Genotypic resistance of archived and circulating viral strains in the blood of treated HIV-infected individuals

J Acquir Immune Defic Syndr. 2007 Apr 15;44(5):518-24. doi: 10.1097/QAI.0b013e3180315515.

Abstract

The aim of this study was to evaluate patterns of antiretroviral resistance of HIV-1 in peripheral blood mononuclear cells (PBMCs) and in the plasma of patients whose therapeutic regimen is failing. Plasma and PBMC samples were collected from 95 HIV-infected patients undergoing long-term treatment. Genotyping of the reverse transcriptase (RT) and protease genes of HIV-1 was undertaken using the fluorescent dideoxy-terminator method. Comparison of the amino acid sequence of the RT and protease genes in cell-associated variants of HIV-1 with that of the plasma revealed that 62 of the 95 patients' samples tested exhibited different genotypic resistance patterns (discordant samples [DSs]). In 27% of samples, the patterns of resistance detected were concordant in both compartments. In 51% of DSs, the greatest number of mutations was found in plasma; however, in 37% of DSs, greater numbers of mutations were found in PBMC DNA. The HIV mutation patterns detected in plasma do not necessarily reflect those found in the cell-associated compartment. The observation that the cellular compartment may contain an archive of the resistance variant makes this reservoir an interesting substrate for analysis of the "resistance potential" in a given patient.

MeSH terms

  • Anti-HIV Agents / therapeutic use
  • Drug Resistance, Viral / genetics*
  • Genes, Viral
  • Genotype
  • HIV Infections / drug therapy*
  • HIV Infections / virology*
  • HIV Protease / genetics
  • HIV Reverse Transcriptase / genetics
  • HIV-1 / drug effects*
  • HIV-1 / genetics*
  • HIV-1 / isolation & purification
  • Humans
  • Mutation
  • RNA, Viral / blood
  • RNA, Viral / genetics
  • Viremia / virology

Substances

  • Anti-HIV Agents
  • RNA, Viral
  • HIV Reverse Transcriptase
  • HIV Protease