Resistance to HIV integrase strand transfer inhibitors: in vitro findings and clinical consequences.

Abstract:

:Three integrase strand transfer inhibitors have now been approved for the treatment of HIV infection, raltegravir, cobicistat-boosted elvitegravir, and dolutegravir. Each of these agents selects for unique signature mutations; however, there can be significant cross resistance among all three drugs when multiple mutations are present or are presented in the context of different genetic backgrounds such as non B-subtypes. Many of the mutations that are associated with integrase inhibitor resistance have a profound effect on integrase function and viral replication and thus, while only one or two mutations may be sufficient to impact susceptibility, virologic failure and treatment-associated resistance have been infrequent with all three drugs to date.

journal_name

Curr Opin Virol

authors

Grobler JA,Hazuda DJ

doi

10.1016/j.coviro.2014.07.006

subject

Has Abstract

pub_date

2014-10-01 00:00:00

pages

98-103

eissn

1879-6257

issn

1879-6265

pii

S1879-6257(14)00151-5

journal_volume

8

pub_type

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