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Glossary
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  • Antiretroviral Drug - A drug that is used to fight a retrovirus like HIV.

  • Assay - Another word for a laboratory test. (example: HIV drug resistance assay)

  • CD4 T Cell Count - A test used to monitor the immune system in people with HIV.

  • Cross Resistance - When resistance to one drug causes resistance to another drug of the same type.

  • Drug Resistance - When a virus is able to adapt, grow, and multiply in the presence of drugs designed to kill it.

  • Entry Inhibitor - A type of antiretroviral drug designed to stop HIV from entering cells in the immune system. [example: FUZEON® (enfuvirtide) T-20]

  • Fold Change - In phenotypic testing, fold change is the degree of difference in sensitivity between wild-type virus and the patient virus.

  • Genotype - The genetic makeup of a living thing; by identifying the genotype of HIV using a genotypic resistance test, drug resistance can be predicted.

  • Genotypic Resistance Test - A test that predicts drug resistance by identifying mutations in the genotype of a person's virus.

  • Highly Active Antiretroviral Therapy (HAART) - Treatment which combines three or more antiretroviral drugs with the goal of reducing viral load to undetectable levels.

  • Hypersusceptibility - In phenotypic testing, when a person's virus is more sensitive to a drug than wild-type virus.

  • IC50 (Inhibitory Concentration 50%) - In phenotypic testing, IC50 is the amount of a particular drug needed to slow the growth of HIV by 50%.

  • Mutation - A genetic change in HIV that often occurs when a person is taking antiretroviral drugs, allowing the virus to be drug resistant.

  • Non-nucleoside Reverse Transcriptase Inhibitor (NNRTI) - A type of antiretroviral drug designed to block the reverse transcriptase enzyme, but not of a nucleoside chemical structure. [example: Sustiva™ (efavirenz) EFV]

  • Nucleoside Reverse Transcriptase Inhibitor (NRTI) - A type of antiretroviral drug designed to block the reverse transcriptase enzyme. [example: Ziagen™ (abacavir) ABC]

  • Phenotype - The physical result or expression of the genotype. By identifying the phenotype of HIV using a phenotypic resistance test, a person's sensitivity to antiretroviral drugs can be measured.

  • Phenotypic Cutoff - A standard used in phenotypic testing that identifies when a drug begins to lose effectiveness.

  • Phenotypic Resistance Test - A test that directly measures the sensitivity of HIV to antiretroviral drugs.

  • Protease - An enzyme in HIV responsible for breaking the HIV viral protein strand into smaller pieces that are needed to form a new, mature virus.

  • Protease Inhibitor (PI) - A type of antiretroviral drug designed to stop the protease enzyme from working. [example: Crixivan™ (indinavir) IDV]

  • Replication Capacity - The ability of HIV to make copies of itself.

  • Reverse Transcriptase - An enzyme in HIV responsible for translating HIV RNA into DNA.

  • Structured Treatment Interruption (STI) - A planned period during which a person stops taking all antiretroviral drugs.

  • Susceptibility - Sensitivity to antiretroviral drugs.

  • Therapeutic Drug Monitoring (TDM) - The use of laboratory tests to measure the amount of antiretroviral drug in a person's bloodstream.

  • Treatment-experienced - Description for people who have already received drugs for the treatment of HIV.

  • Treatment-naïve - Description for people who have never been treated with drugs for HIV.

  • Viral Fitness - A term describing how well a virus can grow, multiply and thrive in a certain environment. Replication Capacity is a part of viral fitness.

  • Viral Load - The amount of HIV in a person's blood.

  • Virtual Phenotype - A type of genotypic resistance test that predicts resistance by comparing a person's genotype to a database of phenotype-genotype matches.

  • Wild-type Virus - A term used to describe a strain of HIV that does not contain drug resistance mutations.

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