乍得干血斑上HIV-1毒株的HIV RNA载量和抗逆转录病毒耐药性:一项初步研究

N. Djimera, A. Keita, T. Bourlet, L. Andréoletti
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引用次数: 0

摘要

我们使用从乍得HIV-1感染患者身上采集的干血斑样本(DBS)进行了病毒载量(VL)和抗逆转录病毒(ARV)耐药性基因分型分析。在接受任何抗逆转录病毒治疗方案的80名成年患者naïve中,67名(84%)的VL测量值高于40拷贝/毫升(中位数;SD: 36891 copies/ml;[603-2])的血。其中只有24个(36%)病毒载量高于3.63 log 10拷贝/ml,成功测序用于耐药基因分型分析。在DBS样本成功测序的24例患者中,7例(29%)显示存在HIV-1毒株,该毒株具有已知突变,可抵抗至少一种ARV家族。我们的试点研究提供了乍得HIV-1感染患者对现有抗逆转录病毒药物的初级耐药性高流行率的主要数据,并强调了在萨赫勒地区广泛合理使用HIV抗整合酶药物的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
HIV RNA Load and Antiretroviral Drug Resistance of HIV-1 Strains in Chad on Dried Blood Spots: A Pilot Study
We performed viral load (VL) and antiretroviral (ARV) drug resistance genotyping assays using dried blood spot samples (DBS) taken from HIV-1 infected patients in Chad. Among 80 adult patients naïve of any antiretroviral treatment regimen, 67 (84%) had a measured VL upper than 40 copies/ml (median; SD: 36891 copies/ml; [603-2 798 968]) of blood. Of them only 24 (36%) demonstrating a viral load upper was than 3.63 log 10 copies/ml were successfully sequenced for performing a drug resistance genotyping assay. Of the 24 patients whom DBS samples were successfully sequenced, seven (29%) displayed the presence of an HIV-1 strain with known mutations conferring resistance against at least one ARV family. Our pilot study provides major data on the high prevalence levels of primary resistance to available ARV drugs in HIV-1 infected patients in Chad and highlights the need for a wide and rational use of HIV anti-integrase drugs in Sahelian area.
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