HIV mutation literature information.


  Energetics of mutation-induced changes in potency of lersivirine against HIV-1 reverse transcriptase.
 PMID: 22574920       2012       The journal of physical chemistry. B
Abstract: The dissociation constant is decreased for the Y188C and G190A (2-fold), the M184V (5-fold), and the Y188C/Y188C mutant (10-fold), due to stronger electrostatic interactions between LRV and RT.


  Identification of drug resistant mutations in HIV-1 CRF07_BC variants selected by nevirapine in vitro.
 PMID: 22984494       2012       PloS one
Discussion: Thus far, about 32 NVP-resistance associated mutations in 17 positions, including 15 major NVP-resistant mutations at 5 positions (K103NST, V106AM, Y181CIV, Y188LHC, G190ASEQ), have been summarized in HIV drug resistance database of Stanford University.


  Analysis of nevirapine resistance in HIV-infected infants who received extended nevirapine or nevirapine/zidovudine prophylaxis.
 PMID: 21487249       2011       AIDS (London, England)
Result: Five infants had NVP resistance mutations other than K103N and Y181C detected by ViroSeq at 14 weeks (V106A, Y188C/L, G190A) in the absence of K103N or Y181C.
Discussion: Five infants had other NVP resistance mutations detected at 14 weeks of age in the absence of K103N or Y181C (
Discussion: However, a previous study suggests that some of those mutations (V106M, Y188C, G190A) may be less likely to persist at high levels in infants after NVP exposure than K103N and Y181C.


  HIV-1 drug resistance at antiretroviral treatment initiation in children previously exposed to single-dose nevirapine.
 PMID: 21633285       2011       AIDS (London, England)
Result: One sample had both K103N and Y188C by population genotype, otherwise multiple major NNRTI mutations were not found.
Result: Other major NNRTI mutations V106M, Y188C and G190A were found in a small proportion of infants under 12 months but were absent in older children.
Result: The G190A and Y188C mutations were each detected in 2 samples and V106I/M in 1 sample.


  High prevalence of HIV-1 drug resistance among patients on first-line antiretroviral treatment in Lome, Togo.
 PMID: 21663632       2011       Journal of the International AIDS Society
Result: V106A/M, K101E and Y188C/L were noted in four, three and two patients, respectively.
Table: Y188C


  Genotypic resistance at viral rebound among patients who received lopinavir/ritonavir-based or efavirenz-based first antiretroviral therapy in South Africa.
 PMID: 21694608       2011       Journal of acquired immune deficiency syndromes (1999)
Result: K103N was the most commonly detected in 9 (25%) participants, V106M in 6 (16.7%), and G190S/A +/- Y188C/L in 6 (16.7%).


  Measuring enzymatic HIV-1 susceptibility to two reverse transcriptase inhibitors as a rapid and simple approach to HIV-1 drug-resistance testing.
 PMID: 21799767       2011       PloS one
Result: On the other hand the NVP-resistant strain Y188C X403-4 resulted in a mean of 8.4 (range 6.9-9.7) for 3TC and 1.9 (range 1.3-2.7) for NVP.


  Resistance patterns selected by nevirapine vs. efavirenz in HIV-infected patients failing first-line antiretroviral treatment: a bayesian analysis.
 PMID: 22132100       2011       PloS one
Method: RT mutations were identified from the International AIDS Society USA Drug (IAS-USA) mutation tables, spring 2008 (http://www.iasusa.org/resistance_mutations): M41L, K65R, D67N, insertion 69, K70R/E, L74I/V, L100I, K103N, V106A/M, V108I, Q151M, Y181I/C, M184V, Y188C/L, G190A/S, L210W, T215Y/F,  PMID: 19915448       2010       AIDS (London, England)
Abstract: Postpartum nonnucleoside reverse transcriptase inhibitor (NNRTI) resistance rates among women receiving nevirapine were 25% for K103N (37.5% by ASPCR) and 12.5% for Y188C.
Result: Using population sequencing of plasma viruses, the postpartum rates of NNRTI resistance among the eight women receiving nevirapine were: 25% [95% CI: 3.2%-65.1%] for K103N (2 cases), and 12.5%% [95% CI: 0.3%-52.7%] for Y188C (1 case).


  Low frequency nonnucleoside reverse-transcriptase inhibitor-resistant variants contribute to failure of efavirenz-containing regimens in treatment- experienced patients.
 PMID: 20102272       2010       The Journal of infectious diseases
Method: For single-genome sequencing analyses, a total of 27 subjects (15 NNRTI-naive and 12 NNRTI-experienced) were randomly selected from enrollees meeting the following criteria: i) entry sample negative for NNRTI-resistance mutations by standard genotype analysis (ViroSeq platform; Celera, Alameda, CA); ii) reached a protocol-defined virologic failure endpoint by study week 24, and iii) the virologic failure sample had one or more major NNRTI-resistance mutations (L100I, K101E, K103N, V106A or M, V108I, Y181C or I, Y188C, H, or L, G



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