This study reports the analysis of human immunodeficiency virus type 1 (HIV-1) protease (PR) and reverse transcriptase (RT) coding sequences from 136 HIV-1-infected subjects from Chile, 66 (49%) of them under antiretroviral (ARV) treatment. The prevalence of mutations conferring high or intermediate resistance levels to ARVs was 77% among treated patients and 2.5% among drug-naïve subjects. The distribution of resistance prevalence in treated patients by drug class was 61% to nucleoside RT inhibitors, 84% to nonnucleoside RT inhibitors, and 46% to PR inhibitors. Phylogenetic analysis revealed that 115 (85%) subjects were infected with subtype B viruses, 1 with a subtype F1 virus, and 20 (15%) carried BF intersubtype recombinants. Most BF recombinants grouped into two clusters, one related to CRF12_BF, while the other could represent a new circulating recombinant form (CRF). In conclusion, this is the first report analysing the prevalence of ARV resistance which includes patients under HAART from Chile. Additionally, phylogenetic analysis of the PR-RT coding sequences reveals the presence of BF intersubtype recombinants.

译文

这项研究报告了来自智利的136名HIV-1-infected受试者的人类免疫缺陷病毒1型 (HIV-1) 蛋白酶 (PR) 和逆转录酶 (RT) 编码序列的分析,其中66 (49%) 在抗逆转录病毒 (ARV) 治疗下。在接受治疗的患者中,赋予对ARVs的高或中等耐药水平的突变的患病率77%,而在未接受药物治疗的受试者中2.5%。按药物类别对治疗患者的耐药性患病率的分布与核苷RT抑制剂61%,84% 与非核苷RT抑制剂46% PR抑制剂。系统发育分析显示,115名 (85% 名) 受试者感染了b型亚型病毒es,1名感染了F1亚型病毒,20名 (15% 名) 携带了BF亚型间重组体。大多数BF重组体分为两个簇,一个与CRF12_BF有关,而另一个可能代表一种新的循环重组形式 (CRF)。总之,这是第一份分析ARV耐药性患病率的报告,其中包括来自智利的HAART患者。此外,对pr-rt编码序列的系统发育分析揭示了BF亚型间重组体的存在。

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