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    <titleInfo>
      <title>Optimization of the oligonucleotide ligation assay, a rapid and inexpensive test for detection of HIV-1 drug resistance mutations, for non-North American variants</title>
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      <namePart type="family">Beck</namePart>
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    <abstract>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.</abstract>
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    <subject>
      <topic>Hiv drug resistance</topic>
      <topic>Hiv-1 non-b subtypes</topic>
      <topic>Resistance testing</topic>
      <topic>Oligonucleotide ligation assay</topic>
      <topic>Minor genotypes</topic>
      <topic>Point mutation assay</topic>
      <topic>Dried blood spots</topic>
    </subject>
    <classification authority="local">052</classification>
    <classification authority="local">050</classification>
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      <titleInfo>
        <title>JAIDS Journal of Acquired Immune Deficiency Syndromes</title>
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      <part>
        <detail type="volume">
          <number>48</number>
        </detail>
        <detail type="volume">
          <number>4</number>
        </detail>
        <extent unit="pages">
          <list> 418-427</list>
        </extent>
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      <originInfo>
        <dateIssued>2008</dateIssued>
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      <identifier type="issn">1525-4135</identifier>
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    <identifier type="uri">https://www.documentation.ird.fr/hor/fdi:010042699</identifier>
    <identifier type="doi">10.1097/QAI.0b013e31817ed7d7</identifier>
    <identifier type="issn">1525-4135</identifier>
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      <recordCreationDate encoding="w3cdtf">2008-09-19</recordCreationDate>
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