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Journal of Clinical Microbiology, April 2003, p. 1760-1762, Vol. 41, No. 4
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.4.1760-1762.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.

Drug-Associated Resistance Mutations in Plasma and Peripheral Blood Mononuclear Cells of Human Immunodeficiency Virus Type 1-Infected Patients for Whom Highly Active Antiretroviral Therapy Is Failing

Loredana Sarmati,1 Emanuele Nicastri,2 Ilaria Uccella,1 Gabriella d'Ettorre,3 Saverio G. Parisi,4 Lucia Palmisano,5 Clementina Galluzzo,5 Ercole Concia,4 Vincenzo Vullo,3 Stefano Vella,5 and Massimo Andreoni1*

Department of Public Health, University of Rome Tor Vergata,1 National Institute of Infectious Diseases, IRCCS L. Spallanzani,2 Department of Infectious Diseases, University of Rome La Sapienza,3 Laboratory of Virology, Istituto Superiore di Sanità, Rome,5 Institute of Immunology and Infectious Diseases, University of Verona, Verona, Italy4

Received 27 June 2002/ Returned for modification 8 August 2002/ Accepted 23 December 2002

In 32 patients for whom highly active antiretroviral therapy was failing, a good agreement between drug resistance-associated mutations in plasma and peripheral blood mononuclear cells (PBMCs) was found (k = 0.85). The mutations with the lowest agreement were 20R, 63P, and 84V in the protease gene and 184V in the reverse transcriptase gene. In eight patients, primary drug resistance mutations were detected only in PBMCs.


* Corresponding author. Mailing address: Department of Public Health and Cellular Biology, University ‘Tor Vergata', Via Montpellier 1, 00133. Rome, Italy. Phone and fax: (39-06) 72596873. E-mail: andreoni{at}uniroma2.it.


Journal of Clinical Microbiology, April 2003, p. 1760-1762, Vol. 41, No. 4
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.4.1760-1762.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.




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