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《Chinese Journal of Disease Control & Prevention》 2017-06
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The frequency of drug resistance mutations among different HIV-1 subtypes in Chinese MSM: a Meta-analysis

YIN Yue-qi;ZHU Jing;WU Nan-nan;WANG Qing;HONG Xiang;WANG Bei;Department of Epidemiology and Health Statistics,School of Public Health,Southeast University;  
Objective To understand the frequency of HIV-1 drug resistance mutation and the distribution among different subtypes in Chinese MSM. Methods A computerized literature search was carried out in Chinese Journal Fulltext Database( CNKI),Wanfang Database,Sino Med Database,Pubmed,web of science,Embase,etc. Related papers were collected to identify screening studies for HIV-1 drug resistance mutations in China. Systemic review was performed to filter qualified studies,which must have definite study time,locations,criterion of drug resistance test and other related information. The data extracted from the included studies were calculated by Freeman-Tukey method to acquire the combine rate. Subgroup analysis was executed by HIV-1 subtypes. Begg's test was executed to test publication bias. All the statistical analysis were performed by Stata 12. 0 software. Results Ten studies were included,the information of 23 mutation sites were obtained,five subtypes( 01 AE,07BC,08 BC,B,CRFs) were. The prevalence of A71T/V/I was 17. 42%( 8. 20-29. 17). Mutation sites M46I/L,T69D/NS,L74I/S and K103N/R were only tested in subtype 01 AE. The prevalence of mutation rate of each mutation site in subtype B was higher than other subtypes. Conclusions In Chinese MSM,mutation of HIV-1 in subtype 01 AE is diversification and the mutation rate among different sites on subtype B are higher than other subtypes. Subtypes of 01 AE and B in transmission drug resistance contribute more than others,which need more attention.
【Fund】: 高等学校博士学科点专项科研基金(20130092110048)
【CateGory Index】: R512.91
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