Source:http://linkedlifedata.com/resource/pubmed/id/14624368
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
2003-11-19
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pubmed:abstractText |
The use of structured treatment interruption (STI) in human immunodeficiency virus (HIV)-infected subjects is currently being studied as an alternative therapeutic strategy for HIV-1. The potential risk for selection of drug-resistant HIV-1 variants during STI is unknown and remains a concern. Therefore, the emergence of drug resistance in sequential plasma samples obtained from 28 subjects with chronic HIV infection was studied. They underwent 4 cycles of 2-week STI, followed by 8-week retreatment with highly active antiretroviral therapy identical to that used before STI, and they had never failed treatment before undergoing STI. At week 40, treatment was stopped for a longer period. Minor populations of drug-resistant variants were detected by quantitative real-time polymerase chain reaction, by use of allele-discriminating oligonucleotides for 2 key resistance mutations: L90M (protease) and M184V (reverse transcriptase). The approximate discriminative power was 0.1%. In 14 of 25 and in 3 of 25 subjects, the M184V and the L90M mutations, respectively, were detected as minor populations, at different times during STI. Overall, these results indicate that, in subjects undergoing multiple STIs, HIV-1 variants carrying drug-resistance mutations can emerge during periods of increased HIV-1 replication.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0022-1899
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pubmed:author |
pubmed-author:AllersKristinaK,
pubmed-author:BonhoefferSebastianS,
pubmed-author:FischerMarekM,
pubmed-author:GünthardHuldrych FHF,
pubmed-author:HirschelBernardB,
pubmed-author:JoosBedaB,
pubmed-author:KaranicolasRoseR,
pubmed-author:KostrikisLeondios GLG,
pubmed-author:MetznerKarin JKJ,
pubmed-author:Swiss HIV Cohort Study,
pubmed-author:WeberRainerR
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pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
188
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1433-43
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pubmed:dateRevised |
2009-6-26
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pubmed:meshHeading |
pubmed-meshheading:14624368-Adult,
pubmed-meshheading:14624368-Aged,
pubmed-meshheading:14624368-Anti-HIV Agents,
pubmed-meshheading:14624368-Antiretroviral Therapy, Highly Active,
pubmed-meshheading:14624368-Cohort Studies,
pubmed-meshheading:14624368-Drug Administration Schedule,
pubmed-meshheading:14624368-Drug Resistance, Viral,
pubmed-meshheading:14624368-Female,
pubmed-meshheading:14624368-HIV Infections,
pubmed-meshheading:14624368-HIV-1,
pubmed-meshheading:14624368-Humans,
pubmed-meshheading:14624368-Male,
pubmed-meshheading:14624368-Middle Aged,
pubmed-meshheading:14624368-Point Mutation,
pubmed-meshheading:14624368-RNA, Viral,
pubmed-meshheading:14624368-Reverse Transcriptase Polymerase Chain Reaction
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pubmed:year |
2003
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pubmed:articleTitle |
Emergence of minor populations of human immunodeficiency virus type 1 carrying the M184V and L90M mutations in subjects undergoing structured treatment interruptions.
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pubmed:affiliation |
Aaron Diamond AIDS Research Center, Columbia University, New York, New York, USA.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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