz,v.99,n.8,p.877-882,2004
dc.identifier.doi.pt_BR.fl_str_mv https://dx.doi.org/10.1590/S0074-02762004000800016
dc.identifier.uri.fl_str_mv http://repositorio.unb.br/handle/10482/26148
dc.language.iso.fl_str_mv eng
dc.publisher.none.fl_str_mv Instituto Oswaldo Cruz, Ministério da Saúde
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
dc.source.none.fl_str_mv reponame:Repositório Institucional da UnB
instname:Universidade de Brasília (UnB)
instacron:UNB
dc.subject.keyword.pt_BR.fl_str_mv HIV (Vírus)
Genotipagem
Resistência antirretroviral
protease
transcriptase reversa
Brasil
dc.title.pt_BR.fl_str_mv Antiretroviral resistance and genetic diversity of human immunodeficiency virus type 1 isolates from the Federal District, Central Brazil
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
description In the context of universal access to antiretroviral therapy, the surveillance of human immunodeficiency virus type 1 (HIV-1) genetic diversity and resistance becomes pivotal. In this work our purpose was to describe the genetic variability; prevalence of drug-resistance mutations; and genotypic resistance profiles in HIV-1 infected individuals under antiretroviral treatment, from the Federal District, Brasília, Central Brazil. The entire viral protease and codons 19 to 234 of the reverse transcriptase gene from 45 HIV-1 isolates were amplified and sequenced for subtyping and genotyping. By phylogenetic analysis, 96% of the samples clustered with subtype B and the remaining 4% with HIV-1 subtype F sequences. One major protease inhibitor resistance-associated mutation, I50V, was detected in 38% of the samples. Minor mutations were also found at the protease gene: L10I/V (7%), K20M (2%), M36I (11%), L63P (20%), A71T (2%), and V77I (7%). Many mutations associated with reduced susceptibility to nucleoside or non-nucleoside reverse transcriptase inhibitors were detected: M41L (11%), E44D (4%), D67N (11%), T69D (2%), K70R (11%), L74V (2%), L100I (4%), K103N (18%), V118I (9%), Y181C (11%), M184V (18%), G190A (4%), T215Y (4%), and K219E (4%). This study has shown that 84% of the studied population from the Federal District, showing evidences of therapy failure, presented viral genomic mutations associated with drug resistance. The main antiretrovirals to which this population showed resistance were the PI amprenavir (38%), the NNRTIs delavirdine, nevirapine (31%), and efavirenz (24%), and the NRTIs lamivudine (18%), abacavir, and zidovudine (13%).
eu_rights_str_mv openAccess
format article
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publishDate 2004
publishDateSort 2004
publisher.none.fl_str_mv Instituto Oswaldo Cruz, Ministério da Saúde
reponame_str Repositório Institucional da UnB
repository.mail.fl_str_mv repositorio@unb.br
repository.name.fl_str_mv Repositório Institucional da UnB - Universidade de Brasília (UnB)
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spelling Cerqueira, Daniela MAmorim, Regina MSSilva, Ruiter RCamara, Geni NLBrígido, Marcelo de MacedoMartins, Cláudia RF2017-12-07T04:39:12Z2017-12-07T04:39:12Z2004Mem. Inst. Oswaldo Cruz,v.99,n.8,p.877-882,2004http://repositorio.unb.br/handle/10482/26148https://dx.doi.org/10.1590/S0074-02762004000800016In the context of universal access to antiretroviral therapy, the surveillance of human immunodeficiency virus type 1 (HIV-1) genetic diversity and resistance becomes pivotal. In this work our purpose was to describe the genetic variability; prevalence of drug-resistance mutations; and genotypic resistance profiles in HIV-1 infected individuals under antiretroviral treatment, from the Federal District, Brasília, Central Brazil. The entire viral protease and codons 19 to 234 of the reverse transcriptase gene from 45 HIV-1 isolates were amplified and sequenced for subtyping and genotyping. By phylogenetic analysis, 96% of the samples clustered with subtype B and the remaining 4% with HIV-1 subtype F sequences. One major protease inhibitor resistance-associated mutation, I50V, was detected in 38% of the samples. Minor mutations were also found at the protease gene: L10I/V (7%), K20M (2%), M36I (11%), L63P (20%), A71T (2%), and V77I (7%). Many mutations associated with reduced susceptibility to nucleoside or non-nucleoside reverse transcriptase inhibitors were detected: M41L (11%), E44D (4%), D67N (11%), T69D (2%), K70R (11%), L74V (2%), L100I (4%), K103N (18%), V118I (9%), Y181C (11%), M184V (18%), G190A (4%), T215Y (4%), and K219E (4%). This study has shown that 84% of the studied population from the Federal District, showing evidences of therapy failure, presented viral genomic mutations associated with drug resistance. The main antiretrovirals to which this population showed resistance were the PI amprenavir (38%), the NNRTIs delavirdine, nevirapine (31%), and efavirenz (24%), and the NRTIs lamivudine (18%), abacavir, and zidovudine (13%).Em processamentoInstituto Oswaldo Cruz, Ministério da SaúdeAntiretroviral resistance and genetic diversity of human immunodeficiency virus type 1 isolates from the Federal District, Central Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleHIV (Vírus)GenotipagemResistência antirretroviralproteasetranscriptase reversaBrasilinfo:eu-repo/semantics/openAccessengreponame:Repositório Institucional da UnBinstname:Universidade de Brasília (UnB)instacron:UNBORIGINALv99n8a16.pdfapplication/pdf122593http://repositorio.unb.br/bitstream/10482/26148/1/v99n8a16.pdf218e20810b81f1a93a46386b572c43c9MD51open access10482/261482024-08-28 16:04:07.368open accessoai:repositorio.unb.br:10482/26148Repositório InstitucionalPUBhttps://repositorio.unb.br/oai/requestrepositorio@unb.bropendoar:2024-08-28T19:04:07Repositório Institucional da UnB - Universidade de Brasília (UnB)
spellingShingle Antiretroviral resistance and genetic diversity of human immunodeficiency virus type 1 isolates from the Federal District, Central Brazil
Cerqueira, Daniela M
HIV (Vírus)
Genotipagem
Resistência antirretroviral
protease
transcriptase reversa
Brasil
status_str publishedVersion
title Antiretroviral resistance and genetic diversity of human immunodeficiency virus type 1 isolates from the Federal District, Central Brazil
title_full Antiretroviral resistance and genetic diversity of human immunodeficiency virus type 1 isolates from the Federal District, Central Brazil
title_fullStr Antiretroviral resistance and genetic diversity of human immunodeficiency virus type 1 isolates from the Federal District, Central Brazil
title_full_unstemmed Antiretroviral resistance and genetic diversity of human immunodeficiency virus type 1 isolates from the Federal District, Central Brazil
title_short Antiretroviral resistance and genetic diversity of human immunodeficiency virus type 1 isolates from the Federal District, Central Brazil
title_sort Antiretroviral resistance and genetic diversity of human immunodeficiency virus type 1 isolates from the Federal District, Central Brazil
topic HIV (Vírus)
Genotipagem
Resistência antirretroviral
protease
transcriptase reversa
Brasil
url http://repositorio.unb.br/handle/10482/26148
https://dx.doi.org/10.1590/S0074-02762004000800016