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Frequency matters: comparison of drug resistance mutation detection by Sanger and next-generation sequencing in HIV-1.

Suraj BalakrishnaTom LoosliMaryam ZaheriPaul FrischknechtMichael HuberKatharina KusejkoSabine YerlyKaroline LeuzingerMatthieu PerreauAlban RametteChris WymantChristophe FraserPaul KellamAstrid GallHans H HirschMarcel StoeckleAndri RauchMatthias CavassiniEnos BernasconiJulia NotterAlexandra CalmyHuldrych F GunthardKarin J MetznerRoger D Kouyos
Published in: The Journal of antimicrobial chemotherapy (2023)
We found high concordance between SS and NGS but also a substantial number of low-abundance HIV-DRMs detected only by NGS at lower variant-calling thresholds. Our findings suggest that a substantial fraction of the low-abundance HIV-DRMs detected at thresholds <3% may represent sequencing errors and hence should not be overinterpreted in clinical practice.
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