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Updated: Mar 15, 2026

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Published on: May 9, 2025
Differences in genetic variants in lopinavir disposition among HIV-infected Bantu Africans
Bafokeng Mpeta1, Elizabeth Kampira2, Sandra Castel3
1Division of Human Genetics, Department of Pathology (formerly Clinical Laboratory Sciences) & Institute of Infectious Disease & Molecular Medicine, Faculty of Health Sciences, University of Cape Town, South Africa.
Introduction:
Variability in lopinavir (LPV) plasma concentration among patients could be due to genetic polymorphisms. This study set to evaluate significance of variants in CYP3A4/5, SLCO1B1 and ABCC2 on LPV plasma concentration among African HIV-positive patients.
Materials & Methods:
Eighty-six HIV-positive participants on ritonavir (LPV/r) were genetically characterized and LPV plasma concentration determined.
Results & Discussion:
LPV plasma concentrations differed >188-fold (range 0.0206-38.6 µg/ml). Both CYP3A4*22 and SLCO1B1 rs4149056G (c.521C) were not observed in this cohort. CYP3A4*1B, CYP3A5*3, CYP3A5*6 and ABCC2 c.1249G>A which have been associated with LPV plasma concentration, showed no significant association.
Conclusion:
These findings highlight the need to include African groups in genomics research to identify variants of pharmacogenomics significance.
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