Result: Although major
PI resistance mutations was not detected in the non-drug users, three major
PI resistance mutations including
L90M,
M46I and
D30N were detected in 4 (5.1 %) IDUs.
Result: Interestingly, mutation
L90M co-existed with
K20R minor mutation in 1 (2.1 %) ART-experienced IDU, while
D30N co-existed with
T74S+
K20R minor mutations in 1 (3.1 %) ART-naive IDU.
Discussion: Importantly, phenotypic and/or clinical evidence indicate that
D30N mutation confers high-level resistance to nelfinavir;
L90M imparts resistance to nelfinavir, sequinavir, indinavir, and lopin