Evaluation of WHO immunologic criteria for treatment failure: implications for detection of virologic failure, evolution of drug resistance and choice of second-line therapy in India.
PMID: 23735817
2013
Journal of the International AIDS Society
Method: Nucleoside reverse transcriptase inhibitor (NRTI) mutations included in this analysis were as follows: M184V, M184I and M184V/I for lamivudine (3TC) and emtricitabine (FTC) resistance; K65R and K70E, associated with tenofovir (TDF) resistance; thymidine analogue mutations (TAMs) M41L, D67N, K70R, L210W, T215Y, T215F, K219Q, and K219 E, associated with resistance to multiple NRTIs; and multinucleoside mutations, including the
Resistance to tenofovir-based regimens during treatment failure of subtype C HIV-1 in South Africa.
Introduction: In order to further examine the selection of K65R in a subtype C population, we described HIV drug resistance, including the prevalence of minority K65R, K70E, and M184V species, and associations with resistance, including prior receipt of either d4T or zidovudine (AZT), among patients at the time of virological failure on a TDF-containing ART regimen.
Method: Subtype C allele-specific PCR (AS-PCR) assays were used to detect low-level K65R, K70E, and M184V mutations.
Method: The delta cycle thresholds (DeltaCT) and the mutation frequenc
Result: No K70E mutations were detected by AS-PCR.
Result: No patients had the K70E by population sequencing.
Trends in Genotypic HIV-1 Antiretroviral Resistance between 2006 and 2012 in South African Patients Receiving First- and Second-Line Antiretroviral Treatment Regimens.
Abstract: Compared with 720 recipients of a d4T or AZT-containing first-line regimen, the 153 recipients of a TDF-containing first-line regimen were more likely to have the
Result: K70EG occurred in a higher proportion of patients receiving TDF compared to patients receiving d4T or AZT.
Result: K70QEG occurred in 12/153 (7.8%) patients receiving TDF compared with 3/720(0.4%) receiving d4T or AZT (p<0.001).
Discussion: Among patients with virological failure on a first-line dual NRTI plus NNRTI regimen, a higher proportion of those who received TDF and/or ABC had the non-TAMs K65R, K70EQG, L74VI, and Y115F compared with those receiving d4T or AZT.
Persistence of HIV-1 transmitted drug resistance mutations.
PMID: 23904291
2013
The Journal of infectious diseases
Table: K70E
Effectiveness of first-line antiretroviral therapy and correlates of longitudinal changes in CD4 and viral load among HIV-infected children in Ghana.
Discussion: Of concern, HIV-1 from approximately 20% of patients in areas in which subtype C is endemic carries the K65R mutation, the K70E mutation, or both after experiencing VF of a d4T- or ddI-based ART regimen.
Virological failure rates and HIV-1 drug resistance patterns in patients on first-line antiretroviral treatment in semirural and rural Gabon.
PMID: 23199801
2012
Journal of the International AIDS Society
Result: No patient displayed viruses harbouring the K65R or K70E mutation selected by TDF.
Low prevalence of transmitted K65R and other tenofovir resistance mutations across different HIV-1 subtypes: implications for pre-exposure prophylaxis.
PMID: 23305651
2012
Journal of the International AIDS Society
Abstract: K70E and >=3 TAMs were found in 0.015% (95% CI: 0.004 to 0.04) and 0
Result: All 20 sequences with K65R had intermediate or high-level predicted resistance to tenofovir and the three sequences with K70E had low-level predicted tenofovir resistance.
Result: In addition to K65R, other transmitted tenofovir-associated resistance mutations included K70E, seen in three subtype B sequences (0.015%, 95% CI: 0.004 to 0.04) and three or more TAMs (inclusive of either M41L or L210W) seen in 54/19,823 sequences (0.27%, 95% CI: 0.2 to 0.4), the majority of which (46/54) were subtype B sequences.
Discussion: Other tenofovir-associated mutations, such as K70E and T69 insertions, were either rare or absent.