1. Near-point-of-care assay with a visual readout for detection of HIV-1 drug resistance mutations: A proof-of-concept study
- Author
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Brigitte Montes, Didier Laureillard, Jean-Charles Brès, Chantal Fournier-Wirth, Nicolas Nagot, Vincent Foulongne, Jean-Pierre Molès, Philippe Van de Perre, Julien Gomez-Martinez, Jean-François Cantaloube, Pathogenesis and Control of Chronic and Emerging Infections (PCCEI), Université des Antilles (UA)-Etablissement français du don du sang [Montpellier]-Université de Montpellier (UM)-Institut National de la Santé et de la Recherche Médicale (INSERM), and Laboratoire de Virologie, Centre Hospitalier Universitaire de Montpellier, Montpellier, France.
- Subjects
Genotype ,Anti-HIV Agents ,[SDV]Life Sciences [q-bio] ,Point-of-Care Systems ,HIV Infections ,02 engineering and technology ,Drug resistance ,01 natural sciences ,Analytical Chemistry ,Lateral flow test ,symbols.namesake ,Drug Resistance, Viral ,medicine ,Humans ,Multiplex ,ComputingMilieux_MISCELLANEOUS ,Sanger sequencing ,Reverse-transcriptase inhibitor ,Chemistry ,Transmission (medicine) ,010401 analytical chemistry ,021001 nanoscience & nanotechnology ,Virology ,0104 chemical sciences ,3. Good health ,Mutation ,symbols ,HIV-1 ,DNA microarray ,0210 nano-technology ,HIV drug resistance ,medicine.drug - Abstract
Human immunodeficiency virus (HIV) infection is a chronic disease that can be treated with antiretroviral (ARV) therapy. However, the success of this treatment has been jeopardized by the emergence of HIV infections resistant to ARV drugs. In low-to middle-income countries (LMICs), where transmission of resistant viruses has increased over the past decade, there is an urgent need to improve access to HIV drug resistance testing. Here, we present a proof-of-concept study of a rapid and simple molecular method to detect two major mutations (K103 N, Y181C) conferring resistance to first-line nonnucleoside reverse transcriptase inhibitor regimens. Our near-point-of-care (near-POC) diagnostic test, combining a sequence-specific primer extension and a lateral flow DNA microarray strip, allows visual detection of HIV drug resistance mutations (DRM) in a short turnaround time (4 h 30). The assay has a limit of detection of 100 copies of plasmid DNA and has a higher sensitivity than standard Sanger sequencing. The analytical performance was assessed by use of 16 plasma samples from individuals living with HIV-1 and results demonstrated the specificity and the sensitivity of this approach for multiplex detection of the two DRMs in a single test. Furthermore, this near-POC assay could be easily taylored to detect either new DRMs or DRM of from various HIV clades and might be useful for pre-therapy screening in LMICs with high levels of transmitted drug resistance.
- Published
- 2021
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