Synonymous Genetic Polymorphisms within Brazilian Human Immunodeficiency Virus Type 1 Subtypes May Influence Mutational Routes to Drug Resistance
Background. Most published data on antiretroviral-drug resistance is generated from in vitro or in vivo studies of subtype B virus. However, this subtype is associated with !10% of HIV infections worldwide, and it is essential to explore subtype-specific determinants of drug resistance. One potentia...
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description | Background. Most published data on antiretroviral-drug resistance is generated from in vitro or in vivo studies of subtype B virus. However, this subtype is associated with !10% of HIV infections worldwide, and it is essential to explore subtype-specific determinants of drug resistance. One potential cause of the differences between subtypes is the synonymous codon usage at key resistance positions. Methods. We investigated the nucleotide sequences at drug resistance-related sites, for all major Brazilian subtypes (B, C, and F1) of human immunodeficiency virus type 1 (HIV-1) group M. Results. We identified a change at positions 151 and 210 of the reverse-transcriptase region in subtype F1, such that the emergence of these key nucleoside/nucleotide analogue resistance mutations required an extra nucleotide change in subtype F1, compared with subtypes B and C. The clinical significance of position 210 was confirmed within a large Brazilian database, in which we identified a lower prevalence of the L210W mutation in subtype F1 virus, compared with subtype B virus, in patients matched for thymidine-analogue experience. An inverse relationship between the L210W and K70R mutations was also observed. Conclusions. The findings of the present study illustrate an important mechanism by which a subtype may determine genetic routes to resistance, with implications for treatment strategies for populations infected with HIV-1 subtype F. |
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Most published data on antiretroviral-drug resistance is generated from in vitro or in vivo studies of subtype B virus. However, this subtype is associated with !10% of HIV infections worldwide, and it is essential to explore subtype-specific determinants of drug resistance. One potential cause of the differences between subtypes is the synonymous codon usage at key resistance positions. Methods. We investigated the nucleotide sequences at drug resistance-related sites, for all major Brazilian subtypes (B, C, and F1) of human immunodeficiency virus type 1 (HIV-1) group M. Results. We identified a change at positions 151 and 210 of the reverse-transcriptase region in subtype F1, such that the emergence of these key nucleoside/nucleotide analogue resistance mutations required an extra nucleotide change in subtype F1, compared with subtypes B and C. The clinical significance of position 210 was confirmed within a large Brazilian database, in which we identified a lower prevalence of the L210W mutation in subtype F1 virus, compared with subtype B virus, in patients matched for thymidine-analogue experience. An inverse relationship between the L210W and K70R mutations was also observed. Conclusions. The findings of the present study illustrate an important mechanism by which a subtype may determine genetic routes to resistance, with implications for treatment strategies for populations infected with HIV-1 subtype F.</description><identifier>ISSN: 0022-1899</identifier><identifier>EISSN: 1537-6613</identifier><identifier>DOI: 10.1086/382483</identifier><identifier>PMID: 15031792</identifier><identifier>CODEN: JIDIAQ</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>AIDS ; Base Sequence ; Biological and medical sciences ; Brazil ; Codon - genetics ; Codons ; DNA, Viral - chemistry ; DNA, Viral - genetics ; Drug resistance ; Drug Resistance, Viral - genetics ; Fundamental and applied biological sciences. Psychology ; Genetic mutation ; HIV ; HIV 1 ; HIV Infections - drug therapy ; HIV Protease - genetics ; HIV-1 - genetics ; HIV-1 - metabolism ; HIV/AIDS ; Human immunodeficiency virus 1 ; Human viral diseases ; Humans ; Infectious diseases ; Medical genetics ; Medical sciences ; Microbiology ; Miscellaneous ; Molecular Sequence Data ; Nucleotide sequences ; Point Mutation - genetics ; Polymorphism, Genetic ; RNA-Directed DNA Polymerase - genetics ; Sequence Alignment ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. 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Most published data on antiretroviral-drug resistance is generated from in vitro or in vivo studies of subtype B virus. However, this subtype is associated with !10% of HIV infections worldwide, and it is essential to explore subtype-specific determinants of drug resistance. One potential cause of the differences between subtypes is the synonymous codon usage at key resistance positions. Methods. We investigated the nucleotide sequences at drug resistance-related sites, for all major Brazilian subtypes (B, C, and F1) of human immunodeficiency virus type 1 (HIV-1) group M. Results. We identified a change at positions 151 and 210 of the reverse-transcriptase region in subtype F1, such that the emergence of these key nucleoside/nucleotide analogue resistance mutations required an extra nucleotide change in subtype F1, compared with subtypes B and C. The clinical significance of position 210 was confirmed within a large Brazilian database, in which we identified a lower prevalence of the L210W mutation in subtype F1 virus, compared with subtype B virus, in patients matched for thymidine-analogue experience. An inverse relationship between the L210W and K70R mutations was also observed. Conclusions. The findings of the present study illustrate an important mechanism by which a subtype may determine genetic routes to resistance, with implications for treatment strategies for populations infected with HIV-1 subtype F.</description><subject>AIDS</subject><subject>Base Sequence</subject><subject>Biological and medical sciences</subject><subject>Brazil</subject><subject>Codon - genetics</subject><subject>Codons</subject><subject>DNA, Viral - chemistry</subject><subject>DNA, Viral - genetics</subject><subject>Drug resistance</subject><subject>Drug Resistance, Viral - genetics</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Genetic mutation</subject><subject>HIV</subject><subject>HIV 1</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Protease - genetics</subject><subject>HIV-1 - genetics</subject><subject>HIV-1 - metabolism</subject><subject>HIV/AIDS</subject><subject>Human immunodeficiency virus 1</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Medical genetics</subject><subject>Medical sciences</subject><subject>Microbiology</subject><subject>Miscellaneous</subject><subject>Molecular Sequence Data</subject><subject>Nucleotide sequences</subject><subject>Point Mutation - genetics</subject><subject>Polymorphism, Genetic</subject><subject>RNA-Directed DNA Polymerase - genetics</subject><subject>Sequence Alignment</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><subject>Virology</subject><subject>Viruses</subject><issn>0022-1899</issn><issn>1537-6613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkdtu1DAURSMEokOBPwAZJHgL-DJO7EdaaGekDpfOgBAvlpM41NMkDr4Iwl_wx5xqRi1CQsiSbfksbZ-zd5Y9JPgFwaJ4yQSdC3YrmxHOyrwoCLudzTCmNCdCyoPsXghbjPGcFeXd7IBwzEgp6Sz7tZ4GN0y9SwGdmsFEW6P3roMHP17Y0Af03cYLO6Ajr3_azuoBLVIP-7Lv0-Aa09ramqGe0CfrQWMzjQYRtE5VhFtAKz2h5dB2CRiDVinqaN2gO3TuUoR6dOi1T1_RuQk2RA3Q_exOq7tgHuzPw-zjyZvN8SI_e3e6PH51ltfzUsZclzBAIUxFSSUI56JqSEu41KyRpGJty2HNKyJ4Q9tGmJoSWmDOaC11LYqSHWbPd7qjd9-SCVH1NtSm6_RgwA0F-gxcFf8FoQ9eUk4BfPoXuHXJw7BBUcokFpKTG7XauxC8adXoba_9pAhWV1GqXZQAPt6rpao3zQ22zw6AZ3tAh1p3rQf3bPiDg6Y4lcA92XEujf_-7NGO2Ybo_DXFMC65ZFdd57s6hGR-XNe1v1RgZcnV4vMXRT6s6dFmdaLest-zK8mp</recordid><startdate>20040401</startdate><enddate>20040401</enddate><creator>Dumans, Ana T.</creator><creator>Soares, Marcelo A.</creator><creator>Machado, Elizabeth S.</creator><creator>Hué, Stéphane</creator><creator>Brindeiro, Rodrigo M.</creator><creator>Pillay, Deenan</creator><creator>Tanuri, Amilcar</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20040401</creationdate><title>Synonymous Genetic Polymorphisms within Brazilian Human Immunodeficiency Virus Type 1 Subtypes May Influence Mutational Routes to Drug Resistance</title><author>Dumans, Ana T. ; Soares, Marcelo A. ; Machado, Elizabeth S. ; Hué, Stéphane ; Brindeiro, Rodrigo M. ; Pillay, Deenan ; Tanuri, Amilcar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-a717968eb21b81558bd1f159a3d91b3ff5f5f4b185d2fd8ec21260532c9ac8673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>AIDS</topic><topic>Base Sequence</topic><topic>Biological and medical sciences</topic><topic>Brazil</topic><topic>Codon - genetics</topic><topic>Codons</topic><topic>DNA, Viral - chemistry</topic><topic>DNA, Viral - genetics</topic><topic>Drug resistance</topic><topic>Drug Resistance, Viral - genetics</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Genetic mutation</topic><topic>HIV</topic><topic>HIV 1</topic><topic>HIV Infections - drug therapy</topic><topic>HIV Protease - genetics</topic><topic>HIV-1 - genetics</topic><topic>HIV-1 - metabolism</topic><topic>HIV/AIDS</topic><topic>Human immunodeficiency virus 1</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Medical genetics</topic><topic>Medical sciences</topic><topic>Microbiology</topic><topic>Miscellaneous</topic><topic>Molecular Sequence Data</topic><topic>Nucleotide sequences</topic><topic>Point Mutation - genetics</topic><topic>Polymorphism, Genetic</topic><topic>RNA-Directed DNA Polymerase - genetics</topic><topic>Sequence Alignment</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><topic>Virology</topic><topic>Viruses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dumans, Ana T.</creatorcontrib><creatorcontrib>Soares, Marcelo A.</creatorcontrib><creatorcontrib>Machado, Elizabeth S.</creatorcontrib><creatorcontrib>Hué, Stéphane</creatorcontrib><creatorcontrib>Brindeiro, Rodrigo M.</creatorcontrib><creatorcontrib>Pillay, Deenan</creatorcontrib><creatorcontrib>Tanuri, Amilcar</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dumans, Ana T.</au><au>Soares, Marcelo A.</au><au>Machado, Elizabeth S.</au><au>Hué, Stéphane</au><au>Brindeiro, Rodrigo M.</au><au>Pillay, Deenan</au><au>Tanuri, Amilcar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Synonymous Genetic Polymorphisms within Brazilian Human Immunodeficiency Virus Type 1 Subtypes May Influence Mutational Routes to Drug Resistance</atitle><jtitle>The Journal of infectious diseases</jtitle><stitle>J Infect Dis</stitle><addtitle>J Infect Dis</addtitle><date>2004-04-01</date><risdate>2004</risdate><volume>189</volume><issue>7</issue><spage>1232</spage><epage>1238</epage><pages>1232-1238</pages><issn>0022-1899</issn><eissn>1537-6613</eissn><coden>JIDIAQ</coden><abstract>Background. Most published data on antiretroviral-drug resistance is generated from in vitro or in vivo studies of subtype B virus. However, this subtype is associated with !10% of HIV infections worldwide, and it is essential to explore subtype-specific determinants of drug resistance. One potential cause of the differences between subtypes is the synonymous codon usage at key resistance positions. Methods. We investigated the nucleotide sequences at drug resistance-related sites, for all major Brazilian subtypes (B, C, and F1) of human immunodeficiency virus type 1 (HIV-1) group M. Results. We identified a change at positions 151 and 210 of the reverse-transcriptase region in subtype F1, such that the emergence of these key nucleoside/nucleotide analogue resistance mutations required an extra nucleotide change in subtype F1, compared with subtypes B and C. The clinical significance of position 210 was confirmed within a large Brazilian database, in which we identified a lower prevalence of the L210W mutation in subtype F1 virus, compared with subtype B virus, in patients matched for thymidine-analogue experience. An inverse relationship between the L210W and K70R mutations was also observed. Conclusions. The findings of the present study illustrate an important mechanism by which a subtype may determine genetic routes to resistance, with implications for treatment strategies for populations infected with HIV-1 subtype F.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>15031792</pmid><doi>10.1086/382483</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | AIDS Base Sequence Biological and medical sciences Brazil Codon - genetics Codons DNA, Viral - chemistry DNA, Viral - genetics Drug resistance Drug Resistance, Viral - genetics Fundamental and applied biological sciences. Psychology Genetic mutation HIV HIV 1 HIV Infections - drug therapy HIV Protease - genetics HIV-1 - genetics HIV-1 - metabolism HIV/AIDS Human immunodeficiency virus 1 Human viral diseases Humans Infectious diseases Medical genetics Medical sciences Microbiology Miscellaneous Molecular Sequence Data Nucleotide sequences Point Mutation - genetics Polymorphism, Genetic RNA-Directed DNA Polymerase - genetics Sequence Alignment Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Virology Viruses |
title | Synonymous Genetic Polymorphisms within Brazilian Human Immunodeficiency Virus Type 1 Subtypes May Influence Mutational Routes to Drug Resistance |
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