Drug Resistance Mutations in HIV-Infected Patients in the Spanish Drug Resistance Database Failing Tipranavir and Darunavir Therapy
Author(s) -
Eva Poveda,
Lourdes Anta,
José Luis Blanco,
José L. Casado,
Félix Gutiérrez,
Féderico García,
Juan Luís Gómez-Sirvent,
José Antonio Iribarren,
Vincent Soriano,
Carmen de Mendoza
Publication year - 2010
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.00160-10
Subject(s) - darunavir , drug resistance , medicine , drug , mutation , resistance mutation , virology , pharmacology , human immunodeficiency virus (hiv) , biology , antiretroviral therapy , genetics , viral load , gene , polymerase chain reaction , reverse transcriptase
The presence of resistance mutations in patients failing tipranavir or darunavir was examined at the national drug resistance database of the Spanish AIDS Research Network. Although mutations emerging during tipranavir and darunavir failures differed considerably, cross-resistance was found in up to half of the patients tested. Interestingly, mutation 54L, which is associated with tipranavir hypersusceptibility, was selected in half of the darunavir failures. Thus, resistance testing seems mandatory to ensure the benefit of the sequential use of these drugs.
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