Table 3. Drug resistance mutations in HAARV-treated and drug-naïve patients in Guangdong, China.
No. | Sex | Risk factors | Months post-HAART | Plasma HIV RNA copies/ml | CD4+ T cells/µl | Subtype (pol/env) | Drug resistance mutations | Treatment (susceptibility) | ||||
NRTI | NNRTI | PI | ||||||||||
Treated group, 11 of 101 cases with drug-resistance mutations (HIVdb program analysis) | ||||||||||||
457 | M | Heterosexual | 2.2 | 2.0×104 | 77 | CRF07_BC/CRF07_BC | M184V***, † | TDF(S),3TC(H),EFV(S) | ||||
440§ | M | Heterosexual | 20.7 | 1.3×105 | 142 | CRF01_AE/CRF01_AE | M184V***, V75S‡ | K101Q*, Y181C*,†,G190A** | AZT(S),3TC(H),EFV(H) | |||
437§ | M | Heterosexual | 35.4 | <50 | 303 | CRF01_AE/CRF01_AE | V75S*, M184V*** | K101Q*, Y181C *, G190A** | D4T(L),3TC(H),EFV(H) | |||
182 | M | Heterosexual | 14.6 | <50 | 307 | CRF01_AE/B | M184V***, †, N348I‡ | K103N*** | D4T(S),3TC(H),Kaletera(S) | |||
398 | M | Heterosexual | 27.1 | <50 | 290 | CRF01_AE/CRF01_AE | M184MV***, † | D4T(S),3TC(H),EFV(S) | ||||
211 | M | Heterosexual | 41.7 | <50 | 316 | CRF01_AE/CRF01_AE | A62V#, K65R**, ††Q151M(V75I)*** | K101E*, G190A**Y181C(V179F)* | AZT(I),3TC(I),EFV(H) | |||
326 | M | IDU | 68.3 | <50 | 223 | CRF01_AE/B | T215Y(M41L,L210W,D67N)***, K219R# | K103N(K238T)*** G190A*** | L33F‡ | D4T(H),3TC(L),NVP(H) | ||
40 | M | Heterosexual | 0.5 | 96 | 222 | URF/CRF02_AG | L10V‡, G73C‡ | D4T(S),3TC(S),NVP(S) | ||||
14 | M | MSM | 1 | 59 | 334 | CRF01_AE/CRF01_AE | T215IT# | AZT(L),3TC(S),NVP(S) | ||||
115 | M | IDU | 2 | <50 | 39 | CRF01_AE/CRF01_AE | V179D* | D4T(S),3TC(S),NVP(PL) | ||||
540 | F | Heterosexual | 56.5 | <50 | 239 | CRF02_AG/CRF02_AG | V179E* | AZT(S),3TC(S),NVP(PL) | ||||
UNTREATED group, 3 of 68 cases with SDRM (2009) | ||||||||||||
372 | M | Unknown | None | 1.1×104 | 375 | CRF01_AE/CRF01_AE | K70R, V75M, M184V, K219N | K101E, Y181C, G190A | ||||
512 | F | Heterosexual | None | 1.0×103 | 451 | B/B | M46I | |||||
373 | F | Unknown | None | <50 | 352 | B/B | M41L, T215E |
, **,*** indicate the low-level, intermediate or high-level resistance to HAART drugs administered, respectively.
indicates the existence of drug-resistance mutations while no corresponding drugs were administered to the patient.
indicates the reduced susceptibility to one HAART drug administered to the patient, while increase the susceptibility to the other HAART drugs simultaneously.
indicates the hyper-susceptibility to AZT.
HIV-1 of patients 440 and 437 presented in the same transmission chain as identified by the PhyML analysis.
# indicates the mutations occurring with other drug-resistance mutations, while their effect on susceptibility is uncertain.
M, Male; F, Female; IDUs, intravenous drug users; MSM, Men having sex with men; SDRM, surveillance drug resistance mutation; NRTI, nucleoside reverse transcriptase inhibitors; NNRTI, non- nucleoside reverse transcriptase inhibitors; PI, protease inhibitors; TDF, tenofovir; 3TC, lamivudine; AZT, zidovudine; d4T, stavudine; DDI, didanosine; NVP, nevirapine; EFV, efavirenz; Kaletera, combination of lopinavir and ritonavir; S, susceptible; H, high-level resistance; I, intermediate resistance; L, low-level resistance; and PL, potential low-level resistance.