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使用对短期马拉维若单药治疗暴露的病毒学反应验证HIV嗜性检测TROCAI

Validation of the HIV Tropism Test TROCAI Using the Virological Response to a Short-Term Maraviroc Monotherapy Exposure.

作者信息

Gonzalez-Serna A, Genebat M, De Luna-Romero M, Tarancon-Diez L, Dominguez-Molina B, Pacheco Y M, Muñoz-Fernández M A, Leal M, Ruiz-Mateos E

机构信息

Molecular Immunobiology Laboratory, General Universitary Hospital Gregorio Marañon, Health Research Institute Gregorio Marañon, Spanish HIV HGM BioBank, Networking Research Center on Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Madrid, Spain Laboratory of Immunovirology, Biomedicine Institute of Seville, Virgen del Rocío University Hospital, Clinic Unit of Infectious Diseases, Microbiology and Preventive Medicine, IBIS/CSIC/SAS/University of Seville, Seville, Spain

Laboratory of Immunovirology, Biomedicine Institute of Seville, Virgen del Rocío University Hospital, Clinic Unit of Infectious Diseases, Microbiology and Preventive Medicine, IBIS/CSIC/SAS/University of Seville, Seville, Spain.

出版信息

Antimicrob Agents Chemother. 2016 Sep 23;60(10):6398-401. doi: 10.1128/AAC.01326-16. Print 2016 Oct.

Abstract

TROCAI is a phenotypic tropism test developed using the virological response to a short-term exposure to maraviroc monotherapy (Maraviroc Clinical Test [MCT]). It was found that with TROCAI, a cutoff of <0.5% of dual/mixed viruses was needed to predict R5 HIV tropism. Here, we have validated TROCAI, using this cutoff, in a new cohort of 42 patients, finding a very high concordance between TROCAI and MCT (98%), and a good concordance (71 to 87%) with other genotypic/phenotypic methods.

摘要

TROCAI是一种表型嗜性检测方法,通过对短期使用马拉维若单药治疗(马拉维若临床试验[MCT])的病毒学反应来开发。研究发现,使用TROCAI时,需要将双重/混合病毒的截断值设定为<0.5%才能预测R5型HIV嗜性。在此,我们使用该截断值在42例新患者队列中对TROCAI进行了验证,发现TROCAI与MCT之间具有非常高的一致性(98%),与其他基因型/表型方法也具有良好的一致性(71%至87%)。

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