HIV mutation literature information.


  Phase 2 Open-Label Study of Long-Term Safety, Tolerability, and Antiviral Activity of Rilpivirine in Antiretroviral-Naive Adolescents Living with HIV-1.
 PMID: 34871089       2022       Antimicrobial agents and chemotherapy
Result: The most frequent treatment-emergent NRTI RAM was M184V (4/15 patients [26.7%]).
Result: Three patients had both treatment-emergent RPV RAM E138K and NRTI RAM M184V at the last post-baseline time point with genotypic data.
Discussion: The most common treatment-emergent RPV and NRTI RAMs were E138K and M184V, respectively.


  Prevalence and patterns of HIV drug resistance in patients with suspected virological failure in North-Western Tanzania.
 PMID: 35107140       2022       The Journal of antimicrobial chemotherapy
Abstract: Common mutations in RT were M184V (75%), T215Y (41.1%), K103N (39.3%), M41L (32.1%), D67DN (30.3%), G190A (28.6%) and A98G (26.8%).
Table: M184V
Discussion: Some of the most common mutations in this study were M184V, K103N, Y181C and G190A, which occurred at similar frequencies to those reported in studies from other SSA and Tanzanian settings.


  Prevalence of transmitted drug resistance among ART-naive HIV-infected individuals, Beijing, 2015-2018.
 PMID: 35092830       2022       Journal of global antimicrobial resistance
Abstract: The thymidine analogue mutations (TAMs) M41L/LM (4, 0.12%) and non-TAMs mutations M184V/MV/MI (8; 0.24%) were the primary NRTI-associated resistance mutations.


  Real-life experience with bictegravir/emtricitabine/tenofovir alafenamide in a large reference clinical centre.
 PMID: 35040990       2022       The Journal of antimicrobial chemotherapy
Abstract: In PLWH carrying an M184V/I substitution, OT RNA <50 copies/mL was 89.5% at M6.


  Comparing effectiveness of first-line antiretroviral therapy between peri-urban and rural clinics in KwaZulu-Natal, South Africa.
 PMID: 35023287       2022       HIV medicine
Abstract: K103N (59%) and M184V (52%) were the most common mutations, followed by V106M and K65R (31% each).


  Switching efavirenz to rilpivirine in virologically suppressed adolescents with HIV: a multi-centre 48-week efficacy and safety study in Thailand.
 PMID: 35001501       2022       Journal of the International AIDS Society
Abstract: Six (5.9%) participants experienced virologic failure, two of whom had RPV-associated mutations (K101E and Y181C) and a lamivudine-associated mutation (M184V/I).
Discussion: While no emergence of RPV resistance was observed in the 4.1% of study participants with virologic failure in the adult study, two of six adolescents with virologic failure in our study developed RPV RAMs (K101E and Y181C) and a lamivudine-associated mutation (M184V/I).


  Brief Report: Bictegravir/Emtricitabine/Tenofovir Alafenamide Efficacy in Participants With Preexisting Primary Integrase Inhibitor Resistance Through 48 Weeks of Phase 3 Clinical Trials.
 PMID: 34897227       2022       Journal of acquired immune deficiency syndromes (1999)
Result: Notably, 4 had INSTI-R combined with NRTI-R substitutions relevant to the emtricitabine (FTC) or TAF components of the B/F/TAF regimen (M184V and/or K70E).
Table: M184V/I
Table: M184V


  Rising rates of recent preexposure prophylaxis exposure among men having sex with men newly diagnosed with HIV: antiviral resistance patterns and treatment outcomes.
 PMID: 34873084       2022       AIDS (London, England)
Abstract: M184V mutation was harboured more commonly in the recent PrEP use group (30% vs.
Abstract: DISCUSSION: Rapid PrEP intensification to ART allowed to achieve high rates of HIV viral suppression despite significant rates of M184V mutation harboured in those newly diagnosed with HIV and reporting recent PrEP exposure.
Result: Among those harbouring a Discussion: At least two-thirds of those carrying a M184V/I mutation in our cohort acquired HIV recently, with a large majority reporting sub-optimal PrEP adherence, irrespectively of the PrEP scheme adopted, confirming the trend observed previously in our cohort and in other reports.
Discussion: We confirm high rates of acquired viral resistance to emtricitabine, mostly in the form of M184V/I mutation, harboured in almost a third of these cases.


  Kinetics of Archived M184V Mutation in Treatment-Experienced Virally Suppressed HIV-Infected Patients.
 PMID: 34415048       2022       The Journal of infectious diseases
Abstract: M184V-positive patients had a longer history of ART, lower CD4 nadir, and higher pretherapeutic HIV RNA.
Abstract: Among 37 patients with viral sequences assessed by UDS, the proportion of M184V-positive DRVs significantly decreased between 2016 and 2019 (40% vs 14%, P = .005).
Abstract: BACKGROUND: We aimed to assess the kinetics of drug-resistant viral variants (DRVs) harboring the M184V mutation in proviral DNA of long-term virally suppressed patients, and factors associated with DRV persistence.


  Diversity of HIV-1 Subtypes and Transmitted Drug-resistance Mutations Among Minority HIV-1 Variants in a Turkish Cohort.
 PMID: 34802406       2022       Current HIV research
Abstract: M41L, L74I, K65R, M184V, and M184I related to NRTI, K103N to NNRTI, and N83D, M46I, I84V, V82A, L24I, L90M, I54V to the PI sites were identified using NGS.



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