Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1994-4-18
pubmed:abstractText
Drug resistance conferred by specific human immunodeficiency virus type 1 (HIV-1) pol gene mutations has been associated with clinical progression in HIV-infected patients receiving anti-retroviral therapy. This study examined drug susceptibilities and pol mutations of HIV-1 strains from patients treated for 1 year with zidovudine, didanosine (ddI), or zidovudine and ddI. Ten (42%) of 24 patients receiving combination therapy versus 8/26 (31%) receiving only zidovudine had HIV-1 strains with phenotypic zidovudine resistance or a zidovudine resistance pol mutation at codon 215 (P = .6). In contrast, a ddI resistance mutation at codon 74 was less common among patients receiving combination therapy (2/24) than among those receiving ddI only (17/26; P < .001). Two patients receiving combination therapy developed resistance to zidovudine and ddI; they had HIV strains with amino acid mutations at codons 62, 75, 77, 116, and 151. Combination therapy with zidovudine and ddI selects for zidovudine-resistant HIV-1 strains lacking a ddI resistance mutation and for multidrug-resistant strains containing novel pol mutations.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0022-1899
pubmed:author
pubmed:issnType
Print
pubmed:volume
169
pubmed:geneSymbol
pol
pubmed:owner
NLM
pubmed:authorsComplete
N
pubmed:pagination
722-9
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:8133086-Amino Acids, pubmed-meshheading:8133086-Base Sequence, pubmed-meshheading:8133086-Cells, Cultured, pubmed-meshheading:8133086-Codon, pubmed-meshheading:8133086-DNA, Viral, pubmed-meshheading:8133086-DNA Primers, pubmed-meshheading:8133086-Didanosine, pubmed-meshheading:8133086-Drug Resistance, Microbial, pubmed-meshheading:8133086-Drug Therapy, Combination, pubmed-meshheading:8133086-Genes, pol, pubmed-meshheading:8133086-HIV Seropositivity, pubmed-meshheading:8133086-HIV-1, pubmed-meshheading:8133086-Humans, pubmed-meshheading:8133086-Molecular Sequence Data, pubmed-meshheading:8133086-Mutation, pubmed-meshheading:8133086-Polymerase Chain Reaction, pubmed-meshheading:8133086-Proviruses, pubmed-meshheading:8133086-RNA, Viral, pubmed-meshheading:8133086-Zidovudine
pubmed:year
1994
pubmed:articleTitle
Combination therapy with zidovudine and didanosine selects for drug-resistant human immunodeficiency virus type 1 strains with unique patterns of pol gene mutations.
pubmed:affiliation
Stanford University Medical Center, CA 94305.
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, U.S. Gov't, P.H.S., Randomized Controlled Trial, Research Support, Non-U.S. Gov't, Multicenter Study, Clinical Trial, Phase II, Clinical Trial, Phase I