关键词: E166V/L50F Mpro immunocompromised nirmatrelvir resistance

Mesh : Humans Ritonavir / therapeutic use Immunocompromised Host Mutation SARS-CoV-2 / genetics Antiviral Agents / therapeutic use

来  源:   DOI:10.1093/cid/ciad494

Abstract:
Resistance of SARS-CoV-2 to antivirals was shown to develop in immunocompromised individuals receiving remdesivir. We describe an immunocompromised patient who was treated with repeated and prolonged courses of nirmatrelvir and developed de-novo E166V/L50F mutations in the Mpro region. These mutations were associated with clinical and virological treatment failure.
摘要:
在接受remdesivir的免疫受损个体中显示出SARS-CoV-2对抗病毒药物的抗性。我们描述了一名免疫功能低下的患者,该患者接受了反复和长时间的nirmatrelvir疗程治疗,并在Mpro区域发生了从头E166V/L50F突变。这些突变与临床和病毒学治疗失败有关。
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