Drug resistance mutations against protease, reverse transcriptase and integrase inhibitors in people living with HIV-1 receiving boosted protease inhibitors in South Africa

dc.contributor.authorCloete, Ruben
dc.contributor.authorObasa, Adetayo Emmanuel
dc.contributor.authorMikasi, Sello Given
dc.date.accessioned2021-01-12T09:09:07Z
dc.date.available2021-01-12T09:09:07Z
dc.date.issued2020
dc.description.abstractThe South African national combination antiretroviral therapy (cART) roll-out program started in 2006, with over 4.4 million people accessing treatment since it was first introduced. HIV-1 drug resistance can hamper the success of cART. This study determined the patterns of HIV-1 drug-resistance associated mutations (RAMs) in People Living with HIV-1 (PLHIV-1). Receiving first (for children below 3 years of age) and second-line (for adults) cART regimens in South Africa. During 2017 and 2018, 110 patients plasma samples were selected, 96 samples including those of 17 children and infants were successfully analyzed. All patients were receiving a boosted protease inhibitor (bPI) as part of their cART regimen. The viral sequences were analyzed for RAMs through genotypic resistance testing. We performed genotypic resistance testing (GRT) for Protease inhibitors (PIs), Reverse transcriptase inhibitors (RTIs) and Integrase strand transfer inhibitors (InSTIs). Viral sequences were subtyped using REGAv3 and COMET. Based on the PR/RT sequences, HIV-1 subtypes were classified as 95 (99%) HIV-1 subtype C (HIV-1C) while one sample as 02_AG.en_US
dc.identifier.citationCloete, R. et al. (2020). Drug resistance mutations against protease, reverse transcriptase and integrase inhibitors in people living with HIV-1 receiving boosted protease inhibitors in South Africa. Frontiers in Microbiology ,11,438en_US
dc.identifier.issn1664-302X
dc.identifier.uri10.3389/fmicb.2020.00438
dc.identifier.urihttp://hdl.handle.net/10566/5645
dc.language.isoenen_US
dc.publisherFrontiers Media S.A.en_US
dc.subjectCombination antiretroviral therapy (cART)en_US
dc.subjectHIV-1en_US
dc.subjectIntegrase strand-transfer inhibitor (InSTI)en_US
dc.subjectProtease inhibitor (PI)en_US
dc.subjectResistanceen_US
dc.titleDrug resistance mutations against protease, reverse transcriptase and integrase inhibitors in people living with HIV-1 receiving boosted protease inhibitors in South Africaen_US
dc.typeArticleen_US

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