What
is Resistance?
Mutations & Resistance in HIV
Managing Resistance to HIV Therapy
- Causes of Treatment
Failure
- Rational Treatment Sequencing
- Treatment Choices
- Hidden Dangers?
- Resistance Studies
- Measuring Resistance
Resistance Quiz
References
Credits
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Managing
Resistance to HIV Therapy |
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Resistance Studies
The patterns of mutations in the HIV-1 pol gene that arise during treatment with
nucleoside analogues, non-nucleoside reverse transcriptase inhibitors and protease
inhibitors are well known from monotherapy studies. However, the patterns that emerge
during combination therapy do not always represent the sum of the monotherapy mutations.
These reasons for these differences need to be explored.
In general, genotypic (genetic) changes correlate
well with phenotypic (physical characteristics) measurements of drug sensitivity, although
resistance to one drug can sometimes be at least partly reversed by additional mutations
selected by a second drug. So far there have been no studies of the use of resistance to
guide treatment decisions. |