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Post-transcriptional gene silencing, transcriptional gene silencing and human immunodeficiency virus
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作者 Catalina Méndez Chantelle L Ahlenstiel Anthony D Kelleher 《World Journal of Virology》 2015年第3期219-244,共26页
While human immunodeficiency virus 1(HIV-1) infectionis controlled through continuous, life-long use of a combination of drugs targeting different steps of the virus cycle, HIV-1 is never completely eradicated from th... While human immunodeficiency virus 1(HIV-1) infectionis controlled through continuous, life-long use of a combination of drugs targeting different steps of the virus cycle, HIV-1 is never completely eradicated from the body. Despite decades of research there is still no effective vaccine to prevent HIV-1 infection. Therefore, the possibility of an RNA interference(RNAi)-based cure has become an increasingly explored approach. Endogenous gene expression is controlled at both, transcriptional and post-transcriptional levels by noncoding RNAs, which act through diverse molecular mechanisms including RNAi. RNAi has the potential to control the turning on/off of specific genes through transcriptional gene silencing(TGS), as well as finetuning their expression through post-transcriptional gene silencing(PTGS). In this review we will describe in detail the canonical RNAi pathways for PTGS and TGS, the relationship of TGS with other silencing mechanisms and will discuss a variety of approaches developed to suppress HIV-1 via manipulation of RNAi. We will briefly compare RNAi strategies against other approaches developed to target the virus, highlighting their potential to overcome the major obstacle to finding a cure, which is the specific targeting of the HIV-1 reservoir within latently infected cells. 展开更多
关键词 human immunodeficiency virus 1 RNA interference Reservoirs EPIgeneTICS Latency TRANSCRIPTIONAL gene SILENCING POST-TRANSCRIPTIONAL gene SILENCING
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Construction and expression of an optimized, novel human immunodeficiency virus type-1 lentiviral vector containing green fluorescent protein
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作者 Xia Li Xueling Ma +6 位作者 Lijing Zhao Hang Gao Hongjuan Wang Li Du1 Juan Wang Nan Li Kangding Liu 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第7期542-545,共4页
The human immunodeficiency virus (HIV) lentiviral vector is an ideal vector for gene therapy. In the present study, the wild-type HIV-1 genome was segregated into four plasmids, and an optimized novel HIV-1 lentivir... The human immunodeficiency virus (HIV) lentiviral vector is an ideal vector for gene therapy. In the present study, the wild-type HIV-1 genome was segregated into four plasmids, and an optimized novel HIV-1 lentiviral vector containing green fluorescent protein and vesicular stomatitis virus G pseudo-capsule was constructed. The plasmids were pHR-CMV-EGFP, pCMVΔ8.9, pRSV-Rev, pCMV-VSV-G. The four plasmid system was co-transfected into 293T cells, and green fluorescent protein expression was observed. The present study obtained lentiviral particles by high-speed centrifugation, and the lentiviral particle titer was 4 × 108 TU/mL after centrifugation. Thus, an optimized novel HIV-1 lentiviral vector was successfully constructed. 展开更多
关键词 gene expression gene therapy human immunodeficiency virus 1 green fluorescent protein LENTIvirus neural regeneration
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Systems biology applications to study mechanisms of human immunodeficiency virus latency and reactivation
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作者 Cory H White Bastiaan Moesker +1 位作者 Angela Ciuffi Nadejda Beliakova-Bethell 《World Journal of Clinical Infectious Diseases》 2016年第2期6-21,共16页
Eradication of human immunodeficiency virus(HIV) in infected individuals is currently not possible because of the presence of the persistent cellular reservoir of latent infection. The identification of HIV latency bi... Eradication of human immunodeficiency virus(HIV) in infected individuals is currently not possible because of the presence of the persistent cellular reservoir of latent infection. The identification of HIV latency biomarkers and a better understanding of the molecular mechanisms contributing to regulation of HIV expression might provide essential tools to eliminate these latently infected cells. This review aims at summarizing gene expression profiling and systems biology applications to studies of HIV latency and eradication. Studies comparing gene expression in latently infected and uninfected cells identify candidate latency biomarkers and novel mechanisms of latency control. Studies that profiled gene expression changes induced by existing latency reversing agents(LRAs) highlight uniting themes driving HIV reactivation and novel mechanisms that contribute to regulation of HIV expression by different LRAs. Among the reviewed gene expression studies, the common approaches included identification of differentially expressed genes and gene functional category assessment. Integration of transcriptomic data with other biological data types is presently scarce, and the field would benefit from increased adoption of these methods in future studies. In addition, designing prospective studies that use the same methods of data acquisition and statistical analyses will facilitate a more reliableidentification of latency biomarkers using different model systems and the comparison of the effects of different LRAs on host factors with a role in HIV reactivation. The results from such studies would have the potential to significantly impact the process by which candidate drugs are selected and combined for future evaluations and advancement to clinical trials. 展开更多
关键词 gene expression Microarrays RNA-Seq Systems biology human immunodeficiency virus VIRAL LATENCY Disease ERADICATION Biomarkers Molecular mechanisms LATENCY reversing agents
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INTRACELLULAR EXPRESSION OF MULTIMERIZED ANTISENSE TAR-CORE RNAS INHIBIT THE REPLICATION OF HUMAN IMMUNODEFICIENCY VIRUS TYPE 1 IN HUMAN CD_4+T LYMPHOCYTES
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作者 白龙川 袁建刚 +3 位作者 杜光伟 赵全璧 邵一鸣 强伯勤 《Chinese Medical Sciences Journal》 CAS CSCD 1999年第1期13-16,共4页
INTRODUCTIONItisreportedthattherearemorethan28milionHIV-infectedpeoplenowintheworld.Butunfortu-nately,anti-H... INTRODUCTIONItisreportedthattherearemorethan28milionHIV-infectedpeoplenowintheworld.Butunfortu-nately,anti-HIVtherapyisstilfa... 展开更多
关键词 HIV-1 人类免疫缺陷病毒-1 病毒复制 CD4+T 淋巴细胞 艾滋病 治疗
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Association of apolipoprotein E epsilon 4 and cognitive impairment in adults living with human immunodeficiency virus: a meta-analysis
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作者 Tingting Mu Jiaqi Wei +4 位作者 Jun Sun Junyan Jin Tong Zhang Hao Wu Bin Su 《Chinese Medical Journal》 SCIE CAS CSCD 2022年第22期2677-2686,共10页
Background: It is controversial whether the apolipoprotein E epsilon 4 allele (APOE ε4) is a risk gene for human immunodeficiency virus (HIV)-related neurocognitive impairment. This meta-analysis aimed to summarize e... Background: It is controversial whether the apolipoprotein E epsilon 4 allele (APOE ε4) is a risk gene for human immunodeficiency virus (HIV)-related neurocognitive impairment. This meta-analysis aimed to summarize evidence of the associations betweenAPOE ε4 and cognitive impairment in people living with HIV (PLWH).Methods: Our study conducted a systematic literature search of PubMed, Web of Science, Embase, Google Scholar, and ProQuest for studies published before April 11, 2022 that evaluated associations betweenAPOE ε4 and cognitive impairment in adult PLWH (aged ≥18 years). We calculated pooled odds ratios (ORs) of global cognitive impairment and 95% confidence intervals (CIs) and standardized mean differences (SMDs) for specific cognitive domains betweenAPOE ε4 carriers and non-carriers. Subgroup meta-analyses were used to evaluate the result profiles across different categorical variables.Results: Twenty studies met the inclusion criteria, including 19 that evaluated global cognitive impairment.APOE ε4 was significantly associated with global cognitive impairment in PLWH (OR = 1.36, 95% CI = [1.05, 1.78], number of estimates [k] = 19,P = 0.02, random effects). Subgroup meta-analysis based percentage of females showed evident intergroup differences in global cognitive performance between ε4 carriers and non-carriers (P = 0.015).APOE ε4 carriers had lower cognitive test scores than non-carriers in all seven cognitive domains, including fluency (SMD = -0.51, 95% CI = [-0.76, -0.25],P < 0.001,k = 4,I^(2)= 0%), learning (SMD = -0.52, 95% CI = [-0.75, -0.28],P < 0.001,k = 5,I^(2) = 0%), executive function (SMD = -0.41, 95% CI= [-0.59, -0.23],P < 0.001,k= 8,I^(2)= 0%), memory (SMD=-0.41, 95% CI= [-0.61, -0.20],P < 0.001,k= 10,I^(2)= 36%), attention/working memory (SMD=-0.34, 95% CI= [-0.54, -0.14],P= 0.001,k= 6,I^(2)= 0%), speed of information processing (SMD = -0.34, 95% CI = [-0.53, -0.16],P < 0.001,k = 8,I^(2) = 0%), and motor function (SMD = -0.19, 95% CI = [-0.38, -0.01],P = 0.04,k = 7,I^(2) = 0%).Conclusions: Our meta-analysis provides significant evidence thatAPOE ε4 is a risk genotype for HIV-associated cognitive impairment, especially in cognitive domains of fluency, learning, executive function, and memory. Moreover, the impairment is sex specific.Meta analysis registration: PROSPERO, CRD 42021257775. 展开更多
关键词 Apolipoprotein E epsilon 4 COGNITION gene human immunodeficiency virus META-ANALYSIS
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Construction and characterization of chimeric BHIV (BIV/HIV-1) viruses carrying the bovine immunodeficiency virus gag gene
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作者 Yi-XinZhu ChangLiu +4 位作者 Xin-LeiLiu Wen-TaoQiao Qi-MinChen YiZeng Yun-QiGeng 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第17期2609-2615,共7页
AIM: To explore the possibility of the replacement of the gag gene between human immunodeficiency virus and bovine immunodeficiency virus, to achieve chimeric virions,and thereby gain a new kind of AIDS vaccine based ... AIM: To explore the possibility of the replacement of the gag gene between human immunodeficiency virus and bovine immunodeficiency virus, to achieve chimeric virions,and thereby gain a new kind of AIDS vaccine based on BHIV chimeric viruses.METHODS: A series of chimeric BHIV proviral DNAs differing in the replacement regions in gag gene were constructed, and then were transfected into 293T cells. The expression of chimeric viral genes was detected at the RNA and protein level. The supematant of 293T cell was ultra centrifuged to detect the probable chimeric virion. Once the chimeric virion was detected, its biological activities were also assayed by infecting HIV-sensitive MT4 cells.RESULTS: Four chimeric BHIV proviral DNAs were constructed. Genes in chimeric viruses expressed correctly in transfected 293T cells. All four constructs assembled chimeric virions with different degrees of efficiency. These virions had complete structures common to retroviruses and packaged genomic RNAs, but the cleavages of the precursor Gag proteins were abnormal to some extent. Three of these virions tested could attach and enter into MT4 cells, and one of them could complete the course of reverse transcription. Yet none of them could replicate in MT4 cells.CONCLUSION: The replacement of partial gag gene of HIV with BIV gaggene is feasible. Genes in chimeric BHIVs are accurately expressed, and virions are assembled. These chimeric BHIVs (proviral DNA together with virus particles) have the potential to become a new kind of HIV/AIDS vaccine. 展开更多
关键词 BIV/HIV-1 病毒感染 动物实验 免疫缺陷病毒
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HIV-1始祖病毒Vpu和Vif拮抗宿主限制因子的能力
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作者 黄宇明 赵建元 +1 位作者 岑山 魏涛 《中国医药生物技术》 2017年第4期303-309,共7页
目的研究始祖病毒的生物学和早期进化特征,有助于阐明HIV-1建立感染的关键因素。方法以过表达的方法比较了始祖病毒和同一亚型的慢性感染病毒Vpu蛋白降解宿主限制因子BST-2的能力,利用流式细胞术检测两者对内源性BST-2细胞表面水平的影... 目的研究始祖病毒的生物学和早期进化特征,有助于阐明HIV-1建立感染的关键因素。方法以过表达的方法比较了始祖病毒和同一亚型的慢性感染病毒Vpu蛋白降解宿主限制因子BST-2的能力,利用流式细胞术检测两者对内源性BST-2细胞表面水平的影响。利用已构建的含荧光素酶报告基因的单循环感染始祖病毒表达质粒,比较了始祖病毒与同一亚型的慢性感染株下调BST-2的能力。用过表达的方法检测了Vif蛋白拮抗宿主限制因子h A3G的能力。结果对过表达以及细胞表面内源性BST-2,始祖病毒Vpu蛋白降解宿主限制因子BST-2的能力均显著高于同一亚型的慢性感染病毒。但在始祖病毒拮抗BST-2抗病毒活性的能力分析中,尽管始祖病毒Vpu表现出较强的下调BST-2的能力,仍然不足以拮抗外源过量表达的BST-2的抗病毒活性。在Vif降解hA 3G的实验中,始祖病毒Vif降解h A3G的能力弱于慢性感染病毒p MJ4或与之类似。结论始祖病毒具有更高的拮抗宿主天然免疫的能力,有助于其建立早期感染。 展开更多
关键词 vpu基因产物 人免疫缺陷病毒 vif基因产物 人免疫缺陷病毒 HIV-1始祖病毒
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Selection of RNAi-based inhibitors for anti-HIV gene therapy 被引量:1
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作者 Stefanie A Knoepfel Mireille Centlivre +2 位作者 Ying Poi Liu Fatima Boutimah Ben Berkhout 《World Journal of Virology》 2012年第3期79-90,共12页
In the last decade, RNA interference(RNAi) advanced to one of the most widely applied techniques in the biomedical research field and several RNAi therapeutic clinical trials have been launched. We focus on RNAibased ... In the last decade, RNA interference(RNAi) advanced to one of the most widely applied techniques in the biomedical research field and several RNAi therapeutic clinical trials have been launched. We focus on RNAibased inhibitors against the chronic infection with human immunodeficiency virus type 1(HIV-1). A lentiviral gene therapy is proposed for HIV-infected patients that will protect and reconstitute the vital immune cell pool. The RNAi-based inhibitors that have been developed are short hairpin RNA molecules(sh RNAs), of which multiple are needed to prevent viral escape. In ten distinct steps, we describe the selection process that started with 135 sh RNA candidates, from the initial design criteria, via testing of the in vitro and in vivo antiviral activity and cytotoxicity to the final design of a combinatorial therapy with three sh RNAs. These sh RNAs satisfied all 10 selection criteria such as targeting conserved regions of the HIV-1 RNA genome,exhibiting robust inhibition of HIV-1 replication and having no impact on cell physiology. This combinatorial sh RNA vector will soon move forward to the first clinical studies. 展开更多
关键词 human immunodeficiency virus type 1 RNA interference gene therapy human Immune System”mouse LENTIvirus
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Role of host immune responses in sequence variability of HIV-1 Vpu
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作者 Zafrul Hasan Doreen Kamori Takamasa Ueno 《World Journal of Immunology》 2014年第2期107-115,共9页
Viral protein U(Vpu) is an accessory protein associated with two main functions important in human immunodeficiency virus type 1(HIV-1) replication and dissemination; these are down-regulation of CD4 receptor through ... Viral protein U(Vpu) is an accessory protein associated with two main functions important in human immunodeficiency virus type 1(HIV-1) replication and dissemination; these are down-regulation of CD4 receptor through mediating its proteasomal degradation and enhancement of virion release by antagonizing tetherin/BST2. It is also well established that Vpu is one of the most highly variable proteins in the HIV-1 proteome. However it is still unclear what drives Vpu sequence variability, whether Vpu acquires polymorphisms as a means of immune escape, functional advantage, or otherwise. It is assumed that the host-pathogen interaction is a cause of polymorphic phenotype of Vpu and that the resulting functional heterogeneity of Vpu may have critical significance in vivo. In order to comprehensively understand Vpu variability, it is important to integrate at the population level the genetic associationapproaches to identify specific amino acid residues and the immune escape kinetics which may impose Vpu functional constraints in vivo. This review will focus on HIV-1 accessory protein Vpu in the context of its sequence variability at population level and also bring forward evidence on the role of the host immune responses in driving Vpu sequence variability; we will also highlight the recent findings that illustrate Vpu functional implication in HIV-1 pathogenesis. 展开更多
关键词 human immunodeficiency virus type 1 vpu Sequence variability IMMUNE responses human LEUKOCYTE ANTIGEN class
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HIV-1新型重组毒株近似全长基因组结构鉴定分析
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作者 路新利 刘勇 +3 位作者 李岩 王莹莹 安宁 刘萌 《检验医学》 CAS 2023年第11期1015-1019,共5页
目的对3条人类免疫缺陷病毒(HIV)-1亚型不确定的近似全长基因组序列(NFLG)进行基因镶嵌结构分析。方法用近末端稀释法、系统发育树和基因重组断点分析等方法对3例男男同性恋(MSM)HIV-1感染病例进行HIV-1 NFLG扩增、基因亚型分析和基因... 目的对3条人类免疫缺陷病毒(HIV)-1亚型不确定的近似全长基因组序列(NFLG)进行基因镶嵌结构分析。方法用近末端稀释法、系统发育树和基因重组断点分析等方法对3例男男同性恋(MSM)HIV-1感染病例进行HIV-1 NFLG扩增、基因亚型分析和基因重组图谱分析。结果Neighbor-joining进化树分析结果显示,3条HIV-1序列均为单独分支,可能是新型重组毒株。jpHMM在线软件和SimPlot v3.5.1软件综合分析结果显示,NFLG 110和NFLG 171分别为CRF07_BC和CRF01_AE,NFLG 150为CRF01_AE和CRF07_BC二代重组毒株。基因重组断点分析结果显示,NFLG 150的重组模式是以CRF07_BC全长基因组为骨架,在gag区和env区分别插入了1个长度约为60和80 bp的CRF01_AE基因片段。结论在MSM人群中发现1株HIV-1 CRF01_AE/CRF07_BC二代重组毒株,建议持续监测相关性传播,特别是MSM人群HIV-1新型基因重组毒株。 展开更多
关键词 人类免疫缺陷病毒 二代重组基因 系统发育树 基因重组断点分析 近似全长基因组序列
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硒蛋白基因在人类免疫缺陷病毒感染和母婴传播中的表达水平及预测模型构建
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作者 戚燕 张荣强 +5 位作者 张灵芝 李晶 陈雪芹 付国涛 李灵兰 李秀芹 《中国医学科学院学报》 CAS CSCD 北大核心 2023年第4期563-570,共8页
目的探讨硒蛋白基因在人类免疫缺陷病毒(HIV)感染及其母婴传播中的表达水平,为艾滋病的预防及诊疗提供新的理论依据。方法在基因表达数据库检索下载数据集GSE4124,样本由HIV阳性组(n=25)和对照组(n=20)构成,其中HIV阳性组包括母婴传播(... 目的探讨硒蛋白基因在人类免疫缺陷病毒(HIV)感染及其母婴传播中的表达水平,为艾滋病的预防及诊疗提供新的理论依据。方法在基因表达数据库检索下载数据集GSE4124,样本由HIV阳性组(n=25)和对照组(n=20)构成,其中HIV阳性组包括母婴传播(TR)组(n=11)和非母婴传播(NTR)组(n=14);采用t检验分析4组(HIV阳性组比对照组、NTR组比对照组、TR组比对照组、TR组比NTR组)硒蛋白基因表达水平的差异;随后采用单因素和多因素Logistic回归分析差异表达基因对HIV感染和母婴传播的影响;应用R语言构建列线图预测模型并验证其效能。结果与对照组比较,HIV阳性组、NTR组、TR组分别有8、5、8个差异表达硒蛋白基因为下调基因;与NTR组比较,TR组有4个差异表达硒蛋白基因为下调基因。单因素Logistic回归分析显示,GPX1、GPX3、GPX4、TXNRD1、TXNRD3、SEPHS2基因异常高表达对HIV感染均具有影响,而对母婴传播无影响作用。多因素Logistic回归分析显示,TXNRD3基因的异常高表达与是否HIV感染呈正相关(OR=0.032,95%CI=0.002~0.607,P=0.022)。列线图预测模型的预测效能显示,HIV感染者生存时间1、3年的受试者工作特征曲线下面积分别为0.840(95%CI=0.690~1.000)和0.870(95%CI=0.730~1.000)。结论多个硒蛋白基因差异表达水平下调,参与调控HIV感染和母婴传播过程;其中,TXNRD3基因异常高表达与是否HIV感染呈正相关,为艾滋病防治、诊疗提供了新思路。 展开更多
关键词 硒蛋白基因 人类免疫缺陷病毒 母婴传播 LOGISTIC回归 列线图
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北京市部分男男同性恋人群中HIV-1分子流行病学研究 被引量:19
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作者 刘志英 李海英 +7 位作者 张彤 黄晓婕 魏飞力 徐萌 焦艳梅 徐小宁 陈德喜 吴昊 《首都医科大学学报》 CAS 北大核心 2009年第5期616-620,共5页
目的了解北京市部分男男同性恋(men who have sex with men,MSM)人群HIV-1的分子流行情况,监测该地区人群HIV毒株的最新流行情况。方法提取17例男男同性恋者HIV-1抗体阳性样本全血基因组DNA,直接进行巢式PCR扩增HIVenv基因C2-V5区及gag... 目的了解北京市部分男男同性恋(men who have sex with men,MSM)人群HIV-1的分子流行情况,监测该地区人群HIV毒株的最新流行情况。方法提取17例男男同性恋者HIV-1抗体阳性样本全血基因组DNA,直接进行巢式PCR扩增HIVenv基因C2-V5区及gag基因P17-P24区,对PCR产物进行核苷酸序列测定和分析,确定基因亚型。结果17例患者中,共存在CRF01-AE、B亚型和CRF07-BC3种亚型,其中CRF01-AE9例(52.94%),B亚型5例(29.41%),CRF07-BC3例(17.65%)。结论小样本量的流行病学调查显示,北京地区部分男男同性恋人群中主要存在CRF01-AE、B和CRF07-BC3种亚型;CRF01-AE已取代B亚型而成为北京市MSM人群中HIV主要流行亚型,CRF07-BC重组亚型在北京市MSM人群中增长迅速。 展开更多
关键词 男男同性恋 人类免疫缺陷病毒1型 亚型 系统进化树分析
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我国HIV-1 B'/C重组流行株Tat蛋白的表达、纯化及功能分析 被引量:14
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作者 陆彬 邢辉 +2 位作者 赵全壁 耿运琪 邵一鸣 《病毒学报》 CAS CSCD 北大核心 2002年第4期297-302,共6页
根据全国HIV分子流行病学研究发现,B'和C亚型HIV-1在我国发生了重组,并以优势株形式在我国广泛流行。为了探讨这种HIV-1B'/C重组毒株tat基因的变异与其表型之间的关系,利用pET表达系统在大肠杆菌中高效表达了三种不同基因变异... 根据全国HIV分子流行病学研究发现,B'和C亚型HIV-1在我国发生了重组,并以优势株形式在我国广泛流行。为了探讨这种HIV-1B'/C重组毒株tat基因的变异与其表型之间的关系,利用pET表达系统在大肠杆菌中高效表达了三种不同基因变异类型的Tat蛋白,重组蛋白占菌体总蛋白的26%,Westernblot显示较好的反应原性,并通过金属鏊合层析纯化了目的蛋白。荧光素酶活性检测表明:体外表达的Tat蛋白具有明显的生物学活性,可以反式激活HIVLTR引导的报告基因的表达;三种Tat蛋白在激活活性上的差异与流行现场检测的病毒载量的高低存在明显的对应关系,说明tat基因的变异可以引起病毒生物学特性的改变,进而影响病毒的流行特征。此结果为进一步研究我国HIV重组毒株的基因变异特征及变异规律奠定了基础。 展开更多
关键词 HIV-1B'/重组流行株 TAT蛋白 表达 纯化 功能分析 人免疫缺陷病毒1型 基因变异
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河南省商丘市艾滋病抗病毒治疗病毒未抑制患者HIV-1耐药毒株的变异 被引量:6
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作者 袁源 刘宏伟 +3 位作者 刘春华 王哲 阮玉华 邢辉 《郑州大学学报(医学版)》 CAS 北大核心 2016年第5期643-646,共4页
目的:了解河南省商丘市艾滋病一线抗病毒治疗病毒未抑制患者HIV-1耐药毒株的变异。方法:采集河南省商丘市一线抗病毒治疗大于6个月、病毒未抑制的艾滋病患者血样231份,提取RNA,通过逆转录及巢式PCR扩增HIV-1 pol区基因,所得扩增片段... 目的:了解河南省商丘市艾滋病一线抗病毒治疗病毒未抑制患者HIV-1耐药毒株的变异。方法:采集河南省商丘市一线抗病毒治疗大于6个月、病毒未抑制的艾滋病患者血样231份,提取RNA,通过逆转录及巢式PCR扩增HIV-1 pol区基因,所得扩增片段进行测序后提交斯坦福大学HIV耐药数据库进行基因型耐药性分析。结果:在231份样本中,229份扩增并测序成功,共获得229例患者蛋白酶区和逆转录酶区的基因扩增片段。针对非核苷类逆转录酶抑制剂(NNRTIs)、核苷类逆转录酶抑制剂(NRTIs)和蛋白酶抑制剂(PIs),分别有185例(80.79%)、150例(65.50%)和3例(1.31%)发生耐药性突变,针对上述各抑制剂发生最多的耐药性突变分别为K103N/S 45.42%(104/229)、M184I/V 43.67%(100/229)和M46I 0.87%(2/229),其中与病毒载量5~ lg拷贝/mL相比,M184I/V耐药性突变在患者体内病毒载量3~拷贝/mL时更易出现(OR=0.283,95%CI为0.136~0.592,P<0.001),与治疗时间6~个月相比,K103N/S耐药性突变在患者治疗时间48~个月时更易出现(OR=7.422,95%CI为1.637~33.651,P<0.001),K65R突变位点在使用含D4T一线抗病毒治疗方案患者中发生率较高(P=0.044)。结论:河南省商丘市抗病毒治疗病毒未抑制人群中耐药性突变位点多、类型复杂,应根据耐药突变情况选用更适合的抗病毒起始治疗方案,以减少耐药毒株的产生。 展开更多
关键词 人类免疫缺陷病毒 耐药 抗病毒治疗 基因突变 河南省
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湖南省艾滋病患者抗病毒治疗后耐药性分析 被引量:10
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作者 邹潇白 贺健梅 +3 位作者 张国强 李向忠 彭瑾瑜 陈曦 《中国感染控制杂志》 CAS 2010年第5期305-309,共5页
目的了解湖南省艾滋病患者接受免费抗病毒治疗的效果以及人免疫缺陷病毒(HIV)的耐药情况,为改善该省的高效抗逆转录病毒治疗效果,指导临床医生用药提供科学的依据。方法收集湖南省衡阳市抗病毒治疗6个月以上的252例HIV感染者的血标... 目的了解湖南省艾滋病患者接受免费抗病毒治疗的效果以及人免疫缺陷病毒(HIV)的耐药情况,为改善该省的高效抗逆转录病毒治疗效果,指导临床医生用药提供科学的依据。方法收集湖南省衡阳市抗病毒治疗6个月以上的252例HIV感染者的血标本,进行病毒载量检测,其中32例病毒载量〉10^3拷贝/mL,对此32份样本进行进一步的HIV基因型耐药检测。结果测得的31个序列中,发生突变的样本18份,其中13份(5.16%,13/252)对蛋白酶抑制剂(PIs)、核苷类逆转录酶抑制剂(NRTIs)以及非核苷类逆转录酶抑制剂(NNRTIs)这3类抗逆转录病毒药物有耐药突变;对PIs、NRTIs和NNRTIs均耐药者1例(0.40%),对NRTIs和NNRTIs均耐药者9例(3.57%),对NNRTIs耐药者3例(1.19%)。同时发现M184V、K103N、Y181CG、G190A引起NRTIs和NNRTIs高水平耐药的重要突变位点。结论湖南省艾滋病治疗者中,PIs耐药发生率极低,NRTIs和NNRTIs的耐药发生率相对较高;已出现NNRTIs高水平的多药耐药。但总体耐药的发生仍处于较低水平。 展开更多
关键词 艾滋病 人免疫缺陷病毒 高效抗逆转录病毒治疗 抗药性 微生物 基因突变
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上海地区人类免疫缺陷病毒1型感染者原发耐药基因及亚型分析 被引量:17
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作者 刘莉 马建新 +7 位作者 郑毓芳 张仁芳 沈银忠 李莉 陈军 王珍燕 孙富艳 卢洪洲 《微生物与感染》 2011年第1期4-10,共7页
本文通过对未经抗病毒治疗患者的人类免疫缺陷病毒1型(HIV-1)毒株进行检测,了解上海地区HIV-1的亚型分布及原发耐药基因变异现状。对118例未经治疗的HIV感染者标本中HIV蛋白酶全长和部分反转录酶基因进行反转录-聚合酶链反应(RT-PCR)扩... 本文通过对未经抗病毒治疗患者的人类免疫缺陷病毒1型(HIV-1)毒株进行检测,了解上海地区HIV-1的亚型分布及原发耐药基因变异现状。对118例未经治疗的HIV感染者标本中HIV蛋白酶全长和部分反转录酶基因进行反转录-聚合酶链反应(RT-PCR)扩增,经DNA测序后,进行系统进化树分析和重组分析,以确定HIV-1基因亚型和重组体,并与斯坦福耐药数据库比对,了解耐药突变位点。使用斯坦福REGAHIV亚型分型工具和美国国立生物技术信息中心(NCBI)HIV亚型分析工具分析,获得118例患者的HIV基因序列,基因分型分别为CRF01_AE重组体57例(48.3%)、B亚型36例(30.5%)、CRF07_BC15例(12.7%)、CRF08_BC7例(5.9%)、C亚型2例(1.7%),亚型间或重组体间二重重组体(B/CRF01_AE)1例(0.8%)。蛋白酶抑制剂(PI)和反转录酶抑制剂相关的耐药基因突变率达54.2%(64/118),其中2例(1.7%)发生PI耐药,基因突变位点:M46L、Q58E。5例(4.1%)对反转录酶抑制剂产生耐药,其中对核苷类反转录酶抑制剂(NRTI)和非核苷类反转录酶抑制剂(NNRTI)的耐药率分别为3例(2.4%)和5例(4.1%)。基因突变位点:NRTI为M41L、D67N、T69I/N/S、K70L、L74V、V75L、V118I、M184V、L210W/F/M/S和T215F;NNRTI为V90I、L100V、K103R/N、V106M/P/I/G、E138G/A、V179E/D/T、Y181C、G190A、H221Y、F227L、K238S和Y318F。结果提示,上海地区HIV毒株以CRF01_AE重组亚型为主,且发现新的重组体,可能出现新重组体流行趋势。PI和反转录酶抑制剂相关的耐药基因突变率较高,且存在高度原发耐药毒株,应加强HIV-1耐药基因变异监测,科学、合理地给予抗病毒治疗。 展开更多
关键词 人类免疫缺陷病毒 基因亚型 重组体 耐药基因突变
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抗HIV治疗失败后HIV-1耐药基因的变异 被引量:5
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作者 赵宏儒 路新利 +7 位作者 李岩 白广义 王莹莹 陈志强 赵翠英 李保军 李巧敏 刘丽花 《中国感染控制杂志》 CAS 2013年第4期247-250,270,共5页
目的研究抗人免疫缺陷病毒(HIV)治疗失败后,HIV-1遗传基因变异情况,并分析其耐药性。方法选取抗HIV治疗失败的57例患者(其中采用D4T/3TC/NVP治疗方案者45例,3TC/AZT/NVP方案者7例,3TC/TDF/克立芝方案者5例),从其血浆中提取病毒RNA,运用... 目的研究抗人免疫缺陷病毒(HIV)治疗失败后,HIV-1遗传基因变异情况,并分析其耐药性。方法选取抗HIV治疗失败的57例患者(其中采用D4T/3TC/NVP治疗方案者45例,3TC/AZT/NVP方案者7例,3TC/TDF/克立芝方案者5例),从其血浆中提取病毒RNA,运用逆转录-聚合酶链反应(RT-PCR)和套式PCR扩增HIV-1 pol区基因片段,并对扩增的目的片段进行测序,将测序结果提交Web站点(http://HIVdb.stanford.edu),分析耐药变异情况。结果 3种治疗方案治疗失败者均出现耐药。57例患者,7例发生针对蛋白酶抑制剂的位点变异,其中1例(1.75%)M46IM蛋白酶抑制剂的位点变异,导致了抗ATV/r、FPV/r、IDV/r、LPV/r的潜在低度耐药和抗NFV的高度耐药;32例(56.14%)患者体内HIV-1发生了逆转录酶基因变异,且均对不同逆转录酶抑制剂产生了耐受性,其中14例(43.75%,14/32)患者对斯坦福数据库中的11种药物全都耐药,且11例(78.57%)治疗方案为D4T/3TC/NVP。TDF、克立芝等二线药物的治疗方案突变位点少于一线药物D4T、3TC、NVP、AZT。结论耐药变异是导致抗HIV治疗失败的主要原因。在开展抗病毒治疗过程中,应适时进行耐药性检测,以获得较好疗效。 展开更多
关键词 艾滋病 人免疫缺陷病毒 获得性免疫缺陷综合征 抗病毒治疗 抗药性 微生物 耐药基因
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陕西省新发现艾滋病感染者HIV耐药警戒线调查研究 被引量:4
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作者 任强 付钰淋 +4 位作者 李华 邹扬帆 张梦妍 张超 常文辉 《现代检验医学杂志》 CAS 2017年第6期136-138,共3页
目的分析新发现且尚未治疗的艾滋病病毒(HIV)感染人群的耐药基因序列,了解陕西省HIV耐药毒株的传播情况和流行特点。方法根据世界卫生组织推荐的艾滋病病毒耐药警戒线调查方法(HIVDR-TS),对47例16~25岁新确证HIV感染者的阳性血清,用In-h... 目的分析新发现且尚未治疗的艾滋病病毒(HIV)感染人群的耐药基因序列,了解陕西省HIV耐药毒株的传播情况和流行特点。方法根据世界卫生组织推荐的艾滋病病毒耐药警戒线调查方法(HIVDR-TS),对47例16~25岁新确证HIV感染者的阳性血清,用In-house方法测定pol基因区部分序列,采用在线CPR软件判断是否存在传播性耐药基因突变,并提交至美国斯坦福大学HIV在线耐药数据库中进行耐药程度分析,使用MEGA5.0软件构建进化树,分析亚型。结果 47份样本中没有发现传播性耐药基因突变,但有14份样本发现有与耐药相关的基因突变位点,包括蛋白酶区的T69N,E138A和V179D/E突变位点,反转录酶区的A71T/V和L10I/V突变位点;其中在CRF01_B亚型的一份样本中出现了K103R位点,其与V179E存在协同作用,导致对依非韦伦(EFV)和奈韦拉平(NVP)等药物的中度耐药。其余13份样本中发现的突变位点或可引起部分药物的低度潜在耐药,没有实际临床意义。基于pol区基因型分型,共有四种亚型,其中以CRF01_AE为主(26/47),其次为CRF07_BC(17/47)。结论陕西省HIV耐药株流行率<5%,属于低度流行水平,个体治疗前尚不需要进行耐药性检测,同时还需定期进行耐药警戒线调查研究。 展开更多
关键词 艾滋病病毒 耐药基因 耐药警戒线 亚型
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NCPP抗逆转录病毒鼠白血病病毒作用的研究 被引量:3
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作者 高尚先 厉保秋 +2 位作者 曲守方 康国华 李守悌 《药物分析杂志》 CAS CSCD 北大核心 2004年第2期193-197,共5页
目的:采用逆转录病毒鼠白血病病毒感染小鼠模型,研究无细胞短棒状杆菌纳米级制剂(NCPP,Nano-scale Productfrom Corynebacterium parvum)体内抗逆转录病毒鼠白血病病毒作用,初步评价其抗HIV的作用。方法:将逆转录病毒鼠白血病病毒(SRS8)... 目的:采用逆转录病毒鼠白血病病毒感染小鼠模型,研究无细胞短棒状杆菌纳米级制剂(NCPP,Nano-scale Productfrom Corynebacterium parvum)体内抗逆转录病毒鼠白血病病毒作用,初步评价其抗HIV的作用。方法:将逆转录病毒鼠白血病病毒(SRS8)T淋巴细胞株复苏后,加新鲜10%小牛血清的RPMI 1640培养液进行培养。每只小鼠腹腔注射逆转录病毒鼠白血病病毒(SRS8)T淋巴细胞1×105/0.3 mL。动物腹腔攻毒4 h后,NCPP给药组分高(2.0 mg·次-1·只-1)、中(0.5 mg·次-1·只-1)、低(0.125 mg·次-1·只-1)3个剂量组,肌肉注射,隔日1次,共5次;阳性对照组用双汰芝(200 mg·kg-1·d-1)灌胃,连续给药14 d。部分动物14 d后检测血常规,解剖取脾,计算脾指数。其余动物观察存活率。结果:小鼠感染病毒给药14 d时,阳性对照组及NCPP中剂量组体重较模型对照组有明显好转(P<0.05)。血液学指标变化明显,阳性对照组及NCPP中剂量组白细胞计数明显高于模型对照组(P<0.01),与正常对照组相比无明显差异。NCPP中剂量组脾指数明显高于模型对照组及正常对照组(P<0.01)。30 d存活率:NCPP高剂量组/中剂量组明显高于模型对照组(P<0.05)。60 d存活率:中剂量组,高剂量组/阳性对照组明显高于模型对照组(P<0.01,p<0.05)。结论:NCPP具有明显的抗逆转录病毒鼠白血病病毒作用,并能明显延长感染小鼠的生存期,提示具有一定的抗HIV作用。 展开更多
关键词 机会性感染 艾滋病 人类免疫缺陷病毒 NCPP 免疫功能 T淋巴细胞 逆转录病毒鼠白血病病毒 免疫调节剂 巨噬细胞
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国外抗爱滋病天然产物研究近况 被引量:7
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作者 刘智勇 单书香 刘林 《天然产物研究与开发》 CAS CSCD 1994年第4期85-90,共6页
本文回顾了近五年来国外报导的一些有关抗爱滋病病毒的天然产物。
关键词 天然产物 艾滋病
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