Frequency of transmitted drug resistance mutations among treatment-naïve HIV-1-infected individuals at a tertiary care centre in South India

Mol Diagn Ther. 2015 Oct;19(5):273-5. doi: 10.1007/s40291-015-0160-5.

Abstract

Introduction: Morbidity and mortality among HIV-1-infected individuals has been dramatically reduced by the implementation of combinational antiretroviral therapy (ART). However, the efficiency of these therapies is compromised due to HIV-1 transmitted drug resistance mutations (TDRMs).

Methods: We collected a total of 127 samples from ART-naïve HIV-infected individuals and sequenced the pol gene and analysed for drug resistance mutations using the Calibrated Population Resistance (CPR) tool in the Stanford database.

Results: All the 127 clinical samples (100 %) were identified as HIV-1 subtype C. Based on the CPR tool, three strains (2.4 %) had TDRMs, and these were K101E, Y181C and G190A. Our findings correlated well with the WHO surveys conducted in Asia, including India, which consistently reported <5 % TDRM among the specific populations assessed.

Conclusion: In countries like India, regular monitoring of TDRMs will provide better information for clinical practice improvement and policy making.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Drug Resistance, Viral*
  • HIV Infections / genetics
  • HIV Infections / transmission*
  • HIV Infections / virology
  • HIV-1 / classification*
  • HIV-1 / drug effects
  • HIV-1 / genetics
  • Humans
  • Mutation
  • Tertiary Care Centers
  • pol Gene Products, Human Immunodeficiency Virus / genetics

Substances

  • pol Gene Products, Human Immunodeficiency Virus