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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Veröffentlicht in:The Journal of infectious diseases 2004-04, Vol.189 (7), p.1232-1238
Hauptverfasser: Dumans, Ana T., Soares, Marcelo A., Machado, Elizabeth S., Hué, Stéphane, Brindeiro, Rodrigo M., Pillay, Deenan, Tanuri, Amilcar
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container_end_page 1238
container_issue 7
container_start_page 1232
container_title The Journal of infectious diseases
container_volume 189
creator Dumans, Ana T.
Soares, Marcelo A.
Machado, Elizabeth S.
Hué, Stéphane
Brindeiro, Rodrigo M.
Pillay, Deenan
Tanuri, Amilcar
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.
doi_str_mv 10.1086/382483
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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. 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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 &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; 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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source Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection
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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