Impact of Human Immunodeficiency Virus Type 1 Subtype C on Drug Resistance Mutations in Patients from Botswana Failing a Nelfinavir-Containing Regimen

Author:

Doualla-Bell Florence12,Avalos Ava13,Gaolathe Tendani13,Mine Madisa13,Gaseitsiwe Simani1,Ndwapi Ndwapi13,Novitsky Vladimir A.4,Brenner Bluma2,Oliveira Maureen2,Moisi Daniella2,Moffat Howard3,Thior Ibou1,Essex Max4,Wainberg Mark A.2

Affiliation:

1. Botswana-Harvard School of Public Health AIDS Initiative Partnership for HIV Research and Education, Gaborone, Botswana

2. McGill University AIDS Centre, Lady Davis Institute for Medical Research, Montreal, Quebec, Canada

3. Infectious Disease Care Clinic, Princess Marina Hospital, Gaborone, Botswana

4. Harvard School of Public Health, Boston, Massachusetts

Abstract

ABSTRACT Among 16 human immunodeficiency virus-infected (subtype C) Batswana patients who failed nelfinavir (NFV)-containing regimens, the most prevalent mutation observed was D30N (54%), followed by L90M (31%). L89I, K20T/I, and E35D polymorphic changes were also identified. These findings suggest that subtype C viruses in Botswana may develop resistance to NFV via subtype-specific pathways.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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