McCown Matthew F, Rajyaguru Sonal, Kular Simran, Cammack Nick, Nájera Isabel
Roche Palo Alto LLC, 3431 Hillview Ave., Palo Alto, CA 94304, USA.
Antimicrob Agents Chemother. 2009 May;53(5):2129-32. doi: 10.1128/AAC.01598-08. Epub 2009 Mar 9.
In vitro, telaprevir selects subtype-specific resistance pathways for hepatitis C virus GT-1a and GT-1b, as described to have occurred in patients. In GT-1a, the HCV-796 resistance mutation C316Y has low replication capacity (7%) that can be compensated for by the emergence of the mutation L392F or M414T, resulting in an increase in replication levels of > or = 10-fold.
在体外,特拉匹韦会为丙型肝炎病毒GT-1a和GT-1b选择亚型特异性耐药途径,正如在患者中所发生的那样。在GT-1a中,HCV-796耐药突变C316Y的复制能力较低(7%),可通过L392F或M414T突变的出现得到补偿,导致复制水平增加≥10倍。