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A Simple Screening Approach to Reduce B*5701-Associated Abacavir Hypersensitivity on the Basis of Sequence Variation in HIV Reverse Transcriptase
Author(s) -
Celia Chui,
Zabrina L. Brumme,
Chanson J. Brumme,
Benita Yip,
Elizabeth J. Phillips,
Joan Montaner,
P. Richard Harrigan
Publication year - 2007
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/517499
Subject(s) - abacavir , medicine , human leukocyte antigen , reverse transcriptase , discontinuation , hla b , virology , immunology , viral load , virus , biology , antigen , genetics , polymerase chain reaction , antiretroviral therapy , gene
Abacavir hypersensitivity is strongly associated with the human leukocyte antigen (HLA)-B*5701 allele; however, the cost of routine high-resolution HLA typing before initiation of therapy remains prohibitive. We propose a simple approach to reduce B*5701-associated abacavir hypersensitivity based on the screening of human immunodeficiency virus (HIV) reverse transcriptase (RT) for a signature B*5701-associated cytotoxic T lymphocyte escape mutation at RT codon 245.

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