دورية أكاديمية
Detection of human immunodeficiency virus Type 1 phylogenetic clusters with multidrug resistance mutations among 2011 to 2017 blood donors from the highly endemic Northern Brazilian Amazon.
العنوان: | Detection of human immunodeficiency virus Type 1 phylogenetic clusters with multidrug resistance mutations among 2011 to 2017 blood donors from the highly endemic Northern Brazilian Amazon. |
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المؤلفون: | Esashika Crispim MA; Fundação de Hematologia e Hemoterapia do Amazonas, HEMOAM, Manaus, Brazil., da Guarda Reis MN; Laboratório de Imunologia da AIDS e da Hanseniase, Instituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goiás, Goiânia, Goiás, Brazil., Fraiji N; Fundação de Hematologia e Hemoterapia do Amazonas, HEMOAM, Manaus, Brazil., Bello G; Laboratório de AIDS e Imunologia Molecular, Instituto Oswaldo Cruz, FIOCRUZ, Rio de Janeiro, Brazil., Stefani MMA; Laboratório de Imunologia da AIDS e da Hanseniase, Instituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goiás, Goiânia, Goiás, Brazil. |
المصدر: | Transfusion [Transfusion] 2019 Aug; Vol. 59 (8), pp. 2593-2601. Date of Electronic Publication: 2019 May 23. |
نوع المنشور: | Clinical Trial; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't |
اللغة: | English |
بيانات الدورية: | Publisher: American Association Of Blood Banks Country of Publication: United States NLM ID: 0417360 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-2995 (Electronic) Linking ISSN: 00411132 NLM ISO Abbreviation: Transfusion Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Arlington, Va. : American Association Of Blood Banks |
مواضيع طبية MeSH: | Blood Donors* , Mutation* , Phylogeny*, Drug Resistance, Multiple, Viral/*genetics , HIV Infections/*genetics , HIV Protease/*genetics , HIV Reverse Transcriptase/*genetics , HIV-1/*genetics, Adult ; Brazil/epidemiology ; Cross-Sectional Studies ; Female ; HIV Infections/enzymology ; HIV Infections/epidemiology ; HIV-1/enzymology ; Humans ; Male |
مستخلص: | Background: This study describes transmitted drug resistance (TDR) in blood donors diagnosed with human immunodeficiency virus Type 1 (HIV-1) infection from 2011 to 2017 in three reference public blood centers from the Northern Brazilian Amazon. Study Design and Methods: This was a cross-sectional study on HIV-positive blood donors from HEMOAM, Manaus, Amazonas, AM (n = 198); HEMERON, Porto Velho, Rondônia, RO (n = 20); and HEMORAIMA, Boa Vista, Roraima, RR (n = 9). HIV-1 pol sequences (protease, reverse transcriptase) were analyzed for drug resistance mutations (DRMs) using the Calibrated Population Resistance tool (Stanford). TDR/DRM clusters were investigated by phylogenetic analysis after removing positions associated with drug resistance of Subtype B sequences from untreated and treated subjects from Northern Brazil. Results: Transmitted drug resistance/DRM in blood donors was 11% (25 of 227), all of them from HEMOAM. Most blood donors with TDR/DRM had multiple and similar DRMs. Nonnucleoside reverse transcriptase inhibitor (NNRTI) mutations predominated (10.1%), followed by nucleoside reverse transcriptase inhibitor (NRTI) mutations (5.3%) and protease inhibitor mutations (0.4%). Dual-class NNRTI/NRTI mutations represented 4.8%. Three highly supported Subtype B monophyletic clades mostly composed by individuals from Amazonas with TDR/DRM mutations were identified. The largest transmission cluster contained 10 sequences, eight from HEMOAM and two sequences described previously (one from a treated subject from Amazonas and the other one from Roraima). This cluster was characterized by NRTI (D67N, T69D, T215S/F/L, K219Q) and NNRTI (K101H, K103 N, G190A) mutations. The other two transmission clades comprised only three and two sequences from HEMOAM sharing the E138A NNRTI mutation. Conclusions: The identification of transmission clusters of multidrug-resistant viruses in blood donors from Amazonas highlight the need of continued monitoring of TDR/DRM and the importance of pretreatment genotyping in the highly endemic Amazonas state. (© 2019 AABB.) |
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المشرفين على المادة: | EC 2.7.7.- (reverse transcriptase, Human immunodeficiency virus 1) EC 2.7.7.49 (HIV Reverse Transcriptase) EC 3.4.23.- (HIV Protease) |
تواريخ الأحداث: | Date Created: 20190524 Date Completed: 20200601 Latest Revision: 20210316 |
رمز التحديث: | 20231215 |
DOI: | 10.1111/trf.15347 |
PMID: | 31119759 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1537-2995 |
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DOI: | 10.1111/trf.15347 |