%0 Journal Article %9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES %A Beck, I. A. %A Crowell, C. %A Kittoe, R. %A Bredell, H. %A Machaba, M. %A Willamson, C. %A Janssens, W. %A Jallow, S. %A van der Groen, G. %A Shao, Y. %A Jacob, M. %A Samuel, N. M. %A de Rivera, I. L. %A Ngo-Giang-Huong, Nicole %A Cassol, S. %A Alemnji, G. %A Frenkel, L. M. %T Optimization of the oligonucleotide ligation assay, a rapid and inexpensive test for detection of HIV-1 drug resistance mutations, for non-North American variants %D 2008 %L fdi:010042699 %G ENG %J JAIDS Journal of Acquired Immune Deficiency Syndromes %@ 1525-4135 %K Hiv drug resistance ; Hiv-1 non-b subtypes ; Resistance testing ; Oligonucleotide ligation assay ; Minor genotypes ; Point mutation assay ; Dried blood spots %M ISI:000257808100006 %N 4 %P 418-427 %R 10.1097/QAI.0b013e31817ed7d7 %U https://www.documentation.ird.fr/hor/fdi:010042699 %> https://www.documentation.ird.fr/intranet/publi/2008/08/010042699.pdf %V 48 %W Horizon (IRD) %X Objective: We evaluated the feasibility of the oligonucleotide ligation assay (OLA), a specific, sensitive, and economical ligase-based point mutation assay designed to detect HIV-1 drug-resistance mutations at 12 codons of HIV-1 subtype B pol, for potential use in resource-poor settings. Methods: Specimens from HIV-1-infected individuals collected by 7 international laboratories, including subtypes A, B, C, D, F, G, J, and recombinants AE and AG, were tested by the OLA developed for HIV-1 subtype B. Common polymorphisms that interfered with reactivity of the OLA were identified and modified probes designed and evaluated. Results: 92.5% (2410) of 2604 codons in specimens from 217 individuals were successfully genotyped by the subtype B OLA. A high rate (range 8.3%-31.2%) of indeterminate results (negative OLA reaction for both mutant and wild type) was observed for 5 codons. Modified probes at reverse transcriptase codons 151 and 184 and protease codon 90 increased the rate of valid OLA to 96.1%. Conclusions: The OLA designed for HIV-1 subtype B genotyped most pol codons in non-B subtypes from Asia and Africa but was improved by addition of several modified probes. International laboratories experienced in molecular techniques were able to perform the OLA. %$ 052 ; 050