Enhanced fidelity of 3TC-selected mutant HIV-1 reverse transcriptase

Mark A. Wainberg, William C. Drosopoulos, Horacio Salomon, Mayla Hsu, Gadi Borkow, Michael A. Parniak, Zhengxian Gu, Qingbin Song, Jayanthi Manne, Sabina Islam, Gino Castriota, Vinayaka R. Prasad

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295 Scopus citations


Monotherapy with (-)2',3'-dideoxy-3'-thiacytidine (3TC) leads to the appearance of a drug-resistant variant of human immunodeficiency virus-type 1 (HIV-1) with the methionine-184 → valine (M184V) substitution in the reverse transcriptase (RT). Despite resulting drug resistance, treatment for more than 48 weeks is associated with a lower plasma viral burden than that at baseline. Studies to investigate this apparent contradiction revealed the following. (i) Titers of HIV-neutralizing antibodies remained stable in 3TC-treated individuals in contrast to rapid declines in those treated with azidothymidine (AZT). (ii) Unlike wild-type HIV, growth of M184V HIV in cell culture in the presence of d4T, AZT, Nevirapine, Delavirdine, or Saquinavir did not select for variants displaying drug resistance. (iii) There was an increase in fidelity of nucleotide insertion by the M184V mutant compared with wild-type enzyme.

Original languageEnglish (US)
Pages (from-to)1282-1285
Number of pages4
Issue number5253
StatePublished - Mar 1 1996

ASJC Scopus subject areas

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