Integrase Strand Transfer Inhibitor Resistance Mutations in Antiretroviral Treatment-naïve Patients in Korea: a Prospective, Observational Study

J Korean Med Sci. 2018 May 14;33(25):e173. doi: 10.3346/jkms.2018.33.e173. eCollection 2018 Jun 18.

Abstract

The present study investigated prevalence of integrase strand transfer inhibitors (INSTI) resistance mutations in HIV-1-infected antiretroviral therapy (ART)-naïve patients in Korea. From 106 plasma samples, amplification and sequencing of integrase genes was performed, and major or minor mutations were calculated by the Stanford HIV drug resistance mutation interpretation algorithm. No major INSTI resistance mutations were found, and 14 minor mutations were detected in 13 (12.3%) patients. The present data support the recommendation that routine testing for INSTI resistance mutations before starting ART is not necessary.

Keywords: HIV; Integrase Strand Transfer Inhibitors; Korean; Mutation; Prevalence.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Anti-Retroviral Agents / therapeutic use*
  • Drug Resistance, Viral / genetics*
  • Genotype
  • HIV Infections / drug therapy*
  • HIV Integrase / genetics*
  • HIV-1 / genetics
  • Humans
  • Male
  • Mutation
  • Prospective Studies
  • Republic of Korea

Substances

  • Anti-Retroviral Agents
  • HIV Integrase