Should we include connection domain mutations of HIV-1 reverse transcriptase in HIV resistance testing

PLoS Med. 2007 Dec;4(12):e346. doi: 10.1371/journal.pmed.0040346.

Abstract

The author discusses a new study that found a common mutation in the connection domain of reverse transcriptase, a mutation that confers resistance to two antiretroviral drug classes.

Publication types

  • Comment

MeSH terms

  • Drug Resistance, Multiple, Viral / genetics*
  • Genetic Testing*
  • Genotype
  • HIV Infections / diagnosis
  • HIV Infections / drug therapy*
  • HIV Infections / virology
  • HIV Reverse Transcriptase / antagonists & inhibitors*
  • HIV Reverse Transcriptase / chemistry
  • HIV Reverse Transcriptase / genetics
  • HIV Reverse Transcriptase / metabolism
  • HIV-1 / drug effects*
  • HIV-1 / enzymology
  • HIV-1 / genetics
  • Humans
  • Mutation*
  • Nevirapine / therapeutic use
  • Patient Selection*
  • Phenotype
  • Protein Structure, Tertiary
  • Reverse Transcriptase Inhibitors / pharmacology
  • Reverse Transcriptase Inhibitors / therapeutic use*
  • Time Factors
  • Treatment Outcome
  • Viral Load
  • Zidovudine / therapeutic use

Substances

  • Reverse Transcriptase Inhibitors
  • Zidovudine
  • Nevirapine
  • reverse transcriptase, Human immunodeficiency virus 1
  • HIV Reverse Transcriptase