A genotypic resistance assay for the detection of drug resistance in the human immunodeficiency virus type 1 envelope gene

J Virol Methods. 2005 Jan;123(1):25-34. doi: 10.1016/j.jviromet.2004.09.003.

Abstract

Since it is not clear yet whether enfuvirtide resistance is restricted to gp41, it was decided to develop a genotypic assay for the detection of drug resistance in the entire human immunodeficiency virus type 1 (HIV-1) env gene. Given the increasing prevalence of HIV-1 non-B subtypes in Europe, it is important to evaluate the performance of the assay on a panel of genetically divergent samples. A panel of 1 laboratory and 10 clinical isolates from 10 patients was tested, all enfuvirtide naive and chosen according to the subtype as determined in the pol region (A, B, C, H, CRF01-AE, CRF02-AG, CRF05-DF, CRF11-cpx and U), while their env sequences belonged to subtypes A, B, C, H, A/G recombinant, B/H recombinant, CRF01-AE, CRF02-AG, CRF05-DF and CRF11-cpx. The detection limits of the gp120 and the gp41 PCRs ranged between 500 and 5000 RNA copies/ml plasma. The highest sensitivity was obtained for the laboratory strain, whereas the detection limit for all patient samples, except for the subtype C sample, was 1000 RNA copies/ml. The numerous insertions and deletions in the gp120 gene, that were often present as quasi-species, necessitated the sequencing of cloned PCR products. The gp41 gene displayed less diversity and less insertions/deletions. Especially, the heptad repeat 1 was highly conserved and none of the enfuvirtide naive samples contained any of the already known enfuvirtide resistance mutations at amino acid positions 36-45. This study demonstrates that the assay is able to genotype genetically diverse HIV-1 strains with a good sensitivity.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Drug Resistance, Viral / genetics*
  • Genes, env* / genetics*
  • HIV Envelope Protein gp120 / genetics
  • HIV Envelope Protein gp41 / genetics
  • HIV-1 / classification
  • HIV-1 / drug effects*
  • HIV-1 / genetics
  • Humans
  • Microbial Sensitivity Tests
  • Molecular Sequence Data
  • Peptide Fragments / genetics
  • Sequence Analysis, DNA*

Substances

  • HIV Envelope Protein gp120
  • HIV Envelope Protein gp41
  • HIV envelope protein gp120 (305-321)
  • Peptide Fragments

Associated data

  • GENBANK/AF338977
  • GENBANK/AF338978
  • GENBANK/AF338979
  • GENBANK/AF338980
  • GENBANK/AF338981
  • GENBANK/AF338982
  • GENBANK/AF338983
  • GENBANK/AF338984
  • GENBANK/AF338985
  • GENBANK/AF338986
  • GENBANK/AF338987
  • GENBANK/AF338988
  • GENBANK/AF338989
  • GENBANK/AF338990
  • GENBANK/AF338991
  • GENBANK/AF338992
  • GENBANK/AF338993
  • GENBANK/AF338994
  • GENBANK/AF338995
  • GENBANK/AF338996
  • GENBANK/AF338997