Genetic Consequences of Antiviral Therapy on HIV-1
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A variety of enzyme inhibitors have been developed in combating HIV-1, however the fast evolutionary rate of this virus commonly leads to the emergence of resistance mutations that finally allows the mutant virus to survive. This review explores the main genetic consequences of HIV-1 molecular evolution during antiviral therapies, including the viral genetic diversity and molecular adaptation. The role of recombination in the generation of drug resistance is also analyzed. Besides the investigation and discussion of published works, an evolutionary analysis of protease-coding genes collected from patients before and after treatment with different protease inhibitors was included to validate previous studies. Finally, the review discusses the importance of considering genetic consequences of antiviral therapies in models of HIV-1 evolution that could improve current genotypic resistance testing and treatments design.
Substitution Models of Protein Evolution with Selection on Enzymatic Activity.
Ferreiro D, Khalil R, Sousa S, Arenas M Mol Biol Evol. 2024; 41(2).
PMID: 38314876 PMC: 10873502. DOI: 10.1093/molbev/msae026.
The evolution of the HIV-1 protease folding stability.
Ferreiro D, Khalil R, Gallego M, Osorio N, Arenas M Virus Evol. 2023; 8(2):veac115.
PMID: 36601299 PMC: 9802575. DOI: 10.1093/ve/veac115.
Del Amparo R, Arenas M Genes (Basel). 2022; 13(1).
PMID: 35052404 PMC: 8774313. DOI: 10.3390/genes13010061.
Analysis of evolutionary rate of HIV-1 subtype B using blood donor samples in Japan.
Shinohara N, Matsumoto C, Matsubayashi K, Nagai T, Satake M Virus Genes. 2018; 54(3):457-460.
PMID: 29511955 DOI: 10.1007/s11262-018-1548-1.
Lu X, Zhao H, Zhang Y, Wang W, Zhao C, Li Y AIDS Res Ther. 2017; 14(1):4.
PMID: 28114955 PMC: 5260017. DOI: 10.1186/s12981-017-0133-3.