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Selection of drug-resistant HIV-1 during the early phase of viral decay is uncommon in treatment-naïve patients initiated on a three- or four-drug antiretroviral regimen including lamivudine.在开始接受包括拉米夫定在内的三药或四药抗逆转录病毒治疗方案的初治患者中,病毒衰减早期出现耐药性HIV-1的情况并不常见。
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Transmission fitness of drug-resistant human immunodeficiency virus and the prevalence of resistance in the antiretroviral-treated population.耐药性人类免疫缺陷病毒的传播适应性及抗逆转录病毒治疗人群中的耐药流行情况。
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High frequency of antiretroviral drug resistance among HIV-infected adults receiving first-line highly active antiretroviral therapy in N'Djamena, Chad.在乍得恩贾梅纳接受一线高效抗逆转录病毒治疗的艾滋病毒感染成人中,抗逆转录病毒药物耐药性的高发生率。
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Antiretroviral recommendations may influence the rate of transmission of drug-resistant HIV type 1.抗逆转录病毒治疗建议可能会影响耐药性1型艾滋病毒的传播率。
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A novel methodology for large-scale phylogeny partition.一种大规模系统发育分区的新方法。
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Update of the drug resistance mutations in HIV-1: Spring 2008.2008年春季HIV-1耐药性突变的更新情况。
Top HIV Med. 2008 Apr-May;16(1):62-8. doi: 10.1007/s11750-007-0034-z.
2
Evidence of dual sexual transmission of multi-resistant HIV with two years persistence of resistance to NRTI and NNRTI: a case report.具有对核苷类逆转录酶抑制剂(NRTI)和非核苷类逆转录酶抑制剂(NNRTI)持续两年耐药性的多重耐药艾滋病毒双性传播证据:一例报告
Infection. 2008 Mar;36(2):178-80. doi: 10.1007/s15010-007-6293-7. Epub 2007 Oct 25.
3
High rates of forward transmission events after acute/early HIV-1 infection.急性/早期HIV-1感染后较高的病毒传播率。
J Infect Dis. 2007 Apr 1;195(7):951-9. doi: 10.1086/512088. Epub 2007 Feb 16.
4
Dual selection pressure by drugs and HLA class I-restricted immune responses on human immunodeficiency virus type 1 protease.药物和HLA I类限制性免疫反应对人类免疫缺陷病毒1型蛋白酶的双重选择压力
J Virol. 2007 Mar;81(6):2887-98. doi: 10.1128/JVI.01547-06. Epub 2007 Jan 3.
5
Epidemiology of antiretroviral drug resistance in drug-naïve persons.初治患者抗逆转录病毒药物耐药性的流行病学
Curr Opin Infect Dis. 2007 Feb;20(1):22-32. doi: 10.1097/QCO.0b013e328013caff.
6
HIV-1 reverse transcriptase mutants resistant to nonnucleoside reverse transcriptase inhibitors do not adversely affect DNA synthesis: pre-steady-state and steady-state kinetic studies.对非核苷类逆转录酶抑制剂耐药的HIV-1逆转录酶突变体不会对DNA合成产生不利影响:预稳态和稳态动力学研究。
J Acquir Immune Defic Syndr. 2006 Aug 1;42(4):405-11. doi: 10.1097/01.qai.0000222288.90201.33.
7
Multiple drug class-wide resistance associated with poorer survival after treatment failure in a cohort of HIV-infected patients.在一组HIV感染患者中,多种药物类别广泛耐药与治疗失败后较差的生存率相关。
AIDS. 2005 Jul 1;19(10):1081-9. doi: 10.1097/01.aids.0000174455.01369.ad.
8
Evolution of phenotypic drug susceptibility and viral replication capacity during long-term virologic failure of protease inhibitor therapy in human immunodeficiency virus-infected adults.人类免疫缺陷病毒感染成人接受蛋白酶抑制剂治疗长期病毒学失败期间表型药物敏感性和病毒复制能力的演变
J Virol. 2002 Nov;76(21):11104-12. doi: 10.1128/jvi.76.21.11104-11112.2002.
9
Performance of an in-house genotypic antiretroviral resistance assay in patients pretreated with multiple human immunodeficiency virus type 1 protease and reverse transcriptase inhibitors.在接受多种1型人类免疫缺陷病毒蛋白酶和逆转录酶抑制剂预处理的患者中进行内部基因型抗逆转录病毒耐药性检测的表现。
J Clin Virol. 2002 Jul;25(1):57-62. doi: 10.1016/s1386-6532(01)00252-9.
10
Detection of a drug-resistant human immunodeficiency virus variant in a newly infected heterosexual couple.
Clin Infect Dis. 2002 Jan 1;34(1):116-7. doi: 10.1086/322521.

一对未接受过抗逆转录病毒治疗的异性恋伴侣中出现的对三类药物耐药的1型人类免疫缺陷病毒变体。

Three-class-resistant human immunodeficiency virus type 1 variant in a drug-naive heterosexual couple.

作者信息

Razzolini Francesca, Saladini Francesco, Malincarne Lisa, Vicenti Ilaria, Palladino Nicola, Romano Laura, Francisci Daniela, Zazzi Maurizio

机构信息

Section of Microbiology, Department of Molecular Biology, University of Siena, Viale Bracci 1, I-53100 Siena, Italy.

出版信息

J Clin Microbiol. 2008 Nov;46(11):3856-9. doi: 10.1128/JCM.01122-08. Epub 2008 Sep 24.

DOI:10.1128/JCM.01122-08
PMID:18845824
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2576576/
Abstract

Combination antiretroviral treatment was initiated in a heterosexual couple newly diagnosed with human immunodeficiency virus type 1 infection. Multiple genotypic drug resistance testing following early rebound of viral load revealed that the same three-class-resistant human immunodeficiency virus type 1 strain had been present in both patients since before initiation of treatment.

摘要

对一对新诊断为1型人类免疫缺陷病毒感染的异性恋夫妇开始了联合抗逆转录病毒治疗。病毒载量早期反弹后的多次基因型耐药性检测显示,自治疗开始前,两名患者体内就已存在相同的对三类药物耐药的1型人类免疫缺陷病毒毒株。