Herpes simplex virus type 2 suppressive therapy with acyclovir or valacyclovir does not select for specific HIV-1 resistance in HIV-1/HSV-2 dually infected persons

Jared M. Baeten, Jairam Lingappa, Ingrid Beck, Lisa M. Frenkel, Gregory Pepper, Connie Celum, Anna Wald, Kenneth H. Fife, Edwin Were, Nelly Mugo, Jorge Sanchez, Myron Essex, Joseph Makhema, James Kiarie, Carey Farquhar, Lawrence Corey

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

Recent in vitro studies suggest that acyclovir may directly inhibit HIV-1 replication and can select for a specific HIV-1 reverse transcriptase mutation (V75I) with concomitant loss of an anti-HIV-1 effect. We tested for HIV-1 genotypic resistance at reverse transcriptase codon 75 in plasma from 168 HIV-1-infected persons from Botswana, Kenya, Peru, and the United States taking daily acyclovir or valacyclovir for between 8 weeks and 24 months. No V75I cases were detected (95% confidence interval, 0%-2.2%). These prospective in vivo studies suggest that standard-dose acyclovir or valacyclovir does not select for HIV-1 resistance.

Original languageEnglish (US)
Pages (from-to)117-121
Number of pages5
JournalJournal of Infectious Diseases
Volume203
Issue number1
DOIs
StatePublished - Jan 1 2011

ASJC Scopus subject areas

  • Immunology and Allergy
  • Infectious Diseases

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    Baeten, J. M., Lingappa, J., Beck, I., Frenkel, L. M., Pepper, G., Celum, C., Wald, A., Fife, K. H., Were, E., Mugo, N., Sanchez, J., Essex, M., Makhema, J., Kiarie, J., Farquhar, C., & Corey, L. (2011). Herpes simplex virus type 2 suppressive therapy with acyclovir or valacyclovir does not select for specific HIV-1 resistance in HIV-1/HSV-2 dually infected persons. Journal of Infectious Diseases, 203(1), 117-121. https://doi.org/10.1093/infdis/jiq013