HIV mutation literature information.


  Transmitted drug resistance and transmission clusters among HIV-1 treatment-naive patients in Guangdong, China: a cross-sectional study.
 PMID: 34488793       2021       Virology journal
Discussion: The most frequent PI-associated mutation in our study was M46L, whereas it is Q56E in southwest China, M46I in Iceland, and L90M in the south-central United States.


  High Detection Rate of HIV Drug Resistance Mutations among Patients Who Fail Combined Antiretroviral Therapy in Manaus, Brazil.
 PMID: 34212033       2021       BioMed research international
Result: Only half of the individuals had used PI (n = 46/82), only 17% of individuals presented DRMs associated with protease inhibitors (n = 14), and the most frequent mutations were V82A/L/M (6/82; 7.3%) and I54L/M/V (5/82; 6%), L90M (4/82; 4.8%), and M46L/I (4/82; 4.8%) (Figure 1).


  Reverse transcriptase and protease inhibitors mutational viral load in HIV infected pregnant women with transmitted drug resistance in Argentina.
 PMID: 34085506       2021       Revista espanola de quimioterapia
Abstract: Most frequent PI-RAMs were I85V, M46I, I50V and L90M (n=2, 5% each).
Result: Most frequent PI-RAMS were I85V, M46I, I50V and L90M (n=2, 5% each), all of them with modest impact in the activity of currently available PIs.


  Nationwide Study of Drug Resistance Mutations in HIV-1 Infected Individuals under Antiretroviral Therapy in Brazil.
 PMID: 34069929       2021       International journal of molecular sciences
Result: The SDRM with most similar prevalence when comparing both groups were M46I, V82A, L90M and I54V.


  Acquired HIV-1 Protease Conformational Flexibility Associated with Lopinavir Failure May Shape the Outcome of Darunavir Therapy after Antiretroviral Therapy Switch.
 PMID: 33805099       2021       Biomolecules
Introduction: The major PI mutations are M46I and I54V found in the flap region, L76V located in the central beta-sheet that forms one of the active site's borders, the V82A mutation, which is found in the active site; and the L90M and L33F mutations in the HIV-1 PR hydrophobic core.
Discussion: A comparative analysis of the genotypic variation in the HIV-1 PR from subtype B and C from laboratory-generated sequences and publicly available database showed the L90M occur more in HIV-1 subtype B PR than HIV-1 PR variants from subtype C.
Discussion: The


  Transmitted HIV-1 drug resistance in a large international cohort using next-generation sequencing: results from the Strategic Timing of Antiretroviral Treatment (START) study.
 PMID: 33369017       2021       HIV medicine
Discussion: However, mutations like the RT K103NS, the T215 revertants and the PI L90M appear to have little effect on viral fitness and may persist for prolonged periods in individ
Discussion: Within the PI-related DRMs, the same picture emerged, with M46IL and D30N predominately seen as minor variants, whereas L90M (associated with saquinavir resistance), if present, dominated the quasispecies.
Discussion: study, a similar pattern was observed, with the M46IL and D30N detected predominately as minor variants while the majority of L90M mutations occurred above the 20% threshold.


  High prevalence of integrase mutation L74I in West African HIV-1 subtypes prior to integrase inhibitor treatment.
 PMID: 32105319       2020       The Journal of antimicrobial chemotherapy
Table: L90M


  Pretreatment HIV drug resistance spread within transmission clusters in Mexico City.
 PMID: 31819984       2020       The Journal of antimicrobial chemotherapy
Result: The most frequent PI mutations included M46I/L and L90M.


  Highly drug-resistant HIV-1 protease reveals decreased intra-subunit interactions due to clusters of mutations.
 PMID: 31920003       2020       The FEBS journal
Result: Another study on single mutants V32I, L33F, L76V, and L90M showed how remote mutations can impact inhibitor binding by altering protein ensemble dynamics through a rearranged network of residues circulating to the active site.


  Trend of HIV-1 drug resistance in China: A systematic review and meta-analysis of data accumulated over 17 years (2001-2017).
 PMID: 31922125       2020       EClinicalMedicine
Result: Four mutations T69D (NRTI), K103N/S (NNRTI), M46I/L (PI) and L90M (PI) showed significantly different percentages in different subtypes (p < 0.05) (Table 1).
Table: L90M



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