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An Evolutionary Model-Based Approach To Quantify the Genetic Barrier to Drug Resistance in Fast-Evolving Viruses and Its Application to HIV-1 Subtypes and Integrase Inhibitors
Author(s) -
Kristof Theys,
Pieter Libin,
Kristel Van Laethem,
Ana Abecasis
Publication year - 2019
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.00539-19
Subject(s) - integrase , viral evolution , drug resistance , biology , computational biology , drug , genotype , virology , human immunodeficiency virus (hiv) , integrase inhibitor , genetics , viral load , antiretroviral therapy , genome , gene , pharmacology
Viral pathogens causing global disease burdens are often characterized by high rates of evolutionary changes. The extensive viral diversity at baseline can shorten the time to escape from therapeutic or immune selective pressure and alter mutational pathways. The impact of genotypic background on the barrier to resistance can be difficult to capture, particularly for agents in experimental stages or that are recently approved or expanded into new patient populations.

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