HIV behöver också en co-receptor, CCR5 eller CXCR4. 4 CCR5-inhibitorer hindrar inbindning av gp 160 till CD4+CCR5 men tropism-test krävs för att se om det finns virus som kan Recombinant ImmunoBlot Assay (RIBA) för bekräftelse.

1977

HIV-1-genotypning och bestämning av tropism baserat på djup sekvensering av gag-p2 HIV-1 läkemedelsresistens och co-receptor tropism bestämdes med 

• Co-receptor tropism testing is recommended for patients who exhibit virologic failure on a CCR5 antagonist (BIII). • A phenotypic tropism assay is preferred to determine HIV-1 co-receptor usage (AI). 2015-02-01 · Co-receptor tropism testing is necessary prior to prescribing CCR5 antagonists and plays an important role in the optimal selection of antiretroviral regimens for participants experiencing of virologic failure. A commonly used co-receptor tropism test (Trofile, Monogram Biosciences Inc.) costs $1960 to perform.

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The assay's purpose is to identify the tropism of an individual patient's HIV strain – R5, X4, or a combination of these known as dual/mixed (D/M). The results show whether the patient is infected with virus that enters cells using the R5 co-receptor, the X4 co-receptor, or both (dual/mixed). receptor tropism assays tropism assays Prior art date 2008-03-04 Application number PCT/US2009/001412 Other languages French (fr) Other versions WO2009111042A2 (en Inventor Dwight Dubois Original Assignee Cenetron Diagnostics Priority date (The priority date is an assumption and is not a legal conclusion. Trofile Phenotypic Corecept Tropism Useful For To determine the co-receptor tropism (CCR5, CXCR4, or dual/mixed) of a patient's HIV-1 strain for selection of CCR5 co-receptor antagonist therapy, when a patient's HIV-1 viral load is ≥ 1,000 copies/mL.

However, HIV-1 RNA-based tests are not suitable for virologically suppressed patients, therefore the use of proviral DNA tropism testing has been investigated.

Phenotypic testing, such as the Trofile assay, is primarily based on ex vivo determination of tropism in established coreceptor expressing cell lines, and has been the gold standard for tropism

The assay's purpose is to identify the tropism of an individual patient's HIV strain – R5, X4, or a combination of these known as dual/mixed (D/M). The results show whether the patient is infected with virus that enters cells using the R5 co-receptor, the X4 co-receptor, or both (dual/mixed). receptor tropism assays tropism assays Prior art date 2008-03-04 Application number PCT/US2009/001412 Other languages French (fr) Other versions WO2009111042A2 (en Inventor Dwight Dubois Original Assignee Cenetron Diagnostics Priority date (The priority date is an assumption and is not a legal conclusion. Trofile Phenotypic Corecept Tropism Useful For To determine the co-receptor tropism (CCR5, CXCR4, or dual/mixed) of a patient's HIV-1 strain for selection of CCR5 co-receptor antagonist therapy, when a patient's HIV-1 viral load is ≥ 1,000 copies/mL.

Coreceptor tropism assay

Trofile® Select allows for the determination of HIV-1 coreceptor tropism status, by which the appropriate assay, Trofile® or Trofile® DNA, is selected through an initial prescreening viral assessment. The coreceptor tropism status may be used to determine eligibility for CCR5 antagonist therapy, such as maraviroc (Selzentry®).

However, there is significant room for improvement in the speed, cost and availability of the test.

Coreceptor tropism assay

The HIV-1 Coreceptor Tropism, Proviral DNA (Quest Diagnostics) uses population sequencing of the HIV envelope V3 loop to detect the presence of CXCR4-tropic HIV-1 [Baumann et al. 2009]. HIV-1 Coreceptor Tropism, Proviral DNA - The use of CCR5 antagonists requires screening for viral tropism to exclude patients harboring X4 or D/M virus. HIV-1 Proviral DNA tropism test is useful for determination of viral tropism in patients with undetectable HIV-1 viral RNA (virologically suppressed).
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Coreceptor tropism assay

this project was to study neutralization and coreceptor use in HIV-1 and HIV-2.

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Jun 13, 2019 Aetna considers phenotypic recombinant virus assays/HIV tropism testing 2013 ) recommends that a co-receptor tropism assay should be 

Furthermore, the test is not quantitative, requires high-input HIV RNA viral loads, and produces results t … 2010-12-01 2006-04-06 The Trofile-ES assay was not used in the MOTIVATE or A4001029 studies. The genetic determinants of HIV coreceptor usage are primarily located in the third hypervariable domain (‘V3 loop’) of the HIV envelope . This raises the possibility that a clinically useful tropism assay could be developed based on a genetic analysis of the V3 region.