长效卡博特格拉维尔和里尔皮维林的病毒学成功尽管有历史的里尔皮维林耐药性:现实世界病例系列
Félix Gutiérrez1,2,3,4, Marta Fernández-González1,3,4, Christian Ledesma1,4
1Infectious Diseases Unit, Hospital General Universitario de Elche, Elche, Spain.
Open forum infectious diseases
|November 14, 2025
概括
长效卡博特格拉维尔/里尔皮维林 (CAB/RPV) 有效地维持了先前对里尔皮维林耐药的个体的病毒抑制. 这项研究支持在具有历史耐药性突变的特定患者群体中谨慎使用CAB/RPV.
科学领域:
- 传染性疾病 传染性疾病
- 病毒学 病毒学
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗逆转录病毒治疗对于治疗艾滋病毒至关重要.
- 长效注射方案提供了新的治疗选择.
- 了解先前耐药性患者的治疗结果至关重要.
研究的目的:
- 评估长效卡博特格拉维尔/里尔皮维林 (CAB/RPV) 在具有历史里尔皮维林 (RPV) 耐药突变的个体中的疗效.
- 在这种特定人群中评估CAB/RPV治疗期间的病毒抑制和病毒学失败率.
主要方法:
- 采用了一个案例系列设计.
- 该研究包括13名具有记录历史RPV耐药突变的个体,主要是E138A.
- 患者被转换为长期作用的CAB/RPV,并分析了随访数据.
主要成果:
- 随访时间的中位数为24个月.
- 在13名参与者中,12名 (92.3%) 在转换为CAB/RPV时受到病毒学抑制.
- 在随访期间没有观察到病毒学失败.
结论:
- 长期作用的CAB/RPV在具有历史RPV抗性突变的患者中表现出持续的病毒抑制.
- 这些发现支持在具有远程或多态抗性突变的选定个体中谨慎使用CAB/RPV.
- 长效注射剂可能是复杂治疗史患者的可行选择.
相关概念视频
Retrovirus Life Cycles
49.2K
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
49.2K
Retroviruses
14.6K
Retroviruses and retrotransposons both insert copies of their genetic elements into the genome of the host cell. Thus, the viral genes are passed on when the host genome is replicated or translated. A typical retroviral DNA sequence contains 3-4 genes that encode the different proteins required for its structural assembly and function as a molecular parasite. This DNA is transcribed into a single mRNA, which is very similar in structure to conventional mRNAs, i.e., it is capped at the 5’...
14.6K
Subviral Agents
488
Subviral agents are infectious entities that resemble viruses but lack one or more viral components, such as a capsid or essential replication machinery. These agents include viroids, prions, and satellites, each possessing distinct structural and functional characteristics that influence their mode of infection and replication.Viroids are the simplest subviral agents, consisting of circular, single-stranded RNA molecules without a protein coat. They exclusively infect plants, relying entirely...
488
Viruses with RNA Genomes
774
RNA viruses are categorized into positive-strand, negative-strand, or double-stranded groups based on their genomic structure and replication mechanisms. This classification dictates how they exploit host cellular machinery for protein synthesis and replication. Some RNA viruses also utilize reverse transcription as part of their life cycle, further diversifying their replication strategies.Positive-Strand RNA VirusesPositive-strand RNA viruses have genomes that function directly as messenger...
774


