1. Evaluation of the Genotypic Prediction of HIV-1 Coreceptor Use versus a Phenotypic Assay and Correlation with the Virological Response to Maraviroc: the ANRS GenoTropism Study
- Author
-
Recordon-Pinson, Patricia, Soulié, Cathia, Flandre, Philippe, Descamps, Diane, Lazrek, Mouna, Charpentier, Charlotte, Montes, Brigitte, Trabaud, Mary-Anne, Cottalorda, Jacqueline, Schneider, Véronique, Morand-Joubert, Laurence, Tamalet, Catherine, Desbois, Delphine, Macé, Muriel, Ferré, Virginie, Vabret, Astrid, Ruffault, Annick, Pallier, Coralie, Raymond, Stéphanie, Izopet, Jacques, Reynes, Jacques, Marcelin, Anne-Geneviève, Masquelier, Bernard, Renseigné, Non, Microbiologie cellulaire et moléculaire et pathogénicité (MCMP), Université Bordeaux Segalen - Bordeaux 2-Centre National de la Recherche Scientifique (CNRS), CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Service de microbiologie, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-AP-HP - Hôpital Bichat - Claude Bernard [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Virology Laboratory, Hôpital Rothchild, Service de bactériologie-virologie, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Saint-Antoine [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Sorbonne Université (SU), Virology, Hôpital de la Timone [CHU - APHM] (TIMONE), Centre hospitalier universitaire de Nantes (CHU Nantes), Department of Human and Molecular Virology, Georges Clémenceau Universitary Hospital, Unité de Rétrovirologie, Hôpital Pontchaillou, Institut Mondor de Recherche Biomédicale (IMRB), Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR10-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), Laboratoire de virologie, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Bicêtre, Laboratoire de Virologie, Institut Fédératif de Biologie de Purpan, Variabilité génomique des virus, Université Bordeaux Segalen - Bordeaux 2-IFR66, Service de virologie et d'immunologie biologique, CHU Bordeaux [Bordeaux]-Groupe hospitalier Pellegrin, Microbiologie Fondamentale et Pathogénicité (MFP), and Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)
- Subjects
Male ,Oncology ,MESH: Sequence Analysis, DNA ,Multivariate analysis ,HIV Infections ,HIV Envelope Protein gp120 ,MESH: Receptors, CCR5 ,Maraviroc ,MESH: Genotype ,MESH: HIV-1 ,Correlation ,MESH: HIV Envelope Protein gp120 ,chemistry.chemical_compound ,HIV Protease ,HIV Fusion Inhibitors ,Genotype ,MESH: Receptors, HIV ,Pharmacology (medical) ,MESH: Treatment Outcome ,0303 health sciences ,MESH: Middle Aged ,MESH: Tropism ,MESH: HIV Infections ,Middle Aged ,MESH: Cyclohexanes ,HIV Reverse Transcriptase ,3. Good health ,Phenotype ,Treatment Outcome ,[SDV.MP]Life Sciences [q-bio]/Microbiology and Parasitology ,Infectious Diseases ,CCR5 Receptor Antagonists ,Lentivirus ,Female ,Viral load ,Adult ,medicine.medical_specialty ,Receptors, CCR5 ,MESH: HIV Reverse Transcriptase ,Molecular Sequence Data ,CCR5 receptor antagonist ,Biology ,MESH: Phenotype ,Antiviral Agents ,Sensitivity and Specificity ,Tropism ,MESH: HIV Protease ,03 medical and health sciences ,Receptors, HIV ,Cyclohexanes ,Internal medicine ,medicine ,Humans ,MESH: HIV Fusion Inhibitors ,030304 developmental biology ,Pharmacology ,MESH: Humans ,MESH: Molecular Sequence Data ,030306 microbiology ,MESH: Adult ,Sequence Analysis, DNA ,Triazoles ,biology.organism_classification ,Virology ,MESH: Male ,MESH: Sensitivity and Specificity ,MESH: Triazoles ,chemistry ,Expanded access ,HIV-1 ,MESH: Female - Abstract
Genotypic algorithms for prediction of HIV-1 coreceptor usage need to be evaluated in a clinical setting. We aimed at studying (i) the correlation of genotypic prediction of coreceptor use in comparison with a phenotypic assay and (ii) the relationship between genotypic prediction of coreceptor use at baseline and the virological response (VR) to a therapy including maraviroc (MVC). Antiretroviral-experienced patients were included in the MVC Expanded Access Program if they had an R5 screening result with Trofile (Monogram Biosciences). V3 loop sequences were determined at screening, and coreceptor use was predicted using 13 genotypic algorithms or combinations of algorithms. Genotypic predictions were compared to Trofile; dual or mixed (D/M) variants were considered as X4 variants. Both genotypic and phenotypic results were obtained for 189 patients at screening, with 54 isolates scored as X4 or D/M and 135 scored as R5 with Trofile. The highest sensitivity (59.3%) for detection of X4 was obtained with the Geno2pheno algorithm, with a false-positive rate set up at 10% (Geno2pheno10). In the 112 patients receiving MVC, a plasma viral RNA load of
- Published
- 2010