HIV mutation literature information.


  Prevalence of pre-existing resistance-associated mutations to rilpivirine, emtricitabine and tenofovir in antiretroviral-naive patients infected with B and non-B subtype HIV-1 viruses.
 PMID: 23361642       2013       The Journal of antimicrobial chemotherapy
Abstract: The prevalence of K65R and M184I/V was 0.06% (1/1729) and 1% (18/1729), respectively.
Abstract: We also studied the M184V/I and K65R mutations for emtricitabine and tenofovir, respectively.


  HIV-1 drug resistance and associated factors among adults failing first-line highly active antiretroviral therapy in Ho Chi Minh City, Vietnam.
 PMID: 23372113       2013       HIV clinical trials
Abstract: Among 87 participating individuals with VL >=1,000 copies/mL, 11 people still harbored a wild-type strain, while 76 participants harbored a HIV-1 drug-resistant strain (2 of which were against protease inhibitors); common DRMs were M184I/V (74%), Y181I/C/V (39%), G190A/S (32%), T215Y/F (32%), and K103N (31%).


  Combination therapies, effectiveness, and adherence in patients with HIV infection: clinical utility of a single tablet of emtricitabine, rilpivirine, and tenofovir.
 PMID: 23413112       2013       HIV/AIDS (Auckland, N.Z.)
Conclusion: Also of concern is that the patients who developed resistant viruses in the ECHO and THRIVE studies commonly had mutations at both the E138K and M184I positions in the HIV reverse transcriptase gene, leading to dual resistance against both rilpivirine and emtricitabine.
Conclusion: The fact that E138K causes cross-resistance among all currently approved members of the non-NRTI family of drugs, including rilpivirine, etravirine, efavirenz, and nevirapine, while M184I confers resistance against both emtricitabine and lamivudine, is also disconcerting.
Conclusion: This is also a concern because of reports that viruses containing both M184I and E138K may have high replicative fitness.


  Human APOBEC3G-mediated hypermutation is associated with antiretroviral therapy failure in HIV-1 subtype C-infected individuals.
 PMID: 23443042       2013       Journal of the International AIDS Society
Abstract: In therapy-naive individuals, hypermutated proviral DNA with M184I and M230I mutations due to the editing of hA3G, had stop codons in the open reading frames and the same mutations were absent in the plasma virus.
Abstract: It is unlikely that viral variants, which exhibit hypermutated sequences and M184I and/or M230I, will mature and expand in vivo.
Result: As expected, among the NRTI and NNRTI mutations, M184I/V (71.9%), T215Y/F (34.4%), K103N (34.3%), and Y181C (28.1%) were the most prevalent in any of the compartments.

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