Antiretroviral drug resistance and HIV-1 subtypes among treatment-naive prisoners in Kelantan, Malaysia

Introduction: The widespread use of highly active antiretroviral therapy (HAART) and continuous reports of HIV-1 strains developing resistance to these drugs is rather alarming, as transmission of resistant viruses to newly infected persons is possible. This study aimed to determine HIV-1 subtypes a...

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Main Authors: Tengku Ahmad Akram Tengku Mohd Ariffin, Suharni Mohamad, Wan Nazirah Wan Yusuf, Rafidah Hanim Shueb
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2014-08-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/4095
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author Tengku Ahmad Akram Tengku Mohd Ariffin
Suharni Mohamad
Wan Nazirah Wan Yusuf
Rafidah Hanim Shueb
author_facet Tengku Ahmad Akram Tengku Mohd Ariffin
Suharni Mohamad
Wan Nazirah Wan Yusuf
Rafidah Hanim Shueb
author_sort Tengku Ahmad Akram Tengku Mohd Ariffin
collection DOAJ
description Introduction: The widespread use of highly active antiretroviral therapy (HAART) and continuous reports of HIV-1 strains developing resistance to these drugs is rather alarming, as transmission of resistant viruses to newly infected persons is possible. This study aimed to determine HIV-1 subtypes and the prevalence of primary mutations associated with antiretroviral (ARV) resistance among treatment-naive prisoners on the east coast of Malaysia. Methodology: Viral RNA was extracted from plasma samples of 21 treatment-naive prisoners. Protease (PR) and reverse transcriptase (RT) regions were amplified and sequenced. Stanford HIV database algorithms were used for interpretation of resistance, and phylogenetic analysis was performed for subtype assignment. Results: In the PR gene, no antiviral resistance-associated mutation was detected. For RT-associated mutations, K103N was the most prevalent in sequenced samples (14.3%). Genetic subtyping on the pol gene revealed that the majority of the prisoners were infected with subtype CRF33_01B (52.4%). Conclusion: Continuous surveillance of newly infected individuals is required to help strategize the best antiviral treatment for these patients.
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issn 1972-2680
language English
publishDate 2014-08-01
publisher The Journal of Infection in Developing Countries
record_format Article
series Journal of Infection in Developing Countries
spelling doaj-art-e64345e8de7f4773a073ea3f8ed9efac2025-08-20T02:27:06ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802014-08-0180810.3855/jidc.4095Antiretroviral drug resistance and HIV-1 subtypes among treatment-naive prisoners in Kelantan, MalaysiaTengku Ahmad Akram Tengku Mohd Ariffin0Suharni Mohamad1Wan Nazirah Wan Yusuf2Rafidah Hanim Shueb3Universiti Sains Malaysia, Kubang Kerian, Kelantan, MalaysiaUniversiti Sains Malaysia, Kubang Kerian, Kelantan, MalaysiaUniversiti Sains Malaysia, Kubang Kerian, Kelantan, MalaysiaUniversiti Sains Malaysia, Kubang Kerian, Kelantan, MalaysiaIntroduction: The widespread use of highly active antiretroviral therapy (HAART) and continuous reports of HIV-1 strains developing resistance to these drugs is rather alarming, as transmission of resistant viruses to newly infected persons is possible. This study aimed to determine HIV-1 subtypes and the prevalence of primary mutations associated with antiretroviral (ARV) resistance among treatment-naive prisoners on the east coast of Malaysia. Methodology: Viral RNA was extracted from plasma samples of 21 treatment-naive prisoners. Protease (PR) and reverse transcriptase (RT) regions were amplified and sequenced. Stanford HIV database algorithms were used for interpretation of resistance, and phylogenetic analysis was performed for subtype assignment. Results: In the PR gene, no antiviral resistance-associated mutation was detected. For RT-associated mutations, K103N was the most prevalent in sequenced samples (14.3%). Genetic subtyping on the pol gene revealed that the majority of the prisoners were infected with subtype CRF33_01B (52.4%). Conclusion: Continuous surveillance of newly infected individuals is required to help strategize the best antiviral treatment for these patients. https://jidc.org/index.php/journal/article/view/4095HIV-1CRF33_01Bdrug resistanceprisoners
spellingShingle Tengku Ahmad Akram Tengku Mohd Ariffin
Suharni Mohamad
Wan Nazirah Wan Yusuf
Rafidah Hanim Shueb
Antiretroviral drug resistance and HIV-1 subtypes among treatment-naive prisoners in Kelantan, Malaysia
Journal of Infection in Developing Countries
HIV-1
CRF33_01B
drug resistance
prisoners
title Antiretroviral drug resistance and HIV-1 subtypes among treatment-naive prisoners in Kelantan, Malaysia
title_full Antiretroviral drug resistance and HIV-1 subtypes among treatment-naive prisoners in Kelantan, Malaysia
title_fullStr Antiretroviral drug resistance and HIV-1 subtypes among treatment-naive prisoners in Kelantan, Malaysia
title_full_unstemmed Antiretroviral drug resistance and HIV-1 subtypes among treatment-naive prisoners in Kelantan, Malaysia
title_short Antiretroviral drug resistance and HIV-1 subtypes among treatment-naive prisoners in Kelantan, Malaysia
title_sort antiretroviral drug resistance and hiv 1 subtypes among treatment naive prisoners in kelantan malaysia
topic HIV-1
CRF33_01B
drug resistance
prisoners
url https://jidc.org/index.php/journal/article/view/4095
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AT wannazirahwanyusuf antiretroviraldrugresistanceandhiv1subtypesamongtreatmentnaiveprisonersinkelantanmalaysia
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