Evidence map›Paper›PMID 39835338›Full record

ArticleThe Journal of antimicrobial chemotherapy2025

Prevalence of drug resistance mutations in low-level viremia patients under antiretroviral therapy in Southwestern China: a cross-sectional study.

Yuanlu Shu, Jiafa Liu, Cuixian Yang, Jianjian Li, Mi Zhang, Yuan Li, Xuemei Deng, Xingqi Dong

Abstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Yuanlu ShuSchool of Public Health, Kunming Medical University, Kunming 650500, China.
Jiafa LiuDepartment of Public Health, Yunnan Provincial Infectious Disease Hospital, Kunming 650301, China.
Cuixian YangDepartment of Laboratory Medicine, Yunnan Provincial Infectious Disease Hospital, Kunming 650301, China.
Jianjian LiDepartment of Laboratory Medicine, Yunnan Provincial Infectious Disease Hospital, Kunming 650301, China.
Mi ZhangDepartment of Science and Education, Yunnan Provincial Infectious Disease Hospital, Kunming 650301, China.
Yuan LiSchool of Public Health, Kunming Medical University, Kunming 650500, China.
Xuemei DengDepartment of Laboratory Medicine, Yunnan Provincial Infectious Disease Hospital, Kunming 650301, China.
Xingqi DongDepartment of Laboratory Medicine, Yunnan Provincial Infectious Disease Hospital, Kunming 650301, China.

Funding

Joint Special Funds for the Department of Science and Technology of Yunnan Province-Kunming Medical University 202201AY070001-208Kunming Medical University AIDS CXTD202111Major Science and Technology Project of Yunnan Provincial Science and Technology Department 202102AA310005Reserve Talents Project of Yunnan Provincial Health Commission H-2019044Talents Project of Yunnan Provincial Science and Technology Department 202305AC160021
6 · The paper itself

Abstract

objectivesThis study aimed to evaluate the prevalence and characteristics of drug resistance mutations (DRMs) in patients with low-level viremia (LLV) in Southwestern China, as it has become a growing challenge in AIDS clinical practice.

methodsThis cross-sectional study was performed in Yunnan Province, Southwestern China. LLV was defined as 50-999 copies/mL of plasma viral load with antiretroviral therapy (ART) for at least 6 months. HIV-1 DRM detection used validated in-house protocol.

resultsA total of 470 sequences were obtained, and 13 HIV-1 genotypes were identified, among which CRF08_BC (47.5%), CRF07_BC (22.3%) and CRF01_AE (10.0%) subtypes were the most prevalent. The overall prevalence of DRMs was 45.7% (215/470), and the prevalence of DRMs to non-nucleoside reverse transcriptase inhibitors (NNRTIs), nucleoside reverse transcriptase inhibitors (NRTIs) and protease inhibitors (PIs) was 39.4% (185/470), 20.6% (97/470) and 5.3% (25/470), respectively. The most common NNRTI-associated mutations were K103N (16.0%), E138A (6.6%), V179D (6.6%) and P225H (4.9%), and those in NRTIs were M184V (17.0%), D67N (3.4%) and K65R (3.0%). PI-associated mutations were infrequent, occurring in less than 1.8% of cases. The prevalence of NNRTI-associated mutations (K101E and Y188C) was found to be statistically significant among various LLV groups. Additionally, significant variations were observed in the prevalence of NNRTI-associated mutations (V106I, V106M, E138A and P225H), NRTI-associated mutation (K65R) and PI-associated mutations (L33F and Q58E) across different subtypes.

conclusionsThe prevalence of DRMs in ART-experienced patients with LLV was high, and HIV-1 genotypes exhibited diversity in Yunnan Province. These findings indicate that regular DRM monitoring during LLV episodes was essential for effective clinical treatment and management in this region.

Indexed as

Anti-HIV AgentsDrug Resistance, ViralHIV-1HIV InfectionsMutationViremiaAdultAntiretroviral Therapy, Highly ActiveChinaCross-Sectional StudiesFemaleGenotypeHumansMaleMiddle AgedPrevalenceAnti-HIV Agents

Identifiers

PMID39835338
PMCPMC11962373

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.