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. 2011 May 1;203(9):1204–1214. doi: 10.1093/infdis/jir025

Table 2.

Phenotypic Susceptibility Data Associated With the Most Common INI Resistance Mutation Patterns Present in 192 Virus Isolates From 105 Patients

Primary Mutations* No. of Unique Viruses
Published In vitro Susceptibility Data§
Without accessory mutations With accessory mutations Raltegravir Elvitegravir S/GSK1349572
148H + 140S 26 18 >150 [2, 9, 11, 2123] >150 [2, 9, 11, 2223] 3 [11]
148R + 140S 5 0 >150 [9, 11, 21, 23] >150 [9, 23] 8 [11]
148R + 140A 2 1 >150 [21, 23] >150 [23] NA
148R 5 0 10 to 50 [89, 11, 21] 90 to 150 [89, 11] 1 [11]
148K 1 0 25 to 40 [2, 911, 21] 80 [2, 911] 1 [11]
Totals 39 19
155H 11 24 10 to 30 [811, 2122] 20 to 50 [2, 811, 22] 1 [11]
155H + 92Q 1 2 80 to 150 [11, 21] 125 to 150 [2, 11] 3 [11]
Totals 12 26
143R 7 1 15 to 20 [11, 21] 2 [11] 1 [11]
143R + 97A 2 7 >150 [21] NA NA
143C + 97A 2 4 >150 [18, 21] NA NA
143C 0 2 3 to 4 [11, 21] 1.5 [11] 1 [11]
Totals 11 14

NOTE. The viral sequences in this table were obtained from 12 published references in the Stanford HIV Drug Resistance Database [32].

*G140SA and T97A are in this column because of their strong association with Q148 and Y143 mutations, respectively. Accessory mutations include the mutations in the second half of Table 1 (except G140SA and T97A). Viruses with primary mutations belonging to more than one pathway are not shown. The totals of these 2 columns consist of 121 viruses containing one of the 3 most common raltegravir-associated mutational patterns. §In vitro susceptibility data obtained using the PhenoSense assay, the Antivirogram, or one of the generic HeLa-CD4+ reporter gene assay variants. Viruses containing G140 + Q148 mutations may have up 10- to 20-fold decreased S/GSK1349572 susceptibility when a third INI resistance mutation is present [11, 33].