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Allan Buzibye,Kara Wools-Kaloustian,Adeniyi Olagunju et al. Allan Buzibye et al.
Sanger sequencing was used to detect resistant mutations, as well as host genotyping, and efavirenz resistance was compared among the metabolizer genotypes.
Tran Viet Tien,Dinh Cong Pho,Le Thu Hong et al. Tran Viet Tien et al.
In NNRTIs, the prevalence of nevirapine resistance was 55.8%, and that of efavirenz resistance was 4.7%. In NRTIs, the ratio of lamivudine resistance was 93.0%, and that of zidovudine resistance was 9.3%. No lopinavir/ritonavir resistance was recorded.
Cathia Soulie,Maria Mercedes Santoro,Charlotte Charpentier et al. Cathia Soulie et al.
In comparison, the prevalence of rilpivirine, etravirine, nevirapine and efavirenz resistance was higher whatever algorithm was used (ANRS: 8.5%, 8.1%, 8.3% and 3.9%, respectively; Stanford: 9.9%, 10.0%, 7.5% and 9.4%, respectively).
Claudia García-Morales,Daniela Tapia-Trejo,Verónica S Quiroz-Morales et al. Claudia García-Morales et al.
For 2008-16, we observed increasing efavirenz resistance trends in all regions (P < 0.05, all cases), reaching 11.8%, 6.1% and 8.3% respectively in 2016....Increasing efavirenz resistance was mostly associated with increasing K103N frequency (P = 0.007 CMZ, P = 0.03 Tijuana, not significant for Cancun)....Even when increasing trends in efavirenz resistance were observed in the three areas, our observations support that, in a large country such as Mexico, subnational surveillance and locally tailored interventions to address drug resistance may be a reasonable option.
Anna N Kolomeets,Vici Varghese,Philippe Lemey et al. Anna N Kolomeets et al.
Conclusion: The predisposition of subtype A(FSU) to G190S is concerning because G→A is the most common HIV-1 mutation and because G190S causes higher levels of nevirapine and efavirenz resistance than K103N.
Timothy J Henrich,Emily Hanhauser,Francisco M Marty et al. Timothy J Henrich et al.
One patient developed new efavirenz resistance after reinitiation of antiretroviral therapy. Reinitiation of active therapy led to viral decay and resolution of symptoms in both patients.
Steven J Reynolds,Cissy Kityo,Frank Mbamanya et al. Steven J Reynolds et al.
Results: All patients receiving efavirenz-containing HAART had > or =1 efavirenz resistance mutation develop during follow-up.
Christine E Koval,Carrie Dykes,Jiong Wang et al. Christine E Koval et al.
We hypothesized that differences in replication efficiency, or fitness, influence the relative frequencies of these secondary efavirenz resistance mutations in clinical isolates....Our studies suggest the primary driving force behind the selection of secondary efavirenz resistance mutations is the acquisition of higher levels of drug resistance, but the specific secondary mutations to emerge are those with the least cost in terms of replication efficiency.
Denise Lecossier,Nancy S Shulman,Laurence Morand-Joubert et al. Denise Lecossier et al.
Salvage therapy with efavirenz is often ineffective in patients having failed nevirapine treatment, even when mutations associated with efavirenz resistance are not detected by standard population-based genotyping.
Jose L Casado,Ana Moreno,Kurt Hertogs et al. Jose L Casado et al.
A previous longer period of nevirapine therapy was significantly associated with the emergence of efavirenz resistance (288 vs. 170 days, p < 0.01).
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