Re-occurrence of HIV-1 drug mutations after treatment re-initiation following interruption in patients with multiple treatment failure

被引:46
作者
Delaugerre, C [1 ]
Valantin, MA
Mouroux, M
Bonmarchand, M
Carcelain, G
Duvivier, C
Tubiana, R
Simon, A
Bricaire, F
Agut, H
Autran, B
Katlama, C
Calvez, V
机构
[1] Hosp Pitie Salpetriere, Dept Virol, Paris, France
[2] Hosp Pitie Salpetriere, Dept Infect Dis, Paris, France
[3] Hosp Pitie Salpetriere, Dept Internal Med, Paris, France
[4] Hosp Pitie Salpetriere, Dept Immunol, Paris, France
关键词
D O I
10.1097/00002030-200111090-00016
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Antiretroviral treatment interruption in 20 extensively pre-treated HIV-1 patients with treatment failure led to genotype viral reversion of at least one class of drug-mutation resistance in half of the patients. The only predictive factor of reversion was found to be the duration of interruption. The outgrowth of residual wild-type virus seems not to be a true genetic reversion because drug mutations are detected rapidly at salvage therapy re-initiation.
引用
收藏
页码:2189 / 2191
页数:3
相关论文
共 11 条
[1]   EFFECTS OF DISCONTINUATION OF ZIDOVUDINE TREATMENT ON ZIDOVUDINE SENSITIVITY OF HUMAN-IMMUNODEFICIENCY-VIRUS TYPE-1 ISOLATES [J].
BOUCHER, CAB ;
VANLEEUWEN, R ;
KELLAM, P ;
SCHIPPER, P ;
TIJNAGEL, J ;
LANGE, JMA ;
LARDER, BA .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1993, 37 (07) :1525-1530
[2]   Virologic and immunologic consequences of discontinuing combination antiretroviral-drug therapy in HIV-infected patients with detectable viremia. [J].
Deeks, SG ;
Wrin, T ;
Liegler, T ;
Hoh, R ;
Hayden, M ;
Barbour, JD ;
Hellmann, NS ;
Petropoulos, CJ ;
McCune, JM ;
Hellerstein, MK ;
Grant, RM .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (07) :472-480
[3]  
DEEKS SG, 2000, 7 C RETR OPP INF SAN
[4]  
Devereux HL, 1999, AIDS, V13, pF123, DOI 10.1097/00002030-199912240-00001
[5]   Rate of HIV-1 RNA rebound upon stopping antiretroviral therapy [J].
Harrigan, PR ;
Whaley, M ;
Montaner, JSG .
AIDS, 1999, 13 (08) :F59-F62
[6]   Shift in HIV resistance genotype after treatment interruption and short-term antiviral effect following a new salvage regimen [J].
Izopet, J ;
Massip, P ;
Souyris, C ;
Sandres, K ;
Puissant, B ;
Obadia, M ;
Pasquier, C ;
Bonnet, E ;
Marchou, B ;
Puel, J .
AIDS, 2000, 14 (15) :2247-2255
[7]   Virological and immunological effects of treatment interruptions in HIV-1 infected patients with treatment failure [J].
Miller, V ;
Sabin, C ;
Hertogs, K ;
Bloor, S ;
Martinez-Picado, J ;
D'Aquila, R ;
Larder, B ;
Lutz, T ;
Gute, P ;
Weidmann, E ;
Rabenau, H ;
Phillips, A ;
Staszewski, S .
AIDS, 2000, 14 (18) :2857-2867
[8]   HIV-1 rebound during interruption of highly active antiretroviral therapy has no deleterious effect on reinitiated treatment [J].
Neumann, AU ;
Tubiana, R ;
Calvez, V ;
Robert, C ;
Li, TS ;
Agut, H ;
Autran, B ;
Katlama, C .
AIDS, 1999, 13 (06) :677-683
[9]   LONG-TERM PERSISTENCE OF ZIDOVUDINE RESISTANCE MUTATIONS IN PLASMA ISOLATES OF HUMAN-IMMUNODEFICIENCY-VIRUS TYPE-1 OF DIDEOXYINOSINE-TREATED PATIENTS REMOVED FROM ZIDOVUDINE THERAPY [J].
SMITH, MS ;
KOERBER, KL ;
PAGANO, JS .
JOURNAL OF INFECTIOUS DISEASES, 1994, 169 (01) :184-188
[10]   Interruption of reverse transcriptase inhibitors or a switch from reverse transcriptase to protease inhibitors resulted in a fast reappearance of virus strains with a reverse transcriptase inhibitor-sensitive genotype [J].
Verhofstede, C ;
Van Wanzeele, F ;
Van der Gucht, B ;
De Cabooter, N ;
Plum, J .
AIDS, 1999, 13 (18) :2541-2546