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Dolutegravir maintains a durable effect against HIV replication in tissue culture even after drug washout
Author(s) -
Nathan Osman,
Thibault Mésplède,
Peter K. Quashie,
Maureen Oliveira,
Veronica Zanichelli,
Mark A. Wainberg
Publication year - 2015
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/dkv176
Subject(s) - dolutegravir , raltegravir , integrase , integrase inhibitor , virology , pharmacology , reverse transcriptase , viral replication , drug , chemistry , medicine , virus , viral load , human immunodeficiency virus (hiv) , antiretroviral therapy , biochemistry , rna , gene
Of the currently approved HIV integrase strand transfer inhibitors (INSTIs), dolutegravir has shown greater efficacy than raltegravir at suppressing HIV-1 replication in treatment-experienced individuals. Biochemical experiments have also shown that dolutegravir has a longer dissociative half-life when bound to HIV integrase than does raltegravir. In order to study the intracellular efficacy of various INSTIs, we asked whether drug removal from INSTI-treated HIV-1-infected cells would result in different times to viral rebound. In addition, we assessed the role of the R263K substitution within the integrase ORF that is associated with low-level resistance to dolutegravir.

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