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Drug Resistance to HIV-1 Integrase Inhibitors among Treatment-naive Patients in Jiangsu,China
Authors:YIN Yue Qi  LU Jing  ZHOU Ying  SHI Ling En  YUAN De Fu  CHEN Jian Shuang  XUAN Yan  HU Hai Yang  ZHANG Zhi  XU Xiao Qin  FU Geng Feng  WANG Bei
Institution:1. Department of Epidemiology and Health Statistics, Key Laboratory of Environmental Medicine Engineering of Ministry of Education, School of Public Health, Southeast University, Nanjing 210009, Jiangsu, China;2. Department of HIV/STD Prevention and Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, Jiangsu, China
Abstract:Integrase strand transfer inhibitors (InSTIs) have been widely used in recent years because of their high genetic barrier to resistance. The World Health Organization (WHO) has recommended dolutegravir (DTG)-containing regimens as the preferred first- and second-line antiretroviral therapy (ART) regimens for people living with human immunodeficiency virus (HIV)1]. During the long-term treatment process, the appearance of drug resistance mutations to InSTIs is inevitable. A meta-analysis has shown that the resistance rate among InSTI treatment-experienced patients is 3.9% (Raltegravir, RAL), 1.2% (Elvitegravir, EVG), and 0.1% (DTG)2]. However, resistance to InSTIs has not been reported in treatment-naive populations.
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