Reduced susceptibility of human immunodeficiency virus type 1 (HIV-1) from patients with primary HIV infection to nonnucleoside reverse transcriptase inhibitors is associated with variation at novel amino acid sites

A J Brown, H M Precious, J M Whitcomb, J K Wong, M Quigg, W Huang, E S Daar, R T D'Aquila, P H Keiser, E Connick, N S Hellmann, C J Petropoulos, D D Richman, S J Little

Research output: Contribution to journalArticlepeer-review

Abstract

Recently, significant numbers of individuals with primary human immunodeficiency virus (HN) infection have been found to harbor viral strains with reduced susceptibility to antiretroviral drugs. In one study, HN from 16% of such antiretroviral-naive individuals was shown to have a susceptibility to nonnucleoside reverse transcriptase (RT) inhibitors (NNRTIs) between 2.5- and 10-fold lower than that of a wild-type control. Mutations in the RT domain that had previously been associated with antiretroviral resistance were not shared by these strains. We have analyzed by logistic regression 46 variable amino acid sites in RT for their effect on susceptibility and have identified two novel sites influencing susceptibility to NNRTIs: amino acids 135 and 283 in RT. Eight different combinations of amino acids at these sites were observed among these patients. These combinations showed a 14-fold range in mean susceptibility to both nevirapine and delavirdine. In vitro mutagenesis of the control strain combined with a phenotypic assay confirmed the significance of amino acid variation at these sites for susceptibility to NNRTIs.
Original languageEnglish
Pages (from-to)10269-10273
Number of pages5
JournalJournal of Virology
Volume74
Issue number22
DOIs
Publication statusPublished - Nov 2000

Keywords

  • Amino Acid Substitution
  • Drug Resistance, Microbial
  • Genetic Variation
  • HIV Infections
  • HIV Reverse Transcriptase
  • HIV-1
  • Humans
  • Molecular Sequence Data
  • Mutagenesis, Site-Directed
  • Phenotype
  • Phylogeny
  • Reverse Transcriptase Inhibitors

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