Acquired antiretroviral drug resistance mutations upon treatment failure in HIV-1 infected pediatric patients in central Brazil

Antiretroviral drug-resistance mutations compromise the successful treatment of children and adolescents infected with human immunodeficiency virus type 1 (HIV-1). We describe the clinical, virological, and immunological follow-up of a cohort of children and adolescents perinatally infected with HIV-1 treated at Hospital Estadual de Doenças Tropicais Dr. Anuar Auad ­ HDT, in Central Brazil, after therapeutic failure related to drug resistance mutations. We analyzed the results of the genotypic test (protease codons 1­99 and reverse transcriptase codons 1­325) performed from 2003 to 2015. The ARV susceptibility profile was analyzed according to Stanford HIV drug resistance database. A total of 65 patients (median age of 10 years; range, 18 m­18 y) with therapeutic failure (after a median of 55 months of follow up; range, 9 m­13 y) and plasma levels of HIV-1 RNA greater than 1,000 copies/mL which were included and demonstrated mutations in: nucleoside reverse transcriptase inhibitors (NRTIs), 98.5%; non nucleoside reverse transcriptase inhibitors (NNRTIs), 75.4%; and protease inhibitors (PI), 44.6%. The most frequent NRTI mutations were found in codon T215 (83.1%) with a predominance of T215Y (56.9%), followed by M184V (69.3%). In the NNRTI class, mutations K103N (36.9%) and 190A (23.1%) were predominant, and, in the protease, mutations 54VL (35.4%) and 82ASTL (32.3%) were found in approximately the same proportion, with a predominance of the M54V mutation. These results demonstrate the high levels of resistance to different classes of antiretrovirals in HIV-infected children and adolescents and the importance of genotypic resistance tests in this population

Genótipos de maracujazeiro-azedo com resistência à bacteriose / Genotypes of passionfruit to resistance to the bacteriose

Este trabalho teve como objetivo avaliar e selecionar genótipos de maracujazeiro-azedo com resistência à bactéria Xanthomonas axonopodis pv. passiflorae. Para a inoculação da bactéria, nas folhas das plantas, foi empregado o método da agulha utilizando-se o delineamento de blocos casualizados, com 4 repetições e 12 plantas por parcela, em esquema de parcela subdividida, com quatro épocas de avaliação na parcela e 18 genótipos na subparcela. Foi avaliada a incidência e a severidade da bacteriose, com base em escala de notas variando de 0 a 4, onde foram classificadas como Resistentes, Medianamente Resistentes, Medianamente Suscetíveis, Suscetíveis e Altamente Suscetíveis. Os genótipos apresentaram variabilidade com relação à resistência, sendo que os genótipos Maracujá Moranga, RC-0-3, Vermelhinho e PES-7 foram selecionados, pois apresentaram mais de 30% de plantas medianamente resistentes na última avaliação. O genótipo MSCA foi considerado resistente com base na severidade. As plantas individuais dos diferentes genótipos que permaneceram resistentes até a última avaliação foram selecionadas e deverão ser novamente avaliadas para a confirmação da resistência à bactéria Xanthomonas axonopodis pv. passiflorae, incluindo diferentes isolados desta bactéria.

This work had as objective to evaluate and to select the reaction of passionfruit genotypes to Xanthomonas axonopodis pv. passiflorae. For the inoculation of the bacterium had been used of the needle. Twelve plants of each of 18 genotypes were evaluated in a randomized block experiment with 4 replicates and four different times of evaluation. It was evaluated the incidence and the severity of bacteriose, on the basis of a note scale of 0 the 4 which were classified as Resistant, Medium Resistant, Medium Susceptible, Susceptible and Highly Susceptible. The genotypes had presented variability with regard to the resistance, being that the genotypes Maracujá Moranga, RC-0-3, Vermelhinho and PES-7 had been selected, since they had more than presented 30% of medium resistant plants in the last evaluation. Only one genotype was considered resistant, on the basis of severity. The individual plants of the different genotypes that had remained resistant until the last evaluation will have to be selected and evaluated for the confirmation of the Xanthomonas axonopodis pv. passiflorae.