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Year : 2008  |  Volume : 26  |  Issue : 4  |  Page : 372-374

High rate of mutation K103N causing resistance to nevirapine in Indian children with acquired immunodeficiency syndrome


1 Department of Immunopathology, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012, India
2 Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012, India

Correspondence Address:
S Sehgal
Department of Immunopathology, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0255-0857.43583

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In north India the number of paediatric cases with acquired immunodeficiency syndrome (AIDS) is on the rise. Most drug combinations used for treatment of AIDS incorporate nevirapine, resistance to which develops very fast if given singly or because of unplanned interruptions. This paper investigates presence of mutations at codon 103 and codon 215 of the HIV pol gene causing resistance to nevirapine and zidovudine (AZT) respectively in 25 children with AIDS. Mutations T215Y and K103N were detected by a nested cum amplification refractory mutation system polymerase chain reaction (ARMS PCR) and the results were confirmed by direct sequencing in five randomly selected cases. Nineteen patients had received nevirapine containing regimen and six were drug naive. Mutation K103N was observed in 56% (14/25) of the children while mutation T215Y was found in none. Two of the six drug naοve children also showed K103N mutation. Thus, Indian children drug naοve or treated with nevirapine containing regimens show a high rate of mutation conferring resistance to nevirapine which calls for a judicious use of nevirapine both in antenatal and postnatal setting.






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2004 - Indian Journal of Medical Microbiology
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