Effect of zidovudine resistance mutations on virologic response to treatment with zidovudine-lamivudine-ritonavir: genotypic analysis of human immunodeficiency virus type 1 isolates from AIDS clinical trials group protocol 315.ACTG Protocol 315 Team.
Effect of zidovudine resistance mutations on virologic response to treatment with zidovudine-lamivudine-ritonavir: genotypic analysis of human immunodeficiency virus type 1 isolates from AIDS clinical trials group protocol 315.ACTG Protocol 315 Team.
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齐多夫定耐药突变对齐多夫定-拉米夫定-利托那韦治疗的病毒学反应的影响:来自艾滋病临床试验组方案 315.ACTG 方案 315 团队的人类免疫缺陷病毒 1 型分离株的基因型分析。
DOI:
10.1086/315244
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发表时间:
2000
期刊:
影响因子:
--
通讯作者:
Lederman,MM
中科院分区:
文献类型:
--
作者:
Kuritzkes,DR;Sevin,A;Young,B;Bakhtiari,M;Wu,H;StClair,M;Connick,E;Landay,A;Spritzler,J;Kessler,H;Lederman,MM
The effect of baseline drug resistance mutations on response to zidovudine, lamivudine, and ritonavir was evaluated in zidovudine-experienced persons infected with human immunodeficiency virus type 1 (HIV-1). Presence of the K70R mutation was associated with significantly higher plasma HIV-1 RNA levels at baseline. However, presence of resistance mutations did not affect the increase in plasma HIV-1 RNA during a 5-week drug washout, nor was there any effect on first-phase virus decay rates after initiation of therapy or on the probability of having plasma HIV-1 RNA levels <100 copies/mL at week 48. Polymorphisms at protease codons 10, 36, and 71 were associated with significantly faster second-phase decay rates. Suppression of plasma HIV-1 RNA despite presence of zidovudine resistance mutations implies that the presence of these mutations does not preclude a durable response to treatment with a potent 3-drug regimen.
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