Alternative, age- and viral load-related routes of nelfinavir resistance in human immunodeficiency virus type 1-infected children receiving highly active antiretroviral therapy

Pediatr Infect Dis J. 2004 Nov;23(11):1057-9. doi: 10.1097/01.inf.0000145874.88351.0f.

Abstract

To assess prevalence of nelfinavir resistance mutations in children receiving highly active antiretroviral therapy, sequencing of protease gene from plasma of 53 human immunodeficiency virus-infected children was performed. The prevalence of L90M was similar to that of D30N. There was a significant correlation with a higher viral load and lower age and the occurrence of L90M. These findings suggest differential molecular age- and viral load-related routes for nelfinavir resistance.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Age Factors
  • Antiretroviral Therapy, Highly Active / methods*
  • Child
  • Child, Preschool
  • Cohort Studies
  • Drug Resistance, Viral / genetics*
  • Female
  • HIV Infections / diagnosis
  • HIV Infections / drug therapy*
  • HIV-1 / drug effects*
  • HIV-1 / genetics
  • HIV-1 / isolation & purification
  • Humans
  • Male
  • Microbial Sensitivity Tests
  • Mutation
  • Nelfinavir / pharmacology
  • Nelfinavir / therapeutic use*
  • Pharmacogenetics
  • Risk Factors
  • Sampling Studies
  • Sensitivity and Specificity
  • Viral Load

Substances

  • Nelfinavir