Recent trends in HIV-1 drug resistance.

Abstract:

:Once considered an inevitable consequence of HIV treatment, drug resistance is declining. This decline supports the hypothesis that antiretroviral therapy can arrest replication and prevent the evolution of resistance. Further support comes from excellent clinical outcomes, the failure of treatment intensification to reduce residual viremia, the lack of viral evolution in patients on optimal therapy, pharmacodynamics studies explaining the extraordinarily high antiviral activity of modern regimens, and recent reports of potential cures. Evidence supporting ongoing replication includes higher rates of certain complications in treated patients and an increase in circular forms of the viral genome after intensification with integrase inhibitors. Recent studies also provide an explanation for the observation that some patients fail protease-inhibitor based regimens without evidence for resistance.

journal_name

Curr Opin Virol

authors

Siliciano JD,Siliciano RF

doi

10.1016/j.coviro.2013.08.007

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

487-94

issue

5

eissn

1879-6257

issn

1879-6265

pii

S1879-6257(13)00143-0

journal_volume

3

pub_type

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