HIV mutation literature information.


  Clinical and Public Health Implications of HIV- Genetic Diversity and Drug Resistance Mutations in Angola: A Systematic Review.
 PMID: 33105474       2020       AIDS reviews
Abstract: Over the past 40 years, the frequency of the DRM M184V (50-64.3%, p=0.363), G190A (17.2-46.2%, p=0.021), and K103N (34.5-42.3%, p=0.551) increased, while the frequency of Y181C (17.2-7.7%, p=0.289) decreased.
Abstract: The major DRM in the NRTIs was the M184V, whereas the G190A, K103N, and Y181C were the major DRMs in the NNRTIs.


  High Prevalence of HIV-1 Drug Resistance and Dynamics of Transmission Among High-Risk Populations in Port-au-Prince, Haiti.
 PMID: 33136738       2020       Journal of acquired immune deficiency syndromes (1999)
Abstract: Five clusters (62.5%) had shared DRMs, and K103N and M184V were the main shared mutations.
Result: Five clusters had shared resistance mutations, and K103N (14/24) and M184V (12/24) were the main DRM shared.
Result: Of the DRM, K103N (46/119; 38.6%), which causes high-level resistance to efavirenz and nevirapine, and M184V (35/119; 29.4%), associated with TDF and Emtricitabine (FTC) resistance, were the most frequently observed.


  Predictors of first-line antiretroviral therapy failure among adults and adolescents living with HIV/AIDS in a large prevention and treatment program in Nigeria.
 PMID: 33143751       2020       AIDS research and therapy
Abstract: Of 198 patient-derived samples sequenced during virologic failure, 42 (21%) were wild-type; 145 (73%) carried NNRTI drug resistance mutations; 151 (76.3%) M184I/V; 29 (14.6%) had >= 3 TAMs, and 37 (18.7%) had K65R, of whom all were on TDF-containing first-line regimens.


  In Vivo Emergence of a Novel Protease Inhibitor Resistance Signature in HIV-1 Matrix.
 PMID: 33144375       2020       mBio
Result: These mutations were observed at increased frequency at VF2 both by target-enriched NGS and also direct gag-pro PCR from plasma, but NGS also showed emergence of the lamivudine resistance mutation M184V, suggesting improved adherence to the lamivudine regimen between VF1 and VF2.
Table: M184V


  Emergence of Resistance to Integrase Strand Transfer Inhibitors during Dolutegravir Containing Triple-Therapy in a Treatment-Experienced Patient with Pre-Existing M184V/I Mutation.
 PMID: 33228206       2020       Viruses
Abstract: In addition, this case highlights the need for viral load monitoring in patients on dolutegravir-containing regimens in settings with a high prevalence of the M184V/I mutation such as in low-income countries.
Abstract: This case illustrates that dolutegravir-containing triple-therapy should be prescribed with caution to patients with pre-existing M184V/I mutation and poor efficacy of the reverse transcriptase inhibitor backbone.
Abstract: We describe a rare case of a patient with pre-existing M184V/I mutation and virological failure on a dolutegravir/lamivudine/abacavir regimen with the emergence of integrase strand transfer inhibitor resistance mutations.

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