HIV-1 Low-Frequency Variants Identified in Antiretroviral-Naïve Subjects with Virologic Failure after 12 Months of Follow-Up in Panama

Low-frequency mutations associated with drug resistance have been related to virologic failure in subjects with no history of pre-treatment and recent HIV diagnosis. In total, 78 antiretroviral treatment (ART)-naïve subjects with a recent HIV diagnosis were selected and followed by CD4+ T lymphocyte...

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Main Authors: Ambar Moreno (Author), Claudia González (Author), Jessica Góndola (Author), Oris Chavarría (Author), Alma Ortiz (Author), Jorge Castillo (Author), Juan Castillo Mewa (Author), Juan Miguel Pascale (Author), Alexander Augusto Martínez (Author)
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Published: MDPI AG, 2023-08-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Ambar Moreno  |e author 
700 1 0 |a Claudia González  |e author 
700 1 0 |a Jessica Góndola  |e author 
700 1 0 |a Oris Chavarría  |e author 
700 1 0 |a Alma Ortiz  |e author 
700 1 0 |a Jorge Castillo  |e author 
700 1 0 |a Juan Castillo Mewa  |e author 
700 1 0 |a Juan Miguel Pascale  |e author 
700 1 0 |a Alexander Augusto Martínez  |e author 
245 0 0 |a HIV-1 Low-Frequency Variants Identified in Antiretroviral-Naïve Subjects with Virologic Failure after 12 Months of Follow-Up in Panama 
260 |b MDPI AG,   |c 2023-08-01T00:00:00Z. 
500 |a 10.3390/idr15040044 
500 |a 2036-7449 
520 |a Low-frequency mutations associated with drug resistance have been related to virologic failure in subjects with no history of pre-treatment and recent HIV diagnosis. In total, 78 antiretroviral treatment (ART)-naïve subjects with a recent HIV diagnosis were selected and followed by CD4+ T lymphocytes and viral load tests to detect virologic failure. We sequenced the basal samples retrospectively using next-generation sequencing (NGS), looking for low-frequency mutations that had not been detected before using the Sanger sequencing method (SSM) and describing the response to ART. Twenty-two subjects developed virologic failure (VF), and thirteen of them had at least one drug-resistance mutation associated with Reverse Transcriptase Inhibitors (RTI) and Protease Inhibitors (PIs) at frequency levels ≤ 1%, not detected previously in their basal genotyping test. No resistance mutations were observed to Integrase Strand Transfer Inhibitors (INSTIs). We identified a possible cause of VF in ART-naïve subjects with low-frequency mutations detected. To our knowledge, this is the first evaluation of pre-existing drug resistance for HIV-1 minority variants carried out on ART-naïve people living with HIV/AIDS (PLWHA) by analyzing the HIV-1 <i>pol</i> gene using NGS in the country. 
546 |a EN 
690 |a HIV-1 
690 |a low-frequency variants 
690 |a virologic failure 
690 |a next-generation sequencing 
690 |a drug resistance 
690 |a Panama 
690 |a Other systems of medicine 
690 |a RZ201-999 
655 7 |a article  |2 local 
786 0 |n Infectious Disease Reports, Vol 15, Iss 4, Pp 436-444 (2023) 
787 0 |n https://www.mdpi.com/2036-7449/15/4/44 
787 0 |n https://doaj.org/toc/2036-7449 
856 4 1 |u https://doaj.org/article/fea2d72742514cb0a9dba384ecbc2f85  |z Connect to this object online.