HIV-1 Subtypes and Primary Antiretroviral Resistance Mutations in Antiretroviral Therapy Naive HIV-1 Infected Individuals in Turkey

Japanese Journal of Infectious Diseases

A. Willke³  M. Sayan²  F. Sargın¹  N. Ozgunes¹ 

[1] Department of Infectious Diseases and Clinical Microbiology, Goztepe Educational and Research Hospital, University of Istanbul Medeniyet;Clinical Laboratory, PCR Unit, Faculty of Medicine, University of Kocaeli;Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, University of Kocaeli

关键词: HIV-1;    antiretroviral therapy;    HIV drug resistance;    HIV subtypes;    circulating recombinant form;   

DOI  :  10.7883/yoken.66.306

学科分类：传染病学

来源: National Institute of Infectious Diseases

【 摘 要 】

References(29)Cited-By(5)In this study, we determined the subtype distribution and the primary drug-resistant mutations in HIV-1 strains isolated from antiretroviral therapy (ART)-naive patients in Turkey. The study included 117 newly diagnosed HIV-1 positive Turkish patients. HIV-1 subtypes and circulating recombinant forms (CRFs) were identified by phylogenetic analysis (neighbor-joining method), and drug-resistant mutations were analyzed according to the 2009 World Health Organization list of surveillance drug-resistant mutations. Subtype CRFs (CRF 02_AG, CRF 01_AE, CRF 12_BF and CRF 03_AB; 47%, 55/117) and B (33.3%, 39/117) were identified as the most common occurring HIV-1 subtypes in Turkey. The patients had primary antiretroviral resistance mutations to nucleos(t)ide reverse transcriptase (RT) inhibitors (NRTIs) (M41L, T215C, T215D, and K219Q), non-nucleoside RT inhibitors (NNRTIs; K103N), and protease inhibitors (PIs; I47V, G73S). The prevalence of overall primary antiretroviral resistance was 7.6% (9/117) in HIV-1 patients from Turkey and drug-resistant rate for NRTIs, NNRTIs, and PIs were 4.2% (5/117), 1.7% (2/117), and 1.7% (2/117), respectively. In this study, various CRFs of HIV-1 were determined, for the first time, in Turkey. The prevalence of HIV-1 primary drug-resistant mutations in ART-naive patients suggested that resistance testing should be incorporated as an integral part of HIV management, and the choice of a first-line therapy regime should be guided by the results of genotypic resistance in Turkey.

【 授权许可】

Unknown