HIV mutation literature information.


  Detection and quantification of minority HIV isolates harbouring the D30N mutation by real-time PCR amplification.
 PMID: 17650515       2007       The Journal of antimicrobial chemotherapy
Abstract: METHODS: A real-time PCR assay was optimized for detection of low levels of D30N and tested on in vitro-generated nelfinavir-resistant isolates as well as 10 clinical isolates (which were also characterized by sequencing).
Abstract: Real-time PCR amplification was assessed for its ability to detect the signature mutation for nelfinavir, D30N.


  Systematic evaluation of allele-specific real-time PCR for the detection of minor HIV-1 variants with pol and env resistance mutations.
 PMID: 17662474       2007       Journal of virological methods
Abstract: The assays achieved sensitivities of <1% for the D30N mutation in HIV-1 PR, M184V and I mutations in RT, and V38A in gp41.


  Primary resistance to enfuvirtide (T20) in recently HIV-1 infected, antiretroviral-naive patients from the ANRS Aquitaine Cohort.
 PMID: 17668565       2007       Antiviral therapy
Abstract: The first case had an N42D mutation in the HR1 region of the gp41, along with transmitted resistance mutations in the protease (D30N, M361, N88D) and in the RT (M41L, L210W, T215D).


  Potent new antiviral compound shows similar inhibition and structural interactions with drug resistant mutants and wild type HIV-1 protease.
 PMID: 17696515       2007       Journal of medicinal chemistry
Abstract
Abstract: PR(D30N) and PR(V82A) showed compensating interactions with inhibitor 1 relative to those of PR, while reduced hydrophobic contacts were observed with PR(I50V) and PR(I84V).
Abstract: Compound 1 had inhibition constants of 17-fold, 8-fold, 3-fold, and 3-fold, respectively, for PR(D30N), PR(I50V), PR(V82A), and PR(I84V) relative to wild type PR.


  Effect of transporter modulation on the emergence of nelfinavir resistance in vitro.
 PMID: 17713167       2007       Antiviral therapy
Abstract: Of the 24 isolates passaged without verapamil, 21 carried the D30N mutation at detectable levels.


  Mutational patterns and correlated amino acid substitutions in the HIV-1 protease after virological failure to nelfinavir- and lopinavir/ritonavir-based treatments.
 PMID: 17854027       2007       Journal of medical virology
Abstract: D30N and N88D appeared mostly in patients without previous exposure to protease inhibitors, while K20T was identified as a secondary resistance mutation in those patients.


  High prevalence of primary lamivudine and nelfinavir resistance in HIV-1-infected pregnant women in the United States, 1998-2004.
 PMID: 17885302       2007       AIDS (London, England)
Abstract: The prevalence of nelfinavir resistance (D30N) was 6.3%.


  HIV genotypic resistance testing to optimize antiretroviral prescribing: is there room for improvement?
 PMID: 17926650       2007       Antiviral therapy
Abstract: We analysed the frequency with which patients were prescribed any non-nucleoside reverse transcriptase inhibitor after identification of the K103N mutation in reverse transcriptase and the frequency of prescription of nelfinavir after identification of the D30N mutation in HIV protease; the short-term impact of this action on HIV viral load and CD4+ T-cell count was assessed.


  Molecular analysis of the HIV-1 resistance development: enzymatic activities, crystal structures, and thermodynamics of nelfinavir-resistant HIV protease mutants.
 PMID: 17977555       2007       Journal of molecular biology
Abstract: Crystal structures, molecular dynamics simulations, and calorimetric data for four mutants (D30N, D30N/A71V, D30N/N88D, and D30N/L90M) were used to augment our kinetic data.
Abstract: Here we analyze the proteolytic activities, X-ray structures, and thermodynamics of inhibitor binding to HIV-1 PRs harboring the D30N and L90M mutations alone and in combination with other compensatory mutations.
Abstract: In the PR sequence of viral variants resistant to the PI nelfinavir, the mutations D30N and L90M


  Persistence of genotypic resistance to nelfinavir among women exposed to prophylactic antiretroviral therapy during pregnancy.
 PMID: 18160009       2007       AIDS research and human retroviruses
Abstract: NFV resistance was observed in 4 out of 17 (23.5%) patients exposed to this drug: two major mutations D30N (1/17) and L90M (1/17) and minor mutations (N88S, 2/17).



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