605 research outputs found
Representation theory of wreath products of finite groups.
This is an exposition on the representation theory of wreath products of finite groups, with many examples worked out
Finite Gel'fand pairs and their applications to Probability and Statistics
We present a general introduction to finite Gel’fand pairs and their associated spherical functions
yielding different characterizations, examine a few explicit examples, and, for each of these examples,
analyze the corresponding probabilistic problem, which will then be solved by applying the general results
and the machinery developed for a particular Gel’fand pair
Induced representations and Mackey theory
This is an exposition on Mackey theory for induced representations of finite group
Resistance to novel drug classes
Understanding the mechanisms that underlie resistance
development to novel drugs is essential to a better clinical management of
resistant viruses and to prevent further resistance development and spread.
RECENT FINDINGS: Integrase inhibitors and CCR5 antagonists are the more recent
antiretroviral classes developed. The HIV-1 integrase, responsible for the
chromosomal integration of the newly synthesized double-stranded viral DNA into
the host genomic DNA, represents a new and important target; and two integrase
inhibitors (INIs), raltegravir and elvitegravir, have been shown promising
results in clinical trials. Viral entry is also an attractive step for the
development of new drugs against HIV variants resistant to current antiretroviral
drugs, and two CCR5 antagonists have been designed to inhibit HIV-1 binding to R5
co-receptor and are under clinical investigation.
SUMMARY: Drug resistance to INIs occurs through the selection of mutations within
HIV integrase. The kinetic of selection seems rapid and one mutation alone is
able to confer resistance to integrase inhibitor, suggesting that this class of
drug has a low genetic barrier. Two ways could explain the failure of the CCR5
antagonist class: a rapid outgrowth of pre-existing archived X4 virus or the
selection of a resistance to CCR5 antagonists through amino acid changes in V
Comparative antiviral activity of integrase inhibitors in human monocyte-derived macrophages and lymphocytes
The activity of raltegravir and 4 other integrase inhibitors (MK-2048, L870,810,
IN2, and IN5) was investigated in primary human macrophages, PBMC and
C8166-lymphocytic T cells, in order to determine their relative potency and
efficacy in different cellular systems of HIV infection. Raltegravir showed
better protective efficacy in all cell types; MK-2048, L870,810 and IN5 showed a
potent anti-HIV-1 activity in macrophages, while in lymphocytes only MK-2048 and
L870,810 showed an inhibitory effect comparable to raltegravir. IN2 was a poorly
effective anti-HIV-1 compound in all cellular systems. All effective integrase
inhibitors exhibited a potent antiviral activity against both X4 and R5 HIV-1
strains. In general, raltegravir, MK-2048, L870,810 and IN5 showed anti HIV
activity similar or slightly higher in macrophages compared to PBMC and C8166 T
cells: for MK-2048, the EC(50) was 0.4, 0.9, 11.5nM in macrophages, in PBMCs and
T cells, respectively; for L870,810, the EC(50) was 1.5, 14.3, and 10.6nM,
respectively; for IN5 the EC(50) was 0.5, 13.7, and 5.7nM, respectively
Computational analysis of Human Immunodeficiency Virus (HIV) Type-1 reverse transcriptase crystallographic models based on significant conserved residues found in Highly Active Antiretroviral Therapy (HAART)-treated patients.
Reverse transcription of the viral single-stranded (+) RNA genome into double-stranded DNA is an essential step in the human immunodeficiency virus' (HIV) life-cycle. Although several viral proteins are involved in the regulation and/or efficiency of reverse transcription, the process of retroviral DNA synthesis is entirely dependent on the enzymatic activities of the retroviral reverse transcriptase enzyme (RT). Due to its crucial role in the HIV life-cycle, RT is a primary target for anti-HIV drug development. Nonetheless, drug resistance is the major problem affecting the clinical efficacy of antiretroviral agents. Incomplete pharmacological pressure represents the logical cause and not the consequence of different mutation pathways in RT associated with approved inhibitors resistance.
In this review we have analyzed RT Protein Data Bank (PDB) models using our innovative computational approach “GRID Based Pharmacophore Model” (GBPM). This method was applied to clinically relevant RT conserved residues found in a large cohort of HAART treated patients. The PDB entries have been selected among the unbound and the complexed models with DNA and/or inhibitors. Such an approach has revealed itself useful to highlight the mutation effects in the drug-RT recognition as well as in the heterodimer stabilization of the enzyme. Most of the clinical and biochemical evidences already reported in the literature have been rationalized at molecular level via the GBPM computational approach. A definite future application of this method will be the identification of conserved regions of critical macromolecules, such as the HIV-1 RT, to be targeted for the development of innovative therapeutic agents
The multifactorial pathways towards resistance to the cytosine analogues emtricitabine and lamivudine: Evidences from literature
The article by Bulteel et al.,1 published in the September issue of the journal, has investigated the rate of M184V emergence in patients receiving HAART combinations containing efavirenz (EFV), tenofovir (TDF) and lamivudine (3 TC) or emtricitabine (FTC) within the UK Collaborative HIV Cohort. By analyzing 304 genotypic resistance tests, the authors asserted that, although patients receiving 3 TC-based regimens were more likely to develop M184V than those receiving FTC-based regimens (event rate: 0.55 [95%CI: 0.28–0.96] for 3 TC versus 0.34 [95%CI: 0.21–0.46] for FTC), this association was not statistically significant in both univariable and multivariable models. These results are different from those reported in previous studies from our and other groups2, 3 and 4 showing a significant decrease in M184V emergence in patients failing FTC + TDF-based compared to 3 TC + TDF-based HAART (Table 1). The lower prevalence of M184V in FTC-containing regimen was also supported by a recently published letter showing a strong trend (P = 0.051) towards higher rates of resistance to the 3 TC containing regimen 5.5 (1.8–12.8) per 1000 patient years when compared with the FTC containing regimens 1.7 (0.8–3.2) per 1000 patient year
Selected amino acid changes in HIV-1 subtype-C gp41 are associated with specific gp120(V3) signatures in the regulation of co-receptor usage
The majority of studies have characterized the tropism of HIV-1 subtype-B isolates, but little is known about the determinants of tropism in other subtypes. So, the goal of the present study was to genetically characterize the envelope of viral proteins in terms of co-receptor usage by analyzing 356 full-length env sequences derived from HIV-1 subtype-C infected individuals. The co-receptor usage of V3 sequences was inferred by using the Geno2Pheno and PSSM algorithms, and also analyzed to the "11/25 rule". All reported env sequences were also analyzed with regard to N-linked glycosylation sites, net charge and hydrophilicity, as well as the binomial correlation phi coefficient to assess covariation among gp120(V3) and gp41 signatures and the average linkage hierarchical agglomerative clustering were also performed. Among env sequences present in Los Alamos Database, 255 and 101 sequences predicted as CCR5 and CXCR4 were selected, respectively. The classical V3 signatures at positions 11 and 25, and other specific V3 and gp41 amino acid changes were found statistically associated with different co-receptor usage. Furthermore, several statistically significant associations between V3 and gp41 signatures were also observed. The dendrogram topology showed a cluster associated with CCR5-usage composed by five gp41 mutated positions, A22V, R133M, E136G, N140L, and N166Q that clustered with T2V(V3) and G24T(V3) (bootstrap=1). Conversely, a heterogeneous cluster with CXCR4-usage, involving S11GR(V3), 13-14insIG/LG(V3), P16RQ(V3), Q18KR(V3), F20ILV(V3), D25KRQ(V3), Q32KR(V3) along with A30T(gp41), S107N(gp41), D148E(gp41), A189S(gp41) was identified (bootstrap=0.86). Our results show that as observed for HIV-1 subtype-B, also in subtype-C specific and different gp41 and gp120V3 amino acid changes are associated individually or together with CXCR4 and/or CCR5 usage. These findings strengthen previous observations that determinants of tropism may also reside in the gp41 protein
2022 update of the drug resistance mutations in HIV-1
The 2022 edition of the IAS-USA drug resistance mutations list updates the Figure last published in September 2019. The mutations listed are those that have been identified by specific criteria for evidence and drugs described. The Figure is designed to assist practitioners to identify key mutations associated with resistance to antiretroviral drugs, and therefore, in making clinical decisions regarding antiretroviral therapy
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