HIV mutation literature information.


  Trend of HIV transmitted drug resistance before and after implementation of HAART regimen restriction in the treatment of HIV-1 infected patients in southern Taiwan.
 PMID: 31443633       2019       BMC infectious diseases
Result: The NRTI mutations included K65R (0.27%), D67N (0.27%), L74 V (0.27%), M184 V (1.06%), L210 W (0.2%) and T215S (0.53%).


  Surveillance of transmitted HIV drug resistance among newly diagnosed, treatment-naive individuals at a county HIV clinic in Santa Clara County.
 PMID: 31535044       2019       Heliyon
Discussion: Further, a review of K65R suggested that the mutation is uncommon, and individuals infected with subtype C HIV may be at a greater risk of acquiring the mutation.
Discussion: Interestingly, we would expect the subsequent appearance of TDF/FTC-associated mutations, but we only observed one case of M184V in 2006 and zero cases of K65R, which are major NRTI mutations selected for by FTC/3TC and TDF, respectively.
Discussion: This may be due to the lower selectivity of FTC for M184V and the inhibitive action of M184V and K65R on viral fitness.


  HIV-1 subtype diversity, drug resistance, and genetic transmission networks in men who have sex with men with virologic failure in antiretroviral therapy in Sichuan, China, 2011 to 2017.
 PMID: 31651864       2019       Medicine
Result: M184V/I (236/372, 63.44%), K65KR/R (78/372, 20.97%), D67DN/N (77/372, 20.70%), and K70E/R/KR (72/372, 19.35%) were most common NRTI-related mutations.


  HIV Drug Resistance after Failure of 6 Month First-line Therapy in a Hospital: A Case Series.
 PMID: 31699949       2019       Acta medica Indonesiana
Abstract: The common NRTI mutations were M184VI and K65R, while NNRTI mutations were Y181CFGVY, K103N, A98AG, E138GQ and G190AGS.


  [Postmortem Molecular Epidemiology of HIV-1 Strains Isolated in Turkey].
 PMID: 31709935       2019       Mikrobiyoloji bulteni
Abstract: Detected mutations were as follows: M41L, T215C, K65R, M184V, responsible for nucleoside reverse transcriptase inhibitor (NRTI) resistance; K103N, Y181C, G190A, responsible for non-nucleoside reverse transcriptase inhibitor (NNRTI) resistance; D30N, M46I, responsible for protease inhibitor (PI) resistance.


  Delayed linkage to HIV care among asylum seekers in Quebec, Canada.
 PMID: 31842822       2019       BMC public health
Method: The proportion of patients with M184 V/I, K103 N/S, and K65R mutations, as well as the presence of thymidine analogue mutations (TAMs) were also reported.
Result: M184 V/I, K65R and TAMs were uncommon, as was multidrug resistance.
Table: K65R


  Genetic diversity and antiretroviral resistance-associated mutation profile of treated and naive HIV-1 infected patients from the Northwest and Southwest regions of Cameroon.
 PMID: 31751428       2019       PloS one
Introduction: For example, studies have shown, subtype C may acquire the tenofovir-related mutation K65R more rapidly when compared to subtype B, while mutations associated with resistance to rilpivirine are rare in infected patients with HIV-1 subtypes CRF01-A/E failing a first-line NNRTI-containing regimen.
Table: K65R


  Risk factors and outcomes for the Q151M and T69 insertion HIV-1 resistance mutations in historic UK data.
 PMID: 29661246       2018       AIDS research and therapy
Method: Presence or absence of the K65R mutation was also included as a predictor, and analyses were also conducted including the respective accessory mutations for Q151M and T69i.
Result: Only 3% of patients showed no other mutation, and the most common associated major reverse transcriptase mutations were M184V (47%), K103N (35%) and K65R (29%).
Result: There was no strong evidence that linked TAMs were associated with the probability of viral suppression, although negative effects cannot be ruled out, and there were no cases with a K65R mutation included in this analysis.


  A Trial of a Single-tablet Regimen of Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Disoproxil Fumarate for the Initial Treatment of Human Immunodeficiency Virus Type 2 Infection in a Resource-limited Setting: 48-Week Results From Senegal, West Africa.
 PMID: 29672676       2018       Clinical infectious diseases
Abstract: The 1 subject with virologic failure had multidrug-resistant HIV-2 (reverse transcriptase mutation: K65R; integrase mutations: G140S and Q148R) detected at week 48.


  Increasing proportions of HIV-1 non-B subtypes and of NNRTI resistance between 2013 and 2016 in Germany: Results from the national molecular surveillance of new HIV-diagnoses.
 PMID: 30408827       2018       PloS one
Result: Less frequently observed were the mutations D67N (n = 8), K65R (n = 2) and K70R (n = 2).
Result: The M184V, K70R and K65R mutations induce high level resistance to NRTIs in recommended first-line regimen according to EACS (9.0).
Discussion: So far, resistance mutations selected by tenofovir and emtricitabine (K65R, K70R and M184V) have been rare (below 1%).



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