RT Journal Article T1 Improvement in detecting cytomegalovirus drug resistance mutations in solid organ transplant recipients with suspected resistance using next generation sequencing. A1 Lopez-Aladid, Ruben A1 Guiu, Alba A1 Mosquera, Maria Mar A1 Lopez-Medrano, Francisco A1 Cofan, Frederic A1 Linares, Laura A1 Torre-Cisneros, Julian A1 Vidal, Elisa A1 Moreno, Asuncion A1 Aguado, Jose Maria A1 Cordero, Elisa A1 Martin-Gandul, Cecilia A1 Carratala, Jordi A1 Sabe, Nuria A1 Niubo, Jordi A1 Cervera, Carlos A1 Capon, Alicia A1 Cervilla, Anna A1 Santos, Marta A1 Bodro, Marta A1 Muñoz, Patricia A1 Fariñas, Maria Carmen A1 Antón, Andres A1 Aranzamendi, Maitane A1 Montejo, Miguel A1 Perez-Romero, Pilar A1 Len, Oscar A1 Marcos, Maria Angeles K1 Cytomegalovirus K1 Drug Resistance, Viral K1 Female K1 Genes, Viral K1 Farmacorresistencia viral AB The aim of this study was to identify CMV drug resistance mutations (DRM) in solid organ transplant (SOT) recipients with suspected resistance comparing next-generation sequencing (NGS) with Sanger sequencing and assessing risk factors and the clinical impact of resistance. Using Sanger sequencing as the reference method, we prospectively assessed the ability of NGS to detect CMV DRM in the UL97 and UL54 genes in a nationwide observational study from September 2013 to August 2016. Among 44 patients recruited, 14 DRM were detected by Sanger in 12 patients (27%) and 20 DRM were detected by NGS, in 16 (36%). NGS confirmed all the DRM detected by Sanger. The additional six mutations detected by NGS were present in NGS showed a higher yield than Sanger sequencing for detecting CMV resistance mutations in SOT recipients. The presence of DRM detected by NGS was independently associated with longer antiviral treatment. PB Public Library of Science YR 2019 FD 2019-05-07 LK http://hdl.handle.net/10668/14252 UL http://hdl.handle.net/10668/14252 LA en NO López-Aladid R, Guiu A, Mosquera MM, López-Medrano F, Cofán F, Linares L, et al. Improvement in detecting cytomegalovirus drug resistance mutations in solid organ transplant recipients with suspected resistance using next generation sequencing. PLoS One. 2019 Jul 18;14(7):e0219701 DS RISalud RD Apr 7, 2025