Trend over time of HIV-1 drug resistance to nonnucleoside reverse transcriptase inhibitors (NNRTIs) and their drivers: A cohort study from Antiviral Response Cohort Analysis (ARCA).


Journal

HIV medicine
ISSN: 1468-1293
Titre abrégé: HIV Med
Pays: England
ID NLM: 100897392

Informations de publication

Date de publication:
Nov 2023
Historique:
received: 28 02 2023
accepted: 19 06 2023
medline: 16 11 2023
pubmed: 13 7 2023
entrez: 13 7 2023
Statut: ppublish

Résumé

The rise of HIV-1 drug resistance to nonnucleoside reverse transcriptase inhibitors (NNRTIs) threatens the long-term success of NNRTI-based therapies. Our study aims to describe the circulation of major resistance-associated mutations (RAMs) for NNRTIs in people living with HIV (PLWH) in Italy from 2000 to 2020. We included 5982 naïves and 28 505 genotypes from 9387 treatment-experienced PLWH from the Antiviral Response Cohort Analysis (ARCA) cohort. Transmitted drug resistance (TDR) was found in 12.5% and declined from 17.3% in 2000-2003 to 10.9% in 2016-2020 (p = 0.003). Predictors of TDR were viral subtype B [vs. non-B, adjusted odds ratio (aOR) = 1.94, p < 0.001], zenith viral load (VL) (per 1 log

Identifiants

pubmed: 37439411
doi: 10.1111/hiv.13525
doi:

Substances chimiques

Reverse Transcriptase Inhibitors 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1150-1157

Informations de copyright

© 2023 The Authors. HIV Medicine published by John Wiley & Sons Ltd on behalf of British HIV Association.

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Auteurs

Ilaria Rancan (I)

Department of Experimental & Clinical Medicine, University of Florence, Florence, Italy.
Infectious and Tropical Diseases Unit, Department of Medical Sciences, University Hospital of Siena, Siena, Italy.

Chiara Cassol (C)

Infectious Disease Department, USL SUDEST, Toscana, Misericordia Hospital, Grosseto, Italy.

Lucia Graziani (L)

Department of Experimental & Clinical Medicine, University of Florence, Florence, Italy.

Marta Tilli (M)

Department of Experimental & Clinical Medicine, University of Florence, Florence, Italy.

Costanza Malcontenti (C)

SOD Malattie Infettive e Tropicali AOU Careggi, Florence, Italy.

Chiara Russo (C)

Infectious Diseases Unit, San Martino Policlinico Hospital-IRCCS for Oncology and Neuroscience, Genoa, Italy.
Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.

Martina Bottanelli (M)

School of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Infectious Diseases Unit, San Raffaele Scientific Institute, Milan, Italy.

Fiorenza Bracchitta (F)

Laboratory of Clinical Microbiology, Virology and Bioemergencies, ASST Fatebenefratelli Sacco, L. Sacco University Hospital, Milan, Italy.

Rebecka Papaioannu (R)

School of Medicine, Vita-Salute San Raffaele University, Milan, Italy.
Infectious Diseases Unit, San Raffaele Scientific Institute, Milan, Italy.

Laura Labate (L)

Infectious Diseases Unit, San Martino Policlinico Hospital-IRCCS for Oncology and Neuroscience, Genoa, Italy.
Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.

Sara Mora (S)

Department of Informatics, Bioengineering, Robotics and System Engineering, University of Genoa, Genoa, Italy.

Antonia Bezenchek (A)

InformaPRO S.r.l., Rome, Italy.
EuResist Network GEIE, Rome, Italy.

Adrian Shallvari (A)

InformaPRO S.r.l., Rome, Italy.
EuResist Network GEIE, Rome, Italy.

Antonio Di Biagio (A)

Infectious Diseases Unit, San Martino Policlinico Hospital-IRCCS for Oncology and Neuroscience, Genoa, Italy.
Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.

Barbara Rossetti (B)

Infectious Disease Department, USL SUDEST, Toscana, Misericordia Hospital, Grosseto, Italy.

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