{"title":"Resistance of human\u0000immunodeficiency virus type 1 to integrase strand transfer inhibitors in Croatia","authors":"A. Planinić, Maja Oroz, J. Begovac, S. Z. Lepej","doi":"10.33602/MEBM.2.1.5","DOIUrl":"https://doi.org/10.33602/MEBM.2.1.5","url":null,"abstract":"Integrase strand transfer\u0000inhibitors (INSTIs) are the latest class of antiretroviral drugs that prevent\u0000the integration of proviral DNA into the host genome. The aim of this study was\u0000to describe, for the first time, INSTI resistance mutations observed in\u0000Croatian HIV-infected patients. Methods: The study was\u0000conducted between March 2016 and September 2018 and included 4 previously untreated\u0000patients (antiretroviral, ARV-naive) as well as 18 unsuccessfully treated\u0000HIV-infected patients (ARV-experienced) that have been tested for INSTI\u0000resistance. The genetic data on INSTI resistance was obtained by\u0000population-based sequencing of the integrase gene. Resistance analysis to other\u0000classes of antiretroviral drugs has been performed in some patients by\u0000sequencing the protease gene and a part of the reverse transcriptase HIV-1\u0000gene.\u0000Results: INSTI resistance\u0000mutations were not found in ARV-naive patients. Mutations associated with\u0000resistance to INSTIs have been observed in 5 of 18 (27.8%) patients failing\u0000INSTI-based ARV regiment. Resistance to INSTIs in ARV-experienced patients was\u0000attributed to major resistance mutations Q148R, N155H and E92Q that confer\u0000resistance to two INSTIs (raltegravir and elvitegravir). Conclusions: The results of this study describe the\u0000first 5 cases of ARV-experienced HIV-1 infected patients with clinically\u0000significant resistance to INSTIs, and emphasize the need for continuous\u0000surveillance of INSTI resistance in patients experiencing virological failure\u0000to antiretroviral treatment in Croatia.","PeriodicalId":301899,"journal":{"name":"Molecular and experimental biology in medicine","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126858525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}