Le SIDA au Ghana (serveur d'exploration)

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HBV genotypes and drug resistance mutations in antiretroviral treatment-naive and treatment-experienced HBV-HIV-coinfected patients.

Identifieur interne : 000465 ( PubMed/Corpus ); précédent : 000464; suivant : 000466

HBV genotypes and drug resistance mutations in antiretroviral treatment-naive and treatment-experienced HBV-HIV-coinfected patients.

Auteurs : Timothy Na Archampong ; Ceejay L. Boyce ; Margaret Lartey ; Kwamena W. Sagoe ; Adjoa Obo-Akwa ; Ernest Kenu ; Jason T. Blackard ; Awewura Kwara

Source :

RBID : pubmed:27167598

Abstract

The presence of HBV resistance mutations upon initiation or during antiretroviral therapy (ART) in HIV-coinfected patients is an important determinant of treatment response. The main objective of the study was to determine the prevalence of HBV resistance mutations in antiretroviral treatment-naive and treatment-experienced HBV-HIV-coinfected Ghanaian patients with detectable HBV viraemia.

DOI: 10.3851/IMP3055
PubMed: 27167598

Links to Exploration step

pubmed:27167598

Le document en format XML

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<name sortKey="Archampong, Timothy Na" sort="Archampong, Timothy Na" uniqKey="Archampong T" first="Timothy Na" last="Archampong">Timothy Na Archampong</name>
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<nlm:affiliation>Department of Medicine and Therapeutics, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Accra, Ghana.</nlm:affiliation>
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<name sortKey="Lartey, Margaret" sort="Lartey, Margaret" uniqKey="Lartey M" first="Margaret" last="Lartey">Margaret Lartey</name>
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<name sortKey="Sagoe, Kwamena W" sort="Sagoe, Kwamena W" uniqKey="Sagoe K" first="Kwamena W" last="Sagoe">Kwamena W. Sagoe</name>
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<name sortKey="Obo Akwa, Adjoa" sort="Obo Akwa, Adjoa" uniqKey="Obo Akwa A" first="Adjoa" last="Obo-Akwa">Adjoa Obo-Akwa</name>
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<nlm:affiliation>Department of Medicine and Therapeutics, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Accra, Ghana.</nlm:affiliation>
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<name sortKey="Kenu, Ernest" sort="Kenu, Ernest" uniqKey="Kenu E" first="Ernest" last="Kenu">Ernest Kenu</name>
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<nlm:affiliation>Division of Digestive Disease, University of Cincinnati College of Medicine, Cincinnati, OH, USA.</nlm:affiliation>
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<name sortKey="Lartey, Margaret" sort="Lartey, Margaret" uniqKey="Lartey M" first="Margaret" last="Lartey">Margaret Lartey</name>
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<nlm:affiliation>Department of Medicine and Therapeutics, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Accra, Ghana.</nlm:affiliation>
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<name sortKey="Sagoe, Kwamena W" sort="Sagoe, Kwamena W" uniqKey="Sagoe K" first="Kwamena W" last="Sagoe">Kwamena W. Sagoe</name>
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<nlm:affiliation>Department of Medical Microbiology, School of Biomedical and Allied Health Sciences, College of Health Sciences, University of Ghana, Accra, Ghana.</nlm:affiliation>
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<name sortKey="Obo Akwa, Adjoa" sort="Obo Akwa, Adjoa" uniqKey="Obo Akwa A" first="Adjoa" last="Obo-Akwa">Adjoa Obo-Akwa</name>
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<nlm:affiliation>Department of Medicine and Therapeutics, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Accra, Ghana.</nlm:affiliation>
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<name sortKey="Kenu, Ernest" sort="Kenu, Ernest" uniqKey="Kenu E" first="Ernest" last="Kenu">Ernest Kenu</name>
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<nlm:affiliation>Korle-Bu Teaching Hospital, Accra, Ghana.</nlm:affiliation>
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<name sortKey="Blackard, Jason T" sort="Blackard, Jason T" uniqKey="Blackard J" first="Jason T" last="Blackard">Jason T. Blackard</name>
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<nlm:affiliation>Division of Digestive Disease, University of Cincinnati College of Medicine, Cincinnati, OH, USA.</nlm:affiliation>
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<name sortKey="Kwara, Awewura" sort="Kwara, Awewura" uniqKey="Kwara A" first="Awewura" last="Kwara">Awewura Kwara</name>
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<nlm:affiliation>Warren Alpert Medical School of Brown University, Providence, RI, USA.</nlm:affiliation>
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<title level="j">Antiviral therapy</title>
<idno type="eISSN">2040-2058</idno>
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<div type="abstract" xml:lang="en">The presence of HBV resistance mutations upon initiation or during antiretroviral therapy (ART) in HIV-coinfected patients is an important determinant of treatment response. The main objective of the study was to determine the prevalence of HBV resistance mutations in antiretroviral treatment-naive and treatment-experienced HBV-HIV-coinfected Ghanaian patients with detectable HBV viraemia.</div>
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<PMID Version="1">27167598</PMID>
<DateCreated>
<Year>2016</Year>
<Month>07</Month>
<Day>14</Day>
</DateCreated>
<DateRevised>
<Year>2017</Year>
<Month>03</Month>
<Day>14</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">2040-2058</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>22</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2017</Year>
</PubDate>
</JournalIssue>
<Title>Antiviral therapy</Title>
<ISOAbbreviation>Antivir. Ther. (Lond.)</ISOAbbreviation>
</Journal>
<ArticleTitle>HBV genotypes and drug resistance mutations in antiretroviral treatment-naive and treatment-experienced HBV-HIV-coinfected patients.</ArticleTitle>
<Pagination>
<MedlinePgn>13-20</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.3851/IMP3055</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The presence of HBV resistance mutations upon initiation or during antiretroviral therapy (ART) in HIV-coinfected patients is an important determinant of treatment response. The main objective of the study was to determine the prevalence of HBV resistance mutations in antiretroviral treatment-naive and treatment-experienced HBV-HIV-coinfected Ghanaian patients with detectable HBV viraemia.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">HBV-HIV-coinfected patients who were ART-naive or had received at least 9 months of lamivudine (3TC)-containing ART were enrolled in a cross-sectional study. Demographic and clinical data were collected and HBV DNA quantified. Partial HBV sequences were amplified by PCR and sequenced bi-directionally to obtain a 2.1-2.2 kb fragment for phylogenetic analysis of HBV genotypes and evaluation of drug resistance mutations.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 100 HBV-HIV-coinfected study patients, 75 were successfully PCR-amplified, and 63 were successfully sequenced. Of these 63 patients, 27 (42.9%) were ART-experienced and 58 (92.1%) had HBV genotype E. No resistance mutations were observed in the 36 ART-naive patients, while 21 (77.8%) of 27 treatment-experienced patients had resistance mutations. All patients with resistance mutations had no tenofovir in their regimens, and 80% of them had HIV RNA <40 copies/ml. The 3TC resistance mutations rtL180M and rtM204V were observed in 10 (47.6%) of the 21 patients, while 5 patients (23.8%) had rtV173L, rtL180M and rtM204V mutations.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">A high proportion of HBV-HIV-coinfected patients with detectable viraemia on 3TC-containing ART had resistance mutations despite good ART adherence as determined by HIV RNA suppression. This study emphasizes the need for dual therapy as part of a fully suppressive ART in all HBV-HIV-coinfected patients in Ghana.</AbstractText>
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<LastName>Archampong</LastName>
<ForeName>Timothy Na</ForeName>
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<Affiliation>Department of Medicine and Therapeutics, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Accra, Ghana.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Korle-Bu Teaching Hospital, Accra, Ghana.</Affiliation>
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<LastName>Boyce</LastName>
<ForeName>Ceejay L</ForeName>
<Initials>CL</Initials>
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<Affiliation>Division of Digestive Disease, University of Cincinnati College of Medicine, Cincinnati, OH, USA.</Affiliation>
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<LastName>Lartey</LastName>
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<Affiliation>Department of Medicine and Therapeutics, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Accra, Ghana.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Korle-Bu Teaching Hospital, Accra, Ghana.</Affiliation>
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<ForeName>Kwamena W</ForeName>
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<ForeName>Adjoa</ForeName>
<Initials>A</Initials>
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<Affiliation>Korle-Bu Teaching Hospital, Accra, Ghana.</Affiliation>
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<AffiliationInfo>
<Affiliation>School of Public Health, College of Health Sciences, University of Ghana, Accra, Ghana.</Affiliation>
</AffiliationInfo>
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<LastName>Blackard</LastName>
<ForeName>Jason T</ForeName>
<Initials>JT</Initials>
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<Affiliation>Division of Digestive Disease, University of Cincinnati College of Medicine, Cincinnati, OH, USA.</Affiliation>
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<LastName>Kwara</LastName>
<ForeName>Awewura</ForeName>
<Initials>A</Initials>
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<Affiliation>Warren Alpert Medical School of Brown University, Providence, RI, USA.</Affiliation>
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<AffiliationInfo>
<Affiliation>The Miriam Hospital, Providence, RI, USA.</Affiliation>
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<GrantID>D43 TW000237</GrantID>
<Acronym>TW</Acronym>
<Agency>FIC NIH HHS</Agency>
<Country>United States</Country>
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<Grant>
<GrantID>D43 TW010055</GrantID>
<Acronym>TW</Acronym>
<Agency>FIC NIH HHS</Agency>
<Country>United States</Country>
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