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Antimicrobial Agents and Chemotherapy, February 2007, p. 732-735, Vol. 51, No. 2
0066-4804/07/$08.00+0 doi:10.1128/AAC.00690-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
Global Pharmaceutical Research and Development, Abbott Laboratories, Abbott Park, Illinois,1 Gilead Sciences, Foster City, California,2 Monogram Biosciences, Inc., South San Francisco, California3
Received 5 June 2006/ Returned for modification 20 July 2006/ Accepted 3 November 2006
Two novel human immunodeficiency virus protease mutations, I84C and I84A, were identified in patient isolates. The mutants with I84C displayed high-level resistance (median, at least 56-fold) to nelfinavir and saquinavir, but the majority remained susceptible to lopinavir. In contrast, isolates with the I84A mutation exhibited
33-fold median increased levels of resistance to nelfinavir, indinavir, amprenavir, ritonavir, lopinavir, saquinavir, and atazanavir. Isolates with the I84A or I84C mutation tended to be more resistant than the isolates with the I84V mutation. Modeling of the structure of the mutant proteases indicated that the I84V, I84C, and I84A mutations all create unoccupied volume in the active site, with I84A introducing the greatest change in the accessible surface area from that of the wild-type structure.
Published ahead of print on 13 November 2006.
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