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E138A in HIV-1 reverse transcriptase is more common in subtype C than B: Implications for rilpivirine use in resource-limited settings

Identifieur interne : 001488 ( Pmc/Corpus ); précédent : 001487; suivant : 001489

E138A in HIV-1 reverse transcriptase is more common in subtype C than B: Implications for rilpivirine use in resource-limited settings

Auteurs : Nicolas Sluis-Cremer ; Michael R. Jordan ; Kelly Huber ; Carole L. Wallis ; Silvia Bertagnolio ; John W. Mellors ; Neil T. Parkin ; P. Richard Harrigan

Source :

RBID : PMC:4089891

Abstract

The nonnucleoside reverse transcriptase (RT) inhibitor rilpivirine (RPV) has been co-formulated with emtricitabine and tenofovir disoproxil fumarate for initial therapy of HIV-1-infected individuals. RPV, formulated as a long-acting nanosuspension, will also be assessed for its ability to prevent HIV-1 infection in resource limited settings. In this study, we determined whether any pre-existing genetic differences occurred among different HIV-1 subtypes at residues in RT associated with decreased virologic response to RPV. We found that the E138A substitution occurs more frequently in subtype C (range: 5.9–7.5%) than B (range: 0–2.3%) sequences from both treatment-naïve and -experienced individuals (p<0.01) in 4 independent genotype databases. In one of the databases (Stanford University), E138K and E138Q were also more common in RTI-experienced subtype C sequences (1.0% and 1.1%, respectively) than in subtype B sequences (0.3% and 0.6%, respectively). E138A/K/Q in subtype C decreased RPV susceptibility 2.9-, 5.8-, and 5.4-fold, respectively. Taken together, these data suggest that E138A could impact treatment or prevention strategies that include RPV in geographic areas where subtype C infection is prevalent.


Url:
DOI: 10.1016/j.antiviral.2014.04.001
PubMed: 24746459
PubMed Central: 4089891

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PMC:4089891

Le document en format XML

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University of Pittsburgh School of Medicine, Department of Medicine, Division of Infectious Diseases, Pittsburgh, PA, USA</aff>
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Division of Geographic Medicine and Infectious Disease, Tufts Medical Center, Boston, USA</aff>
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Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, USA</aff>
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Lancet Laboratories, Johannesburg, South Africa</aff>
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HIV Department, World Health Organization, Geneva, Switzerland</aff>
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BC Centre for Excellence in HIV/AIDS, Vancouver, Canada</aff>
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Corresponding author: Nicolas Sluis-Cremer, University of Pittsburgh School of Medicine, Department of Medicine, Division of Infectious Diseases, S817 Scaife Hall, 3550 Terrace Street, Pittsburgh, PA, 15261, USA; Tel: 1-412-648-8457; Fax: 1-412-648-8521;
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<p id="P2">The nonnucleoside reverse transcriptase (RT) inhibitor rilpivirine (RPV) has been co-formulated with emtricitabine and tenofovir disoproxil fumarate for initial therapy of HIV-1-infected individuals. RPV, formulated as a long-acting nanosuspension, will also be assessed for its ability to prevent HIV-1 infection in resource limited settings. In this study, we determined whether any pre-existing genetic differences occurred among different HIV-1 subtypes at residues in RT associated with decreased virologic response to RPV. We found that the E138A substitution occurs more frequently in subtype C (range: 5.9–7.5%) than B (range: 0–2.3%) sequences from both treatment-naïve and -experienced individuals (p<0.01) in 4 independent genotype databases. In one of the databases (Stanford University), E138K and E138Q were also more common in RTI-experienced subtype C sequences (1.0% and 1.1%, respectively) than in subtype B sequences (0.3% and 0.6%, respectively). E138A/K/Q in subtype C decreased RPV susceptibility 2.9-, 5.8-, and 5.4-fold, respectively. Taken together, these data suggest that E138A could impact treatment or prevention strategies that include RPV in geographic areas where subtype C infection is prevalent.</p>
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