G118R and F121Y mutations identified in patients failing raltegravir treatment confer dolutegravir resistance
Author(s) -
Soundasse Munir,
Eloïse Thierry,
Isabelle Malet,
Frédéric Subra,
Vincent Cálvez,
AnneGeneviève Marcelin,
Eric Deprez,
Olivier Delelis
Publication year - 2014
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/dku474
Subject(s) - dolutegravir , raltegravir , medicine , virology , drug resistance , integrase inhibitor , pharmacology , genetics , biology , human immunodeficiency virus (hiv) , antiretroviral therapy , viral load
Strand transfer inhibitors (raltegravir, elvitegravir and dolutegravir) are now commonly used to inhibit HIV-1 integration. To date, three main pathways conferring raltegravir/elvitegravir resistance, involving residues Y143, Q148 and N155, have been described. However, no pathway has been clearly described for dolutegravir resistance. The aim of this study was to characterize the susceptibility of two mutations, F121Y and G118R, originally described in patients failing raltegravir-containing regimens, to dolutegravir and raltegravir, and then to compare the resistance of these mutations with that of other well-known mutations involved in raltegravir resistance.
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