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韩晓旭, 代娣, 卢春明, 谷渊, 赵彬, 张旻, 刘静, 尚红. 男男同性恋HIV-1感染者原发耐药性分析[J]. 中国公共卫生, 2007, 23(12): 1415-1416. DOI: 10.11847/zgggws2007-23-12-04
引用本文: 韩晓旭, 代娣, 卢春明, 谷渊, 赵彬, 张旻, 刘静, 尚红. 男男同性恋HIV-1感染者原发耐药性分析[J]. 中国公共卫生, 2007, 23(12): 1415-1416. DOI: 10.11847/zgggws2007-23-12-04
HAN Xiao-xu, DAI Di, LU Chun-ming, . Analysis on primary drug resistance of HIV-1 infected man having sex with man[J]. Chinese Journal of Public Health, 2007, 23(12): 1415-1416. DOI: 10.11847/zgggws2007-23-12-04
Citation: HAN Xiao-xu, DAI Di, LU Chun-ming, . Analysis on primary drug resistance of HIV-1 infected man having sex with man[J]. Chinese Journal of Public Health, 2007, 23(12): 1415-1416. DOI: 10.11847/zgggws2007-23-12-04

男男同性恋HIV-1感染者原发耐药性分析

Analysis on primary drug resistance of HIV-1 infected man having sex with man

  • 摘要: 目的 研究辽宁省男男同性恋者中未经抗病毒治疗的人类免疫缺陷病毒Ⅰ型(HIV-1)感染人群中耐药突变的发生和流行情况。方法 收集辽宁省1999~2007年门诊随访的46例HIV-1感染者外周血,提取血浆中HIV基因组RNA,逆转录PCR(RT-PCR)和巢式PCR方法扩增蛋白酶基因全序列和逆转录酶基因1~250氨基酸编码序列,产物纯化后直接进行基因序列测定。序列拼接后,上传至美国斯坦福大学HIV耐药数据库在线进行耐药性分析。结果 1例B亚型HIV-1感染者携带针对蛋白酶抑制剂的L90M原发耐药变异,另1例CRF01.AE亚型毒株感染者携带M46I原发耐药变异,而其余病例在蛋白酶编码区只存在次要变异,由高到低依次为L10I 3例,A71T 1例。逆转录酶编码区未发现任何耐药变异。结论 在辽宁省男男同性恋人群中已经发现有针对蛋白酶抑制剂的耐药毒株的传播。

     

    Abstract: Objective To make sure the HIV-1 drug resistance mutations rate in man who had sex with man in Liaoning province.Methods Totally 46 samples from antiretroviral therapy-naive MSMs were collected.The entire protease gene and 1~250 amino acids of the reverse transcriptase gene were amplified by RT-PCR and nested PCR from genome RNA and sequenced.The results were analyzed with HIVdb-Drug Resistance Algorithm and genotypic resistance mutations were determined to particular anti-HIV drugs.Results One subtype BHIV-1 infected case carried L90M,a major mutation against protease inhibitors.Another CRF-01AE HIV-1 infected case carried M46 I,a major mutation against protease inhibitors.Other cases carried only minor mutations:3 cases carried L10 I,1 case carried A71 T.None mutation against reverse transcriptase inhibitors was detected.Conclusion HIV-1 drug resistance strain transmission was found in MSMs in Liaoning province.

     

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