Decreasing population selection rates of resistance mutation K65R over time in HIV-1 patients receiving combination therapy including tenofovir
Author(s) -
Kristof Theys,
J. Snoeck,
Jurgen Vercauteren,
Ana Abecasis,
Anne–Mieke Vandamme,
Ricardo Camacho
Publication year - 2012
Publication title -
journal of antimicrobial chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.124
H-Index - 194
eISSN - 1460-2091
pISSN - 0305-7453
DOI - 10.1093/jac/dks380
Subject(s) - tenofovir , virology , resistance mutation , population , nucleoside reverse transcriptase inhibitor , human immunodeficiency virus (hiv) , reverse transcriptase , drug resistance , reverse transcriptase inhibitor , hiv drug resistance , medicine , selection (genetic algorithm) , antiretroviral therapy , biology , viral load , genetics , rna , environmental health , artificial intelligence , computer science , gene
The use of tenofovir is highly associated with the emergence of mutation K65R, which confers broad resistance to nucleoside/nucleotide analogue reverse transcriptase inhibitors (NRTIs), especially when tenofovir is combined with other NRTIs also selecting for K65R. Although recent HIV-1 treatment guidelines discouraging these combinations resulted in reduced K65R selection with tenofovir, updated information on the impact of currently recommended regimens on the population selection rate of K65R is presently lacking.
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