HIV mutation literature information.


  Contribution of APOBEC3G/F activity to the development of low-abundance drug-resistant human immunodeficiency virus type 1 variants.
 PMID: 26482266       2016       Clinical microbiology and infection
Abstract: APOBEC3G/F-associated E138K, M184I and M230I appeared within clonal sequences containing in-frame STOP codons in 2/3 (66%), 5/5 (100%) and 4/4 (100%) of the samples.
Abstract: In a large pan-European case-control study investigating the clinical relevance of pre-existing DRMVs using 454 pyrosequencing, the six most prevalent plasma DRMVs detected corresponded to G-to-A nucleotide mutations (V90I, V106I, V108I, E138K, M184I and M230I).
Abstract: Mutations E138K, M184I and M230I co-occurred in the same sequence as APOBEC3G/F signatures in 3/9 (33%), 5/11 (


  Sub-Epidemics Explain Localized High Prevalence of Reduced Susceptibility to Rilpivirine in Treatment-Naive HIV-1-Infected Patients: Subtype and Geographic Compartmentalization of Baseline Resistance Mutations.
 PMID: 26651266       2016       AIDS research and human retroviruses
Method: Major RPV resistance-associated mutations (RPV-RAMs) were defined based on data from the clinical trials, phenotypic RPV resistance analyses, and package inserts: K101E/P, E138A/G/K/Q/R, V179L, Y181C/I/V, Y188L, H221Y, F227C, M230I/L, and the mutational combination of L100I+K103N.


  Systematic review to determine the prevalence of transmitted drug resistance mutations to rilpivirine in HIV-infected treatment-naive persons.
 PMID: 26761642       2016       Antiviral therapy
Abstract: Pooled results from the Stanford database (n=52,680) correlated with these findings indicating a low prevalence of 8/9 rilpivirine mutations (<0.1%), except for E138A/G/K/Q/R (2.9%, 95% CI 1.8, 4.4).
Abstract: Rilpivirine mutations assessed were: L100I, K101E/P, E138A/G/K/Q/R, V179L, Y181C/I/V, Y188L, H221Y, F227C and M230I/L.
Abstract: The prevalence of E138A/G/K/Q/R mutations is higher (0.7%) and varies according to geographical region and HIV subtype.


  Clinical Outcomes of Virologically-Suppressed Patients with Pre-existing HIV-1 Drug Resistance Mutations Switching to Rilpivirine/Emtricitabine/Tenofovir Disoproxil Fumarate in the SPIRIT Study.
 PMID: 26899540       2016       HIV clinical trials
Abstract: Mutations potentially affecting RPV activity, including E138A/G/K/Q, Y181C, and H221Y, were detected in isolates from 11 patients by one or both assays.


  Molecular Hybridization-Inspired Optimization of Diarylbenzopyrimidines as HIV-1 Nonnucleoside Reverse Transcriptase Inhibitors with Improved Activity against K103N and E138K Mutants and Pharmacokinetic Profiles.
 PMID: 27070547       2016       Journal of medicinal chemistry
Abstract: Compounds 6a, 14c, and 14d showed high potency against the 1b-resistant E138K mutated viral strain as well as good balance between anti-HIV-1 activity and desirable druglike properties.
Abstract: From the perspective of optimizing future NNRTI compounds as clinical trial candidates, computational modeling results provided valuable information about how the R(1) group might provide greater efficacy against the E138K mutant.
Abstract: Three series (6, 13, and 14) of new diarylaniline (DAAN) analogues were designed, synthesized, and evaluated for anti-HIV potency, especially against the E138K viral strain with a major mutation conferring resistance to the new-generation non-nucleoside reverse transcriptase inhibitor drug rilpivirine (1b).


  Role of Rilpivirine and Etravirine in Efavirenz and Nevirapine-Based Regimens Failure in a Resource-Limited Country: A Cross- Sectional Study.
 PMID: 27120449       2016       PloS one
Introduction: According to the ECHO and THRIVE studies, E138K was the most frequently selected mutation (45%) detected in ARVnaive patients who
Result: Interestingly, the most prevalent NNRTI-RAM E138K reported in the ECHO and THRIVE studies were rarely detected in this study.
Result: The authors observed only 2 patients (0.4%) that failed EFV-based regimen had the E138K mutation and none from the failed NVP-based regimen (p = 0.03).


  Rilpivirine and Doravirine Have Complementary Efficacies Against NNRTI-Resistant HIV-1 Mutants.
 PMID: 27124362       2016       Journal of acquired immune deficiency syndromes (1999)
Introduction: A partial list of NNRTI resistance mutations include: L100I, K103N, V106A, E138K, Y181C, Y188L, and H221Y; these mutations can occur singly, or in combinations.
Introduction: DOR loses potency against a number of NNRTI-resistant mutants; however, DOR is generally effective against mutants that reduce the potency of RPV, although DOR did lose some potency against E138K.
Introduction: In addition, viruses that grew out in an in vitro selection with RPV or a compound closely related to RPV had the RT mutations K101E or


  Effect on HIV-1 viral replication capacity of DTG-resistance mutations in NRTI/NNRTI resistant viruses.
 PMID: 27130466       2016       Retrovirology
Figure: a K65R series, b L74V series, c K103N series, d E138K series, e M184I series, and f M184V series.
Figure: d E138K series including NL4.3E138K, NL4.3R263K-E138K, and NL4.3H51Y/R263K-E138K.
Discussion: Given that the R263K substitution has been reported in some INSTI-naive patients in the SAILING study and in tissue culture selections, we aimed to investigate the effects of R263K and its secondary mutation H51Y toge


  Usefulness of an HIV DNA resistance genotypic test in patients who are candidates for a switch to the rilpivirine/emtricitabine/tenofovir disoproxil fumarate combination.
 PMID: 27231280       2016       The Journal of antimicrobial chemotherapy
Abstract: Rilpivirine/emtricitabine/tenofovir disoproxil fumarate RAMs studied were K65R, L100I, K101E/P, E138A/G/K/R/Q, V179L, Y181C/I/V, M184V/I, Y188L, H221Y, F227C and M230I/L in the RT.


  Rilpivirine as a Treatment for HIV-infected Antiretroviral-naive Adolescents: Week 48 Safety, Efficacy, Virology and Pharmacokinetics.
 PMID: 27294305       2016       The Pediatric infectious disease journal
Abstract: Eight patients experienced virologic failure, including 5 who developed rilpivirine resistance-associated mutations, mostly E138K, K101E and M230L.



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